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D'Souza AN, Granger CL, Kay JE, Said CM. Physical activity is low before and during hospitalisation: A secondary observational study in older Australian general medical patients. Australas J Ageing 2023; 42:545-553. [PMID: 37036825 DOI: 10.1111/ajag.13186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 12/19/2022] [Accepted: 02/10/2023] [Indexed: 04/11/2023]
Abstract
OBJECTIVES To quantify physical activity in patients prior to and during an acute general medical hospital admission and explore relationships between mobility, pre- and in-hospital physical activity. METHODS This was a prospective, single-site secondary observational study conducted on general medical wards at a tertiary hospital. Prehospital physical activity was measured via the Physical Activity Scale for the Elderly (PASE; scored 0-400); in-hospital physical activity was measured via accelerometry (time at metabolic equivalents [METs] > 1.5), and mobility was measured via the de Morton Mobility Index (DEMMI). Associations were determined via Spearman's correlations. RESULTS Forty-six participants were included: median age 81 [76-85] years, 59% female, DEMMI on admission 39 [30-49]. Prehospital physical activity was low (PASE median 27.1 [1.6-61.9]). In-hospital physical activity was also low (0.5 [0.2-1.5] hours per day being physically active and 54 [16-194] steps per day taken). No statistically significant relationships existed between pre- and in-hospital physical activity (Spearman's rho (ρ) 0.24, 95% CI -0.08-0.53, p = 0.07). However, physical activity levels in the pre- and in-hospital settings were positively associated with patients' mobility in-hospital (Spearman's ρ 0.44, 95% CI 0.15-0.67, p = 0.002; Spearman's ρ 0.40, 95% CI 0.08-0.645, p = 0.011 respectively). CONCLUSIONS Physical activity is low both before and during a general medical admission. Assessment of usual physical activity patterns should be part of the clinical assessment of patients in general medicine; however, the low activity levels observed indicate a need for valid and reliable tools suitable for an older, frail cohort. Findings will inform the development of physical activity guidelines during hospitalisation.
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Affiliation(s)
- Aruska N D'Souza
- Department of Physiotherapy, Royal Melbourne Hospital, Melbourne, Victoria, Australia
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
| | - Catherine L Granger
- Department of Physiotherapy, Royal Melbourne Hospital, Melbourne, Victoria, Australia
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
| | - Jacqueline E Kay
- Department of Physiotherapy, Royal Melbourne Hospital, Melbourne, Victoria, Australia
| | - Catherine M Said
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
- Department of Allied Health, Western Health, Melbourne, Victoria, Australia
- Australian Institute of Musculoskeletal Science, Melbourne, Victoria, Australia
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2
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Thomas JJC, Daley AJ, Esliger DW, Kettle VE, Coombe A, Stamatakis E, Sanders JP. Accelerometer-Measured Physical Activity Data Sets (Global Physical Activity Data Set Catalogue) That Include Markers of Cardiometabolic Health: Systematic Scoping Review. J Med Internet Res 2023; 25:e45599. [PMID: 37467026 PMCID: PMC10398367 DOI: 10.2196/45599] [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: 01/12/2023] [Revised: 04/18/2023] [Accepted: 05/08/2023] [Indexed: 07/20/2023] Open
Abstract
BACKGROUND Cardiovascular disease accounts for 17.9 million deaths globally each year. Many research study data sets have been collected to answer questions regarding the relationship between cardiometabolic health and accelerometer-measured physical activity. This scoping review aimed to map the available data sets that have collected accelerometer-measured physical activity and cardiometabolic health markers. These data were then used to inform the development of a publicly available resource, the Global Physical Activity Data set (GPAD) catalogue. OBJECTIVE This review aimed to systematically identify data sets that have measured physical activity using accelerometers and cardiometabolic health markers using either an observational or interventional study design. METHODS Databases, trial registries, and gray literature (inception until February 2021; updated search from February 2021 to September 2022) were systematically searched to identify studies that analyzed data sets of physical activity and cardiometabolic health outcomes. To be eligible for inclusion, data sets must have measured physical activity using an accelerometric device in adults aged ≥18 years; a sample size >400 participants (unless recruited participants in a low- and middle-income country where a sample size threshold was reduced to 100); used an observational, longitudinal, or trial-based study design; and collected at least 1 cardiometabolic health marker (unless only body mass was measured). Two reviewers screened the search results to identify eligible studies, and from these, the unique names of each data set were recorded, and characteristics about each data set were extracted from several sources. RESULTS A total of 17,391 study reports were identified, and after screening, 319 were eligible, with 122 unique data sets in these study reports meeting the review inclusion criteria. Data sets were found in 49 countries across 5 continents, with the most developed in Europe (n=53) and the least in Africa and Oceania (n=4 and n=3, respectively). The most common accelerometric brand and device wear location was Actigraph and the waist, respectively. Height and body mass were the most frequently measured cardiometabolic health markers in the data sets (119/122, 97.5% data sets), followed by blood pressure (82/122, 67.2% data sets). The number of participants in the included data sets ranged from 103,712 to 120. Once the review processes had been completed, the GPAD catalogue was developed to house all the identified data sets. CONCLUSIONS This review identified and mapped the contents of data sets from around the world that have collected potentially harmonizable accelerometer-measured physical activity and cardiometabolic health markers. The GPAD catalogue is a web-based open-source resource developed from the results of this review, which aims to facilitate the harmonization of data sets to produce evidence that will reduce the burden of disease from physical inactivity.
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Affiliation(s)
- Jonah J C Thomas
- School of Sport, Exercise and Health Science, Loughborough University, Loughborough, United Kingdom
- National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, United Kingdom
- Centre for Lifestyle Medicine and Behaviour, Loughborough University, Loughborough, United Kingdom
| | - Amanda J Daley
- School of Sport, Exercise and Health Science, Loughborough University, Loughborough, United Kingdom
- National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, United Kingdom
- Centre for Lifestyle Medicine and Behaviour, Loughborough University, Loughborough, United Kingdom
| | - Dale W Esliger
- School of Sport, Exercise and Health Science, Loughborough University, Loughborough, United Kingdom
- National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, United Kingdom
- Centre for Lifestyle Medicine and Behaviour, Loughborough University, Loughborough, United Kingdom
- Lifestyle, National Institute of Health Research Leicester Biomedical Research Centre, Leicester, United Kingdom
| | - Victoria E Kettle
- School of Sport, Exercise and Health Science, Loughborough University, Loughborough, United Kingdom
- National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, United Kingdom
- Centre for Lifestyle Medicine and Behaviour, Loughborough University, Loughborough, United Kingdom
| | - April Coombe
- Public Health, Epidemiology and Biostatistics, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
| | - Emmanuel Stamatakis
- Charles Perkin Centre, Faculty of Medicine and Health Science, University of Sydney, Sydney, Australia
| | - James P Sanders
- School of Sport, Exercise and Health Science, Loughborough University, Loughborough, United Kingdom
- National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, United Kingdom
- Centre for Lifestyle Medicine and Behaviour, Loughborough University, Loughborough, United Kingdom
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3
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Shin SW, Kim H, Kang YH, Kim J. Accelerometer-derived physical activity and sedentary behavior patterns among Korean adults. Phys Act Nutr 2023; 27:25-33. [PMID: 37583069 PMCID: PMC10440183 DOI: 10.20463/pan.2023.0015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 06/27/2023] [Accepted: 06/29/2023] [Indexed: 08/17/2023] Open
Abstract
PURPOSE This study aimed to provide an overview of accelerometer-derived physical activity (PA) and sedentary behavior (SB) patterns among Korean adults. We also investigated the association between participant characteristics and the likelihood of adherence to moderate-to-vigorous physical activity (MVPA), SB, and the MVPA-SB guidelines. METHODS Data from the 2014-2017 Korea National Health and Nutrition Examination Survey were used. The study involved a nationally representative sample of 2,260 Korean adults aged ≥20 years. Accelerometers were used to measure PA and SB for seven days. Multivariate logistic regression models were used to assess the association between the participant characteristics and the likelihood of adhering to the MVPA, SB, and MVPA-SB guidelines. RESULTS SB (60.61%), light intensity (26.22%), and lifestyle activities (9.4%) accounted for the majority of the participants' days. MVPA and vigorous physical activity (VPA) accounted for 3.72% and 0.06% of the days, respectively. The MVPA guidelines were more likely to be adhered to by men, older adults, participants with higher education, non-smokers, and individuals without multimorbidity. Participants with higher education and household income were less likely to adhere to the SB guidelines. Women (OR=0.51), participants with high education levels (OR=0.54), current smokers (OR=0.47), and patients with multimorbidity (OR=0.46) were less likely to adhere to the MVPA-SB guidelines. CONCLUSION This study found that participants were predominantly sedentary, with only a small proportion engaging in VPA. There were differences related to demographic factors and health status. Most Korean adults do not adhere to the recommended MVPA-SB guidelines, and that is a serious public health concern. These findings highlight the need to promote PA and reduce SB through public health policies and interventions, particularly for adults facing PA barriers.
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Affiliation(s)
- Seung Woo Shin
- Sports and Exercise Medicine Laboratory, Korea Maritime & Ocean University, Busan, Republic of Korea
| | - Hyunmin Kim
- Sports and Exercise Medicine Laboratory, Korea Maritime & Ocean University, Busan, Republic of Korea
| | - Young Hun Kang
- Research Institute of Ocean Science and Technology, Korea Maritime & Ocean University, Busan, Republic of Korea
| | - Junghoon Kim
- Sports and Exercise Medicine Laboratory, Korea Maritime & Ocean University, Busan, Republic of Korea
- School of Applied Health, Cal Poly Humboldt, Arcata, CA 95521, USA
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4
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Marron MM, Cvejkus RK, Acevedo-Fontanez AI, Kuipers AL, Nair S, Carr JJ, Terry JG, Wheeler V, Miljkovic I. Replacing sedentary time with light activity was associated with less adiposity across several depots in African ancestry men. Obesity (Silver Spring) 2022; 30:2489-2496. [PMID: 36415998 PMCID: PMC9832382 DOI: 10.1002/oby.23582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 07/28/2022] [Accepted: 08/08/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVE The aim of this study was to determine whether displacement of sedentary time with activity was cross-sectionally associated with less adiposity among Black Caribbean men in the Tobago Health Study. METHODS Objectively assessed activity was categorized as sedentary (< 1.5 metabolic equivalents; METs), light (≥ 1.5 to < 3.0 METs), or moderate-to-vigorous (≥ 3.0 METs) using the SenseWear Pro armband. Computed tomography scans of the chest, abdomen, liver, and thigh were used to assess subcutaneous and ectopic adipose tissue. The isotemporal substitution framework paired with linear regression was used to examine associations between activity and adiposity adjusting for age, height, total awake time, and multiple comparisons. RESULTS On average, participants (n = 271) were 63 years old with 11.2 h/d of sedentary behavior, 4.5 h/d of light activity, and 54 min/d of moderate-to-vigorous activity. Replacing sedentary time with light activity was cross-sectionally associated with lower volume and higher density of abdominal and thigh subcutaneous adiposity, visceral adiposity, abdominal and thigh intermuscular adiposity, and pericardial adiposity and higher liver attenuation (p values ≤ 0.0001). CONCLUSIONS Displacement of sedentary time with light activity was associated with less adiposity among this Black Caribbean cohort. Interventions focused on increasing light activity may be easier to maintain than higher intensity interventions and thus may be more successful at reducing adiposity.
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Affiliation(s)
- Megan M. Marron
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Ryan K. Cvejkus
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Adrianna I. Acevedo-Fontanez
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Allison L. Kuipers
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Sangeeta Nair
- Department of Radiology & Radiological Sciences, Vanderbilt University Medicine Center, Nashville, Tennessee, USA
| | - John Jeffrey Carr
- Department of Radiology & Radiological Sciences, Vanderbilt University Medicine Center, Nashville, Tennessee, USA
| | - James G. Terry
- Department of Radiology & Radiological Sciences, Vanderbilt University Medicine Center, Nashville, Tennessee, USA
| | - Victor Wheeler
- Tobago Health Studies Office, Scarborough, Trinidad and Tobago
| | - Iva Miljkovic
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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5
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Moura EF, Cabral DAR, Rêgo MLM, Browne RAV, Macêdo GAD, Cabral LLP, Vivas A, Oliveira GTA, Lucena BEB, Elsangedy HM, Costa EC, Fontes EB. Associations of objectively measured movement behavior and cardiorespiratory fitness with mental health and quality of life in older adults with hypertension: an exploratory analysis during the COVID-19 pandemic. Aging Ment Health 2022; 26:1678-1685. [PMID: 34219568 DOI: 10.1080/13607863.2021.1942436] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objectives: Herein, we explored the associations of pre-pandemic COVID-19 physical activity (PA), sedentary behavior (SB) and cardiorespiratory fitness (CRF) with mental health and quality of life in older adults with hypertension.Method: Objectively measured PA and SB, perceived stress, depression symptoms, and quality of life were assessed before and during the pandemic in seventeen older adults with hypertension. CRF was assessed before the pandemic by cardiopulmonary exercise testing. Longitudinal and cross-sectional associations were analyzed using the mixed linear model.Results: Pre-pandemic light PA (positive association) and SB (negative association) were associated with quality of life during the pandemic. Higher pre-pandemic CRF was associated with less negative changes in perceived stress, depression symptoms, and quality of life during the pandemic.Conclusion: Our preliminary findings suggest that a healthier pre-pandemic movement behavior (more PA, less SB) and better CRF can mitigate the negative impact of the COVID-19 pandemic on mental health and quality of life in older adults with hypertension.
