Substituting Sedentary Time With Light and Moderate to Vigorous Physical Activity is Associated With Better Cardiometabolic Health

Knaeps, Sara; Baere, Stijn De; Bourgois, Jan; Mertens, Evelien; Charlier, Roger H.; Lefevre, Johan

doi:10.1123/jpah.2017-0102

Cited by 23 publications

(28 citation statements)

References 27 publications

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“…For example, the study by Camhi et al 2013 defined MHO as exhibiting one or fewer cardiometabolic risk factors, while our study stipulated that MHO individuals would not have any of these risk factors 29 . However, our results are supported by other findings showing that reduced sedentary behavior is an independent risk factor for developing cardiometabolic risk factors 10,11 . A systematic review of longitudinal studies on sedentary behavior found that sedentary time was consistently associated with greater risk of all-cause mortality and CVD-related mortality, regardless of PA levels and BMI 11 .…”

Section: Discussionsupporting

confidence: 90%

“…Furthermore, a recent meta-analysis identified an association between sedentary time and all-cause mortality, independent of PA 11 . These results have been confirmed by other studies, suggesting that high amounts of sedentary time may counteract the benefits of MVPA [10][11][12][13] . Together, these findings point to a need for a more comprehensive evaluation of PA and its relationship with multiple movements and cardiometabolic risk factors.…”

supporting

confidence: 85%

mentioning

confidence: 99%

“…pressure, and increased high-density lipoprotein cholesterol (HDL-cholesterol) 10 . Replacing sedentary time with moderate-to-vigorous intensity physical activity (MVPA) is associated with reductions in clustered cardiometabolic risk factors 10 . Furthermore, a recent meta-analysis identified an association between sedentary time and all-cause mortality, independent of PA 11 .…”

mentioning

confidence: 99%

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Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

MacLeod

B̀ouchard

Hébert

et al. 2020

Sci Rep

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physical activity (pA) and sedentary behavior are associated with metabolic health in overweight and obese individuals. However, the role of comprehensive health-related movement guidelines on pA, recreational screen time, and sleep among Metabolically Healthy overweight-obese (MHo) individuals is unknown. We investigated differences in comprehensive movement assessment scores between adults classified as MHO or Non-MHO. The sample included 513 adults (46.2% male), aged 19 to 85 years, body mass index (BMI) ≥ 25, from cycle 2005-2006 of the National Health and Nutrition Examination Survey. Comprehensive movement assessment outcomes were defined as meeting modified 24-Hour Movement Guidelines criteria, with thresholds adapted for adults. 13.8% of participants were MHo (normal serum glucose, triglycerides, HDL-cholesterol, and systolic and diastolic blood pressure). Only 1.4% of MHO participants met all guidelines. MHO and Non-MHO participants had similar comprehensive movement assessment scores (MHO: 18.3% vs. Non-MHO: 10.9%; p = 0.072). MHO individuals had less continuous recreational screen time than Non-MHO individuals (1.8 ± 1.4 hrs/day vs. 2.5 ± 1.6 hrs/day; p < 0.001). Meeting the recreational screen time recommendation was the only variable associated with the MHO phenotype (OR:4.84 95%CI: 2.33-10.07). This association remained after adjusting for age, sex, ethnicity, education, and BMI (OR: 3.53 95%CI: 1.72-7.24). Our results suggest the importance of limiting recreational screen time in adults to optimize cardiometabolic risk profile in individuals living with overweight or obesity. Using movement guidelines with a screen time component to assess the risk associated with health outcomes in adults appears to provide a better assessment. The increasing prevalence of obesity has prompted further research on the risks related to excessive adiposity. Obesity is associated with adverse cardiometabolic risk factors, including dyslipidemia, insulin resistance, hypertension, and metabolic syndrome 1,2. However, some data suggests that a subgroup of overweight and obese individuals do not display typical cardiometabolic risk factors and are at lower risk of cardiovascular diseases and Type 2 diabetes 3. These individuals are termed Metabolically healthy overweight-obese (MHO). The prevalence of MHO varies between 7-74% in youth and adult populations, depending on the definition used 4-6. MHO Individuals usually have a favorable metabolic profile, characterized by high insulin sensitivity, greater peripheral body fat, and low systemic inflammation, as well as normal blood pressure, lipid profile, and hepatic triglycerides content 1,7-9. Physical activity (PA) has been associated with the MHO phenotype; however, a study has suggested that sedentary behavior, defined as any activity with an intensity of ≤1.5 Metabolic Equivalent Tasks, is an independent risk factor for the development of cardiometabolic risk factors 10,11. In fact, substituting sedentary behavior with light PA is associated with decreased waist circum...

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Section: Discussionsupporting

confidence: 90%

supporting

confidence: 85%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

MacLeod

B̀ouchard

Hébert

et al. 2020

Sci Rep

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“…Among people with no restless sleep, substituting another type of activity with moderate PA was associated with statistically significantly reduced odds in the presence of bodily pain interference (sleep: adjusted OR ¼ 0. 46…”

Section: Bodily Pain Interferencementioning

confidence: 99%

Reallocating time spent in sleep, sedentary behavior and physical activity and its association with pain: a pilot sleep study from the Osteoarthritis Initiative

Song

Dunlop

Semanik

et al. 2018

Osteoarthritis and Cartilage

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Association of daily step volume and intensity with cardiometabolic risk in older adults

Cabral,

Browne,

Freire

et al. 2023

Experimental Gerontology

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Substituting Sedentary Time With Light and Moderate to Vigorous Physical Activity is Associated With Better Cardiometabolic Health

Abstract: Background: Apply a more novel approach to systematically examine (1) associations of

Cited by 23 publications

References 27 publications

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

Reallocating time spent in sleep, sedentary behavior and physical activity and its association with pain: a pilot sleep study from the Osteoarthritis Initiative

Association of daily step volume and intensity with cardiometabolic risk in older adults

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