Abstract
Introduction Higher sedentary time (ST) and lower moderate- to vigorous-intensity physical activity (MVPA) have each been associated with greater adiposity, but most studies are cross-sectional and measure ST and MVPA by self-report. This study evaluated associations between objective ST and MVPA with current and 5-year changes in BMI and waist circumference. Methods The Coronary Artery and Risk Development in Young Adults longitudinal cohort study recruited black or white young adults from four U.S. cities. This analysis (conducted in 2016) used data from 2005 to 2006 as baseline and 2010 to 2011 as 5-year follow-up. Accelerometers measured baseline ST (total and prolonged in bouts of ≥10 minutes) and MVPA (bouts of ≥10 minutes). BMI and waist circumference were assessed at baseline and repeated 5 years later. Regression models included sedentary time and MVPA simultaneously with adjustment for demographics and lifestyle factors. Results Participants (n=1,826) were 57% female; 40% black; aged 38–50 years; and had a BMI of 28.7 (SD=6.3). At baseline, total and prolonged ST were directly associated with BMI and waist circumference, whereas MVPA was inversely related (all p<0.05). Longitudinally, only prolonged ST (per hour/day) was associated with greater increases in BMI (0.077, p=0.033) and waist circumference (0.198 cm, p=0.028). Associations between ST and adiposity were more apparent in less active participants. Risk of ≥5% increase in BMI across assessments increased by 8%–10% (p<0.05) per hour/day of ST. Conclusions Time spent sedentary was associated with increases in adiposity over time. Reducing sedentary time may be a novel strategy for weight control.
Original language | English (US) |
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Pages (from-to) | 764-771 |
Number of pages | 8 |
Journal | American Journal of Preventive Medicine |
Volume | 53 |
Issue number | 6 |
DOIs | |
State | Published - Dec 2017 |
Funding
The authors would like to thank the participants, staff, and investigators of the Coronary Artery Risk Development in Young Adults Study (CARDIA) study. CARDIA is supported by contracts HHSN268201300025C, HHSN268201300026C, HHSN268201300027C, HHSN268201300028C, HHSN268201300029C, and HHSN268200900041C from the National Heart, Lung, and Blood Institute (NHLBI); the Intramural Research Program of the National Institute on Aging; and an intra-agency agreement between National Institute on Aging and NHLBI (AG0005). The CARDIA Fitness Study was supported by grant R01-HL-078972 from the NHLBI and is registered on ClinicalTrials.gov (NCT00005130). The CARDIA Young Adults Longitudinal Trends in Antioxidants was supported by a grant 1RO1-HL53560–01A1 from the NHLBI. Dr. Barone Gibbs was supported by the Tomayko Foundation. Dr. Siddique was supported by grant K07 CA154862 from the National Cancer Institute and R01 HL131606 from NHLBI. The views expressed in this manuscript are those of the authors and do not necessarily represent the views of the NHLBI, NIH, or U.S. DHHS.
ASJC Scopus subject areas
- Epidemiology
- Public Health, Environmental and Occupational Health