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Background: Fine particulate matter (PM2.5) exposure is an important environmental risk for maternal and children's health, with peak exposures especially those derived from primary combustion hypothesized to pose greater risk. Identifying PM2.5 peaks and their contributions to personal exposure remains challenging. This study measured personal PM2.5 exposure, characterized primary combustion peaks, and investigated their determinants during and after pregnancy and among Hispanic women in Los Angeles, CA. Methods: Continuous personal PM2.5 exposure, Global Positioning System geolocation, and ecological momentary assessment surveys were collected from 63 women for 4 consecutive days in their 1st trimester, 3rd trimester and 4–6 months postpartum. Based on the shape of PM2.5 time-series, primary combustion peaks were identified, characterized (number, duration, area under the curve [AUC]), and linked with locations they occurred in. Zero-inflated generalized mixed-effect models were used to examine the spatial and temporal determinants of PM2.5 peak exposures. Results: A total of 490 PM2.5 peaks were identified from 618 person-days of monitoring. Spending an additional minute at parks and open spaces was related to smaller (AUC decreased 3.1 %, 95 % CI: 1.5 %–4.6 %) and shorter (duration decreased 1.7 %, 0.5 %–2.9 %) PM2.5 peak exposure. An additional minute in vehicular trips also related to smaller and shorter peak exposure (AUC and duration decreased 2.5 %, 1.2 %–3.7 % and 1.8 %, 1.0 %–2.6 %, respectively). However, an additional minute at industrial locations was associated with greater number (3.6 %, 2.0 %–5.2 %), AUC (1.6 %, 0.1 %–3.2 %) and duration (1.0 %, 0.0 %–2.1 %) of personal PM2.5 peak exposure. Conclusions: This study demonstrates the potential to statistically identify exposure to primary combustion PM2.5 peaks and understand their determinants from personal monitoring data. Results suggest that visits to parks and open spaces may minimize PM2.5 peak exposures, while visiting industrial locations may increase them in and around pregnancy.

ObjectivesThis study aimed to explore competing priorities when cannabis is used during pregnancy from the perspective of providers and Black and Latina people. Maternal cannabis use is increasingly common, but patients and providers alike struggle to navigate it.MethodsThis pilot used qualitative, constructivist ground theory methods to conduct semi-structured, remote interviews between 16 November 2021, and 7 February 2022 with 7 Black and Latina people who used cannabis during pregnancy, and 10 providers between 15 March 2022, and 6 April 2022, all of who were in Southern California, U.S.ResultsWe identified three main findings: (1) Providers reported barriers to caregiving and relationship building with patients due to maternal cannabis use stigma, (2) Providers prioritized the fetus despite patients’ current health system challenges that drove cannabis use, and (3) Both patients and providers engaged in personal research beyond the healthcare system to better understand maternal cannabis use.DiscussionOur findings indicate that challenges exist between people who use cannabis during pregnancy and providers. Both groups need accurate, sociocultural sensitive information about maternal cannabis use via a harm reduction lens.