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Affiliation(s)
- Evanilson F Moura
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | - Maria Luiza M Rêgo
- School of Medicine, Center of Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Rodrigo A V Browne
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Geovani A D Macêdo
- Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Ludmila L P Cabral
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Andres Vivas
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Gledson T A Oliveira
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Bruno E B Lucena
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Hassan M Elsangedy
- Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Eduardo C Costa
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil.,Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Eduardo B Fontes
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil.,Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
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6
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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.
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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
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7
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Joint associations of accelerometer-measured physical activity and sedentary time with cardiometabolic risk in older adults: A cross-sectional study. Exp Gerontol 2022; 165:111839. [DOI: 10.1016/j.exger.2022.111839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 05/16/2022] [Accepted: 05/18/2022] [Indexed: 11/18/2022]
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8
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Peripheral and cognitive benefits of physical exercise in a mouse model of midlife metabolic syndrome. Sci Rep 2022; 12:3260. [PMID: 35228593 PMCID: PMC8885684 DOI: 10.1038/s41598-022-07252-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 02/08/2022] [Indexed: 11/24/2022] Open
Abstract
Despite national and international efforts for the prevention of metabolic syndrome and its underlying diseases/disorders, its prevalence is still rising, especially in the middle-aged population. In this study, we explore the effect of high fat diet on the development of metabolic syndrome in middle-aged mice and to evaluate the potential benefits of voluntary physical exercise on the periphery as well as brain cognitive function, and to explore the potential mechanisms. We found that metabolic syndrome developed at middle age significantly impairs cognitive function and the impairment is associated with gene dysregulation in metabolic pathways that are largely affecting astrocytes in the brain. Eight-week voluntary wheel running at a frequency of three times a week, not only improves peripheral glucose control but also significantly improves learning and memory. The improvement of cognitive function is associated with restoration of gene expression involved in energy metabolism in the brain. Our study suggests that voluntary physical exercise is beneficial for metabolic syndrome-induced peripheral as well as cognitive dysfunction and can be recommended as therapeutic intervention for metabolic syndrome and associated diseases.
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Kinoshita K, Ozato N, Yamaguchi T, Sudo M, Yamashiro Y, Mori K, Ishida M, Katsuragi Y, Sasai H, Yasukawa T, Murashita K, Nakaji S, Ihara K. Association of sedentary behaviour and physical activity with cardiometabolic health in Japanese adults. Sci Rep 2022; 12:2262. [PMID: 35145141 PMCID: PMC8831565 DOI: 10.1038/s41598-022-05302-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 01/10/2022] [Indexed: 02/06/2023] Open
Abstract
Although the Asian population exhibits excessive sedentary behaviour and has a high susceptibility to metabolic syndrome (MetS), the nature of these associations remains unclear. This study aimed to investigate the association of sedentary time with cardiometabolic health and examine the association of reallocating sedentary time to light physical activity (LPA) or moderate-vigorous physical activity (MVPA) on cardiometabolic health in Japanese adults. A cross-sectional study was performed using data obtained from 758 Japanese adults. We assessed sedentary time, LPA, and MVPA using an accelerometer. Linear and logistic regression models were used to analyse the association between sedentary time and cardiometabolic risk factors. An isotemporal substitution model was used to estimate the theoretical influence of reallocating sedentary time to LPA or MVPA. A longer sedentary time was associated with worse cardiometabolic health, including MetS. Reallocating 30 min of sedentary time to LPA was significantly associated with lower body mass index, visceral fat, insulin resistance, triglyceride, and MetS levels and increased muscle mass and HDL-C (all P < 0.05). Reallocating 30 min of sedentary time to MVPA was strongly associated with the aforementioned factors. These results demonstrate the potential beneficial effects of reallocating sedentary time to LPA and MVPA on cardiometabolic health of Asians.
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Affiliation(s)
- Keita Kinoshita
- Department of Active Life Promotion Sciences, Graduate School of Medicine, Hirosaki University, Aomori, Japan.,Health & Wellness Products Research Laboratories, Kao Corporation, Tokyo, Japan.,Department of Social Medicine, Graduate School of Medicine, Hirosaki University, Aomori, Japan
| | - Naoki Ozato
- Department of Active Life Promotion Sciences, Graduate School of Medicine, Hirosaki University, Aomori, Japan.,Health & Wellness Products Research Laboratories, Kao Corporation, Tokyo, Japan
| | - Tohru Yamaguchi
- Health & Wellness Products Research Laboratories, Kao Corporation, Tokyo, Japan
| | - Motoki Sudo
- Personal Health Care Products Research Laboratories, Kao Corporation, Tokyo, Japan
| | - Yukari Yamashiro
- Personal Health Care Products Research Laboratories, Kao Corporation, Tokyo, Japan
| | - Kenta Mori
- Department of Active Life Promotion Sciences, Graduate School of Medicine, Hirosaki University, Aomori, Japan.,Health & Wellness Products Research Laboratories, Kao Corporation, Tokyo, Japan
| | - Mizuri Ishida
- Department of Innovation Center for Health Promotion, Graduate School of Medicine, Hirosaki University, Aomori, Japan
| | - Yoshihisa Katsuragi
- Department of Active Life Promotion Sciences, Graduate School of Medicine, Hirosaki University, Aomori, Japan.,Health & Wellness Products Research Laboratories, Kao Corporation, Tokyo, Japan
| | - Hiroyuki Sasai
- Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Takuji Yasukawa
- Department of Active Life Promotion Sciences, Graduate School of Medicine, Hirosaki University, Aomori, Japan
| | - Koichi Murashita
- COI Research Initiatives Organization, Graduate School of Medicine, Hirosaki University, Tokyo, Japan
| | - Shigeyuki Nakaji
- Department of Social Medicine, Graduate School of Medicine, Hirosaki University, Aomori, Japan
| | - Kazushige Ihara
- Department of Social Medicine, Graduate School of Medicine, Hirosaki University, Aomori, Japan.
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10
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Bai J, Wang Y, Zhang XF, Ouyang YF, Zhang B, Wang ZH, Du S, Wang HJ. Associations of Sedentary Time and Physical Activity with Metabolic Syndrome among Chinese Adults: Results from the China Health and Nutrition Survey. BIOMEDICAL AND ENVIRONMENTAL SCIENCES : BES 2021; 34:963-975. [PMID: 34981719 PMCID: PMC10023150 DOI: 10.3967/bes2021.132] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 10/28/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE This study aimed to determine the independent and joint associations of sedentary time (ST) and physical activity (PA) with metabolic syndrome (MetS) and its components among Chinese adults. METHODS The study analyzed data from 4,865 adults aged ≥ 18 years who participated in the 2009 and 2015 China Health and Nutrition Surveys (CHNS). Four types of leisure ST and three types of PA self-reported at baseline were collected. Multivariable logistic regressions were used to determine the independent and joint associations of ST and PA with the odds of MetS or its components. RESULTS For independent effects, higher levels of television time and total leisure ST was associated with higher MetS risk [odds ratio ( OR) 1.3, 95% confidence interval ( CI) 1.1-1.6, P < 0.001; OR 1.4, 95% CI 1.2-1.8, P < 0.001, respectively]. The MetS risk in the computer time > 7 hours/week (h/w) group was higher than that in the < 7 h/w group in ( OR 1.5, 95% CI 1.2-1.9). Higher levels of moderate-to-vigorous-intensity physical activity (MVPA) and total PA were associated with a lower MetS risk ( OR 0.7, 95% CI 0.6-0.9, P < 0.001; OR 0.8, 95% CI 0.7-0.9, P < 0.001, respectively). For the joint effects, compared with those reporting the lowest level of total leisure ST (< 14 h/w) and the most active tertile of MVPA (≥ 61.0 MET-h/w), participants reporting the most total leisure ST (≥ 35 h/w) and the lowest level of MVPA (0 MET-h/w) had the highest odds of MetS ( OR 2.0; 95% CI 1.4-2.7). Except for people reporting ST (14-21 h/w) within the most active tertile of MVPA, the associations in all other groups were significant. With the increase of TV time and decreased MVPA, the odds of MetS almost showed a curve acceleration. CONCLUSIONS MVPA and total PA have independent preventive effects, and sedentary behavior (mainly watching TV) has an unsafe effect on MetS and its components. Strengthening the participation of MVPA and combining the LPA to replace the TV-based ST to increase the total PA may be necessary to reduce the prevalence of MetS in Chinese adults.
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Affiliation(s)
- Jing Bai
- National Institute for Nutrition and Health, Chinese center for disease control and prevention, Beijing 100050, China
| | - Yun Wang
- National Institute for Nutrition and Health, Chinese center for disease control and prevention, Beijing 100050, China
| | - Xian-fan Zhang
- National Institute for Nutrition and Health, Chinese center for disease control and prevention, Beijing 100050, China
| | - Yi-fei Ouyang
- National Institute for Nutrition and Health, Chinese center for disease control and prevention, Beijing 100050, China
| | - Bing Zhang
- National Institute for Nutrition and Health, Chinese center for disease control and prevention, Beijing 100050, China
| | - Zhi-hong Wang
- National Institute for Nutrition and Health, Chinese center for disease control and prevention, Beijing 100050, China
| | - Shufa Du
- Department of Nutrition and Carolina Population Center University of North Carolina at Chapel Hill 123 W. Franklin St. Chapel Hill, NC 27599, USA
| | - Hui-jun Wang
- National Institute for Nutrition and Health, Chinese center for disease control and prevention, Beijing 100050, China
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Yu X, Hao L, Crainiceanu C, Leroux A. Occupational determinants of physical activity at work: Evidence from wearable accelerometer in 2005-2006 NHANES. SSM Popul Health 2021; 17:100989. [PMID: 34977325 PMCID: PMC8688871 DOI: 10.1016/j.ssmph.2021.100989] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 11/17/2021] [Accepted: 11/30/2021] [Indexed: 01/22/2023] Open
Abstract
Occupation determines workers' physical activity (PA) in the workplace, an important health behavior contributing to health outcomes. However, self-reported measure limits our understanding of how occupational tasks differentiate workers' PA in terms of the type, frequency, intensity, and duration. In addition, accurate estimation of occupation-based PA during workers' actual working hours requires precise work schedule information. To address these limitations, this study employs data on accelerometer-monitored PA and work schedule from the 2005-2006 National Health and Nutrition Examination Survey (NHANES). It asks two questions: How do occupations determine PA among regular daytime workers in the United States? Second, how large a share of PA difference between two occupations is attributable to differences in the implicit occupational tasks, relative to workers' demographic, health preconditions, and socioeconomic attributes? Calculating PA during the 9-to-5 period among daytime regular workers on weekdays and conducting Blinder-Oaxaca decomposition analysis, we yield insights into the occupational determinant of both PA volume (total activity counts) and fragmentation (bouts of activities). Worksite health promotion can utilize the objective occupation-PA link and design occupation-tailored interventions, which is currently underdeveloped in the United States. Moreover, our findings shed light on the physical nature of occupation, suggesting a fruitful step to reconcile the documented mixed findings on occupation-based PA and health outcomes in future studies.
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Affiliation(s)
- Xiao Yu
- Department of Sociology, Johns Hopkins University, Baltimore, MD, USA,Corresponding author. Advancing Maternal Health Lab, Department of Obstetrics, Gynecology, and Reproductive Biology, Michigan State University, College of Human Medicine.
| | - Lingxin Hao
- Department of Sociology, Johns Hopkins University, Baltimore, MD, USA
| | - Ciprian Crainiceanu
- Department of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
| | - Andrew Leroux
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, CO, USA
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12
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Ma J, Kim H, Kim J. Isotemporal Substitution Analysis of Accelerometer-Derived Sedentary Behavior and Physical Activity on Cardiometabolic Health in Korean Adults: A Population-Based Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111102. [PMID: 34769622 PMCID: PMC8583396 DOI: 10.3390/ijerph182111102] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 10/16/2021] [Accepted: 10/19/2021] [Indexed: 01/03/2023]
Abstract
Reducing sedentary behavior and increasing physical activity may be important for maintaining good cardiometabolic health. However, many studies have focused on the independent effect of sedentary behavior and physical activity, but it is unclear whether replacing time spent in sedentary behavior with physical activity is beneficial for cardiometabolic health. Therefore, this population-based cross-sectional study aimed to investigate the effect of behavioral transformations between sedentary behavior and level of physical activity on cardiometabolic health in Korean adults using data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2014-2017. The study participants included 2197 adults from the KNHANES. In the partition model, moderate-to-vigorous physical activity (MVPA) was significantly associated with adverse cardiometabolic health, adjusted for potential confounding factors. The odds ratio for adverse cardiometabolic health significantly decreased with the replacement of sedentary behavior and light intensity activity with MVPA in the isotemporal substitution model (p < 0.05). In the models stratified by sex, we observed significant associations between handgrip strength and cardiometabolic health in women (p < 0.001), but not in men. Thus, our findings suggest that replacing sedentary behavior with MVPA may contribute to improved cardiometabolic health.
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Affiliation(s)
- Jiameng Ma
- Faculty of Physical Education, Sendai University, Miyagi 989-1693, Japan; (J.M.); (H.K.)
| | - Hyunshik Kim
- Faculty of Physical Education, Sendai University, Miyagi 989-1693, Japan; (J.M.); (H.K.)
| | - Junghoon Kim
- Sports and Exercise Medicine Laboratory, Korea Maritime and Ocean University, 727 Taejong-ro, Yeongdo-gu, Busan 49112, Korea
- Correspondence: ; Tel.: +82-51-410-4792
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13
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Fang H, Jing Y, Chen J, Wu Y, Wan Y. Recent Trends in Sedentary Time: A Systematic Literature Review. Healthcare (Basel) 2021; 9:969. [PMID: 34442106 PMCID: PMC8394097 DOI: 10.3390/healthcare9080969] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 07/22/2021] [Accepted: 07/28/2021] [Indexed: 11/17/2022] Open
Abstract
This paper systematically reviews and synthesizes the relevant literature on sedentary time research. A bibliometric analysis was conducted to evaluate the publications from 2010 to 2020 in the Web of Science (WoS) core collection database. Derwent Data Analyzer software was used for the cleaning, mining, and visualization of the data. Historical trends of the topics, main contributors, leading countries, leading institutions, leading research areas, and journals were explored. A total of 3020 publications were studied. The United States, the United Kingdom, and Australia are the three most productive countries. The Australian institution Baker Heart and Diabetes Institute led the list of productive institutions, and Ekelund U published the most papers. Sedentary time raised the concerns of scholars from 106 research areas, and public health was the dominant field. Physical activity, accelerometer, children, and obesity were the most frequently used keywords. The findings suggest that sedentary time is rapidly emerging as a global issue that has detrimental effects on public health. The hotspots shifted in the past 10 years, and COVID-19 was the most popular topic of sedentary time research.
