1
|
Altaş ZM, Lüleci NE, Hıdıroğlu S. Evaluation of Physical Activity Level and Related Factors in Pregnancy During the COVID-19 Period. Int J Public Health 2023; 68:1605800. [PMID: 37215648 PMCID: PMC10196054 DOI: 10.3389/ijph.2023.1605800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 04/26/2023] [Indexed: 05/24/2023] Open
Abstract
Objectives: It was aimed to determine the level of physical activity and related factors in pregnant women. Methods: The study is a mixed methods study. The participants are women applied to the pregnancy outpatient clinic of a hospital. The level of physical activity was assessed with the Pregnancy Physical Activity Questionnaire. Sociodemographic questions and seven questions of the International Physical Activity Environment Module were asked. Besides, in-depth interviews were conducted with 14 women. Results: The study was conducted with 304 women. The median age was 29.0 (18.0-40.0) years. The mean total activity and sedentary activity scores were 195.8 ± 107.9 and 37.22 ± 31.08 MET-hours/week, respectively. Pregnant women were mostly involved in light-intensity and housework/caregiving activities. Most of the participants mentioned that they were less active than pre-pregnancy period. The most common reasons for being less active were weakness, fatigue, lack of time and complaints such as low back pain and nausea. Conclusion: More than half of the pregnant women mentioned that they were less active during pregnancy. Thus, interventions should be planned to increase physical activity level of pregnant women.
Collapse
|
2
|
Silveira EA, Mendonça CR, Delpino FM, Elias Souza GV, Pereira de Souza Rosa L, de Oliveira C, Noll M. Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clin Nutr ESPEN 2022; 50:63-73. [DOI: 10.1016/j.clnesp.2022.06.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 06/01/2022] [Indexed: 12/14/2022]
|
3
|
Cavallo FR, Golden C, Pearson-Stuttard J, Falconer C, Toumazou C. The association between sedentary behaviour, physical activity and type 2 diabetes markers: A systematic review of mixed analytic approaches. PLoS One 2022; 17:e0268289. [PMID: 35544519 PMCID: PMC9094551 DOI: 10.1371/journal.pone.0268289] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 04/26/2022] [Indexed: 11/29/2022] Open
Abstract
The negative effect of sedentary behaviour on type 2 diabetes markers is established, but the interaction with measures of physical activity is still largely unknown. Previous studies have analysed associations with single-activity models, which ignore the interaction with other behaviours. By including results from various analytical approaches, this review critically summarises the effects of sedentary behaviour on diabetes markers and the benefits of substitutions and compositions of physical activity. Ovid Medline, Embase and Cochrane Library databases were systematically searched. Studies were selected if sedentary behaviour and physical activity were measured by accelerometer in the general population, and if associations were reported with glucose, insulin, HOMA-IR, insulin sensitivity, HbA1c, diabetes incidence, CRP and IL-6. Forty-five studies were included in the review. Conclusive detrimental associations with sedentary behaviour were determined for 2-h insulin (6/12 studies found associations), fasting insulin (15/19 studies), insulin sensitivity (4/6 studies), diabetes (3/4 studies) and IL-6 (2/3 studies). Reallocating sedentary behaviour to light or moderate-to-vigorous activity has a beneficial effect for 2-h glucose (1/1 studies), fasting insulin (3/3 studies), HOMA-IR (1/1 studies) and insulin sensitivity (1/1 studies). Compositional measures of sedentary behaviour were found to affect 2-h glucose (1/1 studies), fasting insulin (2/3 studies), 2-h insulin (1/1 studies), HOMA-IR (2/2 studies) and CRP (1/1 studies). Different analytical methods produced conflicting results for fasting glucose, 2-h glucose, 2-h insulin, insulin sensitivity, HOMA-IR, diabetes, hbA1c, CRP and IL-6. Studies analysing data by quartiles report independent associations between sedentary behaviour and fasting insulin, HOMA-IR and diabetes only for high duration of sedentary time (7-9 hours/day). However, this review could not provide sufficient evidence for a time-specific cut-off of sedentary behaviour for diabetes biomarkers. While substituting sedentary behaviour with moderate-to-vigorous activity brings greater improvements for health, light activity also benefits metabolic health. Future research should elucidate the effects of substituting and combining different activity durations and modalities.