Background Diet during pregnancy may be a potential intervention for preventing hypertensive disorders of pregnancy that disproportionally burdens Hispanic/Latina women. Methods and Results The MADRES (Maternal And Developmental Risks from Environmental and Social stressors) study (n=451) is a prospective pregnancy cohort of predominantly low‐income Hispanic/Latina women in Los Angeles, California, who completed up to 2 staff‐administered 24‐hour dietary recalls in the third trimester of pregnancy. Hypertensive disorders of pregnancy were abstracted from medical records and based on a physician's diagnosis or systolic or diastolic blood pressure (≥140 or ≥90 mm Hg, respectively) at ≥2 consecutive prenatal visits. Using multivariable logistic regression, we evaluated associations of 2 previously derived dietary patterns in this population (solid fats, refined grains, and cheese and vegetables, oils, and fruit) and the Healthy Eating Index 2015 with (1) gestational hypertension, (2) preeclampsia, and (3) any hypertensive disorder of pregnancy (either gestational hypertension or preeclampsia). In separate models, we additionally tested interactions with prepregnancy body mass index. Comparing highest‐to‐lowest quartiles, the solid fats, refined grains, and cheese dietary pattern was associated with an increased odds of any hypertensive disorder of pregnancy (odds ratio [OR], 3.99 [95% CI, 1.44–11.0]; Ptrend=0.014) and preeclampsia (OR, 4.10 [95% CI, 1.25–13.5]; Ptrend=0.036), whereas the vegetables, oils, and fruit pattern was associated with reduced odds of preeclampsia (OR, 0.32 [95% CI, 0.10–0.99]; Ptrend=0.041). Among the overweight prepregnancy body mass index category, inverse associations of vegetables, oils, and fruit and Healthy Eating Index 2015 with preeclampsia were more pronounced (both Pinteractions=0.017). Healthy Eating Index 2015 findings were generally nonsignificant. Conclusions While the solid fats, refined grains, and cheese diet was strongly associated with preeclampsia during pregnancy, findings suggest the vegetables, oils, and fruit diet may be more relevant than Healthy Eating Index 2015 for preventing preeclampsia among low‐income Hispanic/Latina women.

Abstract Background During the early months of the COVID‐19 pandemic, decreases in physical activity (PA) and increases in sedentary behavior (SB) were reported among children in the United States (U.S.). This follow‐up analysis examines 13‐month effects of the COVID‐19 pandemic on children's PA and SB one year into the pandemic. Methods Parents of 5–13‐year‐old children in the U.S. (N = 71) reported on their child's PA and SB during the early COVID‐19 period (April‐May 2020) and again 12–14 months later (June‐July 2021). Results Paired t‐tests showed significant within‐subject reductions in SB minutes per day (Mdiff = −86.20, t = 3.26, p

Abstract Background Evidence suggests organophosphate esters (OPEs) are neurotoxic; however, the epidemiological literature remains scarce. We investigated whether prenatal exposures to OPEs were associated with child neurobehavior in the MADRES cohort. Methods We measured nine OPE metabolites in 204 maternal urine samples (gestational age at collection: 31.4 ± 1.8 weeks). Neurobehavior problems were assessed among 36-month-old children using the Child Behavior Checklist’s (CBCL) three composite scales [internalizing, externalizing, and total problems]. We examined associations between tertiles of prenatal OPE metabolites (> 50% detection) and detect/non-detect categories (

The 2020–2025 Dietary Guidelines for Americans recommend limiting intakes of saturated fat and added sugars (SF/AS) to 88% of the representative sample of U.S. adults. The top sources of SF were cheese, pizza, ice cream, and eggs. The leading sources of AS were soft drinks, tea, fruit drinks, and cakes and pies. This analysis reflects a parsimonious approach to reliably identify foods and beverages that contribute to SF/AS intakes in U.S. adults.

Affective states play a role in dietary behaviors. Yet, little research has studied within-subjects associations between affect and diet during pregnancy. We examined the acute bidirectional relationships between affect and food intake and moderation by pre-pregnancy body mass index (BMI) in low-income, Hispanic pregnant women using ecological momentary assessment (EMA). Women (N = 57) completed four days of EMA during their first trimester. Women responded to five random prompts per day about their current affect and past two-hour food intake. Higher positive affect (PA) or lower negative affect (NA) predicted greater likelihood of fruit/vegetable consumption in the next two hours in women with lower pre-pregnancy BMI and lower likelihood in women with higher pre-pregnancy BMI. Higher PA predicted less likelihood of fast food consumption in the next two hours in women with lower pre-pregnancy BMI and slightly higher likelihood in women with higher pre-pregnancy BMI. Women with lower pre-pregnancy BMI had higher PA when they reported consuming chips/fries in the past two hours, and women with higher pre-pregnancy BMI had lower PA when they reported consumption of chips/fries in the past two hours. Results showed differential relationships between affect and food intake as a function of pre-pregnancy BMI.