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Affiliation(s)
- Hui Fang
- Library, Zhejiang University of Technology, Hangzhou 310023, China; (H.F.); (J.C.); (Y.W.)
- Institute of Information Resource, Zhejiang University of Technology, Hangzhou 310023, China
| | - Yuan Jing
- Library, Zhejiang Sci-Tech University, Hangzhou 310018, China;
| | - Jie Chen
- Library, Zhejiang University of Technology, Hangzhou 310023, China; (H.F.); (J.C.); (Y.W.)
- Institute of Information Resource, Zhejiang University of Technology, Hangzhou 310023, China
| | - Yanqi Wu
- Library, Zhejiang University of Technology, Hangzhou 310023, China; (H.F.); (J.C.); (Y.W.)
- Institute of Information Resource, Zhejiang University of Technology, Hangzhou 310023, China
| | - Yuehua Wan
- Library, Zhejiang University of Technology, Hangzhou 310023, China; (H.F.); (J.C.); (Y.W.)
- Institute of Information Resource, Zhejiang University of Technology, Hangzhou 310023, China
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14
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Lee J, Kim T. Association of breastfeeding and risk of metabolic syndrome and its components in postmenopausal parous women: Korea national health and nutrition examination survey (2010 ~ 2016). ACTA ACUST UNITED AC 2021; 79:82. [PMID: 34011378 PMCID: PMC8132371 DOI: 10.1186/s13690-021-00607-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 05/09/2021] [Indexed: 11/18/2022]
Abstract
Background Understanding the relationship between breastfeeding (BF) and metabolic syndrome (Mets) is important for maternal long-term health benefits and disease prevention. This study aimed to examine the association between BF and Mets and its components among postmenopausal parous Korean women. Methods This cross-sectional study on 10,356 Korean women used nationally representative data from the KNHANES from 2010 to 2016. Anthropometric, laboratory data and manual BP were measured. A multivariate logistic regression analysis was conducted to examine the association of BF with Mets and its components after adjusting for potential confounding variables. A p-value < 0.05 was to be considered statistically significant. Results Mets was present in 42% of the study participants. The BF group had low household income and education level. The prevalence of Mets in the BF group was higher than that in the non-BF group (42.69% vs. 34.76%, p < 0.001). BF was associated with increased risk of Mets (odds ratio [OR]: 1.4, 95% confidence interval [CI]: 1.18–1.65, p < 0.001). The BF group was at higher risks for diabetes (OR: 1.5, 95%CI: 1.14–1.98), hypertension (OR: 1.32, 95%CI: 1.03–1.68), hypertriglyceridemia (OR: 1.42, 95%CI: 1.02–1.99) and low high-density lipoprotein cholesterol (OR: 1.32, 95%CI: 1.06–1.65). Conclusion In this study, BF did not affect decreasing the prevalence of Mets and its components.
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Affiliation(s)
- Jusuk Lee
- Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea
| | - Taehong Kim
- Department of Pediatrics, Pusan National University Yangsan Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, 50612, Republic of Korea.
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15
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Matsumoto H, Takenaka K. Relationship Between Basic Psychological Needs and Exercise Motivation in Japanese Adults: An Application of Self‐Determination Theory. JAPANESE PSYCHOLOGICAL RESEARCH 2021. [DOI: 10.1111/jpr.12336] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kudo N, Nishide R, Mizutani M, Ogawa S, Tanimura S. Association between the type of physical activity and metabolic syndrome in middle-aged and older adult residents of a semi-mountainous area in Japan. Environ Health Prev Med 2021; 26:46. [PMID: 33838647 PMCID: PMC8035718 DOI: 10.1186/s12199-021-00949-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Accepted: 02/14/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Physical activity is reported to prevent metabolic syndrome. However, it is unclear whether exercise or daily physical activity is more beneficial for residents of semi-mountainous areas. This study aimed to identify whether daily physical activity is more beneficial than exercise for the prevention of metabolic syndrome among middle-aged and older residents in semi-mountainous areas. METHODS We analyzed secondary data of 636 people who underwent a specific health checkup in a semi-mountainous area of Japan. Physical activity was classified into four types: inactivity (I-type; without exercise and without daily physical activity), only exercise (E-type; with exercise and without daily physical activity), only daily physical activity (D-type; without exercise and with daily physical activity), and full physical activity type (F-type; with exercise and with daily physical activity). We compared the means of risk factors for metabolic syndrome by these four types, followed by logistic regression analysis, to identify whether and to what extent the D-type was less likely to have metabolic syndrome than the E-type. RESULTS The prevalence of metabolic syndrome was 28.5% (men 45.7%, women 15.8%). The proportions of men with exercise and daily physical activity were 38.7% and 52.8%, respectively. For women, the proportions were 33.0% and 47.1%, respectively. In women, the D-type had the significantly lowest BMI, smallest waist circumference, highest HDL-C, and lowest prevalence of metabolic syndrome of the four types; the same was not observed in men. Additionally, D-type activity was more strongly associated with a reduced risk of metabolic syndrome than E-type activity in women (adjusted odds ratio 0.24; 95% confidence interval 0.06-0.85, P = 0.028). CONCLUSIONS Compared to middle-aged and older women residents with exercise in a semi-mountainous area of Japan, those with daily physical activity may effectively prevent metabolic syndrome.
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Affiliation(s)
- Noriko Kudo
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
| | - Ritsuko Nishide
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Mayumi Mizutani
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Shota Ogawa
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
| | - Susumu Tanimura
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan
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17
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Zheng C, Tian XY, Sun FH, Huang WY, Sheridan S, Wu Y, Wong SHS. Associations of Sedentary Patterns with Cardiometabolic Biomarkers in Physically Active Young Males. Med Sci Sports Exerc 2021; 53:838-844. [PMID: 33017350 PMCID: PMC7969161 DOI: 10.1249/mss.0000000000002528] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE Sitting time (ST) is a serious global health issue and positively associated with cardiometabolic disease. The present study investigated associations between objectively measured ST, sedentary patterns, and cardiometabolic biomarkers in physically active young males. METHODS Cross-sectional analysis was completed in 94 males 18-35 yr of age. Total ST, prolonged sedentary bouts (≥30 min with no interruption), and sedentary breaks (transitions from sitting/lying to standing/stepping) were assessed using activPAL. Lipids, insulin, C-peptide, C-reactive protein (CRP), vascular cellular adhesion molecule-1, intercellular adhesion molecule 1, E-selectin, P-selectin, leptin, resistin, and adiponectin were measured using assay kits. The expression of specific proteins related to endothelial dysfunction was determined using quantitative real-time polymerase chain reaction. Associations between total ST, prolonged sedentary bouts, and sedentary breaks with cardiometabolic biomarkers and total ST and levels of gene expression were assessed using generalized linear models. RESULTS Total ST was significantly associated with triglycerides (B = 1.814), insulin (B = 2.117), homeostasis model assessment of insulin resistance (B = 0.071), and E-selectin (B = 2.052). Leptin (B = 0.086), E-selectin (B = 1.623), and P-selectin (B = 2.519) were significantly associated with prolonged sedentary bouts, whereas leptin (B = -0.017) and CRP (B = -0.016) were associated with sedentary breaks. After adjustment for moderate to vigorous physical activity, the associations between triglycerides (B = 2.048) and total ST, and between CRP (B = -0.016) and sedentary breaks, remained significant. E-selectin mRNA levels (B = 0.0002) were positively associated with ST with or without adjustment for moderate to vigorous physical activity. CONCLUSIONS Total ST and prolonged sedentary bouts were positively associated with several cardiometabolic biomarkers, with interruptions in ST potentially contributing to reduced cardiometabolic risk in physically active young male adults.
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Affiliation(s)
- Chen Zheng
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, CHINA
| | - Xiao Yu Tian
- School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, CHINA
| | - Feng Hua Sun
- Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, CHINA
| | - Wendy Yajun Huang
- Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, CHINA
| | - Sinead Sheridan
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, CHINA
| | - Yalan Wu
- School of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, CHINA
| | - Stephen Heung-Sang Wong
- Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, CHINA
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18
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Mulè A, Bruno E, Pasanisi P, Galasso L, Castelli L, Caumo A, Esposito F, Roveda E, Montaruli A. Sex Differences in Rest-Activity Circadian Rhythm in Patients With Metabolic Syndrome. Front Physiol 2021; 12:641461. [PMID: 33815145 PMCID: PMC8013705 DOI: 10.3389/fphys.2021.641461] [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: 12/14/2020] [Accepted: 02/23/2021] [Indexed: 12/23/2022] Open
Abstract
Rest-Activity circadian Rhythm (RAR) can be used as a marker of the circadian timing system. Recent studies investigated the relationship between irregular circadian rhythms and cardiovascular risk factors such as hypertension, obesity, and dyslipidemia. These factors are related to the Metabolic Syndrome (MS), a clustering of metabolic risk factors that increases the risk of several cardiovascular and metabolic diseases. This cross-sectional analysis aimed to explore the RAR characteristics by actigraphy in subjects with MS, particularly in relation to sex and MS parameters, using parametric and non-parametric analyses. Distinguishing the characteristics of RAR based on sex could prove useful as a tool to improve the daily level of activity and set up customized activity programs based on each person’s circadian activity profile. This study showed that female participants exhibited higher values than male participants in the Midline Estimating Statistic of Rhythm (MESOR) (243.3 ± 20.0 vs 197.6 ± 17.9 activity count), Amplitude (184.5 ± 18.5 vs 144.2 ± 17.2 activity count), which measures half of the extent of the rhythmic variation in a cycle, and the most active 10-h period (M10) (379.08 ± 16.43 vs 295.13 ± 12.88 activity count). All these parameters are indicative of a higher daily activity level in women. Female participants also had lower Intradaily Variability (IV) than male participants (0.75 ± 0.03 vs 0.85 ± 0.03 activity count), which indicates a more stable and less fragmented RAR. These preliminary data provide the first experimental evidence of a difference in RAR parameters between male and female people with MS.
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Affiliation(s)
- Antonino Mulè
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Eleonora Bruno
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Patrizia Pasanisi
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
| | - Letizia Galasso
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Lucia Castelli
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Andrea Caumo
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.,IRCCS, Istituto Ortopedico Galeazzi, Milan, Italy
| | - Eliana Roveda
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.,IRCCS, Istituto Ortopedico Galeazzi, Milan, Italy
| | - Angela Montaruli
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.,IRCCS, Istituto Ortopedico Galeazzi, Milan, Italy
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Aljuhani O, Alkahtani S, Alhussain M, Smith L, Habib SS. Associations of Physical Activity and Sedentary Time with Metabolic Syndrome in Saudi Adult Males. Risk Manag Healthc Policy 2020; 13:1839-1847. [PMID: 33061717 PMCID: PMC7533270 DOI: 10.2147/rmhp.s267575] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Accepted: 08/22/2020] [Indexed: 11/23/2022] Open
Abstract
Purpose The association between objectively measured sedentary behavior and physical activity with metabolic syndrome (MetS) has been rarely investigated in Saudi Arabia. The purpose of the current study was to examine the association of objectively measured sedentary, light physical activity (LPA), and moderate-vigorous physical activity (MVPA) with MetS among Saudi adult males. Materials and Methods The study participants were 103 males from Riyadh, Saudi Arabia (mean age = 54.9 ± 10.6 years). Metabolic syndrome was defined based on having three or more of cardiometabolic risk factors. Triaxial accelerometers were used to measure the time spent on sedentary and physical activities across 7 days. A minimum four days with ≥10 hours of wearing time per day were considered a valid data. Binary logistics regression models were performed to examine the association of sedentary and physical activity levels with MetS vs no MetS. Model 1 was unadjusted, models 2, 3, and 4 were mutually controlled for sedentary, light, and MVPA intensities. Results About 38% of males in the present study were classified as having MetS as demonstrated by a significant (p<0.05) decrease in high-density lipoprotein cholesterol (HDL-C) and a significant (p<0.05) increase in body weight, body mass index (BMI), waist circumference (WC), systolic blood pressure, glucose, and triglycerides compared to those without MetS. In addition, low levels of LPA (less than 6.3 hours per day) were significantly associated with the risk of having MetS, independent of sedentary and MVPA (odds ratio (OR) 4.26-6.96). The results showed that the associations between sedentary tertiles and MetS were not statistically significant. Levels of MVPA were also not significantly associated with an increased risk of developing MetS in all models. Conclusion This study showed that low levels of LPA were significantly associated with the risk of having MetS in Saudi males from Riyadh city, independent of MVPA and sedentary time. The results suggest that future intervention studies should assess the positive effect of increasing levels of LPA in reducing the risk of developing MetS in males.