Collapse
Affiliation(s)
- Francesca Romana Cavallo
- Centre for Bio-Inspired Technology, Electrical and Electronic Engineering Department, Imperial College London, London, United Kingdom
| | - Caroline Golden
- Centre for Bio-Inspired Technology, Electrical and Electronic Engineering Department, Imperial College London, London, United Kingdom
- DnaNudge Ltd, London, United Kingdom
| | - Jonathan Pearson-Stuttard
- Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom
| | | | - Christofer Toumazou
- Centre for Bio-Inspired Technology, Electrical and Electronic Engineering Department, Imperial College London, London, United Kingdom
- DnaNudge Ltd, London, United Kingdom
| |
Collapse
|
4
|
Short Video Viewing, and Not Sedentary Time, Is Associated with Overweightness/Obesity among Chinese Women. Nutrients 2022; 14:nu14061309. [PMID: 35334966 PMCID: PMC8955951 DOI: 10.3390/nu14061309] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Revised: 03/16/2022] [Accepted: 03/17/2022] [Indexed: 01/25/2023] Open
Abstract
Previous studies have found that the relationship between sedentary time (ST) and overweightness/obesity is unclear. The association between sedentary behavior and overweightness/obesity may depend on the type of sedentary behavior engaged in. Nowadays, in older Chinese adults, especially females, short video viewing (SVV) is the most popular leisure sedentary behavior. However, the association between SVV and overweightness/obesity remains to be determined. This study aimed to examine the associations between ST and SVV and overweightness/obesity in Chinese community-dwelling older women. A cross-sectional analysis of baseline data from the Physical Activity and Health in Older Women Study was carried out in this study. A total of 1105 older Chinese women aged 60–70 years were included. SVV was estimated using a self-reported questionnaire, and ST was objectively measured using a tri-axial accelerometer. Overweightness/obesity indicators, including body fat ratio (BFR), fat mass (FM), visceral fat mass (VFM), subcutaneous fat mass (SFM), trunk fat mass (TFM), and limb fat mass (LFM), were assessed using multi-frequency bioimpedance analysis. The covariates included socio-demographic data and a range of health-related factors. Multiple linear regression analyses were used to assess the association between ST and SVV and overweightness/obesity. ST was significantly positively associated with all indicators of overweightness/obesity; however, the associations disappeared after adjusting for moderate-to-vigorous-intensity physical activity (MVPA). A higher SVV time was associated with a higher body mass index (BMI) (β = 0.19, 95% confidence interval (CI): 0.05 to 0.32), BFR (β = 0.31, 95% CI: 0.07 to 0.56), FM (β = 0.33, 95% CI: 0.04 to 0.61), VFM (β = 0.09, 95% CI: 0.01 to 0.16), SFM (β = 0.24, 95% CI: 0.03 to 0.45), TFM (β = 0.21, 95% CI: 0.04 to 0.39), and LFM (β = 0.11, 95% CI: 0.00 to 0.23) in the fully adjusted models. Compared with non-food short videos, short food videos had a greater effect on overweightness/obesity. SVV was an independent risk factor for overweightness/obesity. A reduction in SVV (especially the food category) rather than ST might be an effective way to prevent overweightness/obesity when incorporated in future public health policy formulations.
Collapse
|
5
|
Lee J, Walker ME, Matthews KA, Kuller LH, Ranjit N, Gabriel KP. Associations of physical activity and sleep with cardiometabolic risk in older women. Prev Med Rep 2020; 18:101071. [PMID: 32226729 PMCID: PMC7093830 DOI: 10.1016/j.pmedr.2020.101071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 02/18/2020] [Accepted: 03/02/2020] [Indexed: 01/26/2023] Open
Abstract
In this study, we investigate the associations of objectively measured waking (sedentary, light physical activity [LPA] and moderate-to-vigorous physical activity [MVPA]) and sleep duration and quality characteristics with cardiometabolic risk among older women. Participants from the Healthy Women Study 2010–11 follow-up visit (n = 136, age = 73 ± 2 years, white = 91.9%) concurrently wore an ActiGraph GT1M accelerometer and Actiwatch-2 for seven days. A composite cardiometabolic risk score was calculated by transforming metabolic syndrome (MetS) components and summing z-scores. Multivariable regression models were fitted to relate waking and sleep estimates with the MetS z-score after adjustment for covariates. Compositional data analysis was used to predict the MetS z-score when fixed durations of time were reallocated from one characteristic to another. MVPA (per 10 min/day increase; β = −7.80, P < 0.01), LPA (per 30 min/day increase; β = −0.29, P = 0.04), and sleep efficiency (β = −0.10, P = 0.04) were inversely associated with MetS z-score, while sedentary time (per 30 min/day increase; β = 0.34, P = 0.01) was positively associated with MetS z-score. Reallocation of 5 min from MVPA to sleep, sedentary, or LPA resulted in the greatest predicted change in MetS z-score. On average, the reallocation of 5 min from MVPA to other characteristics predicted an 11% increase in triglycerides, 6% decrease in HDL-C, and 5% increase in waist circumference. Lastly, reallocating 30 min of sedentary time to LPA was associated with a modestly lower predicted MetS z-score. This study suggests that MVPA is the most important contributor of MetS and that maintaining MVPA and increasing LPA may be beneficial for reducing cardiometabolic risk among older women.