We would like to thank our esteemed colleagues Stuart Biddle, Nikos Ntoumanis, Ryan Rhodes, and Ralf Schwarzer very much for taking the time to read the Target Article “What is needed to promote physical activity?” and to provide such important reflections and further insights into the topic. In the present commentary, the authors of the Target Article take the opportunity to respond to the comments of the aforementioned authors.

BackgroundThere has been increasing interest in the extent to which the fulfillment of psychological needs is associated with physical activity engagement. However, a vast majority of studies consider only basic psychological needs such as relatedness, competence, and autonomy—with higher-level psychological needs such as challenge, creativity, and spirituality rarely being addressed. The aim of this study was to examine the preliminary reliability (i.e., internal consistency) and validity (i.e., discriminant, construct, and predictive) of a multi-dimensional scale to assess a range of basic and higher-level psychological needs satisfied through physical activity.MethodsA sample of 75 adults (ages 19–65 years, 59% female, 46% White) completed a baseline questionnaire measuring 13 psychological needs subscales (i.e., physical comfort, safety, social connection, esteem from others, individual esteem, learning, challenge, entertainment, novelty, creativity, mindfulness, aesthetic appreciation, and morality), exercise enjoyment, and exercise vitality. Participants then completed 14 days of accelerometer monitoring of physical activity and ecological momentary assessment of affective responses during physical activity sessions in daily life.ResultsInternal consistency reliability was acceptable (>0.70) for all subscales except for mindfulness, aesthetic appreciation, and morality. Ten of the 13 subscales exhibited discriminant validity by differentiating between engagement (vs. no engagement) in at least one physical activity type (e.g., brisk walking and yoga/Pilates). All the subscales, except physical comfort and esteem from others, were associated with at least one of the construct validation criteria (e.g., exercise enjoyment, affective response during exercise). Five of the subscales were associated with at least one of the predictive validation criteria (i.e., light, moderate, vigorous intensity activity measured by accelerometer).ConclusionHaving the capacity to assess whether one’s current physical activity is failing to fulfill various psychological needs—combined with recommendations about which types of activities may satisfy those needs—may address an important gap in physical activity promotion.

BackgroundEvidence suggests positive affective response during physical activity increases the likelihood of engaging in and maintaining regular activity exercise in the future. Elucidating antecedents for a positive affective response may help identify intervention strategies to increase activity. Affectively-charged motivations (e.g., desires, urges, dreading) have been posited as proximal antecedents to physical activity but have yet to be examined in terms of their influence on affective response in real-world settings. The current study used ecological momentary assessment (EMA) to examine within-subject effects of pre-physical activity affectively-charged motivation on subsequent affective response during physical activity.MethodsParticipants included 56 adults (M = 39.18 years, SD = 11.98; 67.86% female) who completed a 14-day smartphone-based EMA study. Prior to starting physical activity (time t), participants self-initiated an event-contingent EMA survey that assessed affectively-charged motivation for physical activity (i.e., rating scale from “dreading it” to “excited to do it”). EMA surveys prompted during subsequent physical activity (time t + 15 min) assessed affective response (i.e., feeling good—bad, energized—exhausted, thrilled—miserable, interested—bored, and relaxed—nervous). Multi-level linear regression models examined within-subject effects of pre- physical activity affectively-charged motivations on subsequent affective response during physical activity controlling for between-subjects effects of affectively-charged motivation, age, biological sex, time of day, and day of the week.ResultsOverall, there were N = 304 physical activity occasions in the analysis (M = 5.43, SD = 3.97). When individuals reported more positive affectively-charged motivation for physical activity than usual before physical activity occasions, they reported feeling more energized (Estimate = 0.22, p < 0.001), good (Estimate = 0.25, p < 0.001), thrilled (Estimate = 0.12, p = 0.02), and interested (Estimate = 0.24, p < 0.001) during subsequent physical activity. Affectively-charged motivation was not associated with feeling more relaxed (Estimate = 0.11, p = 0.13) during subsequent physical activity.ConclusionMomentary affectively-charged motivations predicted more positive affective response during subsequent physical activity among active adults. Future research can explore potential sources of intraindividual differences in affectively-charged motivations and further examine these associations with future physical activity behavior. To improve positive affective responses, interventions may boost affectively-charged motivations through real-time mobile prompting in naturalistic settings.