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Affiliation(s)
- Osama Aljuhani
- Department of Physical Education, College of Sport Sciences and Physical Activity, King Saud University, Riyadh 4545, Saudi Arabia
| | - Shaea Alkahtani
- Department of Exercise Physiology, College of Sport Sciences and Physical Activity, King Saud University, Riyadh 4545, Saudi Arabia
| | - Maha Alhussain
- Department of Nutrition and Food Sciences, College of Agricultural and Food Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Lee Smith
- The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK
| | - Syed Shahid Habib
- Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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Physical Activity, Sedentary Behaviour and Sleep, and Their Association with BMI in a Sample of Adolescent Females in New Zealand. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17176346. [PMID: 32878296 PMCID: PMC7503577 DOI: 10.3390/ijerph17176346] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/17/2020] [Accepted: 08/24/2020] [Indexed: 01/02/2023]
Abstract
Despite activity guidelines moving towards a 24-h focus, we have a poor understanding of the 24-h activity patterns of adolescents. Therefore, this study aims to describe the 24-h activity patterns of a sample of adolescent females and investigate the association with body mass index (BMI). Adolescent females aged 15-18 years (n = 119) were recruited across 13 schools in 8 locations throughout New Zealand. Actigraph GT3X+ accelerometers were worn 24-h a day for seven days and the output was used to identify time spent in each 24-h component (sleep, sedentary, light-intensity physical activity and moderate-to-vigorous intensity physical activity). In a 24-h period, adolescent females spent approximately half their time sedentary, one third sleeping and the remainder in light-intensity physical activity (15%) and moderate-to-vigorous intensity physical activity (5%). Higher BMI z-scores were associated with 16 min more time spent in light-intensity physical activity. Additionally, those with higher BMI were less likely to meet the sleep and physical activity guidelines for this age group. Compliance with the moderate-to-vigorous intensity physical activity guidelines, sleep guidelines, or both, was low, especially in those classified as overweight or obese. The association between BMI and light activity warrants further investigation.
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Davis KG, Kotowski SE, Daniel D, Gerding T, Naylor J, Syck M. The Home Office: Ergonomic Lessons From the “New Normal”. ERGONOMICS IN DESIGN 2020. [DOI: 10.1177/1064804620937907] [Citation(s) in RCA: 51] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Millions of workers have been uprooted by COVID-19 (coronavirus disease 2019) and been thrown into a “new normal” of working from home offices. To further complicate things, many individuals were provided with only a laptop and little, if any, education on setting up an ergonomically correct workstation. As a result, many home office–based workers potentially face suboptimal working conditions. Based on 41 home office ergonomic evaluations, most ergonomic concerns related to laptop usage, nonadjustable chairs without armrests, low monitor heights, and hard desk surfaces. If home-based office work continues, people need to understand the ramifications of poor workstation.
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Chim HQ, oude Egbrink MGA, Van Gerven PWM, de Groot RHM, Winkens B, Savelberg HHCM. Academic Schedule and Day-to-Day Variations in Sedentary Behavior and Physical Activity of University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082810. [PMID: 32325847 PMCID: PMC7216295 DOI: 10.3390/ijerph17082810] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 04/06/2020] [Accepted: 04/14/2020] [Indexed: 12/12/2022]
Abstract
Students starting at university tend to adopt unhealthy behaviors. With students expected to sit during classes, their academic schedule may be responsible for their activity patterns. The aim of the current study was to investigate the relationship between university students’ academic schedule and day-to-day variations in sedentary behavior (SB) and physical activity (PA). The activity of 317 first-year undergraduate students (mean age 19.6 ± 1.4 years, 69.4% female, 30.0% male, and 0.6% other) was measured with the activPAL3™ triaxial monitor for seven consecutive days. Each class hour was found to be associated with 9.0 additional minutes of SB (95% CI [4.9, 13.1]), 54 additional seconds of moderate-to-vigorous PA (MVPA; 95% CI [12, 96]), and 12.2 min less time in bed (95% CI [−16.6, −7.8]). Active SB ratio (total duration of SB bouts < 30 min divided by total SB duration) decreased by 0.011 per hour of class scheduled for the students (95% CI [−0.016, −0.006]). Light PA (LPA) was not significantly associated with class duration. Students tend to cycle more on days with classes. Seated transportation was not significantly related to whether the students had classes or not. Overall, the academic schedule is associated with SB and PA in students.
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Affiliation(s)
- H. Q. Chim
- Department of Nutrition and Movement Sciences, School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, 6200 MD Maastricht, The Netherlands
- Correspondence: ; Tel.: +31-(0)43-3884219
| | | | - Pascal W. M. Van Gerven
- Department of Educational Development and Research, SHE, FHML, Maastricht University, 6200 MD Maastricht, The Netherlands;
| | - Renate H. M. de Groot
- Department of Complex Genetics, School of Nutrition and Translational Research in Metabolism (NUTRIM), FHML, Maastricht University, 6200 MD Maastricht, The Netherlands;
- Faculty of Educational Sciences, Open University of The Netherlands, 6419 AT Heerlen, The Netherlands
| | - Bjorn Winkens
- Department of Methodology and Statistics, Care and Public Health Research Institute (CAPHRI), FHML, Maastricht University, 6200 MD Maastricht, The Netherlands;
| | - Hans H. C. M. Savelberg
- Department of Nutrition and Movement Sciences, SHE, NUTRIM, FHML, Maastricht University, 6200 MD Maastricht, The Netherlands;
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Müller AM, Chen B, Wang NX, Whitton C, Direito A, Petrunoff N, Müller-Riemenschneider F. Correlates of sedentary behaviour in Asian adults: A systematic review. Obes Rev 2020; 21:e12976. [PMID: 31919972 DOI: 10.1111/obr.12976] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Revised: 10/22/2019] [Accepted: 10/22/2019] [Indexed: 12/20/2022]
Abstract
The objective of this study is to systematically review the evidence on correlates of sedentary behaviour (SB) among Asian adults. We searched for studies that examined individual, environmental, and political/cultural correlates of total and domain-specific SB (transport, occupation, leisure, and screen time) in Asian adults published from 2000 onwards in nine scientific databases. Two reviewers independently screened identified references. Following quality assessment of included studies, we performed narrative synthesis that considered differences based on SB measurements, regions, and population characteristics (PROSPERO: CRD42018095268). We identified 13 249 papers of which we included 49, from four regions and 12 countries. Researchers conducted cross-sectional analyses and most relied on SB self-report for SB measurement. Of the 118 correlates studied, the following associations were consistent: higher age, living in an urban area (East Asia), and lower mental health with higher total SB; higher education with higher total and occupational SB; higher income with higher leisure-time SB; higher transit density with higher total SB in older East Asians; and being an unmarried women with higher SB in the Middle East. We encourage more research in non-high-income countries across regions, further exploration of important but neglected correlates using longitudinal designs and qualitative research, and the use of objective instruments to collect SB data.
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Affiliation(s)
- Andre Matthias Müller
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.,Centre for Sport and Exercise Sciences, University of Malaya, Kuala Lumpur, Malaysia
| | - Bozhi Chen
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore
| | - Nan Xin Wang
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore
| | - Clare Whitton
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore
| | - Artur Direito
- Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore
| | - Nick Petrunoff
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore
| | - Falk Müller-Riemenschneider
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.,Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore.,Institute for Social Medicine, Epidemiology and Health Economics, Charite University Medical Centre Berlin, Berlin, Germany
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Sagawa N, Rockette-Wagner B, Azuma K, Ueshima H, Hisamatsu T, Takamiya T, El-Saed A, Miura K, Kriska A, Sekikawa A. Physical activity levels in American and Japanese men from the ERA-JUMP Study and associations with metabolic syndrome. JOURNAL OF SPORT AND HEALTH SCIENCE 2020; 9:170-178. [PMID: 32099725 PMCID: PMC7031775 DOI: 10.1016/j.jshs.2019.09.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 07/29/2019] [Accepted: 08/08/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Metabolic syndrome (MetS) is a global health problem. Physical activity (PA) is a known modifiable risk factor for MetS and individual MetS components. However, the role of PA could differ between sub-populations due to differences in the variability of PA and other MetS risk factors. To examine these differences, multi-country studies with standardized outcome measurement methods across cohorts are needed. METHODS Cross-sectional PA levels (total and domain specific) in healthy middle-aged (44-56 years) men in the Risk Factor Assessment among Japanese and U.S. Men in the Post-World War II Birth Cohort (ERA-JUMP) Study (n = 730; American: n = 417; Japanese: n = 313; from population-representative samples in Pittsburgh, Pennsylvania, USA, and Kusatsu, Shiga, Japan) were compared. The relationships between PA levels and MetS (overall and specific components) in/across the American and Japanese sub-cohorts (adjusting for age, smoking, and alcohol consumption) were also assessed using the same instruments (pedometer and validated questionnaire) to measure PA in both cohorts. RESULTS A total of 510 individuals provided complete data on PA (American: n = 265; Japanese: n = 245). The American cohort had significantly lower mean ± SD steps/day (7878 ± 3399 steps/day) vs. the Japanese cohort (9055 ± 3797 steps/day) (p < 0.001) but had significantly higher self-reported moderate-vigorous leisure PA (American: 15.9 (7.4-30.3) metabolic task equivalent hours per week (MET-h/week) vs. Japanese: 4.0 (0-11.3) MET-h/week, p < 0.0001). In both sub-cohorts, each 1000 steps/day increase was associated with lower odds of having MetS (American: OR = 0.90, 95%CI: 0.83-0.98; Japanese: OR = 0.87, 95%CI: 0.79-0.95) and the individual MetS component of high waist circumference (American: OR = 0.86, 95%CI: 0.79-0.94; Japanese: OR = 0.87, 95%CI: 0.80-0.95). In the American cohort only, higher self-reported leisure PA (Met-h/week) was associated with lower odds of MetS and high waist circumference (OR = 0.98, 95%CI: 0.97-0.99 for MetS and waist circumference, respectively). CONCLUSION Higher total step counts/day had an important protective effect on MetS prevalence in both the Japanese and American cohorts, despite differences in PA levels and other MetS risk factors. The effect of steps/day (across all intensity levels) was much greater than domain-specific moderate-vigorous PA captured by questionnaire, suggesting the need for measurement tools that can best capture total movement when examining the effects of PA on MetS development.
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Affiliation(s)
- Naoko Sagawa
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
| | - Bonny Rockette-Wagner
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA.
| | - Koichiro Azuma
- Institute for Integrated Sports Medicine, School of Medicine, Keio University, Tokyo 160-8582, Japan
| | - Hirotsugu Ueshima
- Department of Public Health, Shiga University of Medical Science, Shiga 520-2192, Japan
| | - Takashi Hisamatsu
- Department of Environmental Medicine and Public Health, Faculty of Medicine, Shimane University, Shimane 693-0021, Japan
| | - Tomoko Takamiya
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
| | - Aiman El-Saed
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
| | - Katsuyuki Miura
- Department of Public Health, Shiga University of Medical Science, Shiga 520-2192, Japan
| | - Andrea Kriska
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
| | - Akira Sekikawa
- Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15261, USA
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Sumner J, Uijtdewilligen L, Yee ACH, Xian SNH, Barreira TV, Sloan RA, Van Dam RM, Müller-Riemenschneider F. Volume and Intensity of Stepping Activity and Cardiometabolic Risk Factors in a Multi-ethnic Asian Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17030863. [PMID: 32019086 PMCID: PMC7037023 DOI: 10.3390/ijerph17030863] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Accepted: 01/24/2020] [Indexed: 11/16/2022]
Abstract
The health benefits of objectively measured physical activity volume versus intensity have rarely been studied, particularly in non-western populations. The aim of this study was to investigate the association between cardiometabolic risk factors and stepping activity including; volume (step count), intensity (cadence) or inactivity (zero-steps/minute/day), in a multi-ethnic Asian population. Participants clinical data was collected at baseline and their physical activity was monitored for seven days, using an accelerometer (Actigraph GT3X+) in 2016. Tertiles (low, moderate, high) of the mean daily step count, peak one-minute, 30-min, 60-min cadences and time/day spent at zero-steps/minute were calculated. Adjusted linear regressions explored the association between stepping activity tertiles and cardiometabolic risk factors. A total of 635 participants (41% male, 67% Chinese, mean age 48.4 years) were included in the analyses. The mean daily step count was 7605 (median daily step count 7310) and 7.8 h of awake time per day were spent inactive (zero-steps/minute). A greater number of associations were found for step intensity than volume. Higher step intensity was associated with reduced body mass index (BMI), waist circumference, blood pressures and higher high-density lipoprotein (HDL). Future health promotion initiatives should consider the greater role of step intensity to reduce cardiometabolic risk.
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Affiliation(s)
- Jennifer Sumner
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore
- Medical Affairs—Research Innovation & Enterprise, Alexandra Hospital, National University Health System, Singapore 117549, Singapore
- Department of Health Sciences, University of York, York YO10 5DD, UK
- Correspondence:
| | - Léonie Uijtdewilligen
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (L.U.); (A.C.H.Y.); (S.N.H.X.); (R.M.V.D.)
| | - Anne Chu Hin Yee
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (L.U.); (A.C.H.Y.); (S.N.H.X.); (R.M.V.D.)
| | - Sheryl Ng Hui Xian
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (L.U.); (A.C.H.Y.); (S.N.H.X.); (R.M.V.D.)
| | - Tiago V Barreira
- Department of Exercise Science, School of Education, Syracuse University, Syracuse, NY 13244, USA;
| | - Robert Alan Sloan
- Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, Japan;
| | - Rob M Van Dam
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (L.U.); (A.C.H.Y.); (S.N.H.X.); (R.M.V.D.)
| | - Falk Müller-Riemenschneider
- Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore; (L.U.); (A.C.H.Y.); (S.N.H.X.); (R.M.V.D.)
