Patterns of Sedentary Behavior in US Middle-Age and Older Adults: The REGARDS Study

DIAZ, KEITH M.; HOWARD, VIRGINIA J.; HUTTO, BRENT; COLABIANCHI, NATALIE; VENA, JOHN E.; BLAIR, STEVEN N.; HOOKER, STEVEN P.

doi:10.1249/mss.0000000000000792

Cited by 170Physical Activity and HealthContext-Aware Activity Recognition SystemsSleep and related disorders

Patterns of Sedentary Behavior in US Middle-Age and Older Adults: The REGARDS Study

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DIAZ, KEITH M., HOWARD, VIRGINIA J., HUTTO, BRENT, COLABIANCHI, NATALIE, VENA, JOHN E., BLAIR, STEVEN N., HOOKER, STEVEN P.·2016·Medicine & Science in Sports & Exercise

DOI 10.1249/mss.0000000000000792PMC PMC4760895

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Abstract

PURPOSE: The purposes of this study were to examine patterns of objectively measured sedentary behavior in a national cohort of US middle-age and older adults and to determine factors that influence prolonged sedentary behavior. METHODS: We studied 8096 participants from the REasons for Geographic and Racial Differences in Stroke (REGARDS) Study, a population-based study of black and white adults 45 yr or older. Seven-day accelerometry was conducted. Prolonged sedentary behavior was defined as accumulating 50% or more of total sedentary time in bouts of 30 min or greater. RESULTS: The number of sedentary bouts greater than or equal to 20, 30, 60, and 90 min were 8.8 ± 2.3, 5.5 ± 1.9, 1.9 ± 1.1, and 0.8 ± 0.7 bouts per day, respectively. Sedentary bouts greater than or equal to 20, 30, 60, and 90 min accounted for 60.0% ± 13.9%, 48.0% ± 15.5%, 26.0% ± 15.4%, and 14.2% ± 12.9% of total sedentary time, respectively. Several factors were associated with prolonged sedentary behavior in multivariate-adjusted models (odds ratio [95% confidence interval]): older age (65-74 yr: 1.99 [1.55-2.57]; 75 yr or older: 4.68 [3.61-6.07] vs 45-54 yr), male sex (1.41 [1.28-1.56] vs female), residence in nonstroke belt/buckle region of the United States (stroke belt: 0.87 [0.77-0.98]; stroke buckle: 0.86 [0.77-0.95] vs non-belt/buckle), body mass index (BMI) (overweight: 1.33 [1.18-1.51]; obese: 2.15 [1.89-2.44] vs normal weight), winter (1.18 [1.03-1.35] vs summer), and low amounts of moderate-to-vigorous physical activity (MVPA) [0 min·wk: 2.00 [1.66-2.40] vs ≥150 min·wk). CONCLUSIONS: In this sample of US middle-age and older adults, a large proportion of total sedentary time was accumulated in prolonged, uninterrupted bouts of sedentary behavior as almost one-half was accumulated in sedentary bouts greater than or equal to 30 min. Several sociodemographic (age, sex, and BMI), behavioral (MVPA), environmental (region), and seasonal factors are associated with patterns of prolonged sedentary behavior.

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Prolonged, uninterrupted sitting is more strongly associated with adverse cardiometabolic outcomes than interrupted sitting.
“Prolonged, uninterrupted sitting is more strongly associated with adverse cardiometabolic outcomes than interrupted sitting [40,41].”
From Feasibility and Preliminary Efficacy of a “Sit Less” Program Leveraging Fitbit Tracking and Tailored Text Messages in Cardiometabolic Disease: Findings From 2 Parallel Randomized Controlled Trials in Coronary Artery Disease and Type 2 Diabetes (2026) · cites this paper as [40]

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Temporal physical activity patterns are associated with obesity in U.S. adults
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Comparing the Effects of Two Cardiovascular Health Factors on Working Memory Capacity in Healthy Aging: Separate and Combined Effects of Arterial Elasticity and Physical Fitness
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Sex and age as predictors of health-related quality of life change in Phase II cardiac rehabilitation
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A supervised exercise intervention fails to improve depressive symptoms and quality of life among sedentary older adults with HIV infection
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Pattern Analysis of Sedentary Behavior Change after a Walking Intervention
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SEDENTARY BEHAVIOR AND NUTRITIONAL STATUS AMONG OLDER ADULTS: A META-ANALYSIS
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Weight‐Loss Outcomes from a Pilot Study of African Dance in Older African Americans
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Patterns of Sedentary Behavior in US Middle-Age and Older Adults: The REGARDS Study
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Patterns of sedentary behavior in adults: A cross-sectional study
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Latest Clinical Research Published by ACSM
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Midlife Determinants Associated with Sedentary Behavior in Old Age
van der Berg, J. D., Bosma, H., Caserotti, P., Eiríksdóttir, G., Arnardóttir, N. Ý., Martin, K. R., Brychta, R. J., Chen, K. Y., Sveinsson, Þ., Jóhannsson, E., et al. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000246 · Cited by 46 · see citing works

Authors: DIAZ, K. M., HOWARD, V. J., HUTTO, B., COLABIANCHI, N., VENA, J. E., BLAIR, S. N., & HOOKER, S. P.
Affiliations: Medical University of South Carolina (US)
ORCID: DIAZ, KEITH M.
HOWARD, VIRGINIA J.
HUTTO, BRENT
COLABIANCHI, NATALIE
VENA, JOHN E.
BLAIR, STEVEN N.
HOOKER, STEVEN P.
Venue: Medicine & Science in Sports & Exercise
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-03
Volume: 48
Issue: 3
Pages: 430-438
ISSN: 0195-9131 (ISSN-L)
DOI: 10.1249/mss.0000000000000792
PMC: PMC4760895
OpenAlex: W2224599802
Cited by: 170
References: 39
Citations by year: 2026: 8 · 2025: 13 · 2024: 13 · 2023: 11 · 2022: 17 · 2021: 27 · 2020: 30 · 2019: 14 · 2018: 22 · 2017: 13 · 2016: 2
FWCI: 9.08
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Medicine & Science in Sports & Exercise (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r01ns061846-05)
National Heart, Lung, and Blood Institute (R01HL116470)
National Institute of Neurological Disorders and Stroke (U01NS041588, R01-NS061846)
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: sedentary behavior, sedentary bouts, middle-aged and older adults, REGARDS study, stroke belt, body mass index, obesity, moderate-to-vigorous physical activity, seasonal variation, sex differences, age differences, accelerometer-measured sedentary time, Black and White adults
MeSH terms: Aged, Black or African American, Female, Geography, Humans, Male, Middle Aged, Prospective Studies, Seasons, Time Factors, United States, Exercise, Body Mass Index, Multivariate Analysis, White People, Sedentary Behavior, Accelerometry

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Patterns of Sedentary Behavior in US Middle-Age and Older Adults: The REGARDS Study

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