Sleep, sedentary behavior, physical activity, and cardiovascular health: MESA
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INTRODUCTION: Sleep, sedentary behavior, and physical activity are each independently associated with cardiovascular health (CVH). It is unknown how substituting time in sedentary behavior with sleep or physical activity affects overall CVH. METHODS: Data for this analysis were taken from the Multi-Ethnic Study on Atherosclerosis Sleep Ancillary Study. Eligible participants (N = 1718) wore Actiwatch accelerometers for 24 h and had at least 3 d of valid accelerometry. The American Heart Association's Life's Simple 7 was used to represent the CVH score after excluding the physical activity component, with higher scores indicating more favorable CVH. Isotemporal substitution modeling was conducted to examine the effect of substituting 30 min of sedentary time for an equivalent amount of sleep, light-intensity physical activity (LIPA), or moderate to vigorous physical activity (MVPA). RESULTS: Substituting 30 min of sedentary time to sleep, LIPA, and MVPA was associated with a significantly higher CVH score [β (95% confidence interval) = 0.077 (0.056), 0.039 (0.033), and 0.485 (0.127), respectively]. Substituting 30 min of sedentary time to sleep was associated with lower body mass index (BMI). Substituting 30 min of sedentary time to LIPA was associated with higher diastolic blood pressure and total cholesterol, and lower BMI. Substituting 30 min of sedentary time to MVPA was associated with lower systolic and diastolic blood pressure, and lower BMI. CONCLUSIONS: Sleep, LIPA, and MVPA are all associated with more favorable overall CVH and several key risk factors for cardiovascular disease. These findings underscore the importance of lifestyle modifications in improving CVH.
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HDL cholesterol and diastolic BP were independently predicted by SED-time only.
“it is difficult to explain the findings that HDL cholesterol and diastolic BP were independently predicted by SED-time only, though they are in keeping with previous observations (30,40).”
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- Authors
- GERMAN, C., MAKAREM, N., FANNING, J., REDLINE, S., ELFASSY, T., MCCLAIN, A., ABDALLA, M., AGGARWAL, B., ALLEN, N., & CARNETHON, M.
- Affiliations
- Wake Forest University Health Sciences (US)
- Columbia University Irving Medical Center (US)
- Brigham and Women's Hospital (US)
- University of Miami (US)
- San Diego State University (US)
- Northwestern University (US)
- ORCID
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2020-10-12
- Volume
- 53
- Issue
- 4
- Pages
- 724-731
- ISSN
- 0195-9131 (ISSN-L)
- 1530-0315
- PMC
- PMC7969364
- OpenAlex
- W3091853062
- Cited by
- 58
- References
- 46
- Citations by year
- 2026: 10 · 2025: 16 · 2024: 13 · 2023: 7 · 2022: 9 · 2021: 3
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (n01hc95164-17-0-1, UL1TR001420, n01hc95165-34-0-1, n01hc95161-24-0-1, n01hc095169-003, n01hc95166-21-0-1, n01hc95162-31-0-1, n01hc95168-27-0-1, n01hc95160-18-0-1, n01hc095167-000, UL1TR001079, n01hc95163-22-0-1, n01hc95159-40-0-1, UL1TR000040)
- National Heart, Lung, and Blood Institute (N01-HC095169, R01HL098433, N01-HC-095165, N01 HC095163, R00HL148511, P50HL056984, R35HL135818, N01-HC-095159, N01 HC095168, N01-HC-095162, N01-HC-095161, K23HL141682, HHSN268201500003C, HHSN26820150 0003I, K99HL148511, N01 HC095167, N01-HC-095160, N01 HC095166, N01 HC095164)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep, sedentary behavior, physical activity, cardiovascular health, isotemporal substitution, light physical activity, moderate-to-vigorous physical activity, Life's Essential 8, blood pressure, cholesterol, body mass index, cardiovascular risk factors, lifestyle modification
- MeSH terms
- Aged, Aged, 80 and over, Blood Pressure, Cardiovascular Diseases, Cardiovascular System, Cardiovascular Physiological Phenomena, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Sleep, Time Factors, Exercise, Body Mass Index, Prevalence, Sedentary Behavior, Accelerometry
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