Combined Effects of Time Spent in Physical Activity, Sedentary Behaviors and Sleep on Obesity and Cardio-Metabolic Health Markers: A Novel Compositional Data Analysis Approach
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Time spent in MVPA is an important target for intervention and preventing transfer of time from LIPA to SB might lessen the negative effects of physical inactivity, so time spent in each of these behaviors are codependent.Abstract:
The associations between time spent in sleep, sedentary behaviors (SB) and physical activity with health are usually studied without taking into account that time is finite during the day, so time spent in each of these behaviors are codependent. Therefore, little is known about the combined effect of time spent in sleep, SB and physical activity, that together constitute a composite whole, on obesity and cardio-metabolic health markers. Cross-sectional analysis of NHANES 2005–6 cycle on N = 1937 adults, was undertaken using a compositional analysis paradigm, which accounts for this intrinsic codependence. Time spent in SB, light intensity (LIPA) and moderate to vigorous activity (MVPA) was determined from accelerometry and combined with self-reported sleep time to obtain the 24 hour time budget composition. The distribution of time spent in sleep, SB, LIPA and MVPA is significantly associated with BMI, waist circumference, triglycerides, plasma glucose, plasma insulin (all p<0.001), and systolic (p<0.001) and diastolic blood pressure (p<0.003), but not HDL or LDL. Within the composition, the strongest positive effect is found for the proportion of time spent in MVPA. Strikingly, the effects of MVPA replacing another behavior and of MVPA being displaced by another behavior are asymmetric. For example, re-allocating 10 minutes of SB to MVPA was associated with a lower waist circumference by 0.001% but if 10 minutes of MVPA is displaced by SB this was associated with a 0.84% higher waist circumference. The proportion of time spent in LIPA and SB were detrimentally associated with obesity and cardiovascular disease markers, but the association with SB was stronger. For diabetes risk markers, replacing SB with LIPA was associated with more favorable outcomes. Time spent in MVPA is an important target for intervention and preventing transfer of time from LIPA to SB might lessen the negative effects of physical inactivity.read more
Citations
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Journal ArticleDOI
Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth.
Veronica J. Poitras,Casey E Gray,Michael M. Borghese,Valerie Carson,Jean-Philippe Chaput,Ian Janssen,Peter T. Katzmarzyk,Russell R. Pate,Sarah Connor Gorber,Michelle E. Kho,Margaret Sampson,Mark S. Tremblay +11 more
TL;DR: The findings continue to support the importance of at least 60 min/day of MVPA for disease prevention and health promotion in children and youth, but also highlight the potential benefits of LPA and total PA.
Journal ArticleDOI
Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep.
Mark S. Tremblay,Mark S. Tremblay,Valerie Carson,Jean-Philippe Chaput,Jean-Philippe Chaput,Sarah Connor Gorber,Thy Dinh,Mary Duggan,Guy Faulkner,Casey E Gray,Reut Gruber,Katherine Janson,Ian Janssen,Peter T. Katzmarzyk,Michelle E. Kho,Amy E Latimer-Cheung,Amy E Latimer-Cheung,Claire LeBlanc,Anthony D. Okely,Tim Olds,Russell R. Pate,Andrea Phillips,Veronica J. Poitras,Sophie Rodenburg,Margaret Sampson,Travis J. Saunders,James A. Stone,Gareth Stratton,Shelly K. Weiss,Lori Zehr +29 more
TL;DR: The Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep provide evidence-informed recommendations for a healthy day (24 h), comprising a combination of sleep, sedentary behaviours, light-, moderate-, and vigorous-intensity physical activity.
Journal ArticleDOI
Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update.
Valerie Carson,Stephen Hunter,Nicholas Kuzik,Casey E Gray,Veronica J. Poitras,Jean-Philippe Chaput,Travis J. Saunders,Peter T. Katzmarzyk,Anthony D. Okely,Sarah Connor Gorber,Michelle E. Kho,Margaret Sampson,Helena Lee,Mark S. Tremblay +13 more
TL;DR: This systematic review is an update examining the relationships between objectively and subjectively measured sedentary behaviour and health indicators in children and youth aged 5-17 years and found higher durations/frequencies of screen time and television viewing were associated with unfavourable body composition.
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Objectively measured light-intensity physical activity is independently associated with 2-h plasma glucose
Sanjay Kalra,Jeffrey L. Roitman +1 more
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Canadian 24-Hour Movement Guidelines for the Early Years (0-4 years): An Integration of Physical Activity, Sedentary Behaviour, and Sleep.
Mark S. Tremblay,Jean-Philippe Chaput,Kristi B. Adamo,Salomé Aubert,Joel D. Barnes,Louise Choquette,Mary Duggan,Guy Faulkner,Gary S. Goldfield,Casey E Gray,Reut Gruber,Katherine Janson,Ian Janssen,Xanne Janssen,Alejandra Jaramillo Garcia,Nicholas Kuzik,Claire LeBlanc,Joanna E. MacLean,Anthony D. Okely,Veronica J. Poitras,Mary-Ellen Rayner,John J. Reilly,Margaret Sampson,John C. Spence,Brian W. Timmons,Valerie Carson +25 more
TL;DR: These guidelines represent a sensible evolution of public health guidelines whereby optimal health is framed within the balance of movement behaviours across the whole day, while respecting preferences of end-users.
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