Collapse
Affiliation(s)
- Joowon Lee
- Boston University School of Medicine; Section of Preventive Medicine and Epidemiology, Department of Medicine, Boston, MA, United States
| | - Maura E Walker
- Boston University School of Medicine; Section of Preventive Medicine and Epidemiology, Department of Medicine, Boston, MA, United States
| | - Karen A Matthews
- University of Pittsburgh, School of Medicine, Department of Psychology, Pittsburgh, PA, United States
| | - Lewis H Kuller
- University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA, United States
| | - Nalini Ranjit
- The University of Texas Health Science Center at Houston, School of Public Health - Austin Campus, Department of Health Promotion and Behavioral Sciences, Austin, TX, United States
| | - Kelley Pettee Gabriel
- The University of Alabama at Birmingham, School of Public Health, Department of Epidemiology, Birmingham, AL, United States
| |
Collapse
|
6
|
Cristi-Montero C, Chillón P, Labayen I, Casajus JA, Gonzalez-Gross M, Vanhelst J, Manios Y, Moreno LA., Ortega FB, Ruiz JR. Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study. JOURNAL OF SPORT AND HEALTH SCIENCE 2019; 8:55-62. [PMID: 30719384 PMCID: PMC6349585 DOI: 10.1016/j.jshs.2018.03.004] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2017] [Revised: 11/10/2017] [Accepted: 12/08/2017] [Indexed: 05/21/2023]
Abstract
PURPOSE This study aims to compare adolescents' cardiometabolic risk score through an integrative classification of physical activity (PA), which involves the combination of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB). METHODS A cross-sectional study derived from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study database (2006-2008) was conducted in adolescents (n = 548; boys, 47.3%; 14.7 ± 1.2 years) from 10 European cities. MVPA and SB were objectively measured using accelerometry. Adolescents were divided into 4 categories according to MVPA (meeting or not meeting the international recommendations) and the median of SB time (above or below sex- and age-specific median) as follows: High-SB & Inactive, Low-SB & Inactive, High-SB & Active, and Low-SB & Active. A clustered cardiometabolic risk score was computed using the homeostatic model assessment, systolic blood pressure, triglycerides, total cholesterol/high-density lipoprotein cholesterol, sum 4 skinfolds, and cardiorespiratory fitness (CRF). Analyses of covariance were performed to discern differences on cardiometabolic risk scores among PA categories and each health component. RESULTS The cardiometabolic risk score was lower in adolescents meeting the MVPA recommendation and with less time spent in SB in comparison to the high-SB & Inactive group (p < 0.05). However, no difference in cardiometabolic risk score was established between High-SB or Low-SB groups in inactive adolescents. It is important to note that CRF was the only variable that showed a significant modification (higher) when children were compared from the category of physically inactive with "active" but not from high- to low-SB. CONCLUSION Being physically active is the most significant and protective outcome in adolescents to reduce cardiometabolic risk. Lower SB does not exhibit a significant and extra beneficial difference.
Collapse
Affiliation(s)
- Carlos Cristi-Montero
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso 2340000, Chile
| | - Palma Chillón
- PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada 18001, Spain
| | - Idoia Labayen
- Department of Nutrition and Food Science, University of the Basque Country, UPV/EHU, Vitoria 01001, Spain
| | - José A. Casajus
- Department of Health and Human Performance, School of Health Sciences, University of Zaragoza, Zaragoza 50001, Spain
| | - Marcela Gonzalez-Gross
- ImFine Research Group, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, Madrid 28001, Spain
| | - Jérémy Vanhelst
- Lille Inflammation Research International Center, University of Lille, Lille 59000, France
| | - Yannis Manios
- Department of Nutrition and Dietetics, Harokopio University, Athens 10431, Greece
| | - Luis A . Moreno
- Department of Health and Human Performance, School of Health Sciences, University of Zaragoza, Zaragoza 50001, Spain
| | - Francisco B. Ortega
- PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada 18001, Spain
| | - Jonatan R. Ruiz
- PROmoting FITness and Health through physical activity research group (PROFITH), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada 18001, Spain
| | | |
Collapse
|
7
|
Testing group dynamics with a virtual partner to increase physical activity motivation. COMPUTERS IN HUMAN BEHAVIOR 2018. [DOI: 10.1016/j.chb.2018.07.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
8
|
Powell C, Herring MP, Dowd KP, Donnelly AE, Carson BP. The cross-sectional associations between objectively measured sedentary time and cardiometabolic health markers in adults - a systematic review with meta-analysis component. Obes Rev 2018; 19:381-395. [PMID: 29178252 DOI: 10.1111/obr.12642] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 09/21/2017] [Accepted: 10/02/2017] [Indexed: 12/26/2022]
Abstract
Sedentary time is viewed as an independent risk factor for adverse cardiometabolic health (CMH). No systematic review and meta-analysis on the cross-sectional associations between objectively measured sedentary time and CMH markers has been conducted. PubMed, Scopus and Web of Science Core Collection were searched for papers that examined the cross-sectional association between objectively measured sedentary time and CMH markers in adults. Forty-six papers met the inclusion criteria. The included papers had a combined sample size of 70,576 and an age range of 18-87 years. To examine the effect of increased levels of sedentary time on CMH markers, data on effect sizes and moderators were extracted, where possible. By pooling the unadjusted data from the included papers, increased sedentary time was shown to have a significant detrimental association with fasting glucose (Δ = 0.12, 95% confidence interval [CI]: 0.02, 0.23), fasting insulin (Δ = 0.19, 95% CI: 0.06, 0.32), triglycerides (Δ = 0.25, 95% CI: 0.14, 0.37), high-density lipoprotein cholesterol (Δ = -0.20, 95% CI: -0.28, -0.13) and waist circumference (Δ = 0.25, 95% CI: 0.15, 0.35). How sedentary time was quantified and the device used to measure sedentary time significantly influence the size of the effect reported. Future interventions focused on both decreasing sedentary time and increasing physical activity may be the most effective strategy to improve CMH.