- Institute for Social Medicine, Epidemiology and Health Economics, Charite University Medical Centre, 10117 Berlin, Germany
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Guo C, Zhou Q, Zhang D, Qin P, Li Q, Tian G, Liu D, Chen X, Liu L, Liu F, Cheng C, Qie R, Han M, Huang S, Wu X, Zhao Y, Ren Y, Zhang M, Liu Y, Hu D. Association of total sedentary behaviour and television viewing with risk of overweight/obesity, type 2 diabetes and hypertension: A dose-response meta-analysis. Diabetes Obes Metab 2020; 22:79-90. [PMID: 31468597 DOI: 10.1111/dom.13867] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 08/25/2019] [Accepted: 08/25/2019] [Indexed: 01/08/2023]
Abstract
AIMS To explore the quantitative dose-response association of total sedentary behaviour and television viewing with overweight/obesity, type 2 diabetes and hypertension in a meta-analysis. MATERIALS AND METHODS We searched three databases to identify English-language reports that assessed the association of total sedentary behaviour or television viewing with the aforementioned health outcomes. Restricted cubic splines were used to evaluate possible linear or non-linear associations of total sedentary behaviour and television viewing with these health outcomes. RESULTS We included 48 articles (58 studies) with a total of 1 071 967 participants in the meta-analysis; 21 (six cohort and 15 cross-sectional) studies examined the association of total sedentary behaviour with overweight/obesity, 23 (13 cohort and 10 cross-sectional) studies examined the association with type 2 diabetes and 14 (one cohort and 13 cross-sectional) studies examined the association with hypertension. We found linear associations between total sedentary behaviour and type 2 diabetes (Pnon-linearity = 0.190) and hypertension (Pnon-linearity = 0.225) and a non-linear association between total sedentary behaviour and overweight/obesity (Pnon-linearity = 0.003). For each 1-h/d increase in total sedentary behaviour, the risk increased by 5% for type 2 diabetes and 4% for hypertension. We also found linear associations between television viewing and type 2 diabetes (Pnon-linearity = 0.948) and hypertension (Pnon-linearity = 0.679) and a non-linear association for overweight/obesity (Pnon-linearity = 0.007). For each 1-h/d increase in television viewing, the risk increased by 8% for type 2 diabetes and 6% for hypertension. CONCLUSIONS High levels of total sedentary behaviour and television viewing were associated with overweight/obesity, type 2 diabetes and hypertension.
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Affiliation(s)
- Chunmei Guo
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Qionggui Zhou
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Dongdong Zhang
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Department of Epidemiology and Health Statistics, School of Public Health, Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Pei Qin
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Department of Epidemiology and Health Statistics, School of Public Health, Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Quanman Li
- Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Henan, Zhengzhou, People's Republic of China
| | - Gang Tian
- Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Henan, Zhengzhou, People's Republic of China
| | - Dechen Liu
- Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Henan, Zhengzhou, People's Republic of China
| | - Xu Chen
- Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Henan, Zhengzhou, People's Republic of China
| | - Leilei Liu
- Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Henan, Zhengzhou, People's Republic of China
| | - Feiyan Liu
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Department of Epidemiology and Health Statistics, School of Public Health, Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Cheng Cheng
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Ranran Qie
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Minghui Han
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Shengbing Huang
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Xiaoyan Wu
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Yang Zhao
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Department of Epidemiology and Health Statistics, School of Public Health, Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Yongcheng Ren
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Ming Zhang
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Department of Epidemiology and Health Statistics, School of Public Health, Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Yu Liu
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
| | - Dongsheng Hu
- Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
- Study Team of Shenzhen's Sanming Project, Affiliated Luohu Hospital of Shenzhen University Health Science Centre, Shenzhen, Guangdong, People's Republic of China
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Ma J, Ma D, Wang Q, Kim H. The Correlation between Sedentary Behavior by Time Period and Physical Activity and Health Indicators among Japanese Workers. EXERCISE MEDICINE 2019. [DOI: 10.26644/em.2019.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Park SJ, Ryu SY, Park J, Choi SW. Association of Sarcopenia with Metabolic Syndrome in Korean Population Using 2009-2010 Korea National Health and Nutrition Examination Survey. Metab Syndr Relat Disord 2019; 17:494-499. [PMID: 31634043 PMCID: PMC6892432 DOI: 10.1089/met.2019.0059] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Background: Some studies have investigated the relationship between sarcopenia and metabolic syndrome, and they have focused mainly on older subjects. Therefore, we assessed the association between sarcopenia and metabolic syndrome in South Korean adults 20 years of age or older using data from the 2009–2010 Korean National Health and Nutrition Examination Survey (KNHANES). Methods: This study involved 12,256 (5350 males and 6906 females) participants from the 2009–2010 KNHANES 20 years of age or older. Appendicular skeletal muscle mass (ASM) was measured by dual X-ray absorptiometry. Sarcopenia index (SI) was calculated as ASM/body mass index and sarcopenia was defined as an SI of <0.789 in males and <0.521 in females. Metabolic syndrome was defined by the presence of at least three of the following abnormalities: abdominal obesity, high blood pressure, high blood glucose level, high triglyceride level, and low high-density lipoprotein cholesterol level. Results: After adjustment for covariates, the association between sarcopenia and metabolic syndrome was significant (odds ratio [OR] 2.06, 95% confidence interval [CI] 1.74–2.45). In addition, when stratified by age groups, the significant associations between sarcopenia and metabolic syndrome remained in all age groups (20–39 years: OR 2.13, 95% CI 1.08–4.19; 40–64 years: OR 2.13, 95% CI 1.68–2.71; ≥65 years: OR 1.98, 95% CI 1.54–2.54). Conclusion: The association between sarcopenia and metabolic syndrome was significant in South Korean adults. Moreover, the significant associations were present in every age group evaluated.
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Affiliation(s)
- Seong-Joon Park
- Department of Public Health, Graduate School of Chosun University, Gwangju, Republic of Korea
| | - So-Yeon Ryu
- Department of Preventive Medicine, Chosun University Medical School, Gwangju, Republic of Korea
| | - Jong Park
- Department of Preventive Medicine, Chosun University Medical School, Gwangju, Republic of Korea
| | - Seong-Woo Choi
- Department of Preventive Medicine, Chosun University Medical School, Gwangju, Republic of Korea
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The Effect of Interrupting Sedentary Behavior on the Cardiometabolic Health of Adults With Sedentary Occupations: A Pilot Study. J Occup Environ Med 2019; 60:760-767. [PMID: 29608541 DOI: 10.1097/jom.0000000000001327] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this study was to determine whether mobile phone text messages could modify objectively measured sedentary behavior and cardiometabolic health in office workers. METHODS Nine males and 12 females [mean (SD): 27.5 (5.7) years, 23.8 (2.8) kg/m] were assigned to a control (CON) or intervention (PROMPT) group. PROMPT received an activity-promoting text message during office hours. Participants wore an actiGraph and activPAL accelerometer for 7 days during and after the intervention. Blood pressure, lipid, and metabolic profiles were measured before and after the intervention. RESULTS PROMPT sat less [mean (95% confidence interval, 95% CI): 4.9 (4.4 to 5.4) hours/day] than CON [6.0 (5.5 to 6.4) hours/day; P = 0.04] during the message-receiving period. There was no difference between groups after the intervention and for the other activity variables. There were no changes in cardiometabolic health markers following the intervention. CONCLUSION Sitting time was lower during the message-receiving period, but the difference between groups was no longer apparent after the intervention.
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Barriers and Levels of Physical Activity in Patients With Symptomatic Peripheral Artery Disease: Comparison Between Women and Men. J Aging Phys Act 2019; 27:719-724. [PMID: 30747555 DOI: 10.1123/japa.2018-0206] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
This cross-sectional study compared physical activity levels and barriers between 212 men and women with symptomatic peripheral artery disease. Physical activity was objectively measured by an accelerometer. Barriers to physical activity were obtained using a validated questionnaire. Women reported higher amounts of light physical activity (p < .001) and lower moderate-vigorous physical activity (p < .001) than men. Women more often reported barriers such as "not having anyone to accompany" (p = .006), "lack of money" (p = .018), "fear of falling or worsening the disease" (p = .010), "lack of security" (p = .015), "not having places to sit when feeling leg pain" (p = .021), and "difficulty in getting to a place to practice physical activity" (p = .015). In conclusion, women with symptomatic peripheral artery disease presented with lower amounts of moderate-vigorous activity and more barriers to activity than men. Strategies to minimize the barriers, including group actives and nonpainful exercises, are recommended for women with peripheral artery disease.
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Gerage AM, Correia MDA, Oliveira PMLD, Palmeira AC, Domingues WJR, Zeratti AE, Puech-Leão P, Wolosker N, Ritti-Dias RM, Cucato GG. Physical Activity Levels in Peripheral Artery Disease Patients. Arq Bras Cardiol 2019; 113:410-416. [PMID: 31365605 PMCID: PMC6882394 DOI: 10.5935/abc.20190142] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Accepted: 01/16/2019] [Indexed: 01/09/2023] Open
Abstract
Background Increases in daily physical activity levels is recommended for patients with
peripheral artery disease (PAD). However, despite this recommendation,
little is known about the physical activity patterns of PAD patients. Objective To describe the physical activity patterns of patients with symptomatic
peripheral artery (PAD) disease. Methods This cross-sectional study included 174 PAD patients with intermittent
claudication symptoms. Patients were submitted to clinical, hemodynamic and
functional evaluations. Physical activity was objectively measured by an
accelerometer, and the time spent in sedentary, low-light, high-light and
moderate-vigorous physical activities (MVPA) were obtained. Descriptive
analysis was performed to summarize patient data and binary logistic
regression was used to test the crude and adjusted associations between
adherence to physical activity recommendation and sociodemographic and
clinical factors. For all the statistical analyses, significance was
accepted at p < 0.05. Results Patients spent in average of 640 ± 121 min/day, 269 ± 94
min/day, 36 ± 27 min/day and 15 ± 16 min/day in sedentary,
low-light, high-light and MVPA, respectively. The prevalence of patients who
achieved physical activity recommendations was 3.4%. After adjustment for
confounders, a significant inverse association was observed between
adherence to physical activity recommendation and age (OR = 0.925; p =
0.004), while time of disease, ankle brachial index and total walking
distance were not associated with this adherence criteria (p > 0.05). Conclusion The patterns of physical activity of PAD patients are characterized by a
large amount of time spent in sedentary behaviors and a low engagement in
MVPA. Younger patients, regardless of the clinical and functional factors,
were more likely to meet the current physical activity recommendations.
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Affiliation(s)
- Aline Mendes Gerage
- Universidade Federal de Santa Catarina - Departamento de Educação Física, Florianópolis, SC - Brazil
| | | | | | | | | | - Antônio Eduardo Zeratti
- Universidade de São Paulo Faculdade de Medicina Hospital das Clinicas, São Paulo, SP - Brazil
| | - Pedro Puech-Leão
- Universidade de São Paulo Faculdade de Medicina Hospital das Clinicas, São Paulo, SP - Brazil
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Serrano-Sánchez JA, Fernández-Rodríguez MJ, Sanchis-Moysi J, Rodríguez-Pérez MDC, Marcelino-Rodríguez I, Cabrera de León A. Domain and intensity of physical activity are associated with metabolic syndrome: A population-based study. PLoS One 2019; 14:e0219798. [PMID: 31314798 PMCID: PMC6636743 DOI: 10.1371/journal.pone.0219798] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Accepted: 07/01/2019] [Indexed: 01/09/2023] Open
Abstract
Introduction Little is known on how the domain and intensity of physical activity (PA) associates with metabolic syndrome (MetS). The aim of this study was to examine associations between PA domains (leisure-time, domestic, active transport, total walking and total PA), PA intensities (light, moderate and vigorous) and PA levels with MetS in the general adult population. Methods Cross-sectional study. Anthropometry, blood biochemistry, 79-item PA-questionnaire, lifestyle and medical history were evaluated in a representative sample of Canary Island adults (n = 6,729). MetS was diagnosed using the harmonized IDF-NHLBI-AHA criteria. T-test and multivariable logistic regression was used to analyse associations between PA domains and intensities with MetS vs. no MetS, controlling for socio-demographic, lifestyle, family antecedents and body mass index (BMI). Results For each MET-h/day spent in moderate-vigorous PA intensities, as well as in recreational domain, active transport, total walking and total PA, the odds of MetS decreased between 3–10%. Energy expenditure exclusively in light and domestic PAs was not associated with MetS, however it was important to achieve a total PA level of 3 MET-h/day, which reduced the odds of MetS by 23%. This reduction was blunted in those with more than 2 h/d of TV watching time. A PA level of 3 MET-h/d also nullified the risk of MetS in those with low PA and high TV consumption. Conclusions Some types of leisure time PAs may contribute more than others to reducing MetS. Light and domestic PA play a complementary role in enhancing energy expenditure in the general population. TV watching time above 2 h/d counteracted the MetS risk reduction associated with PA level, but PA level also reduced the risk of METs presented by those with a low level of PA and an excess TV watching time. Physical activity explains a greater amount of the variance of MetS than any other factors of lifestyle, education, sex and family history, and substantially mitigates the strong association of age and BMI with MetS.
