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Objective: To compare activity levels between a
simulated "historical" lifestyle and a "modern" lifestyle to try to
validate earlier estimates of secular changes in activity.
Design: Triaxial accelerometers (TRACMORs) were
used to measure activity levels in a "historical" group of seven male
actors who were paid to live like early Australian settlers at a theme
park north of Sydney (eg, minimising the use of modern technology) for
a week. Results were compared with those from a group of seven "modern"
sedentary office workers.
Results: Activity levels were up to 2.3 times greater
in the historical group than the modern group. Calculations based on
body weight and energy expenditure suggest the difference is the
equivalent of walking up to 16 km per day more in the past than today.
Conclusions: These findings accord with two
previous estimates of changes in daily activity levels over time and
suggest that recent public health guidelines for increasing
physical activity may be inadequate.
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An inactive lifestyle has been linked to a range of diseases, many of
which are mediated through obesity.1 Intuitively, it seems
apparent that average activity levels have decreased with modern
industrial development and have mirrored the worldwide rise in
obesity. Proxy measures of inactivity, such as the sale of motor
vehicles and television viewing time, show a clear relationship to
the development of obesity in the presence of a declining food intake.
For this reason, some obesity experts suggest that the modern phase of
the obesity epidemic (from 1980 onwards) is probably mediated more by
inactivity ("sloth") than overconsumption ("gluttony"). However,
the quantitative dimensions of a change in physical activity are
difficult to estimate.2 If they could be (even
roughly) determined, they might provide valuable information
against which to assess modern physical activity guidelines for
weight loss and maintenance.
A "back of an envelope" calculation suggested an average decline in
energy expenditure in the United Kingdom from the years after World
War II to 1995 of around 800 kcal/d.3 At an energy cost of around 50
kcal/km for a 70 kg man,4 this suggests a decline in
activity levels equivalent to walking about 16 km less per day. More
recently, a comparison of activity levels of hunter-gatherer
populations with those of individuals in modern Western societies
suggested that the average daily difference may be equivalent to
walking about 19 km.5 In an attempt to validate
these estimates, we recently mocked up a small experiment for a
lifestyle television production (Burke's Backyard). Our
experiment was designed to compare activity patterns in Australian
settlers of 150 years ago with modern-day sedentary office workers.
We then attempted to calculate differences in terms of distance
walked daily to compare with the previous estimates.
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Movement levels were monitored in two groups of men by use of a triaxial
accelerometer (TRACMOR, Maastricht University, Maastricht, the
Netherlands) worn around the waist during waking hours. This has
recently been validated against doubly-labelled water,6 and is regarded
as one of the most sophisticated modern ambulatory measurement
monitors. The device measures movement in activity units on three
axes (forwards, sidewards and upwards), and includes even
relatively minor movements such as fidgeting and upper-body
actions.
Seven male actors aged 30-60 years who work at "Old Sydney Town", a
historic theme park north of Sydney set around the early 19th century,
were selected to represent a historically active group. The men are
paid to play the role of early Australian soldiers, convicts and
settlers for about eight hours every day. They agreed to wear a TRACMOR
during waking hours for one week, and were asked to avoid the use of
modern technology as much as possible when they were not working at the
park during the week. In an attempt to further authenticate this
process, five of the men lived on the premises in convict huts for up to
four days and nights. A second group of seven male modern sedentary
workers, aged 30-60 years, including accountants, information
technology personnel, doctors, a taxi driver and an entertainer,
were also given TRACMORs to wear during waking hours, and were asked to
continue their normal lifestyle over the course of a week. All records
were downloaded into a computer program developed by the developers
of the TRACMOR at Maastricht University in the Netherlands for
analysis of results.
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The mean activity level (arbitrary units) for the historical group
was 88 533 (95% CI, 33 697-143 369; range, 62 204-129 924), compared
with 54 920 (95% CI, 32 019-77 821; range, 38 322-70 399). Thus, the
historical group were on average 1.6 times more active than the modern
group. However, the task was taken more seriously by some in the
historical group than others (eg, some still used cars and
televisions to some extent during the week). Hence, the two main
outliers in the group, who kept rigidly to the experimental
requirements, may provide a better reference point for
calculations. These two individuals (with activity levels of 129 924
and 125 800 units) were 2.3 times more active than the modern group.
Using estimates derived from energy expenditure tables (see Box), it
was calculated that the difference in activity levels between the
means of the two groups was equivalent to walking about 8 km per day.
However, when the two outliers in the historical group were compared
with the mean of the modern group, the difference was equivalent to
walking about 16 km per day.
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A difference in daily activity levels equivalent to walking 8-16 km
per day between previous and modern times represents a huge secular
change in daily energy expenditure. At the upper level, this
coincides roughly with previous estimates.3,5 It probably also accords
with the levels of movement required for foraging for survival
throughout most of human evolution. Anthropological evidence
suggests that early humans, like modern hunter-gathers, may have
transported tools, weapons and game over a daily range of about 15
km.8
Given their other daily tasks, this would have added up to a
substantial daily energy use which was rarely, if ever, likely to be
exceeded by food intake over an extended period, thus reducing the
chances of energy imbalance. As a result, human populations, up until
the past 2-3 decades, have not been significantly overweight. The
growth of time-saving and time-using technologies,9 however, means
that these activity levels are unlikely ever to be reached without
conscious effort. In the presence of an abundant (and energy-dense)
food supply, obesity, at least at the population level, is almost an
inevitable consequence of modernisation.
