Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional study
Abstract Background Long periods of uninterrupted sitting, i.e., sedentary bouts, and their relationship with adverse health outcomes have moved into focus of public health recommendations. However, evidence on associations between sedentary bouts and adiposity markers is limited. Our aim was to inv...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-03-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-15304-8 |
| _version_ | 1827982469175967744 |
|---|---|
| author | Lisa Voigt Antje Ullrich Stefan Groß Diana Guertler Lina Jaeschke Marcus Dörr Neeltje van den Berg Ulrich John Sabina Ulbricht |
| author_facet | Lisa Voigt Antje Ullrich Stefan Groß Diana Guertler Lina Jaeschke Marcus Dörr Neeltje van den Berg Ulrich John Sabina Ulbricht |
| author_sort | Lisa Voigt |
| collection | DOAJ |
| description | Abstract Background Long periods of uninterrupted sitting, i.e., sedentary bouts, and their relationship with adverse health outcomes have moved into focus of public health recommendations. However, evidence on associations between sedentary bouts and adiposity markers is limited. Our aim was to investigate associations of the daily number of sedentary bouts with waist circumference (WC) and body mass index (BMI) in a sample of middle-aged to older adults. Methods In this cross-sectional study, data were collected from three different studies that took place in the area of Greifswald, Northern Germany, between 2012 and 2018. In total, 460 adults from the general population aged 40 to 75 years and without known cardiovascular disease wore tri-axial accelerometers (ActiGraph Model GT3X+, Pensacola, FL) on the hip for seven consecutive days. A wear time of ≥ 10 h on ≥ 4 days was required for analyses. WC (cm) and BMI (kg m− 2) were measured in a standardized way. Separate multilevel mixed-effects linear regression analyses were used to investigate associations of sedentary bouts (1 to 10 min, >10 to 30 min, and >30 min) with WC and BMI. Models were adjusted for potential confounders including sex, age, school education, employment, current smoking, season of data collection, and composition of accelerometer-based time use. Results Participants (66% females) were on average 57.1 (standard deviation, SD 8.5) years old and 36% had a school education >10 years. The mean number of sedentary bouts per day was 95.1 (SD 25.0) for 1-to-10-minute bouts, 13.3 (SD 3.4) for >10-to-30-minute bouts and 3.5 (SD 1.9) for >30-minute bouts. Mean WC was 91.1 cm (SD 12.3) and mean BMI was 26.9 kg m− 2 (SD 3.8). The daily number of 1-to-10-minute bouts was inversely associated with BMI (b = -0.027; p = 0.047) and the daily number of >30-minute bouts was positively associated with WC (b = 0.330; p = 0.001). All other associations were not statistically significant. Conclusion The findings provide some evidence on favourable associations of short sedentary bouts as well as unfavourable associations of long sedentary bouts with adiposity markers. Our results may contribute to a growing body of literature that can help to define public health recommendations for interrupting prolonged sedentary periods. Trial registration Study 1: German Clinical Trials Register (DRKS00010996); study 2: ClinicalTrials.gov (NCT02990039); study 3: ClinicalTrials.gov (NCT03539237). |
| first_indexed | 2024-04-09T22:33:31Z |
| format | Article |
| id | doaj.art-0f6c428cc24c478b86ae612083f74d1f |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-09T22:33:31Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-0f6c428cc24c478b86ae612083f74d1f2023-03-22T12:36:08ZengBMCBMC Public Health1471-24582023-03-0123111010.1186/s12889-023-15304-8Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional studyLisa Voigt0Antje Ullrich1Stefan Groß2Diana Guertler3Lina Jaeschke4Marcus Dörr5Neeltje van den Berg6Ulrich John7Sabina Ulbricht8Department of Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine GreifswaldDepartment of Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine GreifswaldGerman Centre for Cardiovascular Research (DZHK)Department of Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine GreifswaldMolecular Epidemiology Research Group, Max-Delbrück-Center for Molecular Medicine in the Helmholtz AssociationGerman Centre for Cardiovascular Research (DZHK)German Centre for Cardiovascular Research (DZHK)Department of Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine GreifswaldDepartment of Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine GreifswaldAbstract