Dose-response association between sedentary time and incident of diabetes in Chinese middle-aged and older adults: The 4C study

Zou, Huajie; Huang, Li; Zhao, Zhiyun; Meng, Xiaoyu; Li, Danpei; Chen, Xi; Guo, Yantong; Yang, Yan; Liu, Zhelong; Wang, He; Li, Wenjun; Yu, Xuefeng

doi:10.1016/j.diabres.2022.110044

Cited by 3 publications

(3 citation statements)

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“…Binary logistic regression models were used to explore the correlation between sleep duration and the risk of hypertension and the impact of health behaviors on hypertension risk among individuals with short sleep in the Chinese population. The dose-response relationship between sleep duration and hypertension risk was assessed using restricted cubic spline models, which incorporated three nodes set at the 5th, 50th, and 95th percentiles of sedentary time (Zou et al, 2022). To further investigate the true association between short sleep and hypertension risk and to reduce the in uence of differences in baseline characteristics on the results, the present study used a 1: 1 propensity score matching (PSM) method to match participants with and without hypertension, set at a caliper value of 0.004 to ensure optimal matching results.…”

Section: Discussionmentioning

confidence: 99%

Exploring the impact of short sleep on hypertension prevalence in the Chinese population: dose- response relationships, standardization, and health behaviors

TIAN,

HE,

et al. 2023

Preprint

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Background The concept of short sleep remains ambiguous, which is exacerbated by the presence of ethnic differences that contribute to variations in the correlation between short sleep and the risk of hypertension. Additionally, methodological constraints have led to abundant heterogeneous evidence concerning the link between short sleep and hypertension risk, compelling the need to further investigate the relationship between short sleep and hypertension risk in the Chinese population. This study investigate the impact of short sleep on hypertension prevalence in the Chinese population, analyze the dose-response relationship between sleep duration and the risk of hypertension, establish a standard concept of short sleep to balance the confounding factors between groups, and determine the true association between short sleep and the prevalence of hypertension. Methods Using the cross-sectional data from the Chinese Psychological and Behavioural Study of the Population (PBICR) 2020. Dose-response relationships between sleep duration and hypertension risk were assessed using restricted cubic spline models. A binary logistic regression model with propensity score matching was used to investigate the true association between short sleep duration and hypertension risk in the Chinese population. In addition, binary logistic regression models were used to analyze the association between >5 hours of sleep and hypertension risks and the effect of health behaviors on the risk of hypertension in short sleepers. Results The relationship between sleep duration and hypertension risk demonstrated a notable non-linear U-shaped pattern. Following propensity score matching, we observed that among those sleeping ≤5 hours/day, the risk of developing hypertension was reduced by 32% (OR=0.680) for each 1-hour increase in sleep duration. However, in the whole population sleeping >5 hours/day, sleep did not affect the risk of developing hypertension. In the population with ≤5 hours of sleep/day, smoking (OR=2.280) and working in a fixed position for a long period of time (OR=2.034) increased hypertension risk, and having at least one physical activity maintained for more than six months led to reduced hypertension risks (OR=0.363). Conclusion The threshold of 5-hour sleep represents a key turning point for hypertension in the investigated Chinese population and could be considered for defining short sleep. Additionally, cessation of smoking, vigilant posture alterations during work, and consistent adherence to exercise regimens can reduce the risk of hypertension in people with short sleep duration.

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Section: Discussionmentioning

confidence: 99%

Exploring the impact of short sleep on hypertension prevalence in the Chinese population: dose- response relationships, standardization, and health behaviors

TIAN,

HE,

et al. 2023

Preprint

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“…A restricted cubic spline model was applied to analyze the dose-response relationship between sedentary time and anxiety. The 5th, 50th, and 95th percentiles of sedentary time were selected as the three nodes in the restricted cubic spline model (Zou et al, 2022). In addition, subgroup analyses were conducted to explore the interaction between sedentary behavior and walking days on anxiety among different populations, considering variables that exhibited differences in general information comparisons.…”

Section: Discussionmentioning

confidence: 99%

Dose-response relationship between sedentary time and anxiety and the moderating effect of a 10- minute walk: a cross-sectional study based on a large sample of Chinese population

