TY - JOUR
T1 - Objectively measured sedentary time and cardiovascular risk factor control in US Hispanics/Latinos with diabetes mellitus
T2 - Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
AU - Wang, Xueyin
AU - Strizich, Garrett
AU - Hua, Simin
AU - Sotres-Alvarez, Daniela
AU - Buelna, Christina
AU - Gallo, Linda C.
AU - Gellman, Marc D.
AU - Mossavar-Rahmani, Yasmin
AU - O'Brien, Matthew J.
AU - Stoutenberg, Mark
AU - Wang, Tao
AU - Larissa Avilés-Santa, M.
AU - Kaplan, Robert C.
AU - Qi, Qibin
N1 - Funding Information:
The authors thank the staff of HCHS/SOL for their important contributions. A complete list of staff and investigators has been provided by P. Sorlie et al in Ann Epidemiol. 2010 Aug; 20: 642-649 and is also available on the study website http://www.cscc.unc.ed u/hchs/. Since M. Larissa Avilés-Santa is a federal employee: The views expressed in this manuscript are those of the authors and do not necessarily represent the views of the National Heart, Lung, and Blood Institute; the National Institutes of Health; or the US Department of Health and Human Services. This work was supported by contracts from the National Heart, Lung, and Blood Institute (NHLBI) to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following Institutes/Centers/Offices contribute to the HCHS/SOL through a transfer of funds to the NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. Dr Qi is supported by a Scientist Development Award (K01HL129892) from the NHLBI. Xueyin Wang was supported by the China Scholarship Council.
Publisher Copyright:
© 2017 The Authors.
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Background--Cardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate-to-vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus. Methods and Results--This cross-sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008-2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c < 7.0%; systolic/diastolic blood pressure < 140/ 80 mm Hg; triglycerides < 150 mg/dL; low-density lipoprotein cholesterol < 100 mg/dL; and high-density lipoprotein cholesterol > 40/50 mg/dL for men/women. After adjustment for covariates including moderate-to-vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95% CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥ 3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate-to-vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60-min/day of sedentary time with light-intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high-density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals. Conclusions--Among US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate-to-vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals.
AB - Background--Cardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate-to-vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus. Methods and Results--This cross-sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008-2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c < 7.0%; systolic/diastolic blood pressure < 140/ 80 mm Hg; triglycerides < 150 mg/dL; low-density lipoprotein cholesterol < 100 mg/dL; and high-density lipoprotein cholesterol > 40/50 mg/dL for men/women. After adjustment for covariates including moderate-to-vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95% CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥ 3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate-to-vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60-min/day of sedentary time with light-intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high-density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals. Conclusions--Among US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate-to-vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals.
KW - Cardiovascular disease risk factors
KW - Diabetes mellitus
KW - Hispanic/Latino
KW - Moderate-to-vigorous physical activity
KW - Sedentary behaviors
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U2 - 10.1161/JAHA.116.004324
DO - 10.1161/JAHA.116.004324
M3 - Article
C2 - 28546455
AN - SCOPUS:85020428834
SN - 2047-9980
VL - 6
JO - Journal of the American Heart Association
JF - Journal of the American Heart Association
IS - 6
M1 - e004324
ER -