Collapse
Affiliation(s)
- C Powell
- Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
| | - M P Herring
- Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.,Health Research Institute, University of Limerick, Limerick, Ireland
| | - K P Dowd
- Department of Sport and Health Sciences, Athlone Institute of Technology, Athlone, Ireland
| | - A E Donnelly
- Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.,Health Research Institute, University of Limerick, Limerick, Ireland
| | - B P Carson
- Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.,Health Research Institute, University of Limerick, Limerick, Ireland
| |
Collapse
|
9
|
Dietary energy density is positively associated with body composition of adults in Southwest China. Public Health Nutr 2018; 21:1827-1834. [DOI: 10.1017/s1368980018000277] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
AbstractObjectiveDietary energy density (ED) might have influences on body composition. We therefore examined whether ED is associated with body composition among Chinese adults.DesignWe collected dietary data through validated two-day 24 h recalls. ED, defined as the amount of energy per unit weight of food consumed, was calculated based on five methods. Multiple linear regression analyses were performed to explore the associations between ED and body composition parameters, including BMI, fat mass index (FMI), fat-free mass index (FFMI), percentage body fat (%BF) and waist circumference (WC).SettingSouthwest China.SubjectsChinese adults (n 1933) in 2013.ResultsAfter adjusting the covariates, all ED definitions were positively associated with BMI, FMI, FFMI, %BF and WC among women (P<0·01). In men, however, ED with foods only was positively associated with BMI, FMI, FFMI and %BF (P<0·05), but not with WC (P=0·07); we also found null associations between ED with foods and all beverages and body composition among men. Additionally, ED contributed to higher increases of body composition in women than in men (P<0·01).ConclusionsThe present study supports the positive association between ED and body composition among adults in Southwest China, in which beverages may play an important role.
Collapse
|
10
|
Interaction between physical activity and television time on blood pressure level: cross-sectional data from 45 000 individuals. J Hypertens 2018; 36:1041-1050. [PMID: 29369146 DOI: 10.1097/hjh.0000000000001675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES The aim was to investigate if there is an interaction between sitting time and leisure time physical activity on blood pressure and if there are age differences and sex differences in this respect. METHODS Linear regression analysis on cross-sectional data was performed in more than 45 000 men and women from two Swedish cohort studies, EpiHealth (45-75 years) and LifeGene (18-45 years). Self-reported leisure time physical activity was given in five levels from low (level 1) to vigorous physical activity (level 5) and television time was used as a proxy measure of sitting time. RESULTS High physical activity was associated with lower DBP (P = 0.001), but not SBP. Active middle-aged men had lower DBP (-1.1 mmHg; 95% CI -1.7 to -0.4) compared with inactive participants. Prolonged television time was associated with higher SBP (P < 0.001) and DBP (P = 0.011) in both sexes and in most age groups. Watching 3 h instead of 1 h television per day was associated with higher SBP in middle-aged women (SBP: 1.1 mmHg; 95% CI 0.7-1.4) and men (SBP: 1.2 mmHg; 95% CI 0.8-1.6). Only in young men, a high physical activity (level 4 instead of level 1) could compensate for a prolonged television time (3 h per day) in terms of DBP. CONCLUSION Prolonged television time was associated with higher SBP and DBP in both sexes and at most ages, whereas an increased physical activity was mainly associated with a lower DBP. Only in young men, a high physical activity could compensate for prolonged television time regarding DBP.
Collapse
|
11
|
Batacan RB, Duncan MJ, Dalbo VJ, Buitrago GL, Fenning AS. Effect of different intensities of physical activity on cardiometabolic markers and vascular and cardiac function in adult rats fed with a high-fat high-carbohydrate diet. JOURNAL OF SPORT AND HEALTH SCIENCE 2018; 7:109-119. [PMID: 30356452 PMCID: PMC6180540 DOI: 10.1016/j.jshs.2016.08.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2015] [Revised: 04/30/2016] [Accepted: 06/06/2016] [Indexed: 05/14/2023]
Abstract
BACKGROUND Physical activity (PA) and diet are 2 lifestyle factors that affect cardiometabolic risk. However, data on how a high-fat high-carbohydrate (HFHC) diet influences the effect of different intensities of PA on cardiometabolic health and cardiovascular function in a controlled setting are yet to be fully established. This study investigated the effect of sedentary behavior, light-intensity training (LIT), and high-intensity interval training (HIIT) on cardiometabolic markers and vascular and cardiac function in HFHC-fed adult rats. METHODS Twelve-week-old Wistar rats were randomly allocated to 4 groups (12 rats/group): control (CTL), sedentary (SED), LIT, and HIIT. Biometric indices, glucose and lipid control, inflammatory and oxidative stress markers, vascular reactivity, and cardiac electrophysiology of the experimental groups were examined after 12 weeks of HFHC-diet feeding and PA interventions. RESULTS The SED group had slower cardiac conduction (p = 0.0426) and greater thoracic aortic contractile responses (p < 0.05) compared with the CTL group. The LIT group showed improved cardiac conduction compared with the SED group (p = 0.0003), and the HIIT group showed decreased mesenteric artery contractile responses compared with all other groups and improved endothelium-dependent mesenteric artery relaxation compared with the LIT group (both p < 0.05). The LIT and HIIT groups had lower visceral (p = 0.0057 for LIT, p = 0.0120 for HIIT) and epididymal fat (p < 0.0001 for LIT, p = 0.0002 for HIIT) compared with the CTL group. CONCLUSION LIT induced positive adaptations on fat accumulation and cardiac conduction, and HIIT induced a positive effect on fat accumulation, mesenteric artery contraction, and endothelium-dependent relaxation. No other differences were observed between groups. These findings suggest that few positive health effects can be achieved through LIT and HIIT when consuming a chronic and sustained HFHC diet.
