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

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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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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: Chau, Josephine Y
Grunseit, Anne
Holmen, Jostein
Bauman, Adrian E
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: green
pure.amsterdamumc.nl
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 › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Human Factors and Ergonomics › Ergonomics and Musculoskeletal Disorders
Health Sciences › Medicine › Pharmacology (medical) › 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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Sedentary behaviour and risk of mortality from all-causes and cardiometabolic diseases in adults: evidence from the HUNT3 population cohort

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