TIAN,

LI,

ZHANG

et al. 2023

Preprint

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Background The effectiveness and generalisability of conventional anxiety treatment programmes is low across the population, and it is important to establish physical activity-based intervention programmes to prevent and improve anxiety. This study analysed the impact of sedentary activity on anxiety, explore its dose-response relationship, and investigate the interactive effects of 10-minute walks and sedentary duration on anxiety. Methods Using the cross-sectional data from the Chinese Psychological and Behavioural Study of the Population (PBICR) 2022. Assessed the anxiety status of the study participants according to the Generalized Anxiety Disorder Scale (GAD-7). In addition, binary logistic regression was used to determine the association between sedentary time and anxiety and to analyze the effect of the interaction between 10-minute walks per day and sedentary time on anxiety. Further, a restricted cubic spline model was used to analyze the dose-response relationship between sedentary time and anxiety risk. Results Participants who were sedentary for > 6 hours had a 25.1% increased risk of anxiety (OR = 1.251) compared to those who were sedentary for ≤ 6 hours. Among those sedentary for > 6 hours, each additional hour of sedentary time increased the risk of anxiety by 4.3%. However, for participants sedentary for ≤ 6 hours, sedentary time did not increase the risk of anxiety. We observed a non-linear J-shaped relationship between sedentary time and the risk of anxiety (non-linear trend p < 0.001). Among individuals who were sedentary for > 6 hours, those who walked more than 10 minutes on ≤ 5 days per week had a 67.1% increased risk of anxiety (OR = 1.671), whereas those who walked more than 10 minutes on > 5 days per week experienced a 19% decreased risk of anxiety (OR = 0.810). For individuals sedentary for ≤ 6 hours, each additional day of walking for > 10 minutes reduced the risk of anxiety by 9.8%. Among those sedentary for > 6 hours, each additional day of walking for > 10 minutes reduced the risk of anxiety by 10.3%. Conclusion Increased sedentary time is independently associated with a higher risk of anxiety, and a non-linear J-shaped relationship was observed between the two variables. Walking for more than 10 minutes mitigates the negative effects of sedentary activity on anxiety.

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“…In addition to being inactive, it is estimated that adults spend approximately 50-60% of their waking day sedentary in a sitting, reclining, or lying position [3]. This is of concern given that high sedentary behavior (SB) is associated with increased risk of cardiovascular disease (CVD) [4,5], diabetes [6,7], cancer [8], cognitive decline [9,10], overall lower quality of life [11] and all-cause mortality [4], with these deleterious effects of too much SB being not just limited to high-income countries, but also a reality in middle and low-income countries [4]. In opposition, breaking up SB more often seems to protect against the harm of prolonged SB [12].…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of a 6-month intervention with sit-stand workstation in office workers: Results from the SUFHA cluster randomized controlled trial

Júdice,

Silva,

Teno

et al. 2024

WOR

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BACKGROUND: Prolonged periods of sitting have been linked to negative health outcomes. Implementation of sit-stand desks in the workplace has been one strategy to reduce prolonged sitting. OBJECTIVE: To assess the effectiveness of sit-stand workstations on reducing sitting time and improving other health outcomes of office-based workers. METHODS: 39 Portuguese office workers were randomized into a 6-month parallel-group cluster RCT consisting by the implementation of sit-stand desks in the workplace. The primary outcome of sitting time was assessed using ActivPAL. Secondary outcomes included biometric, psychological, and diet-related variables. All outcomes were assessed at baseline and 6 months for the whole sample and at 3 months for a sub-sample of the intervention group (n = 11). RESULTS: No significant time*group interaction was found for the primary or secondary outcomes, apart from waist circumference favoring the control group (Δ–1.81 cm, pinteraction = 0.04). There were significant changes within the intervention group for sitting time (–44.0 min/day), prolonged sitting (>30 min) (–45.3 min/day) and standing time (51.7 min/day) at 3 months in the sub-sample and in prolonged sitting (>30 min) (–26 min/day) in the full intervention group (p < 0.05). Changes were also observed within the intervention group for percent body fat (Δ–3.7%) and ratings of quality of life (Δ2.2), musculoskeletal discomfort (Δ–4.9), overall fatigue (Δ–2.2), and the need for recovery after work (Δ–1.7) at 6-month follow-up (p < 0.05). CONCLUSION: Although not being effective for reducing sitting time, the implementation of sit-stand desks in the Portuguese workspace was shown to be feasible over the long term, received well by users, and may offer other health benefits. TRIAL REGISTRATION: OSF Registration, OSF.IO/JHGPW. Registered 15 November 2022. https://doi.org/10.17605/OSF.IO/JHGPW.

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Dose-response association between sedentary time and incident of diabetes in Chinese middle-aged and older adults: The 4C study

Cited by 3 publications

References 49 publications

Exploring the impact of short sleep on hypertension prevalence in the Chinese population: dose- response relationships, standardization, and health behaviors

Exploring the impact of short sleep on hypertension prevalence in the Chinese population: dose- response relationships, standardization, and health behaviors

Dose-response relationship between sedentary time and anxiety and the moderating effect of a 10- minute walk: a cross-sectional study based on a large sample of Chinese population

The effectiveness of a 6-month intervention with sit-stand workstation in office workers: Results from the SUFHA cluster randomized controlled trial

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