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Participants also recorded the frequency of their bowel movements by answering the question, How often do you usually have bowel movements? Cardiovascular disease and physical activity Cardiovascular disease (CVD) status was determined using the medical conditions questionnaire. Participants were considered to have CVD if they answered yes to the question, Have you ever been told you have congestive heart failure, coronary heart disease, angina, myocardial infarction, or stroke? Metabolic equivalents (METs) are commonly used to quantify energy expenditure during various activities