Cited by 218Physical Activity and HealthInsurance, Mortality, Demography, Risk ManagementHealth disparities and outcomes

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Sedentary behaviour and life expectancy in the USA: a cause-deleted life table analysis

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Katzmarzyk, Peter T, Lee, I-Min·2012·BMJ Open

DOI 10.1136/bmjopen-2012-000828PMC PMC3400064

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Abstract

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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Figure 1 Risk of all-cause mortality associated with sitting. Level 3 corresponds to ¾/all of the time for Katzmarzyk et al15 and ≥6 h for Patel et al.16 Level 2 corresponds to ½ of the time for Katzmarzyk et al15 and 3–5 h for Patel et al.16 Level 1 corresponds to none/¼ of the time for Katzmarzyk et al15 and <3 h for Patel et al.16CC BY-NC · PubMed Central

Figure 2 Risk of all-cause mortality associated with television viewing. Level 3 corresponds to ≥4 h for Dunstan et al17 and Stamatakis et al18 and >3.6 h for Wijndaele et al.19 Level 2 corresponds to 2–3.9 h for Dunstan et al17 and Stamatakis et al18 and 2.5–3.6 h for Wijndaele et al.19 Level 1 corresponds to <2 h for Dunstan et al17 and Stamatakis et al18 and <2.4 h for Wijndaele et al.19CC BY-NC · PubMed Central

Figure 3 Prevalences of (A) sitting and (B) television viewing in the US National Health and Nutrition Examination Survey (NHANES). *Adjusted prevalences of sitting and television viewing using the weighted average case:source prevalence ratio obtained from cohort studies of sedentary behaviour and all-cause mortality.CC BY-NC · PubMed Central

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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
ORCID: Katzmarzyk, Peter T
Lee, I-Min
Venue: BMJ Open
Publisher: BMJ
Published: 2012
Volume: 2
Issue: 4
Pages: e000828
ISSN: 2044-6055 (ISSN-L)
DOI: 10.1136/bmjopen-2012-000828
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 › Public Health, Environmental and Occupational Health › 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

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Sedentary behaviour and life expectancy in the USA: a cause-deleted life table analysis

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