Association of time spent in physical activities and sedentary behaviors with carotid-femoral pulse wave velocity: A systematic review and meta-analysis

Germano-Soares, Antônio Henrique; Andrade-Lima, Aluísio; Menêses, Annelise L.; Correia, Marília de Almeida; Parmenter, Belinda; Tassitano, Rafael Miranda; Cucato, Gabriel Grizzo; Ritti‐Dias, Raphael Mendes

doi:10.1016/j.atherosclerosis.2018.01.009

Cited by 57 publications

(54 citation statements)

References 50 publications

(58 reference statements)

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“…Another study observed a favorable association of MVPA, but not of LPA, with central PWV in hypertensive patients 28 . Further studies made similar observations in different samples of young, middle‐aged, older adults with and without obesity, and further metabolic risk factors 8,29,30 . A study in a middle‐aged, overweight, and diabetic subsample of the Framingham Heart Study third‐generation cohort observed a significant effect of 0.53 m/s lower PWV with every 10min MVPA per day, 31 which is comparable to our results.…”

Section: Discussionsupporting

confidence: 89%

“…Light intensity physical activity was not associated with baPWV in our middle‐aged study sample. A recent meta‐analysis, summarizing the few existing relevant studies, found such an association only in low‐fit individuals at older or old age, where LPA might, in fact, be MVPA for this age‐group 8 . Age has been described as an effect modifier in numerous studies about the effects of physical activity and CRF on cardiovascular 35 and other physiological biomarkers 36 .…”

Section: Discussionmentioning

confidence: 99%

“…Higher MVPA, instead, might delay age‐related stiffening of the arterial walls by reduction of oxidative stress and enhanced sympathetic nervous system activity, thereby affecting smooth vascular muscle tone independent from shear stress 6,7 . Recent studies have demonstrated the beneficial effects of high CRF and MVPA on PWV in normal‐ and overweight young, middle‐aged, and old adults with and without cardiovascular risk factors 8 . However, no studies could be found that included adults with obesity and further metabolic risk factors, although the maintenance of cardiovascular health is particularly important in this population with a high prevalence of a sedentary lifestyle and low CRF 9 .…”

Section: Introductionmentioning

confidence: 99%

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Physical activity is favorably associated with arterial stiffness in patients with obesity and elevated metabolic risk

et al. 2020

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Objectives Physical activity and cardiorespiratory fitness (CRF) are relevant modifiers of cardiovascular risk. Their independent effects on arterial stiffness have not been assessed in people with obesity. This study aimed to assess the independent effects of light (LPA) and moderate‐to‐vigorous (MVPA) physical activity and CRF on Pulse wave velocity (PWV). Methods Brachial‐ankle PWV (baPWV) was measured cross‐sectionally in 55 subjects (43.0 ± 13.8 years; 66% women) with moderate cardiovascular risk. Body composition was assessed with bioelectrical impedance‐analysis. Daily minutes of LPA and MVPA were measured by accelerometry and CRF (peak oxygen uptake [VO2peak]) with spiroergometry. Independent effects of LPA, MVPA, and VO2peak on baPWV were analyzed in an age‐, sex‐, body fat mass‐, and blood pressure‐adjusted ANOVA. Results Every 10 minutes increase of daily MVPA was associated with a 2.8% (0.32m/s [−0.64 to 0.001 m/s], P = .05) reduction of baPWV, whereas LPA and VO2peak had only a little or no relevant effects on baPWV. Conclusions Higher MVPA is associated with lower composite arterial stiffness independent of CRF and the number of metabolic risk factors in patients with obesity and further metabolic risk factors. Thus, lifestyle interventions should aim for an increase in MVPA. BaPWV may improve the monitoring of favorable effects of MVPA, even if an improvement of VO2 peak cannot be obtained.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physical activity is favorably associated with arterial stiffness in patients with obesity and elevated metabolic risk

et al. 2020

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“…The mechanisms contributing to the effects of habitual prolonged sitting on BP over an extended (chronic) period are indeterminate and will be challenging to investigate. Current knowledge of the cellular and molecular mediators of vascular pathophysiology would implicate chronic low grade inflammation and oxidative stress, as well as structural effects promoting vascular stiffening 84 as intermediaries between acute hemodynamic changes and manifestations of clinical hypertension (Figure 3).…”