Collapse
Affiliation(s)
- Romeo B. Batacan
- School of Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4702, Australia
- Centre for Physical Activity Studies, Central Queensland University, Rockhampton, QLD 4702, Australia
- Corresponding author.
| | - Mitch J. Duncan
- School of Medicine & Public Health, Priority Research Centre for Physical Activity and Nutrition, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
| | - Vincent J. Dalbo
- School of Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4702, Australia
- Clinical Biochemistry Laboratory, Central Queensland University, Rockhampton, QLD 4702, Australia
| | - Geraldine L. Buitrago
- Centre for Biodiscovery and Molecular Development of Therapeutics, Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, QLD 4870, Australia
| | - Andrew S. Fenning
- School of Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4702, Australia
- Centre for Physical Activity Studies, Central Queensland University, Rockhampton, QLD 4702, Australia
| |
Collapse
|
12
|
Urda JL, Larouere B, Verba SD, Lynn JS. Comparison of subjective and objective measures of office workers' sedentary time. Prev Med Rep 2017; 8:163-168. [PMID: 29062680 PMCID: PMC5645177 DOI: 10.1016/j.pmedr.2017.10.004] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 09/01/2017] [Accepted: 10/02/2017] [Indexed: 11/16/2022] Open
Abstract
Sedentary behavior is an independent and prominent risk factor for chronic disease. Occupational sitting is likely to be the largest determinant of overall daily sitting time. Gathering accurate data on sedentary behaviors is essential to determine prevalence and effectiveness of interventions to reduce sedentary time. The purpose of this research was to determine whether self-reported sedentary time assessed by the Paffenbarger Physical Activity Questionnaire (PPAQ) and the Occupational Sitting and Physical Activity Questionnaire (OSPAQ) was related to objectively assessed sedentary time by the activPAL3 activity monitor. In the spring of 2015, 44 women employed full-time at Slippery Rock University participated in this study. Participants were predominantly Caucasian (95%), middle-aged (48 ± 10 years), and had an average BMI of 30.5 ± 8.2. A positive, weak correlation was found in sedentary time between the PPAQ (14.65 ± 2.77 h) and the activPAL3 (17.71 ± 1.46 h) over a 24 hour day (r = 0.253; p = 0.098; n = 44). Thirty-nine of the 44 participants significantly underestimated their sedentary time as compared to the activPAL3 (3.06 ± 2.76 h; p = 0.001). A positive, weak correlation was also found in sedentary time between the OSPAQ (5.96 ± 1.11 h) and the activPAL3 (5.69 ± 1.06 h) during the 8.5 hour work day (r = 0.100; p = 0.518; n = 44). Future studies examining sedentary behaviors should use caution when only considering the use of subjective recall surveys. This is especially true when self-reported behaviors are used to inform health promotion programs and create universal recommendations aimed to reduce sedentary time.
Collapse
Affiliation(s)
- Joyan L. Urda
- Department of Exercise and Rehabilitative Sciences, Slippery Rock University, Slippery Rock, PA 16057, United States
| | | | | | | |
Collapse
|
13
|
LaMonte MJ, Lewis CE, Buchner DM, Evenson KR, Rillamas-Sun E, Di C, Lee IM, Bellettiere J, Stefanick ML, Eaton CB, Howard BV, Bird C, LaCroix AZ. Both Light Intensity and Moderate-to-Vigorous Physical Activity Measured by Accelerometry Are Favorably Associated With Cardiometabolic Risk Factors in Older Women: The Objective Physical Activity and Cardiovascular Health (OPACH) Study. J Am Heart Assoc 2017; 6:e007064. [PMID: 29042429 PMCID: PMC5721888 DOI: 10.1161/jaha.117.007064] [Citation(s) in RCA: 59] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 08/04/2017] [Indexed: 12/11/2022]
Abstract
BACKGROUND The relationship between light intensity physical activity (PA), which is common in older adults, and cardiovascular disease (CVD) risk factors is unclear. This study examined associations of accelerometer-measured PA intensity with CVD risk factors in older women of different race-ethnicities. METHODS AND RESULTS Cross-sectional analyses were conducted in 4832 women (mean age 78.9 years; 52.5% white, 30.5% black, 17.1% Hispanic) who were without known CVD and wore triaxial accelerometers a minimum of 4 of 7 days with ≥10 hours/d awake wear-time. Vector magnitude counts per 15-s epoch were used to define time spent in low light (19-225 counts/15 s), high light (226-518), and moderate-to-vigorous; ≥519) intensity PA. Fasting CVD biomarkers, resting blood pressure, waist girth, body mass index, and 10-year predicted CVD risk (Reynolds Risk Score) were measured. After adjusting for age, wear time, race-ethnicity, and potential confounders, each PA measure was favorably associated with mean high-density lipoprotein, triglyceride, glucose, C-reactive protein, body mass index, waist girth, and Reynolds Risk Score (P<0.05, all). Associations with mean blood pressure, insulin, and total and low-density lipoprotein cholesterol were variable. A 30-minute/d increment in PA was associated, on average, with odds ratios for high predicted CVD risk (Reynolds Risk Score ≥20) of 0.96 (95% confidence interval, 0.92, 1.00), 0.88 (0.83, 0.94), and 0.85 (0.79, 0.91) for low light, high light, and moderate-to-vigorous, respectively, and remained significant with further mutual control for PA intensity. CONCLUSIONS PA measured by accelerometry, including light intensity PA, was associated with lower CVD risk factor levels in race-ethnically diverse older women.