Abstract Background COVID-19 restrictions such as the closure of schools and parks, and the cancellation of youth sports and activity classes around the United States may prevent children from achieving recommended levels of physical activity (PA). This study examined the effects of the COVID-19 pandemic on PA and sedentary behavior (SB) in U.S. children. Method Parents and legal guardians of U.S. children (ages 5–13) were recruited through convenience sampling and completed an online survey between April 25–May 16, 2020. Measures included an assessment of their child’s previous day PA and SB by indicating time spent in 11 common types of PA and 12 common types of SB for children. Parents also reported perceived changes in levels of PA and SB between the pre-COVID-19 (February 2020) and early-COVID-19 (April–May 2020) periods. Additionally, parents reported locations (e.g., home/garage, parks/trails, gyms/fitness centers) where their children had performed PA and their children’s use of remote/streaming services for PA. Results From parent reports, children (N = 211) (53% female, 13% Hispanic, Mage = 8.73 [SD = 2.58] years) represented 35 states and the District of Columbia. The most common physical activities during the early-COVID-19 period were free play/unstructured activity (e.g., running around, tag) (90% of children) and going for a walk (55% of children). Children engaged in about 90 min of school-related sitting and over 8 h of leisure-related sitting a day. Parents of older children (ages 9–13) vs. younger children (ages 5–8) perceived greater decreases in PA and greater increases in SB from the pre- to early-COVID-19 periods. Children were more likely to perform PA at home indoors or on neighborhood streets during the early- vs. pre-COVID-19 periods. About a third of children used remote/streaming services for activity classes and lessons during the early-COVID-19 period. Conclusion Short-term changes in PA and SB in reaction to COVID-19 may become permanently entrenched, leading to increased risk of obesity, diabetes, and cardiovascular disease in children. Programmatic and policy strategies should be geared towards promoting PA and reducing SB over the next 12 months.

Abstract Background Physical inactivity is a widespread problem with a great need for innovative intervention concepts to overcome it. Epidemiological studies have identified working women in high-income Western countries to be at greater risk for physical inactivity. The current study included working mothers and examined within-subject associations between doing exercise/sport together with one’s child and five different affective states, and with light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). Method During 1 week, mothers (N = 192) completed up to eight ecological momentary assessment (EMA) surveys a day to assess momentary affect and certain situational circumstances (e.g., doing exercise/sport, being together with child). Physical activity was assessed objectively with waist-worn accelerometers. Results Multilevel analysis showed that doing exercise/sport together with one’s child was associated with higher positive affect and lower negative affect compared to being active alone. However, greater frequency of doing exercise/sport together with children was negatively associated with MVPA. Conclusion Due to the positive effect on momentary affect, combining spending time together with one’s child and simultaneously doing exercise/sport might be a good strategy of pairing two relevant personal goals. However, this strategy was not associated with sufficient MVPA.

Abstract Background Research has shown that affect is associated with everyday movement behaviors in children and adults. However, limited work to date has investigated dyadic influences of momentary affect on moderate-to-vigorous physical activity (MVPA) and sedentary time among children and their mothers using ecological momentary assessment (EMA). Methods Mothers and their children (eight to 12-years-old at baseline) from the Los Angeles metropolitan area participated in a longitudinal study with six semi-annual measurement waves across three years. During each measurement wave, mothers and children reported momentary negative and positive affect via a custom smartphone-based EMA application across seven days (randomly sampled up to eight times per day). Each dyad member’s momentary affective states were used to predict their own and the other dyad member’s accelerometer-measured MVPA and sedentary time in the prompt-matched 45-min time window. Multilevel modeling within the actor-partner interdependence model (APIM) framework was applied to accommodate the nested dyadic nature of the data. Results At the within-subject level, when children had higher-than-usual positive affect, they engaged in greater MVPA and less sedentary time in the prompt-matched 45-min window (actor effects; ps