Background Long periods of uninterrupted sitting, i.e., sedentary bouts, and their relationship with adverse health outcomes have moved into focus of public health recommendations. However, evidence on associations between sedentary bouts and adiposity markers is limited. Our aim was to investigate associations of the daily number of sedentary bouts with waist circumference (WC) and body mass index (BMI) in a sample of middle-aged to older adults. Methods In this cross-sectional study, data were collected from three different studies that took place in the area of Greifswald, Northern Germany, between 2012 and 2018. In total, 460 adults from the general population aged 40 to 75 years and without known cardiovascular disease wore tri-axial accelerometers (ActiGraph Model GT3X+, Pensacola, FL) on the hip for seven consecutive days. A wear time of ≥ 10 h on ≥ 4 days was required for analyses. WC (cm) and BMI (kg m− 2) were measured in a standardized way. Separate multilevel mixed-effects linear regression analyses were used to investigate associations of sedentary bouts (1 to 10 min, >10 to 30 min, and >30 min) with WC and BMI. Models were adjusted for potential confounders including sex, age, school education, employment, current smoking, season of data collection, and composition of accelerometer-based time use. Results Participants (66% females) were on average 57.1 (standard deviation, SD 8.5) years old and 36% had a school education >10 years. The mean number of sedentary bouts per day was 95.1 (SD 25.0) for 1-to-10-minute bouts, 13.3 (SD 3.4) for >10-to-30-minute bouts and 3.5 (SD 1.9) for >30-minute bouts. Mean WC was 91.1 cm (SD 12.3) and mean BMI was 26.9 kg m− 2 (SD 3.8). The daily number of 1-to-10-minute bouts was inversely associated with BMI (b = -0.027; p = 0.047) and the daily number of >30-minute bouts was positively associated with WC (b = 0.330; p = 0.001). All other associations were not statistically significant. Conclusion The findings provide some evidence on favourable associations of short sedentary bouts as well as unfavourable associations of long sedentary bouts with adiposity markers. Our results may contribute to a growing body of literature that can help to define public health recommendations for interrupting prolonged sedentary periods. Trial registration Study 1: German Clinical Trials Register (DRKS00010996); study 2: ClinicalTrials.gov (NCT02990039); study 3: ClinicalTrials.gov (NCT03539237).https://doi.org/10.1186/s12889-023-15304-8Sedentary timeSedentary breaksProlonged sittingSedentary behaviour patternsCardiovascular risk factorsCompositional data analysis |
| spellingShingle | Lisa Voigt Antje Ullrich Stefan Groß Diana Guertler Lina Jaeschke Marcus Dörr Neeltje van den Berg Ulrich John Sabina Ulbricht Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional study BMC Public Health Sedentary time Sedentary breaks Prolonged sitting Sedentary behaviour patterns Cardiovascular risk factors Compositional data analysis |
| title | Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional study |
| title_full | Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional study |
| title_fullStr | Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional study |
| title_full_unstemmed | Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional study |
| title_short | Associations of accelerometer-based sedentary bouts with adiposity markers among German adults – results from a cross-sectional study |
| title_sort | associations of accelerometer based sedentary bouts with adiposity markers among german adults results from a cross sectional study |
| topic | Sedentary time Sedentary breaks Prolonged sitting Sedentary behaviour patterns Cardiovascular risk factors Compositional data analysis |
| url | https://doi.org/10.1186/s12889-023-15304-8 |
| work_keys_str_mv | AT lisavoigt associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT antjeullrich associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT stefangroß associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT dianaguertler associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT linajaeschke associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT marcusdorr associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT neeltjevandenberg associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT ulrichjohn associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy AT sabinaulbricht associationsofaccelerometerbasedsedentaryboutswithadipositymarkersamonggermanadultsresultsfromacrosssectionalstudy |