Collapse
Affiliation(s)
- Michael J LaMonte
- School of Public Health and Health Professions University at Buffalo-SUNY, Buffalo, NY
| | - Cora E Lewis
- School of Medicine, University of Alabama-Birmingham, AL
| | | | - Kelly R Evenson
- Gillings School of Public Health, University of North Carolina, Chapel Hill, NC
| | | | - Chongzhi Di
- Fred Hutchinson Cancer Research Center, Seattle, WA
| | - I-Min Lee
- School of Medicine, Harvard University, Boston, MA
| | | | | | - Charles B Eaton
- Warren Alpert Medical School, Brown University, Providence, RI
| | - Barbara V Howard
- MedStar Health Research Institute and Georgetown/Howard Universities Centers for Clinical and Translational Research, Washington, DC
| | | | | |
Collapse
|
14
|
Vasankari V, Husu P, Vähä-Ypyä H, Suni J, Tokola K, Halonen J, Hartikainen J, Sievänen H, Vasankari T. Association of objectively measured sedentary behaviour and physical activity with cardiovascular disease risk. Eur J Prev Cardiol 2017; 24:1311-1318. [PMID: 28530126 DOI: 10.1177/2047487317711048] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background We evaluated the association of accelerometer-based sedentary behaviour and physical activity with the risk of cardiovascular disease. Design The design of this study used a population-based, cross-sectional sample. Methods A subsample of participants in the Health 2011 Study in Finland used the tri-axial accelerometer (≥4 days, >10 h/day, n = 1398). Sedentary behaviour (sitting, lying) and standing still in six-second epochs were recognised from raw acceleration data based on intensity and device orientation. The intensity of physical activity was calculated as one-minute moving averages of mean amplitude deviation of resultant acceleration and converted to metabolic equivalents. Metabolic equivalents were categorised to light physical activity (1.5-2.9 metabolic equivalents) and moderate-to-vigorous physical activity (moderate-to-vigorous physical activity≥3.0 metabolic equivalents). Daily sedentary behaviour, standing still, light physical activity and moderate-to-vigorous physical activity were expressed as mean daily total time, accumulated time and number of different bouts (from 30 s to >30 min), mean daily metabolic equivalent and weekly peak metabolic equivalent levels of different bout lengths and number of breaks in sedentary behaviour. The ten-year cardiovascular disease risk was based on the Framingham risk model. Results The mean number of daily sedentary behaviour bouts was more strongly associated with cardiovascular disease risk than mean daily total time. In the best model, smaller waist circumference, greater value of mean daily metabolic equivalent levels of one-minute bouts, higher accumulated time of moderate-to-vigorous physical activity lasting ≤30 min, higher number of >5 min standing bouts and a higher number of long (>30 min) bouts of light physical activity were significantly associated with lower cardiovascular disease risk (R2 = 0.836). Conclusions The objectively measured number and accumulated time from different bout lengths of physical activity and sedentary behaviour were associated with cardiovascular disease risk, which is considered relevant for estimating cardiovascular diseases and for devising preventive actions.
Collapse
Affiliation(s)
- Ville Vasankari
- 1 The UKK Institute for Health Promotion Research, Finland.,2 Heart Center, Kuopio University Hospital (KUH), Finland.,3 University of Eastern Finland (UEF), Finland
| | - Pauliina Husu
- 1 The UKK Institute for Health Promotion Research, Finland
| | | | - Jaana Suni
- 1 The UKK Institute for Health Promotion Research, Finland
| | - Kari Tokola
- 1 The UKK Institute for Health Promotion Research, Finland
| | - Jari Halonen
- 2 Heart Center, Kuopio University Hospital (KUH), Finland.,3 University of Eastern Finland (UEF), Finland
| | - Juha Hartikainen
- 2 Heart Center, Kuopio University Hospital (KUH), Finland.,3 University of Eastern Finland (UEF), Finland
| | - Harri Sievänen
- 1 The UKK Institute for Health Promotion Research, Finland
| | - Tommi Vasankari
- 1 The UKK Institute for Health Promotion Research, Finland.,4 The National Institute for Health and Welfare (THL), Finland
| |
Collapse
|
15
|
Krishnan C, Choksi P, Peterson MD. Abdominal adiposity and low physical activity are independently and inversely associated with bone mineral density. Obes Res Clin Pract 2017; 11:740-746. [PMID: 28416385 DOI: 10.1016/j.orcp.2017.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2016] [Revised: 03/30/2017] [Accepted: 04/01/2017] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND METHODS Obesity is a highly heterogeneous condition, and the link between adiposity distribution profiles and skeletal health is not well understood. This study examined the association between adiposity and bone mineral density (BMD) in a large cohort (5268 individuals) of US adults aged 20-85 years. RESULTS Body mass index (BMI) and moderate-to-vigorous physical activity were positively associated with BMD. Conversely, abdominal adiposity was negatively associated with BMD, even after adjusting for age, race, BMI, and objectively-measured physical activity. CONCLUSIONS These findings highlight the negative influence of abdominal adiposity on BMD and contradict the notion that excess fat mass is protective for bone health.