Abstract Background The overarching objective of the study is to obtain a comprehensive understanding of the salient factors predicting changes in physical activity (PA) during adolescents’ transition into emerging adulthood. Using the Multi-Process Action Control model as our guiding framework, we will examine how implicit and explicit psychological processes along with regulatory practices impact PA change during this major life transition. Additionally, we will use a real-time data capture method called Ecological Momentary Assessment to further investigate how environmental and contextual factors, and momentary psychosocial influences effect PA patterns across this dynamic life stage. Methods The ADAPT study is a 4-year project comprised of two interrelated studies. Study I is a large prospective cohort study that will invite all grade 11 students across one large school board (a total of seven secondary schools) to participate by completing an online questionnaire. Using a cluster randomization approach, a subset of students from each school will be invited to participate in Study II, whereby participants will wear an accelerometer and complete Ecological Momentary Assessments 5 times a day over a 7-day study period. For both studies, following baseline assessments, there will be three annual follow-up assessments approximately 12 months apart. Discussion The current study represents one of the largest longitudinal cohort studies examining PA and its determinants and associated consequences among adolescents transitioning out of high school into emerging adulthood. Findings from this study will provide a much more in-depth understanding of how and why changes in PA behaviour occur across this first major life transition.

Background: Limited research exists on the association of eating-related guilt and mental health across middle childhood to early adolescence. Therefore, this study was guided by two aims: (1) to examine cross-sectional and longitudinal associations between eating-related guilt and mental health (i.e., internalizing symptoms and self-esteem) and (2) to examine how executive functioning deficits moderate the cross-sectional association between eating-related guilt and mental health. Methods: Children (N = 202) completed self-report measures of eating-related guilt, internalizing symptoms, and self-esteem across three years in six semi-annual waves. A self-report measure of executive functioning deficits was completed at Wave 6. Results: Eating-related guilt was positively associated with internalizing symptoms cross-sectionally, but there were no prospective associations. There was a significant parallel association between eating-related guilt and internalizing symptoms slopes, suggesting increases in eating-related guilt were positively associated with internalizing symptoms across waves. Eating-related guilt and self-esteem were unrelated. There was an interaction of eating-related guilt and executive functioning deficits in relation to internalizing symptoms and self-esteem such that at high executive functioning deficits, there was a relation between higher eating-related guilt and higher internalizing symptoms and lower self-esteem. Limitations: Constructs were assessed with self-report measures, with eating-related guilt being assessed with an abbreviated measure. For the second aim, only cross-sectional data were available for executive functioning. Conclusions: Eating-related guilt and internalizing symptoms appear to track together across middle childhood and early adolescence; executive functioning deficits may explain risk for negative outcomes for children experiencing eating-related guilt.

Abstract Background The burden of childhood and adult obesity disproportionally affects Hispanic and African-American populations in the US, and these groups as well as populations with lower income and education levels are disproportionately affected by environmental pollution. Pregnancy is a critical developmental period where maternal exposures may have significant impacts on infant and childhood growth as well as the future health of the mother. We initiated the “Maternal And Developmental Risks from Environmental and Social Stressors (MADRES)” cohort study to address critical gaps in understanding the increased risk for childhood obesity and maternal obesity outcomes among minority and low-income women in urban Los Angeles. Methods The MADRES cohort is specifically examining whether pre- and postpartum environmental exposures, in addition to exposures to psychosocial and built environment stressors, lead to excessive gestational weight gain and postpartum weight retention in women and to perturbed infant growth trajectories and increased childhood obesity risk through altered psychological, behavioral and/or metabolic responses. The ongoing MADRES study is a prospective pregnancy cohort of 1000 predominantly lower-income, Hispanic women in Los Angeles, CA. Enrollment in the MADRES cohort is initiated prior to 30 weeks gestation from partner community health clinics in Los Angeles. Cohort participants are followed through their pregnancies, at birth, and during the infant’s first year of life through a series of in-person visits with interviewer-administered questionnaires, anthropometric measurements and biospecimen collection as well as telephone interviews conducted with the mother. Discussion In this paper, we outline the study rationale and data collection protocol for the MADRES cohort, and we present a profile of demographic, health and exposure characteristics for 291 participants who have delivered their infants, out of 523 participants enrolled in the study from November 2015 to October 2018 from four community health clinics in Los Angeles. Results from the MADRES cohort could provide a powerful rationale for regulation of targeted chemical environmental components, better transportation and urban design policies, and clinical recommendations for stress-coping strategies and behavior to reduce lifelong obesity risk.

