Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data
Abstract Background Sedentary behavior is a modifiable risk factor for cardiometabolic health; however, the assessment of total sedentary time may not capture youth’s highly active and interrupted activity patterns. This study examined the associations between sedentary activity patterns and cardiom...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-022-01375-0 |
| _version_ | 1828174533426675712 |
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| author | Abeer A. Aljahdali Ana Baylin Edward A. Ruiz-Narvaez Hyungjin Myra Kim Alejandra Cantoral Martha M. Tellez-Rojo Margaret Banker Karen E. Peterson |
| author_facet | Abeer A. Aljahdali Ana Baylin Edward A. Ruiz-Narvaez Hyungjin Myra Kim Alejandra Cantoral Martha M. Tellez-Rojo Margaret Banker Karen E. Peterson |
| author_sort | Abeer A. Aljahdali |
| collection | DOAJ |
| description | Abstract Background Sedentary behavior is a modifiable risk factor for cardiometabolic health; however, the assessment of total sedentary time may not capture youth’s highly active and interrupted activity patterns. This study examined the associations between sedentary activity patterns and cardiometabolic risk factors among Mexican youth, who have a disproportionate burden of metabolic diseases, using a repeated measure design out of a longitudinal data. Methods 570 subjects in the Early Life Exposure in Mexico to ENvironmental Toxicants (ELEMENT) birth cohort, who were followed up to three-time points during adolescence, were included. Bout duration, and frequency and percentages of waking time spent in specific intensities of activity, were quantified using ActiGraph wGT3X-BT wrist accelerometers. Self-reported questionnaires were used to query the usual duration of different sedentary behaviors. Outcomes were fasting lipid profile, markers for glucose homeostasis, anthropometry, and blood pressure. Associations were modeled using linear mixed-effects models, and isotemporal substitution approach was additionally used to assess the effect of replacing objectively assessed sedentary activity with other activity intensities, adjusting for potential confounders. Results Each hour of self-reported screen-based time was positively associated with diastolic blood pressure (mm Hg) [β = 0.30, 95% confidence interval (95% CI) = 0.10, 0.51], and an hour of other sedentary time was associated with log serum glucose (mg/dL) [β = 0.01, 95% CI = 0.004, 0.017]. Substitution models showed that replacing 5% of sedentary time with moderate to vigorous physical activity (MVPA) was associated with lower waist circumference (cm) [β = − 1.35, 95% CI = − 1.91, − 0.79] and log serum triglycerides (mg/dL) [β = − 0.11, 95% CI = − 0.18, − 0.03]. Substituting one uninterrupted sedentary bout with light activity was associated with lower insulin (μIU/mL) [β = − 0.06, 95% CI = − 0.10, − 0.02]. Conclusions Sedentary time was associated with cardiometabolic risk factors in Mexican youth in a context-specific manner. Replacing sedentary time with higher intensities was associated with improvements in some cardiometabolic markers. |
| first_indexed | 2024-04-12T04:13:00Z |
| format | Article |
| id | doaj.art-5f24976dfac64598ba91ca69c0babe75 |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-04-12T04:13:00Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-5f24976dfac64598ba91ca69c0babe752022-12-22T03:48:27ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682022-12-0119111710.1186/s12966-022-01375-0Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal dataAbeer A. Aljahdali0Ana Baylin1Edward A. Ruiz-Narvaez2Hyungjin Myra Kim3Alejandra Cantoral4Martha M. Tellez-Rojo5Margaret Banker6Karen E. Peterson7Department of Clinical Nutrition, King Abdulaziz UniversityDepartment of Nutritional Sciences, University of MichiganDepartment of Nutritional Sciences, University of MichiganCenter for Computing, Analytics and Research, University of MichiganDepartment of Health, Iberoamerican UniversityCenter for Nutrition and Health Research, National Institute of Public HealthDepartment of Biostatistics, University of MichiganDepartment of Nutritional Sciences, University of MichiganAbstract Background Sedentary behavior is a modifiable risk factor for cardiometabolic health; however, the assessment of total sedentary time may not capture youth’s highly active and interrupted activity patterns. This study examined the associations between sedentary activity patterns and cardiometabolic risk factors among Mexican youth, who have a disproportionate burden of metabolic diseases, using a repeated measure design out of a longitudinal data. Methods 570 subjects in the Early Life Exposure in Mexico to ENvironmental Toxicants (ELEMENT) birth cohort, who were followed up to three-time points during adolescence, were included. Bout duration, and frequency and percentages of waking time spent in specific intensities of activity, were quantified using ActiGraph wGT3X-BT wrist accelerometers. Self-reported questionnaires were used to query the usual duration of different sedentary behaviors. Outcomes were fasting lipid profile, markers for glucose homeostasis, anthropometry, and blood pressure. Associations were modeled using linear mixed-effects models, and isotemporal substitution approach was additionally used to assess the effect of replacing objectively assessed sedentary activity with other activity intensities, adjusting for potential confounders. Results Each hour of self-reported screen-based time was positively associated with diastolic blood pressure (mm Hg) [β = 0.30, 95% confidence interval (95% CI) = 0.10, 0.51], and an hour of other sedentary time was associated with log serum glucose (mg/dL) [β = 0.01, 95% CI = 0.004, 0.017]. Substitution models showed that replacing 5% of sedentary time with moderate to vigorous physical activity (MVPA) was associated with lower waist circumference (cm) [β = − 1.35, 95% CI = − 1.91, − 0.79] and log serum triglycerides (mg/dL) [β = − 0.11, 95% CI = − 0.18, − 0.03]. Substituting one uninterrupted sedentary bout with light activity was associated with lower insulin (μIU/mL) [β = − 0.06, 95% CI = − 0.10, − 0.02]. Conclusions Sedentary time was associated with cardiometabolic risk factors in Mexican youth in a context-specific manner. Replacing sedentary time with higher intensities was associated with improvements in some cardiometabolic markers.https://doi.org/10.1186/s12966-022-01375-0Physical activitySedentary behaviorScreen timeBoutsAccelerometerCardiometabolic health |
| spellingShingle | Abeer A. Aljahdali Ana Baylin Edward A. Ruiz-Narvaez Hyungjin Myra Kim Alejandra Cantoral Martha M. Tellez-Rojo Margaret Banker Karen E. Peterson Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data International Journal of Behavioral Nutrition and Physical Activity Physical activity Sedentary behavior Screen time Bouts Accelerometer Cardiometabolic health |
| title | Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data |
| title_full | Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data |
| title_fullStr | Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data |
| title_full_unstemmed | Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data |
| title_short | Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data |
| title_sort | sedentary patterns and cardiometabolic risk factors in mexican children and adolescents analysis of longitudinal data |
| topic | Physical activity Sedentary behavior Screen time Bouts Accelerometer Cardiometabolic health |
| url | https://doi.org/10.1186/s12966-022-01375-0 |
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