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

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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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Additional file 1 of Sedentary behavior patterns and adiposity in children: a study based on compositional data analysis
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Additional file 3 of Sedentary behavior patterns and adiposity in children: a study based on compositional data analysis
Gába, A., Pedišić, Ž., Štefelová, N., Dygrýn, J., Hron, K., Dumuid, D., & Tremblay, M. (2020) · Figshare · doi:10.6084/m9.figshare.12072528
Additional file 2 of Sedentary behavior patterns and adiposity in children: a study based on compositional data analysis
Gába, A., Pedišić, Ž., Štefelová, N., Dygrýn, J., Hron, K., Dumuid, D., & Tremblay, M. (2020) · Figshare · doi:10.6084/m9.figshare.12072519
Additional file 1 of Seasons, weather, and device-measured movement behaviors: a scoping review from 2006 to 2020
Turrisi, T. B., Bittel, K. M., West, A. B., Hojjatinia, S., Hojjatinia, S., Mama, S. K., Lagoa, C. M., & Conroy, D. E. (2021) · Figshare · doi:10.6084/m9.figshare.13719361
Additional file 1 of Associations between physical function and device-based measures of physical activity and sedentary behavior patterns in older adults: moving beyond moderate-to-vigorous intensity physical activity
Walker, R. L., Greenwood-Hickman, M. A., Bellettiere, J., LaCroix, A. Z., Wing, D., Higgins, M., Richmire, K., Larson, E. B., Crane, P. K., & Rosenberg, D. E. (2021) · Figshare · doi:10.6084/m9.figshare.14355469
Additional file 4 of Sedentary behavior patterns and adiposity in children: a study based on compositional data analysis
Gába, A., Pedišić, Ž., Štefelová, N., Dygrýn, J., Hron, K., Dumuid, D., & Tremblay, M. (2020) · Figshare · doi:10.6084/m9.figshare.12072534
The relationship of physical activity and sedentary behavior patterns with osteoporosis in older women: a dose–response analysis
Li, X., & Li, B. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1717573
The law of the least effort : identifying and manipulating automatic self-control processes in the context of physical activity
Maltagliati, S. (2023) · theses.fr (ABES) · doi:10.70675/2e7a13c2z063ez4692zaa46zf971d3a8e0a4
The relationship between clinical characteristics, sociodemographic factors and sedentary behavior in adults with chronic conditions: a cross-sectional study from the Lolland-Falster Health Study
Jørgensen, L. B., Mortensen, S. R., Tang, L. H., Harrison, A. S., Grøntved, A., Brønd, J. C., Jepsen, R., Petersen, T. L., & Skou, S. T. (2026) · European Review of Aging and Physical Activity · doi:10.1186/s11556-026-00407-z
Rural–Urban Differences in Accelerometer-Measured Physical Activity Among US Adults: Findings From the REGARDS Study
Hankes, M. J., Dooley, E. E., Howard, V. J., Clarkson, S. A., Singh, H., Dodds, F. T., Tharpe, M. A., Jago, S. S., Bagley, T., Judd, S. E., et al. (2026) · Journal of Physical Activity and Health · doi:10.1123/jpah.2026-0046
Self-citation
Exploring the Role of Physical Effort in the Rewarding Value of Sedentary Behavior
Maltagliati, S., ten Broeke, P., Sarrazin, P., Rhodes, R. E., Bijleveld, E., Dunton, G. F., Bonnet, C., Gardner, B., Raichlen, D. A., Miller, M. W., et al. (2026) · Peer Community Journal · doi:10.24072/pcjournal.820

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 › Public Health, Environmental and Occupational Health › 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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