Collapse
Affiliation(s)
- Chandramouli Krishnan
- University of Michigan, Department of Physical Medicine & Rehabilitation, United States
| | - Palak Choksi
- University of Michigan, Department of Internal Medicine, United States
| | - Mark D Peterson
- University of Michigan, Department of Physical Medicine & Rehabilitation, United States.
| |
Collapse
|
16
|
Boisvert-Vigneault K, Payette H, Audet M, Gaudreau P, Bélanger M, Dionne IJ. Relationships between physical activity across lifetime and health outcomes in older adults: Results from the NuAge cohort. Prev Med 2016; 91:37-42. [PMID: 27471024 DOI: 10.1016/j.ypmed.2016.07.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Revised: 07/13/2016] [Accepted: 07/23/2016] [Indexed: 11/18/2022]
Abstract
This study aims to (1) describe participation in four physical activity (PA) domains across life and (2) examine the influence of PA during adolescence, early, middle, and later adulthood on health variables at older age. This observational study was conducted in 1378 generally healthy older adults (age 67-84 at baseline in 2003-2005; 52% women) in Quebec, Canada. Using a modified version of the interviewer-administered Lifetime Total Physical Activity Questionnaire (LTPAQ) and life events calendar to facilitate the recall, participants reported the frequency, duration, and intensity of occupational (OPA), commuting (CPA), household (HPA), and leisure time (LTPA) they participated in at age 15, 25, 45, and 65, and at the first follow-up (age 68-85 in 2005-2006). Fat mass, lean body mass, body mass index, waist-to-hip ratio, fasting glucose, systolic and diastolic blood pressures, self-reported chronic diseases, and socio-demographic data were assessed at baseline. Changes in PA over time differed by sex in each domain. However, there was a general decline in all PA domains in both sexes after age 65. In multiple regression analyses, LTPA at first-follow-up was associated with more favourable waist-to-hip ratio in both sexes, fat mass in women and fat mass percentage in men, whereas CPA, OPA, and HPA across life were not consistently associated with health variables. Older adults' LTPA at first follow-up was related to health variables, but PA recalled during adolescence, early adulthood, and mid-life was not. Results support the idea that current PA is positively related to better health outcomes.
Collapse
Affiliation(s)
- Katherine Boisvert-Vigneault
- Faculty of Physical Activity Sciences, University of Sherbrooke, 2500 boul. de l'Université, Sherbrooke, Quebec J1K 2R1, Canada; Research Centre on Aging, CIUSS de l'Estrie-CHUS, 1036 rue Belvédère Sud, Sherbrooke, Quebec J1H 4C4, Canada.
| | - Hélène Payette
- Research Centre on Aging, CIUSS de l'Estrie-CHUS, 1036 rue Belvédère Sud, Sherbrooke, Quebec J1H 4C4, Canada; Faculty of Medicine & Health Sciences, University of Sherbrooke, 3001, 12e avenue Nord, Sherbrooke, Quebec J1H 5N4, Canada.
| | - Mélisa Audet
- Faculty of Physical Activity Sciences, University of Sherbrooke, 2500 boul. de l'Université, Sherbrooke, Quebec J1K 2R1, Canada; Research Centre on Aging, CIUSS de l'Estrie-CHUS, 1036 rue Belvédère Sud, Sherbrooke, Quebec J1H 4C4, Canada.
| | - Pierrette Gaudreau
- Department of medicine, University of Montreal, Pavillon Roger-Gaudry (local S-759), 2900 boul. Édouard-Montpetit, Montréal, Québec H3T 1J4, Canada; Centre hospitalier de l'Université de Montréal Research Center, Pavillon R, 900 rue St-Denis, Montreal, Quebec H2X 0A9, Canada.
| | - Mathieu Bélanger
- Department of Family Medicine, Université de Sherbrooke, 3001, 12e avenue Nord, Sherbrooke, Quebec J1H 5N4, Canada; Centre de formation médicale du Nouveau-Brunswick, Pavillon J.-Raymond-Frenette, 18 rue Antonine Maillet, Moncton, New Brunswick E1A 3E9, Canada; Office of research services, Vitalité Health Network, 275, rue Main Bureau 600, Bathurst, New Brunswick E2A 1A9, Canada.