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Affiliation(s)
- José A. Serrano-Sánchez
- Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Canary Islands, Spain
- Department of Physical Education, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
- * E-mail:
| | | | - Joaquin Sanchis-Moysi
- Research Institute of Biomedical and Health Sciences (IUIBS), Las Palmas de Gran Canaria, Canary Islands, Spain
- Department of Physical Education, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
| | | | | | - Antonio Cabrera de León
- Research Unit, Nuestra Señora de la Candelaria University Hospital, Santa Cruz de Tenerife, Spain
- Area of Preventive Medicine, University of La Laguna, La Laguna, Spain
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Yano S, Koohsari MJ, Shibata A, Ishii K, Frehlich L, McCormack GR, Oka K. Comparison of Older and Newer Generation Active Style Pro Accelerometers in Physical Activity and Sedentary Behavior Surveillance under a Free-Living Environment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16091597. [PMID: 31067688 PMCID: PMC6539210 DOI: 10.3390/ijerph16091597] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/03/2019] [Revised: 05/04/2019] [Accepted: 05/06/2019] [Indexed: 11/16/2022]
Abstract
Background. Comparability of accelerometers in epidemiological studies is important for public health researchers. This study aimed to compare physical activity (light, LPA; moderate, MPA; and moderate-to-vigorous, MVPA) and sedentary behavior (SB) data collected using two Omron triaxial accelerometer generations (Active style Pro, ASP) among a sample of Japanese workers in a free-living environment. Methods. Thirty active and sedentary workers (24–62 years) wore two types of ASP accelerometers, the HJA-350IT (350IT) and the HJA-750C (750C), simultaneously for seven consecutive days to represent a typical week. The accelerometers estimated daily average step counts and time spent per day in LPA, MPA, and MVPA. If a participant had data for ≥4 days (>10 h/day) it was considered valid. The difference and agreement between the two ASPs were analyzed using a paired t-test, intra-class correlation coefficients (ICC), and a Bland–Altman analysis in total and for each type of worker. Results. Among all workers, the 750C measured significantly (p < 0.05) less SB, MPA, MVPA, and more LPA compared with the 350IT. The agreements in ICC were high (ICC ≥ 0.94). Conclusions. Compared with the 350IT, the newer generation 750C ASP accelerometer may not provide equivalent estimates of activity time, regardless of the type of physical activity.
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Affiliation(s)
- Shohei Yano
- Institute for Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan.
| | - Mohammad Javad Koohsari
- Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan.
- Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne 3004, Australia.
| | - Ai Shibata
- Faculty Health and Sports Sciences, University of Tsukuba, Tsukuba 305-8574, Japan.
| | - Kaori Ishii
- Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan.
| | - Levi Frehlich
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
| | - Gavin R McCormack
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada.
| | - Koichiro Oka
- Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan.
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Amirfaiz S, Shahril MR. Objectively Measured Physical Activity, Sedentary Behavior, and Metabolic Syndrome in Adults: Systematic Review of Observational Evidence. Metab Syndr Relat Disord 2019; 17:1-21. [DOI: 10.1089/met.2018.0032] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Affiliation(s)
- Syed Amirfaiz
- School of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Nerus, Terengganu, Malaysia
| | - Mohd Razif Shahril
- School of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Nerus, Terengganu, Malaysia
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Figueiró TH, Arins GCB, dos Santos CES, Cembranel F, de Medeiros PA, d’Orsi E, Rech CR. Association of objectively measured sedentary behavior and physical activity with cardiometabolic risk markers in older adults. PLoS One 2019; 14:e0210861. [PMID: 30657795 PMCID: PMC6338374 DOI: 10.1371/journal.pone.0210861] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Accepted: 01/03/2019] [Indexed: 12/17/2022] Open
Abstract
Objective The aim of this study was to examine the associations between sedentary behavior and different intensities of physical activity with cardiometabolic risk, and to analyze the simultaneous effect of excess sedentary behavior and recommended levels of physical activity on cardiometabolic risk markers in older adults. Methods We conducted a population-based cross-sectional study on a sample of older adults (60+) living in Florianopolis, Brazil. The objectively measured predictors were sedentary time, light physical activity and moderate to vigorous physical activity, and the outcomes were markers of cardiometabolic risk. Data were considered valid when the participant had used the accelerometer for at least four days per week. Results The sample included 425 older adults (59.8% women), with a mean age of 73.9 years (95%CI: 73.5–74.4). Sedentary behavior was associated with lower systolic blood pressure levels (β = -0.03; 95%CI: -0.05; -0.01) and lower HDL cholesterol (β = -0.02; 95%CI: -0.02; -0.01). Light physical activity was not associated with any cardiovascular risk markers after adjustment. Each minute spent in moderate to vigorous physical activity was associated with lower waist circumference (β = -0.15; 95%CI: -0.24; -0.05), systolic blood pressure (β = -0.18; 95%CI: -0.32; -0.04) and plasma glucose (β = -0.18; 95%CI: -0.33;-0.02), and with higher HDL cholesterol (β = 0.10; 95%CI: 0.01; 0.18). Moreover, physically inactive and sedentary individuals had a greater mean waist circumference and lower HDL cholesterol than physically active and non-sedentary subjects. Conclusion The results suggest that moderate to vigorous physical activity have a positive impact on cardiometabolic risk markers in older adults. Light physical activity does not appear to have a beneficial effect on the cardiometabolic markers, and despite the benefits provided by the different intensities of physical activity, the simultaneous presence of sedentary behavior and low physical activity level was associated with poor cardiometabolic risk markers.
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Affiliation(s)
- Thamara Hübler Figueiró
- Postgraduate Program in Collective Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
- * E-mail:
| | - Gabriel Claudino Budal Arins
- Postgraduate Program in Physical Education, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Carla Elane Silva dos Santos
- Postgraduate Program in Physical Education, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Francieli Cembranel
- Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Paulo Adão de Medeiros
- Postgraduate Program in Collective Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Eleonora d’Orsi
- Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
- The Bernard Lown Scholars in Cardiovascular Health Program, Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA
| | - Cassiano Ricardo Rech
- Department of Physical Education, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
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Roberge JB, Van Hulst A, Barnett TA, Drapeau V, Benedetti A, Tremblay A, Henderson M. Lifestyle Habits, Dietary Factors, and the Metabolically Unhealthy Obese Phenotype in Youth. J Pediatr 2019; 204:46-52.e1. [PMID: 30366774 DOI: 10.1016/j.jpeds.2018.08.063] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Revised: 07/30/2018] [Accepted: 08/22/2018] [Indexed: 12/16/2022]
Abstract
OBJECTIVE To determine whether lifestyle habits and dietary factors at age 8-10 years predict the development of metabolically unhealthy obesity 2 years later among children who were previously metabolically healthy obese. STUDY DESIGN The QUebec Adipose and Lifestyle InvesTigation in Youth cohort comprises 630 youth with a parental history of obesity. Metabolically healthy obesity and metabolically unhealthy obesity were defined using cut-offs for the components of pediatric metabolic syndrome. Dietary factors, physical activity, fitness, sedentary behavior, screen time, and sleep duration were measured. Multivariable logistic regressions were used to examine associations. RESULTS At baseline, 48 participants with metabolically healthy obesity were identified; 2 years later, 19 became metabolically unhealthy obese and 29 remained metabolically healthy obese. Every additional daily portion of fruits and vegetables decreased the risk of converting to metabolically unhealthy obesity by 39% (OR 0.61, 95% CI 0.40-0.94). Cumulating more hours of screen time and diets high in saturated fat and sugar-sweetened beverages and low in protein were associated with a tendency to develop metabolically unhealthy obesity. CONCLUSIONS Fruit and vegetable intake and possibly screen time, saturated fat, sugar-sweetened beverages, and protein intake may be important targets for the prevention of cardiometabolic complications in obese children. TRIAL REGISTRATION ClinicalTrials.gov: NCT03356262.
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Affiliation(s)
- Jean-Baptiste Roberge
- Centre de Recherche du Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montréal, Québec, Canada; Department of Pediatrics, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Andraea Van Hulst
- Ingram School of Nursing, McGill University, Montreal, Québec, Canada
| | - Tracie A Barnett
- Centre de Recherche du Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montréal, Québec, Canada; Epidemiology and Biostatistics Unit, Institut national de la recherche scientifique (INRS)-Institut Armand-Frappier, Laval, Québec, Canada
| | - Vicky Drapeau
- Department of Physical Education, Université Laval, Québec, Québec, Canada
| | - Andrea Benedetti
- Ingram School of Nursing, McGill University, Montreal, Québec, Canada; Department of Medicine, McGill University, Montréal, Québec, Canada; Respiratory Epidemiology and Clinical Research Unit, McGill University Health Centre, Montréal, Québec, Canada
| | - Angelo Tremblay
- Department of Kinesiology, Université Laval, Québec, Québec, Canada
| | - Mélanie Henderson
- Centre de Recherche du Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montréal, Québec, Canada; Division of Endocrinology, Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine and Université de Montréal, Montréal, Québec, Canada.
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Ramadi A, Haennel RG. Sedentary behavior and physical activity in cardiac rehabilitation participants. Heart Lung 2019; 48:8-12. [DOI: 10.1016/j.hrtlng.2018.09.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 09/06/2018] [Accepted: 09/21/2018] [Indexed: 11/26/2022]
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Health Benefits of Light-Intensity Physical Activity: A Systematic Review of Accelerometer Data of the National Health and Nutrition Examination Survey (NHANES). Sports Med 2018; 47:1769-1793. [PMID: 28393328 DOI: 10.1007/s40279-017-0724-0] [Citation(s) in RCA: 220] [Impact Index Per Article: 36.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
BACKGROUND The health effects of light-intensity physical activity (PA) are not well known today. OBJECTIVE We conducted a systematic review to assess the association of accelerometer-measured light-intensity PA with modifiable health outcomes in adults and older adults. METHODS A systematic literature search up to March 2016 was performed in the PubMed, EMBASE, Web of Science and Google Scholar electronic databases, without language limitations, for studies of modifiable health outcomes in adults and older adults in the National Health and Nutrition Examination Survey accelerometer dataset. RESULTS Overall, 37 cross-sectional studies and three longitudinal studies were included in the analysis, with considerable variation observed between the studies with regard to their operationalization of light-intensity PA. Light-intensity PA was found to be beneficially associated with obesity, markers of lipid and glucose metabolism, and mortality. Few data were available on musculoskeletal outcomes and results were mixed. CONCLUSIONS Observational evidence that light-intensity PA can confer health benefits is accumulating. Currently inactive or insufficiently active people should be encouraged to engage in PA of any intensity. If longitudinal and intervention studies corroborate our findings, the revision of PA recommendations to include light-intensity activities, at least for currently inactive populations, might be warranted.
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Sasaki S, Ukawa S, Okada E, Wenjing Z, Kishi T, Sakamoto A, Tamakoshi A. Comparison of a new wrist-worn accelerometer with a commonly used triaxial accelerometer under free-living conditions. BMC Res Notes 2018; 11:746. [PMID: 30342547 PMCID: PMC6195952 DOI: 10.1186/s13104-018-3849-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Accepted: 10/11/2018] [Indexed: 11/18/2022] Open
Abstract
Objective The Life Microscope is a new wristband-based life recorder system that can identify various human movements. We aimed to compare physical activity data captured using the Life Microscope with data from a commonly used accelerometer. Results Twenty-nine participants (34.6 ± 12.5 years) wore both the Life Microscope and an Active Style Pro accelerometer for 7 days. Physical activity categories were calculated by converting daily accelerometer data output into time spent at sedentary, light, moderate, and vigorous physical activity. Correlations between the physical activity category and step count data obtained from the two accelerometers were assessed using Pearson correlations, paired t-tests, intra-class coefficients, and the Bland–Altman method. Our results showed good reliability between the physical activity patterns and daily step counts obtained using both devices. Bland–Altman analysis showed good agreement between data from both accelerometers. In conclusion, both accelerometers were comparable in their measurement of step counts and time spent in different physical activity intensities under free-living conditions, and either could be used for population studies.
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Affiliation(s)
- Sachiko Sasaki
- Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan.,Department of Physical Therapy, Faculty of Human Science, Hokkaido Bunkyo University, 5-196-1 Kogane-chuo, Eniwa, 061-1449, Japan
| | - Shigekazu Ukawa
- Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan.,Research Unit of Advanced Interdisciplinary Care Science, Osaka City University Graduate School of Human Life Science, Osaka, Japan
| | - Emiko Okada
- Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan.,Department of Nutritional Epidemiology and Shokuiku, National Institutes of Biomedical Innovation, Health and Nutrition, 1-23-1 Toyama, Shinjuku-ku, Tokyo, 162-8636, Japan
| | - Zhao Wenjing
- Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan
| | - Tomoko Kishi
- Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan
| | - Ai Sakamoto
- Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan
| | - Akiko Tamakoshi
- Department of Public Health Sciences, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo, 060-8638, Japan.
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Said CM, Morris ME, McGinley JL, Szoeke C, Workman B, Liew D, Hill KD, Woodward M, Wittwer JE, Churilov L, Danoudis M, Bernhardt J. Additional structured physical activity does not improve walking in older people (>60years) undergoing inpatient rehabilitation: a randomised trial. J Physiother 2018; 64:237-244. [PMID: 30236471 DOI: 10.1016/j.jphys.2018.08.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 06/07/2018] [Accepted: 08/08/2018] [Indexed: 01/21/2023] Open
Abstract
QUESTIONS Among older people receiving inpatient rehabilitation, does additional supervised physical activity lead to faster self-selected gait speed at discharge? Does additional supervised physical activity lead to better mobility, function and quality of life at discharge and 6 months following discharge? DESIGN Multi-centre, parallel-group, randomised controlled trial with concealed allocation, assessor blinding, and intention-to-treat analysis. PARTICIPANTS Older people (age>60years) from two Australian hospitals undergoing rehabilitation to improve mobility. INTERVENTION Participants received multidisciplinary care, including physiotherapy. During hospital rehabilitation, the experimental group (n=99) spent additional time daily performing physical activities that emphasised upright mobility tasks; the control group (n=99) spent equal time participating in social activities. OUTCOME MEASURES Self-selected gait speed was the primary outcome at discharge and a secondary outcome at the 6-month follow-up. Timed Up and Go, De Morton Mobility Index, Functional Independence Measure and quality of life were secondary outcomes at discharge and tertiary outcomes at the 6-month follow-up. RESULTS The experimental group received a median of 20 additional minutes per day (IQR 15.0 to 22.5) of upright activities for a median of 16.5days (IQR 10.0 to 25.0). Gait speed did not differ between groups at discharge. Mean gait speed was 0.51m/s (SD 0.29) in the experimental group and 0.56m/s (SD 0.28) in the control group (effect size -0.06m/s, 95% CI -0.12 to 0.01, p=0.096). No significant differences were detected in other secondary measures. CONCLUSION While substantial gains in mobility were achieved by older people receiving inpatient rehabilitation, additional physical activity sessions did not lead to better walking outcomes at discharge or 6 months. TRIAL REGISTRATION ACTRN12613000884707. [Said CM, Morris ME, McGinley JL, Szoeke C, Workman B, Liew D, Hill KD, Woodward M, Wittwer JE, Churilov L, Danoudis M, Bernhardt J (2018) Additional structured physical activity does not improve walking in older people (> 60 years) undergoing inpatient rehabilitation: a randomised trial. Journal of Physiotherapy 64: 237-244].
