Associations of nonoccupational sedentary behaviors with cardiometabolic outcomes

Coronary artery risk development in young adults (Cardia)

Bibliographic Data

ID7146749
AuthorsGabriel Zieff (0000-0002-4043-2911, University of North Carolina at Chapel Hill), Michael P Bancks (0000-0003-3694-6060, Department of Epidemiology and Prevention, Wake Forest University School of Medicine , Winston-Salem, NC 27101), Kelley Pettee Gabriel (0000-0003-4986-7927, University of Alabama at Birmingham), Bethany Barone Gibbs (0000-0002-0732-6148, Department of Epidemiology and Biostatistics, West Virginia University School of Public Health , Morgantown, WV 26505-9190), Justin B Moore (0000-0003-4059-0538, Department of Epidemiology and Prevention, Wake Forest University School of Medicine , Winston-Salem, NC 27101), Jared P Reis (0000-0003-4264-0113, Epidemiology Branch, National Heart, Lung, and Blood Institute , Bethesda, MD 20817), Keeron Stone (0000-0001-6572-7874, Cardiff Metropolitan University), Lynn Stoner (0000-0002-0682-2270, University of North Carolina at Chapel Hill), Lee Stoner (University of North Carolina at Chapel Hill)
Year2025
Volume59
Issue1
Publication date2025-01-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAnnals of Behavioral Medicine (JOURNAL)
Journal identifiersISSN: 0883-6612 • E-ISSN: 1532-4796
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/abm/kaae074
PMID39671511
OpenAlexW4405395151
LanguageEN
References cited80

BACKGROUND: The association between sedentary behavior (SB) and cardiometabolic risk may differ by SB domain and context. Nonoccupational SB is particularly important because it is discretionary and more amenable to change. This study estimated associations of nonoccupational SB contexts with hypertension (HTN) and diabetes mellitus (DM). METHODS: A total of 3370 middle-aged adults (50.1 ± 3.6 years; 56% F) from the Coronary Artery Risk Development in Young Adults (CARDIA) study were included. Cross-sectional and 5-year prospective associations between self-report total SB and 6 context-specific SBs (television-TV, computer, transportation, phone, music, and paperwork) with HTN and DM were tested using logistic regression. Fully adjusted models controlled for sociodemographic variables, body mass index, and self-report moderate-vigorous intensity physical activity. RESULTS: Prevalences of HTN and DM at baseline were 48% (1618 cases) and 10% (320 cases), respectively. Each hour per day of total-SB was cross-sectionally associated with HTN (OR: 1.03, 95% CI, 1.01-1.05) but not DM, with nonsignificant prospective associations for HTN and DM. Of the context-specific SBs, only TV-SB was significantly associated with HTN or DM. Each hour of TV-SB was cross-sectionally associated with HTN (OR: 1.09, 95% CI, 1.03-1.15) and DM (OR: 1.18, 95% CI, 1.09-1.29), and prospectively with HTN (OR: 1.14, 95% CI, 1.04-1.26) but not DM. CONCLUSION: When comparing total-SB and the 6 context-specific SBs, TV-SB was most robustly associated with HTN. The findings were less clear for DM. Behavior change strategies that target TV-SB reduction may be effective at reducing HTN risk in middle-aged adults.

Body mass index · Context (archaeology) · Cross-sectional study · Diabetes mellitus · Logistic regression · Prospective cohort study · Demography · Endocrinology · Health Promotion and Cardiovascular Prevention · Internal Medicine · Medicine · Obesity, Physical Activity, Diet · Physical Activity and Health

Tools

Open DOIOpen Access