Sedentary behaviour and life expectancy in the USA: a cause-deleted life table analysis
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OBJECTIVES: To determine the impact of sitting and television viewing on life expectancy in the USA. DESIGN: Prevalence-based cause-deleted life table analysis. SETTING: Summary RRs of all-cause mortality associated with sitting and television viewing were obtained from a meta-analysis of available prospective cohort studies. Prevalences of sitting and television viewing were obtained from the US National Health and Nutrition Examination Survey. PRIMARY OUTCOME MEASURE: Life expectancy at birth. RESULTS: The estimated gains in life expectancy in the US population were 2.00 years for reducing excessive sitting to <3 h/day and a gain of 1.38 years from reducing excessive television viewing to <2 h/day. The lower and upper limits from a sensitivity analysis that involved simultaneously varying the estimates of RR (using the upper and lower bounds of the 95% CI) and the prevalence of television viewing (±20%) were 1.39 and 2.69 years for sitting and 0.48 and 2.51 years for television viewing, respectively. CONCLUSION: Reducing sedentary behaviours such as sitting and television viewing may have the potential to increase life expectancy in the USA.
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Katzmarzyk and Lee reported an 18%-45% increase in risk of all-cause mortality for higher levels of sitting, relative to the lowest level.
“In another study, Katzmarzyk and Lee [15] reported an 18%-45% increase in risk of all-cause mortality for higher levels of sitting, relative to the lowest level.”
From Daily Sitting Time and All-Cause Mortality: A Meta-Analysis (2013) · cites this paper as [15]
The main limitation is the small number of studies included, though greater than some previous meta-analyses.
“The main limitation of this meta-analysis is the small number of studies included, although this was greater than in some previous meta-analyses[13,15].”
From Daily Sitting Time and All-Cause Mortality: A Meta-Analysis (2013) · cites this paper as [15]
Other meta-analyses have reported pooled HRs of 1.18-1.45 and 1.49 for highest versus lowest sitting/sedentary time.
“Other meta-analyses have shown pooled HRs of 1.18-1.45 [15] and 1.49 [18] for the group with the highest level of sitting or sedentary time compared with the lowest group, respectively.”
From Daily Sitting Time and All-Cause Mortality: A Meta-Analysis (2013) · cites this paper as [15]
Prior meta-analyses combined different measures of sedentary behavior and did not examine dose-response relationships for daily total sitting time.
“However, both studies combined different measures of sedentary behavior (TV-viewing mostly, and sitting time) in their analyses, and neither study examined dose-response relationships for daily total sitting time.”
From Daily Sitting Time and All-Cause Mortality: A Meta-Analysis (2013) · cites this paper as [15]
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- Authors
- Katzmarzyk, P. T., & Lee, I.-M.
- Affiliations
- Pennington Biomedical Research Center (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Katzmarzyk, Peter T
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2012
- Volume
- 2
- Issue
- 4
- Pages
- e000828
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC3400064
- OpenAlex
- W2172123562
- Cited by
- 218
- References
- 29
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 16 · 2023: 12 · 2022: 12 · 2021: 12 · 2020: 11 · 2019: 17 · 2018: 20 · 2017: 17 · 2016: 15 · 2015: 24 · 2014: 19 · 2013: 28 · 2012: 5
- FWCI
- 16.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- sedentary behavior, sitting time, television viewing, life expectancy, all-cause mortality
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.
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