Abstract Background Disproportionately high rates of maternal overweight and obesity among the Hispanic population before, during, and after pregnancy pose serious health concerns for both mothers (e.g., preeclampsia, gestational diabetes, weight retention) and children (e.g., elevated lifelong obesity risk). A growing body of evidence implicates environmental exposures (e.g., air pollution, metals) and social stressors (e.g., poverty, violence) in contributing to obesity-related biobehavioral processes, such as physical activity, dietary intake, perceived stress, and cortisol regulation. However, current understanding of the role of environmental exposures and social stressors on obesity-related biobehavioral processes is limited by infrequent, inter-individual measurement, and lack of personal exposure monitoring. Methods The “Maternal and Developmental Risks from Environmental and Social Stressors” (MADRES) real-time and personal sampling study examines the within-subject day-level effects of environmental and social stressors on maternal pre- and post-partum obesity-related biobehavioral responses. Among a cohort of 65 low-income, Hispanic women in urban Los Angeles, this study uses innovative personal, real-time data capture strategies (e.g., ecological momentary assessment [EMA], personal exposure monitoring, geolocation monitoring, accelerometry) to repeatedly assess obesity-related processes during the 1st and 3rd trimester, and at 4–6 months postpartum. Day-level effects of environmental exposures and social stressors on women’s physical activity, diet, perceived stress and salivary cortisol measured across repeated days will be tested using multilevel modeling. Discussion Hispanic women of childbearing age bear a disproportionately high burden of obesity, and this population is also unduly exposed to numerous obesogenic settings. By using innovative real-time data capture strategies, the current study will uncover the daily impacts of environmental and social stressor exposures on women’s obesity-related biobehavioral responses, which over time can lead to excessive gestational weight gain, postpartum weight retention and can pose serious consequences for both mother and child. Findings from the real-time and personal sampling study will identify key mechanistic targets for policy, clinical, and programmatic interventions, with the potential for broad-reaching public health impacts.

COVID-19 restrictions and social-distancing may inhibit adults from attaining recommended levels of physical activity. This study examined early impact of COVID-19 pandemic on physical activity in adults during the first two months of restrictions in the U.S. and how physical activity locations were associated with physical activity levels during this period. Adults (N = 268) completed an online survey between April 10-May 25, 2020. Participants reported minutes of vigorous, moderate, and walking physical activity for past 7 days (early-COVID-19) and for a typical week in February 2020 (pre-COVID-19). Adults reported locations (e.g., home/garage, parks/trails) were they were active over the past 7 days. Past 12-month step count data were extracted from participants’ personal smartphones. Participants (18–74 years old, 22% Hispanic/Latino, 81% female) showed reductions in vigorous (M diff = −66.9 min/week), moderate (M diff = −92.4 min/week), walking (M diff -70.8 min/week), and step counts (M diff = –2232 steps/day) from the pre- to early-COVID19 periods. Reductions in walking and steps were larger for low-income and Hispanic/Latino adults. During early-COVID19, more vigorous and moderate activity were reported by those who were active in their home/garage or driveway/yard, and more steps were recorded by those who were active on the roads in their neighborhood or at parks/trails. We observed a decline in adults’ physical activity during the first two months of the COVID-19 pandemic based on retrospective self-report and device-based measures. Although these restrictions were necessary to slow the spread of the virus, data indicate that there may be unintended consequences on health-related behaviors.