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Affiliation(s)
- Catherine M Said
- Physiotherapy Department, Austin Health, Melbourne; Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne; La Trobe Centre for Exercise and Sports Medicine Research, School of Allied Health, La Trobe University, Melbourne
| | - Meg E Morris
- La Trobe Centre for Exercise and Sports Medicine Research, School of Allied Health, La Trobe University, Melbourne; Northpark Private Hospital, Healthscope Australia, Melbourne
| | - Jennifer L McGinley
- Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne
| | - Cassandra Szoeke
- Healthy Ageing Program, Department of Medicine, The University of Melbourne; Centre for Medical Research, The Royal Melbourne Hospital; Institute for Health and Ageing, Australian Catholic University, Melbourne
| | - Barbara Workman
- Rehabilitation and Aged Care Services, Monash Health, Melbourne; Monash Ageing Research Centre (MONARC), Monash University, Melbourne
| | - Danny Liew
- School of Public Health and Preventive Medicine, Monash University, Melbourne
| | - Keith D Hill
- School of Physiotherapy and Exercise Science, Curtin University, Perth
| | - Michael Woodward
- Aged Care Services, Austin Health, Melbourne; Department of Medicine, The University of Melbourne
| | - Joanne E Wittwer
- La Trobe Centre for Exercise and Sports Medicine Research, School of Allied Health, La Trobe University, Melbourne
| | - Leonid Churilov
- Statistics and Decision Analysis Academic Platform, The Florey Institute of Neuroscience & Mental Health, Melbourne; School of Science, RMIT University, Melbourne
| | - Mary Danoudis
- La Trobe Centre for Exercise and Sports Medicine Research, School of Allied Health, La Trobe University, Melbourne
| | - Julie Bernhardt
- La Trobe Centre for Exercise and Sports Medicine Research, School of Allied Health, La Trobe University, Melbourne; Stroke Division, The Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
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Umegaki H, Makino T, Uemura K, Shimada H, Hayashi T, Cheng XW, Kuzuya M. Association between insulin resistance and objective measurement of physical activity in community-dwelling older adults without diabetes mellitus. Diabetes Res Clin Pract 2018; 143:267-274. [PMID: 30056188 DOI: 10.1016/j.diabres.2018.07.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 07/10/2018] [Accepted: 07/23/2018] [Indexed: 12/11/2022]
Abstract
AIMS The main objective of this study was to determine the association between objectively measured physical activity (PA) and cardiometabolic risk factors, particularly insulin resistance (IR), in Japanese community-dwelling older adults without diabetes mellitus. METHODS Daily PA was measured by accelerometers in 388 community-dwelling older adults. IR was determined using homeostasis model assessment of insulin resistance (HOMA-IR). Regression analyses adjusted by age and sex were performed to determine the association of light-intensity PA (LPA), moderate-to-vigorous PA (MVPA), or total steps per day with cardiometabolic risk factors. Then, multiple regression analysis was performed with HOMA-IR as an independent variable and those factors with p < 10% in the regression analysis as explanatory variables. RESULTS Objectively measured LPA was negatively associated with systolic blood pressure, diastolic blood pressure, waist circumference, body mass index, and triglyceride (TG) and positively associated with high-density lipoprotein cholesterol (HDL-C). LPA was also negatively associated with IR. Total steps per day also had significant association with IR. MVPA was associated with TG, HDL-C, and IR. Multiple regression analysis showed that the association between LPA and IR was independent of other covariates, whereas that between MVPA and IR was lost after adjustment for other covariates. CONCLUSION IR was associated with LPA or total steps, but not with MVPA, in community-dwelling older adults without diabetes mellitus.
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Affiliation(s)
- Hiroyuki Umegaki
- Department of Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine, Aichi, Japan.
| | - Taeko Makino
- Institute of Innovation for Future Society, Nagoya University, Aichi, Japan
| | - Kazuki Uemura
- Liberal Arts and Sciences, Faculty of Engineering, Toyama Prefectural University, Toyama, Japan
| | - Hiroyuki Shimada
- Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan
| | - Takahiro Hayashi
- Institute of Innovation for Future Society, Nagoya University, Aichi, Japan
| | - Xian Wu Cheng
- Institute of Innovation for Future Society, Nagoya University, Aichi, Japan
| | - Masafumi Kuzuya
- Department of Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine, Aichi, Japan; Institute of Innovation for Future Society, Nagoya University, Aichi, Japan
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Li Y, White K, O'Shields KR, McLain AC, Merchant AT. Light-Intensity Physical Activity and Cardiometabolic Risk Among Older Adults With Multiple Chronic Conditions. Am J Health Promot 2018; 33:507-515. [PMID: 30157668 DOI: 10.1177/0890117118796459] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To assess the relationship between light-intensity physical activity (LIPA) and cardiometabolic risk factors among middle-aged and older adults with multiple chronic conditions. DESIGN Cross-sectional design utilizing data from the Health and Retirement Study (2010, 2012). SETTING Laboratory- and survey-based testing of a nationally representative sample of community-dwelling middle aged and older adults. PARTICIPANTS Adults aged 50 years and older (N = 14 996). MEASURES Weighted metabolic equivalent of tasks was calculated using self-reported frequency of light, moderate, and vigorous physical activity. Cardiometabolic risk factors (systolic and diastolic blood pressure, glycosylated hemoglobin [HbA1c], high-density lipoprotein cholesterol [HDL-C], total cholesterol, and non-HDL-C) were objectively measured. A multiple chronic condition index was based on 8 self-reported chronic conditions. ANALYSIS Weighted multivariate linear regression models. RESULTS Light-intensity physical activity was independently associated with favorable HDL-C (β = 1.25; 95% confidence interval [CI]: 0.46-2.05) and total cholesterol (β = 2.72; 95% CI: 0.53-4.90) after adjusting for relevant confounders. The HDL-C health benefit was apparent when stratified by number of chronic conditions, for individuals with 2 to 3 conditions (β = 1.73; 95% CI: 0.58-2.89). No significant associations were observed between LIPA and blood pressure, HbA1c, or non-HDL-C. CONCLUSIONS Engaging in LIPA may be an important health promotion activity to manage HDL-C and total cholesterol. Additional longitudinal research is needed to determine the causal association between LIPA and cardiometabolic risk which can potentially inform physical activity guidelines targeting older adults with multiple chronic conditions.
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Affiliation(s)
- Yueyao Li
- 1 Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, IN, USA
| | - Kellee White
- 2 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Katherine R O'Shields
- 2 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Alexander C McLain
- 2 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Anwar T Merchant
- 2 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
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Is objectively measured light-intensity physical activity associated with health outcomes after adjustment for moderate-to-vigorous physical activity in adults? A systematic review. Int J Behav Nutr Phys Act 2018; 15:65. [PMID: 29986718 PMCID: PMC6038338 DOI: 10.1186/s12966-018-0695-z] [Citation(s) in RCA: 123] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Accepted: 06/21/2018] [Indexed: 01/29/2023] Open
Abstract
Background An increasing number of studies have demonstrated that light-intensity physical activity (LPA) confers health benefits after adjustment for moderate-to-vigorous physical activity (MVPA). The purpose of this systematic review was to summarize existing epidemiological evidence on associations of objectively measured LPA with health outcomes in adults. Methods This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched on PubMed, Web of Science, CINAL, and Cochrane Library for articles analyzing the association between objectively determined LPA and health outcomes that were published up to January 2017. Data were extracted regarding authors, publication year, country of survey, study setting, number of participants, study design, physical activity (PA) assessment (type of accelerometer and intensity), health outcomes, confounders, and results (summary measures and association). A coding system was used to summarize the results. Results Of the 3254 studies identified, 24 cross-sectional and 6 longitudinal studies were included in this review. Most of the studies targeted the Western population. LPA was inversely associated with all-cause mortality risk and associated favorably with some cardiometabolic risk factors including waist circumference, triglyceride levels, insulin, and presence of metabolic syndrome. Only a small amount of data were available on mental health and cognitive function. Conclusions LPA appears to be beneficially associated with important health outcomes after adjustment for MVPA in the adult population. Although current global PA guidelines recommend only MVPA, promoting LPA may confer additional health benefits. Electronic supplementary material The online version of this article (10.1186/s12966-018-0695-z) contains supplementary material, which is available to authorized users.
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Mitchell BL, Smith AE, Rowlands AV, Parfitt G, Dollman J. Associations of physical activity and sedentary behaviour with metabolic syndrome in rural Australian adults. J Sci Med Sport 2018; 21:1232-1237. [PMID: 29801754 DOI: 10.1016/j.jsams.2018.05.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 04/21/2018] [Accepted: 05/03/2018] [Indexed: 12/22/2022]
Abstract
OBJECTIVES Associations between objectively measured sedentary behaviour, physical activity (PA) and metabolic syndrome (MetS)-classified using three different definitions were investigated in an inactive sample of rural Australian adults. DESIGN Quantitative, cross-sectional. METHODS 171 adults (50.7±12.4years) from two rural South Australian regions underwent seven-day accelerometer activity monitoring and MetS classification using the National Cholesterol Education Program, the International Diabetes Federation and the Harmonized definitions. Associations between sedentary and activity variables and MetS (adjusted for age, sex, diet and smoking status) were modelled using logistic regression. In secondary modelling, associations of sedentary and activity outcomes for each MetS definition were assessed, adjusting for other activity and sedentary variables. Prediction differences across the definitions of MetS were directly compared using Akaike's Information Criterion. RESULTS Sedentary behaviour increased MetS risk, whereas light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) reduced MetS risk, irrespective of definition. In secondary models, LPA predicted MetS independently of MVPA and total sedentary time. Time spent in sedentary bouts (>30min) predicted MetS independently of MVPA and the number of sedentary bouts predicted MetS independently of LPA and MVPA. Prediction differences for MetS definitions failed to reach the critical threshold for difference (>10). CONCLUSIONS This study highlights the importance of sedentary behaviour and LPA on the prevalence of MetS in an inactive sample of rural Australian adults. Studies assessing the efficacy of increasing LPA on MetS in this population are needed. Minimal predictive differences across the three MetS definitions suggest evidence from previous studies can be considered cumulative.
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Affiliation(s)
- Braden L Mitchell
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, Division of Health Sciences, University of South Australia, Australia.
| | - Ashleigh E Smith
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, Division of Health Sciences, University of South Australia, Australia
| | - Alex V Rowlands
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, Division of Health Sciences, University of South Australia, Australia; Diabetes Research Centre, University of Leicester, Leicester Diabetes Centre, Leicester General Hospital, United Kingdom; National Institute for Health Research (NIHR) Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit (BRU), Leicester Diabetes Centre, Leicester General Hospital, United Kingdom
| | - Gaynor Parfitt
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, Division of Health Sciences, University of South Australia, Australia
| | - James Dollman
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, Division of Health Sciences, University of South Australia, Australia
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45
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Al-Kadi A, Malik AM, Mansour AE. Rising incidence of obesity in Saudi residents. A threatening challenge for the surgeons. Int J Health Sci (Qassim) 2018; 12:45-49. [PMID: 29623017 PMCID: PMC5870314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/29/2022] Open
Abstract
OBJECTIVE Obesity is thought to correlate very strongly with individuals general lifestyles. This study was conducted to determine whether lifestyle patterns were potential risk factors for morbid obesity in Saudi residents. METHODS This descriptive cross-sectional study was conducted in Unaizah City, Qassim Region, Kingdom of Saudi Arabia, over a 1-year period from March 2013 to March 2014. The study included 646 residents from the general public of Unaizah who were selected by convenient sampling at a mall and a public sector university, regardless of age and gender, and were given questionnaires regarding the details of their lifestyle patterns. The studied variables included demographic details, dietary habits, physical activity, occupation, body mass index, and unhealthy behavioral habits. The data were collected and statistically analyzed using SPSS version 20. RESULTS The study population had a mean age of 30.13 ± 12.15 years and comprised 202 (31.3%) male and 444 (68.7%) female subjects. The study subjects were students (39.2%), general public included employed (35.3%), unemployed (23.8%), and others (1.7%). Overall, 79.4% comprised Saudi nationals and the majority (48.3%) had a university-level education. A reasonably high proportion of Saudi subjects were found to have sedentary habits and with physical activity levels far below the standard. Obesity was found in 42% of the study population with low physical activity levels and unhealthy dietary habits. Varying proportions of concomitant hypertension, hyperglycemia, and hypercholesterolemia were also observed in these subjects. CONCLUSION Sedentary habits, low physical activity levels in younger populations, and unhealthy dietary habits are major factors causing obesity in the general public as well as in children and adolescents attending school and university. Serious insight into this problem at the governmental level is needed to improve the overall activity level and avoidance of a sedentary lifestyle by projecting the importance of a healthy lifestyle.