| | - Isabelle J Dionne
- Faculty of Physical Activity Sciences, University of Sherbrooke, 2500 boul. de l'Université, Sherbrooke, Quebec J1K 2R1, Canada; Research Centre on Aging, CIUSS de l'Estrie-CHUS, 1036 rue Belvédère Sud, Sherbrooke, Quebec J1H 4C4, Canada.
| |
Collapse
|
17
|
Maddison R, Jiang Y, Foley L, Scragg R, Direito A, Olds T. The association between the activity profile and cardiovascular risk. J Sci Med Sport 2016; 19:605-10. [DOI: 10.1016/j.jsams.2015.08.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2015] [Revised: 07/31/2015] [Accepted: 08/07/2015] [Indexed: 11/17/2022]
|
18
|
Bakrania K, Edwardson CL, Bodicoat DH, Esliger DW, Gill JMR, Kazi A, Velayudhan L, Sinclair AJ, Sattar N, Biddle SJH, Khunti K, Davies M, Yates T. Associations of mutually exclusive categories of physical activity and sedentary time with markers of cardiometabolic health in English adults: a cross-sectional analysis of the Health Survey for England. BMC Public Health 2016; 16:25. [PMID: 26753523 PMCID: PMC4709945 DOI: 10.1186/s12889-016-2694-9] [Citation(s) in RCA: 75] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 01/06/2016] [Indexed: 02/06/2023] Open
Abstract
Background Both physical activity and sedentary behaviour have been individually associated with health, however, the extent to which the combination of these behaviours influence health is less well-known. The aim of this study was to examine the associations of four mutually exclusive categories of objectively measured physical activity and sedentary time on markers of cardiometabolic health in a nationally representative sample of English adults. Methods Using the 2008 Health Survey for England dataset, 2131 participants aged ≥18 years, who provided valid accelerometry data, were included for analysis and grouped into one of four behavioural categories: (1) ‘Busy Bees’: physically active & low sedentary, (2) ‘Sedentary Exercisers’: physically active & high sedentary, (3) ‘Light Movers’: physically inactive & low sedentary, and (4) ‘Couch Potatoes’: physically inactive & high sedentary. ‘Physically active’ was defined as accumulating at least 150 min of moderate-to-vigorous physical activity (MVPA) per week. ‘Low sedentary’ was defined as residing in the lowest quartile of the ratio between the average sedentary time and the average light-intensity physical activity time. Weighted multiple linear regression models, adjusting for measured confounders, investigated the differences in markers of health across the derived behavioural categories. The associations between continuous measures of physical activity and sedentary levels with markers of health were also explored, as well as a number of sensitivity analyses. Results In comparison to ‘Couch Potatoes’, ‘Busy Bees’ [body mass index: −1.67 kg/m2 (p < 0.001); waist circumference: −1.17 cm (p = 0.007); glycated haemoglobin: −0.12 % (p = 0.003); HDL-cholesterol: 0.09 mmol/L (p = 0.001)], ‘Sedentary Exercisers’ [body mass index: −1.64 kg/m2 (p < 0.001); glycated haemoglobin: −0.11 % (p = 0.009); HDL-cholesterol: 0.07 mmol/L (p < 0.001)] and ‘Light Movers’ [HDL-cholesterol: 0.11 mmol/L (p = 0.004)] had more favourable health markers. The continuous analyses showed consistency with the categorical analyses and the sensitivity analyses indicated robustness and stability. Conclusions In this national sample of English adults, being physically active was associated with a better health profile, even in those with concomitant high sedentary time. Low sedentary time independent of physical activity had a positive association with HDL-cholesterol. Electronic supplementary material The online version of this article (doi:10.1186/s12889-016-2694-9) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Kishan Bakrania
- Department of Health Sciences, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, United Kingdom. .,Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. .,National Institute for Health Research (NIHR) Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit (BRU), Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.
| | - Charlotte L Edwardson
- Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. .,National Institute for Health Research (NIHR) Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit (BRU), Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.
| | - Danielle H Bodicoat
- Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.
| | - Dale W Esliger
- National Institute for Health Research (NIHR) Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit (BRU), Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. .,School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK.
| | - Jason M R Gill
- British Heart Foundation Glasgow Cardiovascular Research Centre (BHF GCRC), Institute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.
| | - Aadil Kazi
- Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. .,National Institute for Health Research (NIHR) Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit (BRU), Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.
| | - Latha Velayudhan
- Psychiatry for the Elderly, Department of Health Sciences, University of Leicester, Leicester, LE1 7RH, UK.
| | - Alan J Sinclair
- Diabetes Frail Ltd, University of Aston, Birmingham, B4 7ET, UK.
| | - Naveed Sattar
- British Heart Foundation Glasgow Cardiovascular Research Centre (BHF GCRC), Institute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8TA, UK.
| | - Stuart J H Biddle
- Institute of Sport, Exercise & Active Living, Victoria University, Melbourne, Australia.
| | - Kamlesh Khunti
- Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. .,National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care - East Midlands (CLAHRC - EM) Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.
| | - Melanie Davies
- Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. .,National Institute for Health Research (NIHR) Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit (BRU), Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.
| | - Thomas Yates
- Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK. .,National Institute for Health Research (NIHR) Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit (BRU), Leicester Diabetes Centre, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, UK.
| |
Collapse
|