Research consistently suggests that loss of control (LOC) eating in children and adolescents is a key factor contributing to pediatric obesity and eating disorders. However, causes of pediatric LOC eating are yet unclear, and there is a lack of longitudinal research investigating the developmental processes contributing to LOC eating and related outcomes in youth. Physical activity is an understudied behavior that declines during middle childhood to adolescence and may exert an influence in the development of LOC eating via its impact on executive functioning. While physical activity levels and executive functioning have been linked to regulation of eating, no research has examined the mechanistic processes by which these domains may together impact LOC eating during childhood and adolescence. In the current narrative review, a model is proposed that suggests how physical activity and executive functioning influence LOC eating and related outcomes during childhood and adolescence. This model has the potential to influence future theoretical models of pediatric LOC eating and guide future prevention and intervention efforts.

Ecological momentary assessment (EMA) has the potential to yield new insights into the prediction and modeling of physical activity (PA) and sedentary behavior (SB). The objective of this study was to determine the feasibility and validity of an EMA protocol to assess older adults’ PA and SB. Feasibility was determined by examining factors associated with EMA survey compliance and if PA or SB were impacted by EMA survey compliance. Validity was determined by comparing EMA-reported PA and SB to objectively measured PA and SB at the EMA prompt. Over 10 days, older adults (n = 104; Agerange = 60–98 years) received 6 randomly prompted EMA questionnaires on a smartphone each day and wore an ActivPAL activity monitor to provide a device-based measure of PA and SB. Participants reported whether they were currently engaged in PA or SB. Older adults were compliant with the EMA and ActivPAL protocol on 92% of occasions. Differences in EMA compliance differed by weight status. Among overweight and obese older adults EMA compliance differed by sex (OR = 3.15, 95% CI: 1.43, 6.92) and day of week (OR = 1.79, 95% CI: 1.33, 2.41). Among normal weight older adults, EMA compliance differed by time of day (OR = 1.52, 95% CI: 1.02, 2.30). EMA compliance did not differ for device-based PA or SB in the 15 min before versus the 15 min after the EMA prompt, suggesting that these behaviors did not influence likelihood of responding and responding did not influence these behaviors (ps > 0.05). When PA was reported through EMA, participants engaged in less device-based PA in the 15 min after compared to the 15 min before the EMA prompt (p = 0.01), suggesting possible reactance or a disruption of PA. EMA-reported PA and SB were positively associated with higher device-based PA and SB in the ±15 min, respectively, supporting criterion validity (ps < 0.05). The assessment of older adults’ PA and SB through EMA is feasible and valid, although there may be PA reactance to EMA prompting. Therefore, EMA represents a significant methodological tool that can aid in our understanding of the environmental, social, and psychological processes regulating older adults’ PA and SB in the context of everyday life.

Background: Research on the clustering of physical activity, sedentary, and dietary intake behaviors in children has relied on retrospective and parent-report measures, which may obscure true associations. The current study combined objectively-measured moderate-to-vigorous intensity physical activity (MVPA) and sedentary time (ST) data from waist-worn accelerometers, with multiple child-report 24-h dietary recalls to assess specific components of dietary intake (i.e., dietary fat, carbohydrates, protein; glycemic load, fruits and vegetables) in children.Methods: Participants (n = 136, ages 8–12 years) wore an accelerometer for 7 days. On two of those days, children completed 24-h recall phone interviews to assess dietary intake.Results: After adjusting for child age, sex, ethnicity, annual household income, and body mass index (BMI) percentile; ST was positively associated with percent dietary fat intake, and negatively associated with percent dietary carbohydrate intake and glycemic load (p's < 0.01). MVPA was positively associated with percent dietary carbohydrate intake and daily glycemic load, and negatively associated with percent dietary fat intake (p's < 0.05).Conclusion: Despite its direct health benefits, physical activity may be associated with consuming greater proportion of total intake from carbohydrates, especially those with a higher glycemic index. Further research is needed to understand the differential implications of these unique behavioral interrelations for diabetes, cardiovascular, and obesity risk.