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Affiliation(s)
- Azzam Al-Kadi
- Department of Surgery, Unaizah College of Medicine, Qassim University, KSA
| | - Arshad M. Malik
- Department of Surgery, College of Medicine, Qassim University, KSA,Address for Correspondence: Dr. Arshad M. Malik, Department of Surgery, College of Medicine, Qassim University, KSA. Phone: 00966553692608. E-mail:
| | - Ali E. Mansour
- Department of Public Health and Community Medicine, Faculty of Medicine, Al-Azhar University, Egypt
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Paul SS, Ellis TD, Dibble LE, Earhart GM, Ford MP, Foreman KB, Cavanaugh JT. Obtaining Reliable Estimates of Ambulatory Physical Activity in People with Parkinson's Disease. JOURNAL OF PARKINSONS DISEASE 2017; 6:301-5. [PMID: 27164042 DOI: 10.3233/jpd-160791] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We determined the number of days required, and whether to include weekdays and/or weekends, to obtain reliable measures of ambulatory physical activity in people with Parkinson's disease (PD). Ninety-two persons with PD wore a step activity monitor for seven days. The number of days required to obtain a reliable estimate of daily activity was determined from the mean intraclass correlation (ICC2,1) for all possible combinations of 1-6 consecutive days of monitoring. Two days of monitoring were sufficient to obtain reliable daily activity estimates (ICC2,1 > 0.9). Amount (p = 0.03) but not intensity (p = 0.13) of ambulatory activity was greater on weekdays than weekends. Activity prescription based on amount rather than intensity may be more appropriate for people with PD.
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Affiliation(s)
- Serene S Paul
- Department of Physical Therapy, University of Utah, Salt Lake City, UT, USA.,The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
| | - Terry D Ellis
- Department of Physical Therapy and Athletic Training, Boston University, Boston, MA, USA
| | - Leland E Dibble
- Department of Physical Therapy, University of Utah, Salt Lake City, UT, USA
| | - Gammon M Earhart
- Program in Physical Therapy, Department of Neuroscience, Department of Neurology, Washington University in St. Louis-School of Medicine, St Louis, MO, USA
| | - Matthew P Ford
- Department of Physical Therapy, Samford University, Birmingham, AL, USA
| | - K Bo Foreman
- Department of Physical Therapy, University of Utah, Salt Lake City, UT, USA
| | - James T Cavanaugh
- Department of Physical Therapy, University of New England, Portland, ME, USA
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Kurita S, Yano S, Ishii K, Shibata A, Sasai H, Nakata Y, Fukushima N, Inoue S, Tanaka S, Sugiyama T, Owen N, Oka K. Comparability of activity monitors used in Asian and Western-country studies for assessing free-living sedentary behaviour. PLoS One 2017; 12:e0186523. [PMID: 29045441 PMCID: PMC5646850 DOI: 10.1371/journal.pone.0186523] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Accepted: 10/03/2017] [Indexed: 11/18/2022] Open
Abstract
This study aims to compare the outputs of the waist-worn Active style Pro HJA-350IT (ASP; used in studies with Asian populations), the waist-worn ActiGragh™GT3X+ using the normal filter (GT3X+) and the thigh-worn activPAL3 (AP) in assessing adults' sedentary behaviour (total sedentary time, number of breaks) under free-living conditions. Fifty healthy workers wore the three monitors simultaneously during their waking hours on two days, including a work day and a non-work day. Valid data were at least 10 hours of wearing time, and the differences between monitors on the sedentary outputs using the AP as criterion measurement were analyzed by ANOVA. The number of participants who had complete valid data for work day and non-work day was 47 and 44, respectively. Total sedentary time and breaks estimated by the AP were respectively 466.5 ± 146.8 min and 64.3 ± 24.9 times on the work day and 497.7 ± 138.3 min and 44.6 ± 15.4 times on the non-work day. In total sedentary time, the ASP estimated 29.7 min (95%CI = 7.9 to 51.5) significantly shorter than the AP on the work day but showed no significant difference against the AP on the non-work day. The GT3X+ estimated 80.1 min (54.6 to 105.6) and 52.3 (26.4 to 78.2) significantly longer than the AP on the work day and the non-work day, respectively. For the number of breaks from sedentary time, on both days, the ASP and the GT3X+ estimated significantly more than the AP: 14.1 to 15.8 times (6.3 to 22.5) for the ASP and 27.7 to 28.8 times (21.8 to 34.8) for the GT3X+. Compared to the AP as the criterion, the ASP can underestimate total sedentary time and the GT3X+ can overestimate it, and more so at the lower levels of sedentary time. For breaks from sedentary time, compared to the AP, both the GT3X+ the ASP can overestimate.
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Affiliation(s)
- Satoshi Kurita
- Graduate School of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
- * E-mail:
| | - Shohei Yano
- Graduate School of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Kaori Ishii
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Ai Shibata
- Faculty Health and Sport Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Hiroyuki Sasai
- Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Yoshio Nakata
- Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Noritoshi Fukushima
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan
| | - Shigeru Inoue
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan
| | - Shigeho Tanaka
- Department of Nutritional Sciences, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Shinjuku-ku, Tokyo, Japan
| | - Takemi Sugiyama
- Institute for Health & Ageing, Australian Catholic University, Melbourne, Victoria, Australia
| | - Neville Owen
- Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victria, Australia
- Swinburne University of Technology, Melbourne, Victoria, Australia
| | - Koichiro Oka
- Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan
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48
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González K, Fuentes J, Márquez JL. Physical Inactivity, Sedentary Behavior and Chronic Diseases. Korean J Fam Med 2017; 38:111-115. [PMID: 28572885 PMCID: PMC5451443 DOI: 10.4082/kjfm.2017.38.3.111] [Citation(s) in RCA: 157] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2016] [Accepted: 02/25/2017] [Indexed: 12/22/2022] Open
Abstract
New research into physical activity suggests that it is no longer sufficient just to meet minimum levels recommended by health guidelines in order to reduce cardiovascular risk. Both physical inactivity and sedentary behavior have their own health hazards and need to be addressed separately, in order to explore their different deleterious mechanisms. The aim of this review was to define and to characterize both concepts, and their relationship with major non-communicable chronic diseases. A PubMed database search was undertaken, using the following key words: physical activity, physical inactivity, sedentarism, sedentary behavior, and non-communicable chronic disease. This literature review provides an updated view on physical inactivity and sedentary behavior, and reevaluates their prevalence and association with major non-communicable chronic disease.
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Affiliation(s)
- Karimé González
- Student of Master of Science in Kinesiology, Universidad Católica del Maule, Talca, Chile
| | - Jorge Fuentes
- Departament of Kinesiology, Faculty of Health Sciences, Universidad Católica del Maule, Talca, Chile.,Rehab Med Faculty, University of Alberta, Edmonton, Canada
| | - José Luis Márquez
- School of Kinesiology, Faculty of Medical Sciences, Universidad de Santiago de Chile, Santiago, Chile
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Fairclough SJ, Dumuid D, Taylor S, Curry W, McGrane B, Stratton G, Maher C, Olds T. Fitness, fatness and the reallocation of time between children's daily movement behaviours: an analysis of compositional data. Int J Behav Nutr Phys Act 2017; 14:64. [PMID: 28486972 PMCID: PMC5424384 DOI: 10.1186/s12966-017-0521-z] [Citation(s) in RCA: 72] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Accepted: 04/27/2017] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Movement behaviours performed over a finite period such as a 24 h day are compositional data. Compositional data exist in a constrained simplex geometry that is incongruent with traditional multivariate analytical techniques. However, the expression of compositional data as log-ratio co-ordinate systems transfers them to the unconstrained real space, where standard multivariate statistics can be used. This study aimed to use a compositional data analysis approach to examine the adiposity and cardiorespiratory fitness predictions of time reallocations between children's daily movement behaviours. METHODS This study used cross-sectional data from the Active Schools: Skelmersdale study, which involved Year 5 children from a low-income community in northwest England (n = 169). Measures included accelerometer-derived 24 h activity (sedentary time [ST], light physical activity [LPA], moderate-to-vigorous physical activity [MVPA], and sleep), cardiorespiratory fitness determined by the 20 m shuttle run test, objectively measured height, weight and waist circumference (from which zBMI and percent waist circumference-to-height ratio (%WHtR) were derived) and sociodemographic covariates. Log-ratio multiple linear regression models were used to predict adiposity and fitness for the mean movement behaviour composition, and for new compositions where fixed durations of time had been reallocated from one behaviour to another, while the remaining behaviours were unchanged. Predictions were also made for reallocations of fixed durations of time using the mean composition of three different weight status categories (underweight, normal-weight, and overweight/obese) as the starting point. RESULTS Replacing MVPA with any other movement behaviour around the mean movement composition predicted higher adiposity and lower CRF. The log-ratio model predictions were asymmetrical: when time was reallocated to MVPA from sleep, ST, or LPA, the estimated detriments to fitness and adiposity were larger in magnitude than the estimated benefits of time reallocation from MVPA to sleep, ST or LPA. The greatest differences in fitness and fatness for reallocation of fixed duration of MVPA were predicted at the mean composition of overweight/obese children. CONCLUSIONS Findings reinforce the key role of MVPA for children's health. Reallocating time from ST and LPA to MVPA in children is advocated in school, home, and community settings.
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Affiliation(s)
- Stuart J Fairclough
- Physical Activity and Health Research Group, Department of Sport and Physical Activity, Edge Hill University, St Helens Road, Ormskirk, Lancashire, UK. .,Department of Physical Education and Sports Science, University of Limerick, Limerick, Ireland.
| | - Dorothea Dumuid
- Alliance for Research in Exercise Nutrition and Activity (ARENA), Sansom Institute, School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Sarah Taylor
- Physical Activity and Health Research Group, Department of Sport and Physical Activity, Edge Hill University, St Helens Road, Ormskirk, Lancashire, UK
| | - Whitney Curry
- Physical Activity and Health Research Group, Department of Sport and Physical Activity, Edge Hill University, St Helens Road, Ormskirk, Lancashire, UK
| | - Bronagh McGrane
- School of Arts Education and Movement, Dublin City University, Institute of Education, St Patrick's Campus, Dublin, Ireland
| | - Gareth Stratton
- Research Centre in Applied Sports, Technology Exercise and Medicine, College of Engineering, Swansea University, Swansea, Wales, UK
| | - Carol Maher
- Alliance for Research in Exercise Nutrition and Activity (ARENA), Sansom Institute, School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Timothy Olds
- Alliance for Research in Exercise Nutrition and Activity (ARENA), Sansom Institute, School of Health Sciences, University of South Australia, Adelaide, Australia
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50
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Patel SK, Restrepo C, Werden E, Churilov L, Ekinci EI, Srivastava PM, Ramchand J, Wai B, Chambers B, O’Callaghan CJ, Darby D, Hachinski V, Cumming T, Donnan G, Burrell LM, Brodtmann A. Does left ventricular hypertrophy affect cognition and brain structural integrity in type 2 diabetes? Study design and rationale of the Diabetes and Dementia (D2) study. BMC Endocr Disord 2017; 17:24. [PMID: 28388897 PMCID: PMC5384138 DOI: 10.1186/s12902-017-0173-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 03/31/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cognitive impairment is common in type 2 diabetes mellitus, and there is a strong association between type 2 diabetes and Alzheimer's disease. However, we do not know which type 2 diabetes patients will dement or which biomarkers predict cognitive decline. Left ventricular hypertrophy (LVH) is potentially such a marker. LVH is highly prevalent in type 2 diabetes and is a strong, independent predictor of cardiovascular events. To date, no studies have investigated the association between LVH and cognitive decline in type 2 diabetes. The Diabetes and Dementia (D2) study is designed to establish whether patients with type 2 diabetes and LVH have increased rates of brain atrophy and cognitive decline. METHODS The D2 study is a single centre, observational, longitudinal case control study that will follow 168 adult patients aged >50 years with type 2 diabetes: 50% with LVH (case) and 50% without LVH (control). It will assess change in cardiovascular risk, brain imaging and neuropsychological testing between two time-points, baseline (0 months) and 24 months. The primary outcome is brain volume change at 24 months. The co-primary outcome is the presence of cognitive decline at 24 months. The secondary outcome is change in left ventricular mass associated with brain atrophy and cognitive decline at 24 months. DISCUSSION The D2 study will test the hypothesis that patients with type 2 diabetes and LVH will exhibit greater brain atrophy than those without LVH. An understanding of whether LVH contributes to cognitive decline, and in which patients, will allow us to identify patients at particular risk. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry ( ACTRN12616000546459 ), date registered, 28/04/2016.
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Affiliation(s)
- Sheila K. Patel
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
| | - Carolina Restrepo
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
| | - Emilio Werden
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
| | - Leonid Churilov
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
| | - Elif I. Ekinci
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Austin Health Endocrine Centre, Heidelberg, VIC Australia
| | - Piyush M. Srivastava
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Department of Cardiology, Austin Health, Heidelberg, VIC Australia
| | - Jay Ramchand
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Department of Cardiology, Austin Health, Heidelberg, VIC Australia
| | - Bryan Wai
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Department of Cardiology, Austin Health, Heidelberg, VIC Australia
| | - Brian Chambers
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Department of Neurology, Austin Health, Heidelberg, VIC Australia
| | - Christopher J. O’Callaghan
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Department of Clinical Pharmacology, Austin Health, Heidelberg, VIC Australia
| | - David Darby
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
| | - Vladimir Hachinski
- Department of Clinical Neurological Sciences, London Health Sciences Centre, University of Western Ontario, London, Canada
| | - Toby Cumming
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
| | - Geoff Donnan
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
| | - Louise M. Burrell
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Department of Cardiology, Austin Health, Heidelberg, VIC Australia
| | - Amy Brodtmann
- The Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, Austin Health, 245 Burgundy Street, Heidelberg, VIC 3084 Australia
- Department of Medicine, University of Melbourne, Austin Health, Level 7, Lance Townsend Building, 145 Studley Road, Heidelberg, VIC 3084 Australia
- Department of Neurology, Austin Health, Heidelberg, VIC Australia
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