Public health guidelines for converting vigorous to moderate exercise minutes should be updated based on accelerometer data.

“I would say if we're going to simplify the guidelines that we at least have to get rid of the 1:2 and maybe go with the lowest ratio, which was 1 to 3.5, right? Like that would be but the question is are these guidelines based more on the outcome data that was used for vigorous activity versus moderate. Right? And again going back to the questionnaire data because it was questionnaire data too, right? Like we need that there just there needs to be an update first and foremost.”