Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis.
Limited data exists on the interrelationships between physical activity (PA), sedentary behaviors and sleep concerning cardiometabolic risk factors in aged adults at high cardiovascular disease risk. Our aim was to examine independent and joint associations between time spent in leisure-time PA, sed...
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2017-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC5342184?pdf=render |
_version_ | 1819291477238349824 |
---|---|
author | Nuria Rosique-Esteban Andrés Díaz-López Miguel A Martínez-González Dolores Corella Albert Goday J Alfredo Martínez Dora Romaguera Jesus Vioque Fernando Arós Antonio Garcia-Rios Francisco Tinahones Ramon Estruch José Carlos Fernández-García José Lapetra Luís Serra-Majem Xavier Pinto Josep A Tur Aurora Bueno-Cavanillas Josep Vidal Miguel Delgado-Rodríguez Lidia Daimiel Clotilde Vázquez Miguel Ángel Rubio Emilio Ros Jordi Salas-Salvadó PREDIMED-PLUS investigators |
author_facet | Nuria Rosique-Esteban Andrés Díaz-López Miguel A Martínez-González Dolores Corella Albert Goday J Alfredo Martínez Dora Romaguera Jesus Vioque Fernando Arós Antonio Garcia-Rios Francisco Tinahones Ramon Estruch José Carlos Fernández-García José Lapetra Luís Serra-Majem Xavier Pinto Josep A Tur Aurora Bueno-Cavanillas Josep Vidal Miguel Delgado-Rodríguez Lidia Daimiel Clotilde Vázquez Miguel Ángel Rubio Emilio Ros Jordi Salas-Salvadó PREDIMED-PLUS investigators |
author_sort | Nuria Rosique-Esteban |
collection | DOAJ |
description | Limited data exists on the interrelationships between physical activity (PA), sedentary behaviors and sleep concerning cardiometabolic risk factors in aged adults at high cardiovascular disease risk. Our aim was to examine independent and joint associations between time spent in leisure-time PA, sedentary behaviors and sleep on the prevalence of obesity, type 2 diabetes (T2D) and components of the metabolic syndrome (MetS) in Mediterranean individuals at high cardiovascular risk. Cross-sectional analyses were performed on baseline data from 5776 Spanish adults (aged 55-75y in men; 60-75y in women) with overweight/obesity and MetS, from October 2013 to October 2016, in the PREDIMED-PLUS trial. Employing multivariable-adjusted Cox regression with robust variance and constant time (given the cross-sectional design), higher prevalence of obesity, T2D and abdominal obesity as component of the MetS were associated with greater time in TV-viewing (Relative Risk, RR: 1.02, 95%CI: 1.01, 1.03; RR:1.04, 95%CI: 1.02, 1.06 and RR: 1.01 95%CI: 1.00, 1.02; respectively, all P < .01). Conversely, greater time in moderate-vigorous PA (MVPA) was associated with lower prevalence of obesity, T2D, abdominal obesity and low HDL-cholesterol (RR: 0.95, 95%CI: 0.93, 0.97; RR: 0.94, 95%CI: 0.89, 0.99; RR: 0.97, 95%CI: 0.96, 0.98; and RR: 0.95, 95%CI: 0.91, 0.99, respectively, all P < .05). For these outcomes, theoretically substituting 1-h/day of MVPA for 1-h/day TV-viewing was also significantly associated with lower prevalence (RR 0.91 to 0.97, all P < .05). Similar lower RR in these outcomes was observed when substituting 1-h/day of MVPA for 1-h/day of sleeping. Longer time watching TV and not meeting MVPA recommendations were jointly associated with higher RR of the prevalence of obesity and T2D. We concluded that, in senior individuals at high cardiovascular risk, greater time spent on MVPA and fewer on sedentary behaviors was inversely associated with prevalence of obesity, T2D, and some of the components of MetS. |
first_indexed | 2024-12-24T03:39:15Z |
format | Article |
id | doaj.art-6a6277f6bff6463fa4780a9bee52af11 |
institution | Directory Open Access Journal |
issn | 1932-6203 |
language | English |
last_indexed | 2024-12-24T03:39:15Z |
publishDate | 2017-01-01 |
publisher | Public Library of Science (PLoS) |
record_format | Article |
series | PLoS ONE |
spelling | doaj.art-6a6277f6bff6463fa4780a9bee52af112022-12-21T17:16:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01123e017225310.1371/journal.pone.0172253Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis.Nuria Rosique-EstebanAndrés Díaz-LópezMiguel A Martínez-GonzálezDolores CorellaAlbert GodayJ Alfredo MartínezDora RomagueraJesus VioqueFernando ArósAntonio Garcia-RiosFrancisco TinahonesRamon EstruchJosé Carlos Fernández-GarcíaJosé LapetraLuís Serra-MajemXavier PintoJosep A TurAurora Bueno-CavanillasJosep VidalMiguel Delgado-RodríguezLidia DaimielClotilde VázquezMiguel Ángel RubioEmilio RosJordi Salas-SalvadóPREDIMED-PLUS investigatorsLimited data exists on the interrelationships between physical activity (PA), sedentary behaviors and sleep concerning cardiometabolic risk factors in aged adults at high cardiovascular disease risk. Our aim was to examine independent and joint associations between time spent in leisure-time PA, sedentary behaviors and sleep