Environmental and Psychological Differences in Moderate-to-Vigorous Physical Activity Among Young Adults at Cardiometabolic Risks: A Case-Control Study

Abstract

Background: Young adults’ physical activity is a foundation of creating future healthy lifestyles. The purpose of this study was to explore differences in physical activity, sedentary behavior, walkability, and health beliefs between young adults with and without cardiometabolic risk factors and the influence of moderate-to-vigorous physical activity.Methods: A cross-sectional study was conducted using a structured questionnaire.Results: Totally, 1149 valid responses were received for a response rate of 86.32%. A significant effect of cardiometabolic risk factors on the physical activity and sedentary time among groups was found. Young adults at high risk had a lower probability of moderate-to-vigorous physical activity than did healthy adults. Individuals who perceived that there were more recreational facilities, higher benefits of exercise, and lower barriers to exercise were more likely to participate in moderate-to-vigorous physical activity.Conclusions: Engaging in physical activity from environment and psychological perspectives is necessary for young adults’ cardiometabolic health promotion.