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Sedentary behaviour and risk of mortality from all-causes and cardiometabolic diseases in adults: evidence from the HUNT3 population cohort

Open access
Chau, Josephine Y, Grunseit, Anne, Midthjell, Kristian, Holmen, Jostein, Holmen, Turid Lingaas, Bauman, Adrian E, Van der Ploeg, Hidde P·2015·British Journal of Sports Medicine
DOI 10.1136/bjsports-2012-091974
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Abstract

Background: Sedentary behaviour is a potential risk factor for chronic-ill health and mortality, that is, independent of health-enhancing physical activity. Few studies have investigated the risk of mortality associated with multiple contexts of sedentary behaviour. Objective: To examine the prospective associations of total sitting time, TV-viewing time and occupational sitting with mortality from all causes and cardiometabolic diseases. Methods: Data from 50 817 adults aged ≥20 years from the Nord-Trøndelag Health Study 3 (HUNT3) in 2006–2008 were linked to the Norwegian Cause of Death Registry up to 31 December 2010. Cox proportional hazards models examined all-cause and cardiometabolic disease-related mortality associated with total sitting time, TV-viewing and occupational sitting, adjusting for multiple potential confounders including physical activity. Results: After mean follow-up of 3.3 years (137 315.8 person-years), 1068 deaths were recorded of which 388 were related to cardiometabolic diseases. HRs for all-cause mortality associated with total sitting time were 1.12 (95% CI 0.89 to 1.42), 1.18 (95% CI 0.90 to 1.57) and 1.65 (95% CI 1.24 to 2.21) for total sitting time 4−<7, 7−<10 and ≥10 h/day, respectively, relative to <4 h/day after adjusting for confounders (p-trend=0.001). A similar pattern of associations was observed between total sitting time and mortality from cardiometabolic diseases, but TV-viewing time and occupational sitting showed no or borderline significant associations with all-cause or cardiometabolic disease-related mortality over the same follow-up period. Conclusions: Total sitting time is associated with all-cause and cardiometabolic disease-related mortality in the short term. However, prolonged sitting in specific contexts (ie, watching TV, at work) do not adversely impact health in the same timeframe. These findings suggest that adults should be encouraged to sit less throughout the day to reduce their daily total sitting time.

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Crossref · 10.1136/bjsports-2012-091974

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35 of 35 references verified0 citation errors · 0 not checkable

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  • Fifty-six percent of older adults report watching over 2 h of TV per day.

    “Fifty six percent of the older population report watching over 2 h of TV per day, 54.2% report over 3 h and 15.1% report over 4 h.”

    From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [24]

  • The meta-prevalence of sitting was obtained for a total population of 372,550 compiled from seven surveys covering six countries (Australia, Canada, Norway, Spain, UK and USA).

    “These results were obtained for a total population of 372,550 compiled from seven surveys covering six countries (Australia, Canada, Norway, Spain, UK and USA) [3,17,18,24,25,27,33].”

    From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [24]

  • 54.2% of older adults report watching over 3 h of TV per day.

    “Fifty six percent of the older population report watching over 2 h of TV per day, 54.2% report over 3 h and 15.1% report over 4 h.”

    From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [24]

  • 15.1% of older adults report watching over 4 h of TV per day.

    “Fifty six percent of the older population report watching over 2 h of TV per day, 54.2% report over 3 h and 15.1% report over 4 h.”

    From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [24]

  • There is an association between sitting time and negative health outcomes, such as increased risk of cardiovascular disease and all causes of mortality.

    “There has been shown to be an association between sitting time and negative health outcomes, such as increased risk of cardiovascular disease and all causes of mortality [14,24,27,33].”

    From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [24]

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Authors
Chau, J. Y., Grunseit, A., Midthjell, K., Holmen, J., Holmen, T. L., Bauman, A. E., & Van der Ploeg, H. P.
Affiliations
  • The University of Sydney (AU)
  • Norwegian University of Science and Technology (NO)
  • Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, Australia
Corresponding author
Chau, Josephine Y
ORCID
Venue
British Journal of Sports Medicine
Publisher
BMJ
Published
2013-05-10
Volume
49
Issue
11
Pages
737-742
ISSN
  • 0306-3674 (ISSN-L)
  • 1473-0480
DOI
10.1136/bjsports-2012-091974
OpenAlex
W2100343763
Cited by
173
References
36
Citations by year
2026: 3 · 2025: 10 · 2024: 14 · 2023: 10 · 2022: 21 · 2021: 18 · 2020: 7 · 2019: 15 · 2018: 15 · 2017: 18 · 2016: 15 · 2015: 15 · 2014: 7 · 2013: 4
FWCI
9.49
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • British Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • VU Research Portal (publishedVersion)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Funders
  • Norges Teknisk-Naturvitenskapelige Universitet
  • Medical Research Council
  • National Health and Medical Research Council (569940)
  • Norwegian Institute of Public Health
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Social Psychology › Ergonomics and Musculoskeletal Disorders
  • Health Sciences › Medicine › Pharmacology › Coffee research and impacts
Keywords
sedentary behavior, sitting time, all-cause mortality, television viewing, occupational sitting, physical activity, causes of death
MeSH terms
Adult, Aged, Cardiovascular Diseases, Cause of Death, Female, Humans, Leisure Activities, Male, Metabolic Diseases, Middle Aged, Norway, Prospective Studies, Risk Factors, Occupational Health, Age Distribution, Sex Distribution, Young Adult, Sedentary Behavior

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