on the prevalence of obesity, type 2 diabetes (T2D) and components of the metabolic syndrome (MetS) in Mediterranean individuals at high cardiovascular risk. Cross-sectional analyses were performed on baseline data from 5776 Spanish adults (aged 55-75y in men; 60-75y in women) with overweight/obesity and MetS, from October 2013 to October 2016, in the PREDIMED-PLUS trial. Employing multivariable-adjusted Cox regression with robust variance and constant time (given the cross-sectional design), higher prevalence of obesity, T2D and abdominal obesity as component of the MetS were associated with greater time in TV-viewing (Relative Risk, RR: 1.02, 95%CI: 1.01, 1.03; RR:1.04, 95%CI: 1.02, 1.06 and RR: 1.01 95%CI: 1.00, 1.02; respectively, all P < .01). Conversely, greater time in moderate-vigorous PA (MVPA) was associated with lower prevalence of obesity, T2D, abdominal obesity and low HDL-cholesterol (RR: 0.95, 95%CI: 0.93, 0.97; RR: 0.94, 95%CI: 0.89, 0.99; RR: 0.97, 95%CI: 0.96, 0.98; and RR: 0.95, 95%CI: 0.91, 0.99, respectively, all P < .05). For these outcomes, theoretically substituting 1-h/day of MVPA for 1-h/day TV-viewing was also significantly associated with lower prevalence (RR 0.91 to 0.97, all P < .05). Similar lower RR in these outcomes was observed when substituting 1-h/day of MVPA for 1-h/day of sleeping. Longer time watching TV and not meeting MVPA recommendations were jointly associated with higher RR of the prevalence of obesity and T2D. We concluded that, in senior individuals at high cardiovascular risk, greater time spent on MVPA and fewer on sedentary behaviors was inversely associated with prevalence of obesity, T2D, and some of the components of MetS.http://europepmc.org/articles/PMC5342184?pdf=render |
spellingShingle | Nuria Rosique-Esteban Andrés Díaz-López Miguel A Martínez-González Dolores Corella Albert Goday J Alfredo Martínez Dora Romaguera Jesus Vioque Fernando Arós Antonio Garcia-Rios Francisco Tinahones Ramon Estruch José Carlos Fernández-García José Lapetra Luís Serra-Majem Xavier Pinto Josep A Tur Aurora Bueno-Cavanillas Josep Vidal Miguel Delgado-Rodríguez Lidia Daimiel Clotilde Vázquez Miguel Ángel Rubio Emilio Ros Jordi Salas-Salvadó PREDIMED-PLUS investigators Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis. PLoS ONE |
title | Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis. |
title_full | Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis. |
title_fullStr | Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis. |
title_full_unstemmed | Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis. |
title_short | Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis. |
title_sort | leisure time physical activity sedentary behaviors sleep and cardiometabolic risk factors at baseline in the predimed plus intervention trial a cross sectional analysis |
url | http://europepmc.org/articles/PMC5342184?pdf=render |
work_keys_str_mv | AT nuriarosiqueesteban leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT andresdiazlopez leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT miguelamartinezgonzalez leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT dolorescorella leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT albertgoday leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT jalfredomartinez leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT doraromaguera leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT jesusvioque leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT fernandoaros leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT antoniogarciarios leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT franciscotinahones leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT ramonestruch leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT josecarlosfernandezgarcia leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT joselapetra leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT luisserramajem leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT xavierpinto leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT josepatur leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT aurorabuenocavanillas leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT josepvidal leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT migueldelgadorodriguez leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT lidiadaimiel leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT clotildevazquez leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT miguelangelrubio leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT emilioros leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT jordisalassalvado leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis AT predimedplusinvestigators leisuretimephysicalactivitysedentarybehaviorssleepandcardiometabolicriskfactorsatbaselineinthepredimedplusinterventiontrialacrosssectionalanalysis |