More telling are the implications this has for physical activity
recommendations for optimal health and weight management. Recent
government recommendations suggest an added daily energy
requirement of 30 minutes of accumulated mild- to
moderate-intensity activity.10,11 However, for a 96 kg
sedentary office worker, such as in this study, this would account for
perhaps an extra 200 kcal/d, which is 300-800 kcal (the equivalent of
walking 5-13 km) short of the 500-1000 kcal difference estimated
here. These findings support the suggestion that, if the
evolutionary perspective (which has dominated almost all of human
existence) is indicative of requirements for optimal health, an
increase in activity levels up to three times those recommended in
modern guidelines may be necessary.5
Supporting this, data from the United States Weight Control
Registry, a database of people who have lost more than 14 kg and
maintained this for at least five years, have shown that people who
achieve the greatest benefits are consciously active for up to 80
minutes a day.12 This is about three times
greater than current recommendations.10,11 These figures are
based on people who have been previously obese, and maintenance of
weight loss may be more difficult than prevention of weight gain.
Nevertheless, it is an awesome task, in the absence of a major
environmental change, to expect these activity levels to be met in our
society.
The figures presented in this study should be interpreted with
caution. Although we used a validated modern movement-sensing
device,13 the results involve only
small numbers under artificial conditions. In their present form,
they merely add support to other attempts to calculate human activity
levels over time and provide an indication of the activity
requirements needed to correct these secular changes.
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- Powell KE, Blair SN. The public health burdens of sedentary living
habits: theoretical but realistic estimates. Med Sci
Sports Exerc 1994; 26: 851-856.
-
Prentice A, Jebb S. Obesity in Britain: Gluttony or sloth?
BMJ 1995; 311: 437-439.
-
James WPT. A public health approach to the problem of
obesity. Int J Obes Relat Metab Disord 1995; 19:
S37-S45.
-
Ainsworth BE, Haskell WL, Whitt MC, et al. Compendium of physical
activities: an update of activity codes and MET intensities.
Med Sci Sports Exerc 2000; 32 (9 Suppl): S498-504.
-
Cordain L, Gotshall RW, Eaton SB. Physical activity, energy
expenditure and fitness: an evolutionary perspective.
Int J Sports Med 1998; 9: 328-335.
-
Bouton C, Verboeket-van de Venne WP, Westerterp KR. Physical
activity assessment: comparison between movement registration and
doubly labelled water. J Appl Physiol 1996; 81:
1019-1026.
-
Movahedi A. Simple formula for calculating basal energy
expenditure. Nutr Res 1999; 19: 989-995.
-
Gowlett J. Mental abilities of early man: a look at some hard
evidence. In Foley R, editor. Hominoid Evolution and Community
Ecology. New York: Academic Press, 1984; 167-192.
-
Bowden S, Offer A. Household appliances and the use of time: the
United States and Britain since the 1920s. Econ Hist
Rev 1994; XLVII: 725-748.
-
United States Surgeon General. Physical activity and health: a
report of the Surgeon General. US Department of Health and Human
Services. Atlanta: Centers for Disease Control, 1996.
-
Egger G. National physical activity guidelines for Australians:
scientific background report. Canberra: Commonwealth Department
of Health and Aged Care, 1999.
-
Klem ML, Wing RR, McGuire MT, et al. A descriptive study of
individuals successful at long-term maintenance of substantial
weight loss. Am J Clin Nutr 1997; 66: 239-246.
-
Westerterp K. Pattern and intensity of physical
activity. Nature 2001; 410: 539.
(Received 25 Sep, accepted 22 Oct, 2001)
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Deakin University, Melbourne, VIC, and GutBusters Pty Ltd, Sydney,
NSW.
Garry J Egger, MPH, PhD Adjunct Professor of Health Sciences.
Masstricht University, The Netherlands.
Neeltje Vogels, BBiolSc Student; Klaas R
Westerterp, PhD, Professor of Human Energetics, Department of
Biological Sciences.
Reprints will not be available from the authors. Correspondence:
Professor G J Egger, PO Box 313, Balgowlah, NSW 2094.
eggergjATozemail.com.au
©MJA 2001
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© 2001 Medical Journal of Australia.
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Calculation of distance equivalents
Activity units measured by the TRACMOR are not readily convertible to energy units (kilocalories). However, an estimate of relative differences in activity levels can be made by assuming a total daily energy expenditure 1.4 times that of resting metabolic rate for the men in our modern group.5 With an average weight of 96 kg and age of 44 years, a mean resting metabolic rate of about 2000 kcal/d can be estimated.7 Therefore, total energy expenditure would be 1.4 x 2000 = 2800 kcal/d, of which 800 kcal represents daily physical activity. As activity counts in our historical group ranged from 1.6 times those of the modern group on average to 2.3 at the extremes, this implies a total daily physical activity level in this group of 1280-1840 kcal/d, or a net difference of about 500-1000 kcal/d between the groups. Using energy values for walking of 0.716 kcal/kg per kilometre (or about 61 kcal/km for a 90 kg man),4 this implies a net difference between the groups equivalent to walking about 8-16 km per day.
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