Section: Mechanisms -Summarymentioning

confidence: 99%

Sitting Less and Moving More

et al. 2018

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Regular moderate-vigorous physical activity is well-established as an effective tool in the prevention and management of multiple chronic diseases, including hypertension 4, 7. However, in recent years, sedentary behavior-defined as "any waking behavior characterized by an energy expenditure ≤1.5 metabolic equivalents (METs) while in a sitting or reclining posture"-has received increasing attention as a clinical and population health problem that is additional to insufficient moderate-vigorous physical activity 10. Reasons for this new perspective around sedentary behavior largely stem from three key points (expanded upon below). For clarity and distinction, we refer to recommended amounts of moderate-to-vigorous intensity physical activity as ''exercise'' and use the terms "sitting" and "sedentary behavior" interchangeably throughout this paper 7. 1) Modest uptake and adherence to exercise guidelines: Despite the multitude of potential health benefits derived from regular physical activity, population uptake is low. One-third of many adult populations (about 1.5 billion people globally) and four-fifths of adolescents do not adhere to minimum recommended levels of moderate-vigorous physical activity 8. While leisure-related physical activity levels have tended to remain relatively steady over time, physical activity at work, in the domestic environment and in transportation have all decreased in recent decades 8, 9. Sustained and growing concerns also exist around the limited uptake and adherence to exercise guidelines in longer-term trials 11 and in accordance with national/global activity guidelines, particularly for older adults and in deconditioned/ clinical populations 8, 12-15. Dempsey et al.

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“…Sedentary behavior is an emerging risk factor for adverse health outcomes and premature mortality [ 1 , 2 ]. Addressing a need for methodological unity, the IJBNPA recently published the Sedentary Behavior Research Network (SBRN)‘s Terminology Consensus Project which used an iterative approach with the large SBRN membership to develop definitions for concepts associated with sedentary behavior.…”

Section: Commentarymentioning

confidence: 99%

When does sedentary behavior become sleep? A proposed framework for classifying activity during sleep-wake transitions

Gibbs

Kline

2018

Int J Behav Nutr Phys Act

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The Sedentary Behavior Research Network recently published a consensus definition for sedentary behavior as ‘any waking behavior characterized by an energy expenditure ≤1.5 metabolic equivalents, while in a sitting, reclining, or lying posture.’ While this is a great step toward theoretical and methodological unity, further clarity around issues of classifying sedentary behavior while in bed is needed, specifically during sleep-wake transitions. A thigh-worn inclinometer with a 24-h wear protocol is recommended for best practice assessment of sedentary behavior, but this method introduces challenges for activity classification and data reduction. The constant stream of data collection does not distinguish waking sedentary activities in bed, e.g., watching television or reading, from sleep. Moreover, correct classification during sleep-wake transitions is not well established. Sleep-related behaviors can include time spent trying to fall asleep (sleep onset latency), night awakenings while attempting to fall back asleep (wakefulness after sleep onset), and unsuccessful attempts to fall back asleep in the morning (wakefulness after sleep offset). While these behaviors technically fit into the current definition of sedentary behavior, sleep-related behaviors belong in the sleep domain, are a normal part of the sleep-wake cycle, and are not likely an intervention target for sedentary behavior reduction. For these reasons, we argue that sleep-related behaviors should not be classified as sedentary. The research implications of using this framework for classifying sedentary behavior via 24-h thigh inclinometers include that diaries must ask participants to report the time they got into bed, began attempting to fall asleep (‘lights out’), woke up for the day, and got out of bed for the day. Using these diaries, researchers must manually extract the relevant period of wakefulness (and remove sleep-related and sleep time). The importance of this more burdensome protocol for researchers and participants, and across various subject populations, should be evaluated in future research.

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Association of time spent in physical activities and sedentary behaviors with carotid-femoral pulse wave velocity: A systematic review and meta-analysis

Cited by 57 publications

References 50 publications

Physical activity is favorably associated with arterial stiffness in patients with obesity and elevated metabolic risk

Physical activity is favorably associated with arterial stiffness in patients with obesity and elevated metabolic risk

Sitting Less and Moving More

When does sedentary behavior become sleep? A proposed framework for classifying activity during sleep-wake transitions

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