Supplementary Table 1: Questions for adults on physical activity with corresponding variable names, NHANES

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1 Table 1: Questions for adults on physical activity with corresponding variable names, NHANES Domain Questions Walking and Over the past 30 days, have you walked or bicycled as part of getting to and from work, or PAD020 PAQ020 biking school, or to do errands? yes or no or unable to do activity (IF YES) How often did you do this? enter number of days, weeks, or months PAQ050Q PAQ050 PAQ050U (IF YES) On those days when you walked or bicycled, about how long did you spend PAD080 PAD080 altogether doing this? enter number of minutes or hours Home/yard Over the past 30 days, did you do any tasks in or around your home or yard for at least 10 PAQ100 PAQ100 physical activity (# minutes per 30 days) minutes that required moderate or greater physical effort? By moderate physical effort, I mean tasks that caused light sweating or a slight to moderate increase in your heart rate or breathing, such as raking leaves, mowing the lawn, or heavy cleaning. (IF YES) How often did you do these tasks in or around your home or yard for at least 10 PAD120 PAD120 minutes at a time that required moderate or greater physical effort? enter number of times (past 30 days) (IF YES) About how long did you do these tasks each time? enter number of minutes PAD160 PAD160 General description of daily Vigorous physical activity (PADLEVEL=2) (# minutes per 30 days) Moderate physical activity (PADLEVEL=1) (# minutes per 30 days) Activity compared w/ others TV/video hours/day Please tell me which of the sentences best describes your usual daily? (1) You sit during the day and do not walk about very much. (2) You stand or walk about quite a lot during the day but do not have to carry or lift things very often. (3) You lift or carry light lads or have to climb stairs or hills often. (4) You do heavy work or carry heavy loads. PAQ180 PAQ180 Over the past 30 days, did you do any vigorous for at least 10 minutes that cause PAD200 PAD200 heavy sweating, or large increases in breathing or heart rate? Some examples are running, lap swimming, aerobics classes, or fast bicycling. (yes or no or unable to do activity) (IF YES) What vigorous did you do? code all PADACTIV PADACTIV (IF YES) How often did you do X activity? enter number (past 30 days) PADTIMES PADTIMES (IF YES) On average, about how long did you do X each time? enter number of minutes PADDURAT PADDURAT Over the past 30 days, did you do moderate for at least 10 minutes that cause only PAD320 PAD320 light sweating or a slight to moderate increase in breathing or heart rate? Some examples are brisk walking, bicycling for pleasure, golf, or dancing. (yes, no, unable to do ) (IF YES) What did you do? code activity PADACTIV PADACTIV (IF YES) How often did you do X activity? enter number (past 30 days) PADTIMES PADTIMES (IF YES) On average, about how long did you do X each time? enter number of minutes PADDURAT PADDURAT Compared with most others your age, would you say that you are (1) more active, (2) less PAQ520 PAQ520 active, or (3) about the same? Over the past 30 days, on average how many hours per day did you sit and watch TV or videos (outside of work)? Would you say less than 1 hour (0), 1 hour (1), 2 hours (2), 3 hours (3), 4 hours (4), 5 hours or more (5), none (6). PAD590 PAD590 page 1

2 Computer hours/day Over the past 30 days, on average how many hours per day did you use a computer or play computer games (outside of work)? Would you say less than 1 hour (0), 1 hour (1), 2 hours (2), 3 hours (3), 4 hours (4), 5 hours or more (5), none (6). PAD600 PAD600 page 2

