Joint association between accelerometry-measured daily combination of time spent in physical activity, sedentary behaviour and sleep and all-cause mortality: a pooled analysis of six prospective cohorts using compositional analysis
Open accessAbstract
OBJECTIVE: To examine the joint associations of daily time spent in different intensities of physical activity, sedentary behaviour and sleep with all-cause mortality. METHODS: Federated pooled analysis of six prospective cohorts with device-measured time spent in different intensities of physical activity, sedentary behaviour and sleep following a standardised compositional Cox regression analysis. PARTICIPANTS: 130 239 people from general population samples of adults (average age 54 years) from the UK, USA and Sweden. MAIN OUTCOME: All-cause mortality (follow-up 4.3-14.5 years). RESULTS: =92.2%, Q-test p<0.001). There was no association between duration of sleep and all-cause mortality, HR=0.96 (95% CI 0.67 to 1.12). The proportion of time spent in moderate to vigorous physical activity was significantly associated with lower risk of all-cause mortality (HR=0.63 (95% CI 0.55 to 0.71) wrist; HR=0.93 (95% CI 0.87 to 0.98) hip). A significant association for the ratio of time spent in light physical activity and sedentary time was only found in hip accelerometer-based studies (HR=0.5, 95% CI 0.42 to 0.62). In studies based on hip accelerometer, the association between moderate to vigorous physical activity and mortality was modified by the balance of time spent in light physical activity and sedentary time. CONCLUSION: This federated analysis shows a joint dose-response association between the daily balance of time spent in physical activity of different intensities and sedentary behaviour with all-cause mortality, while sleep duration does not appear to be significant. The strongest association is with time spent in moderate to vigorous physical activity, but it is modified by the balance of time spent in light physical activity relative to sedentary behaviour.
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Time spent in physical activity and sleep is co-dependent.
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- Authors
- Chastin, S., McGregor, D., Palarea-Albaladejo, J., Diaz, K. M., Hagströmer, M., Hallal, P. C., van Hees, V. T., Hooker, S., Howard, V. J., Lee, I.-M., von Rosen, P., Sabia, S., Shiroma, E. J., Yerramalla, M. S., & Dall, P.
- Affiliations
- Glasgow Caledonian University (GB)
- Columbia University Irving Medical Center (US)
- Universidade Federal de Pelotas (BR)
- Arizona State University (US)
- University of Alabama (US)
- Brigham and Women's Hospital (US)
- National Institutes of Health (US)
- Inserm (FR)
- Corresponding author
- Chastin, Sebastien
- ORCID
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2021-05-18
- Volume
- 55
- Issue
- 22
- Pages
- 1277-1285
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- PMC
- PMC8543228
- OpenAlex
- W3160672451
- Cited by
- 162
- References
- 67
- Citations by year
- 2026: 29 · 2025: 31 · 2024: 28 · 2023: 40 · 2022: 29 · 2021: 5
- FWCI
- 16.02
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
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- Funders
- Coca-Cola Foundation
- Rural and Environment Science and Analytical Services Division
- Scottish Government
- Ministerio de Ciencia, Innovación y Universidades (RTI2018‐095518‐B‐C21, RTI2018)
- British Heart Foundation (R01AG034454, RG/16/11/32334, K013351, R024227, PG/11/63/29011, RG/13/2/30098)
- European Commission (2019-2021, R024227, R01AG034454)
- Health and Safety Executive
- Agence Nationale de la Recherche (ANR‐19, ANR-19-CE36-0004)
- Stockholms Läns Landsting
- National Institutes of Health (5r01ns061846-05, 5r01hl043851-10, S011676, R024227, (U01 NS041588, HL-043851, NS041588, CA182913)
- Medical Research Council (S011676, K013351, MR/S011676/1, R024227, MR/R024227/1, R01AG034454, R024227, S011676)
- Economic and Social Research Council (R01AG034454, ES/J023299/1, ES/ J023299, R01HL036310, J023299)
- National Institute on Aging (NS041588, R01AG034454, K013351, R01AG056477, R024227)
- National Heart, Lung, and Blood Institute (R01HL080467, HL043851, R01‐HL043851, HL099355, RC1HL099355, and HL099355, HL080467, K013351, CA182913, CA047988, R01HL036310)
- National Cancer Institute (UM1CA182913, R01CA154647, R01CA047988, U01CA182913)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK079626)
- National Institute of Neurological Disorders and Stroke (U01NS041588, NS 041588, R01-NS061846, R01NS041588)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- all-cause mortality, moderate-to-vigorous physical activity, sedentary behavior, light physical activity, sleep duration, accelerometry, compositional data analysis, federated analysis, dose-response relationship
- MeSH terms
- Adult, Humans, Middle Aged, Prospective Studies, Sleep, Exercise, Sedentary Behavior, Accelerometry
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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