3 Table 2: Derived variables for adults on physical activity with corresponding variable names, NHANES Domain Mode Frequency* Duration** Calculation Variable Names Transportation walked or how often how long continuous hours/week in past month by multiplying frequency and duration HR_TN activity bicycled (type did you do did you do continuous MET-hours/week in past month by multiplying frequency and HM_TN not specified) this? this? duration using 4.0 MET value TN_YN Moderate to tasks around how often how long continuous hours/week in past month by multiplying frequency and duration HR_HH vigorous home or yard did you do did you do continuous MET-hours/week in past month by multiplying frequency and HM_HH household activityª (type not specified) this? this? duration using 4.5 MET value HH_YN Usual daily X X X (1) You sit during the day and do not walk about very much. (2) You stand or walk about quite a lot during the day but do not have to carry or lift things very often. (3) You lift or carry light lads or have to climb stairs or hills often. (4) PAQ180 Vigorous leisure activityª Moderate leisure activityª Total moderate to vigorous leisure activityª 48 leisure Table 3 for 48 leisure Table 3 for 48 leisure Table 3 for how often did you do this? how often did you do this? how long did you do this? how long did you do this? You do heavy work or carry heavy loads. continuous hours/week in past month by multiplying frequency and duration continuous MET-hours/week in past month by multiplying frequency and duration and assigned MET values continuous hours/week in past month by multiplying frequency and duration continuous MET-hours/week in past month by multiplying frequency and duration and assigned MET values continuous hours/week in past month by adding up the moderate and vigorous PA variables in hours/week continuous MET-hours/week in past month by adding up the moderate and vigorous PA variables in MET-hours/week HR_MVLT2 HM_ MVLT2 MVLT2_YN HR_MVLT1 HM_ MVLT1 MVLT1_YN HR_MVLT HM_ MVLT page 3

4 Moderate to vigorous leisure ª grouped into types of activity Table 4 for continuous hours/week in past month -Home aerobic conditioning -Home maintenance -Jogging -Recreational -Strengthening -Stretching -Team sports -Walking -Water Additional category: -Aerobic exercise HR_IAC HR_HMT HR_JOG HR_REC HR_STN HR_STC HR_TMS HR_WLK HR_WTR HR_ARB Table 3 and 4 for continuous MET-hours/week in past month -Home aerobic conditioning -Home maintenance -Jogging -Recreational -Strengthening -Stretching -Team sports -Walking -Water Additional category: -Aerobic exercise HM_IAC HM_HMT HM_JOG HM_REC HM_STN HM_STC HM_TMS HM_WLK HM_WTR HM_ARB Table 4 for categorical variable either yes-any (1) or none (0) -Home aerobic conditioning -Home maintenance -Jogging -Recreational -Strengthening -Stretching -Team sports -Walking -Water Additional category: -Aerobic exercise IAC_YN HMT_YN JOG_YN REC_YN STN_YN STC_YN TMS_YN WLK_YN WTR_YN ARB_YN page 4

5 Comparison to others Sedentary Meeting recommendation for physical activity (USDHHS 2008) Categorical variable either yes (1) or no (0): minutes/week moderate intensity aerobic - or 75 minutes/week vigorous intensity aerobic - or an equivalent of mixed combination of moderate and vigorous intensity aerobic by multiplying vigorous minutes by 2. PAMEET PAD440 X X X (1) more active, (2) less active, or (3) about the same PAQ520 TV/Video X X (0) less than 1 hour, (1) 1 hour, (2) 2 hours, (3) 3 hours, (4) 4 hours, (5) 5 hours or more, (6) none. Computer X X (0) less than 1 hour, (1) 1 hour, (2) 2 hours, (3) 3 hours, (4) 4 hours, (5) 5 hours or more, (6) none. PAD590 PAD600 *Frequency was answered in number of times per day, week, or past 30 days for the past month. This was converted to average frequency per week. For days, the values were multiplied by 7 to obtain a week. For past 30 days, the values were divided by 30 and then multiplied by 7 to obtain a week. **Duration was answered in average number of minutes or hours. Minutes were converted to hours. ª This question was required to be at least 10 minutes in length. The variable should be checked and if less than 10 minutes in length should be set to zero and calculated as no activity for this mode. Reference U.S. Department of Health and Human Services (USDHHS) Physical Activity Guidelines for Americans. Accessed June 6, 2013 at Washington, D.C., 2008:1-61. page 5

6 Table 3: Documentation on physical activity variables including code number, name, moderate MET code, and vigorous MET code, NHANES Code Number, Activity Name (Moderate MET Code, Vigorous MET code) 10 Aerobics (5.0, 7.0) 11 Baseball (5.0, 6.0) 12 Basketball (6.0, 8.0) 13 Bicycling (4.0, 8.0) 14 Bowling (3.0, 3.0) 15 Dance (4.5, 6.0) 16 Fishing (3.5, 6.0) 17 Football (5.0, 8.0) 18 Gardening (4.0, 5.0) 19 Golf (3.5, 4.5) 20 Hiking (6.0, 7.0) 21 Hockey (6.0, 8.0) 22 Hunting (5.0, 6.0) 23 Jogging (6.0, 7.0) 24 Kayaking (3.5, 7.0) 25 Push-ups (3.5, 8.0) 26 Racquetball (7.0, 10.0) 27 Rollerblading (6.0, 7.0) 28 Rowing (3.5, 7.0) 29 Running (7.0, 10.0) 30 Sit-ups (3.5, 8.0) 31 Skating (5.0, 7.0) 32 Skiing cross country (7.0, 9.0) 33 Skiing downhill (6.0, 8.0) 34 Soccer (6.0, 10.0) 35 Softball (5.0, 6.0) 36 Stair Climbing (6.0, 8.0) 37 Stretching (2.5, 2.5) 38 Swimming (6.0, 8.0) 39 Tennis (5.0, 7.0) 40 Treadmill (4.5, 7.0) 41 Volleyball (4.0, 8.0) 42 Walking (3.5, 5.0) page 6

7 43 Weight Lifting (3.0, 6.0) 44 Yard Work (4.0, 6.0) 50 Boxing (6.0, 9.0) 51 Frisbee (3.0, 8.0) 52 Horseback Riding (4.0, 6.5) 53 Martial Arts (4.0, 10.0) 54 Wrestling (6.0, 8.0) 55 Yoga (2.5, 4.0) 56 Cheerleading and Gymnastics (4.0, 6.0) 57 Children s Games - Dodgeball, Kickball, etc. (5.0, 6.0) 58 Rope Jumping (8.0, 10.0) 59 Skateboarding (5.0, 6.0) 60 Surfing (3.0, 5.0) 61 Trampoline Jumping (3.5, 4.5) 71 Other (4.5, 7.0) Variable Name, Activity (MET code) PAD020: Walked or bicycled over past 30 days to get to/from work, etc. (4.0) PAQ100: Tasks in or around home or yard past 30 days (4.5) PAQ180: Average level of physical activity each day 1 - Mainly sit (1.4) 2 - Walk a lot (1.5) 3 - Carry light loads (1.6) 4 - Carry heavy loads (1.8) PAQ560: Number of times per week played or exercised hard (7.0) PAD590: Average number of hours watched TV or videos over past 30 days (1.0) PAD600: Average number of hours used computer over past 30 days (1.5) References: (These MET assignments were taken from NHANES documentation accessed June 6, 2013.) : : page 7

8 Table 4: Categorization of leisure reported by participants, NHANES Activity (variable abbreviation in supplementary Table 2): activity description Indoor aerobic conditioning (IAC): aerobics, rope jumping, stair climbing, treadmill Home maintenance (HMT): gardening, yard work Jogging (JOG): jogging, running Recreational (REC): bicycling, boxing, bowling, cheerleading and gymnastics, children s games (dodgeball, kickball, ect), dance, frisbee, golf, hiking, horseback riding hunting, martial arts, racquetball, tennis, rollerblading, skateboarding, skating, skiing cross-country, skiing downhill, trampoline jumping, wrestling Strengthening (STN): push-ups, sit-ups, weight lifting Stretching (STC): stretching, yoga Team sports (TMS): baseball, basketball, football, hockey, soccer, softball, volleyball Walking (WLK): walking Water (WTR): fishing, kayaking, rowing, surfing, swimming Other (OTH): other The following variable was also derived: Aerobic exercise (ARB): Combined three categories (indoor aerobic conditioning, jogging, and walking) along with the following specific : bicycling, dance, hiking, racquetball, tennis, rollerblading, skating, skiing cross-country, trampoline jumping, basketball, hockey, soccer, volleyball, surfing, kayaking, and swimming. Reference: These categories were based on groupings used in the Behavioral Risk Factor Surveillance System. Evenson K, Huston S, Wood J, et al. Does the number of leisure recalled change the estimated prevalence of activity? Med Sci Sports Exerc 2003;35: page 8

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