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Associations of sitting accumulation patterns with cardio-metabolic risk biomarkers in Australian adults
Open accessAbstract
BACKGROUND: High amounts of time spent sitting can increase cardiovascular disease risk and are deleteriously associated cardio-metabolic risk biomarkers. Though evidence suggests that accruing sitting time in prolonged periods may convey additional risk, verification using high-quality measures is needed. We examined this issue in adults from the Australian Diabetes, Obesity and Lifestyle Study, using accurate measures of sitting accumulation. METHODS: In 2011/12, 739 adults aged 36 to 89 years (mean±SD 58±10 years) wore activPAL3™ monitors (which provide accurate objective measures of sitting); 678 provided ≥4 valid days of monitor data and complete cardio-metabolic biomarker and confounder data. Multivariable linear regression models examined associations of sitting time, sitting time accrued in ≥30 minute bouts (prolonged sitting time), and three measures of sitting accumulation patterns with cardio-metabolic risk markers: body mass index (BMI), waist circumference, blood pressure, high- and low- density lipoprotein (HDL and LDL) cholesterol, triglycerides, glycated haemoglobin (HbA1c), fasting plasma glucose (FPG) and 2-hour post-load glucose (PLG). Interactions tests examined whether associations of sitting time with biomarkers varied by usual sitting bout duration. RESULTS: Adjusted for potential confounders, greater amounts of sitting time and prolonged sitting time were significantly (p<0.05) deleteriously associated with BMI, waist circumference, HDL cholesterol, and triglycerides. Total sitting time was also significantly associated with higher PLG. Sitting accumulation patterns of frequently interrupted sitting (compared to patterns with relatively more prolonged sitting) were significantly beneficially associated with BMI, waist circumference, HDL cholesterol, triglycerides, PLG, and with FPG. Effect sizes were typically larger for accumulation patterns than for sitting time. Significant interactions (p<0.05) showed that associations of sitting time with HDL, triglycerides and PLG became more deleterious the longer at a time sitting was usually accumulated. CONCLUSIONS: Adding to previous evidence reliant on low-quality measures, our study showed that accumulating sitting in patterns where sitting was most frequently interrupted had significant beneficial associations with several cardio-metabolic biomarkers and that sitting for prolonged periods at a time may exacerbate some of the effects of sitting time. The findings support sedentary behavior guidelines that promote reducing and regularly interrupting sitting.
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“Prolonged, uninterrupted sitting is more strongly associated with adverse cardiometabolic outcomes than interrupted sitting [40,41].”
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BackgroundMeta‐analysis of the relationship between breaks in sedentary behavior and cardiometabolic health
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ResultSensitivity to Change of Objectively-Derived Measures of Sedentary Behavior
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Self-citationInterrupting prolonged sitting reduces resting blood pressure in adults with type 2 diabetes
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Self-citation
Flagged first, then by citations
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Loh, R., Stamatakis, E., Folkerts, D., Allgrove, J. E., & Moir, H. J. (2020) · Sports Medicine · doi:10.1007/s40279-019-01183-w · Cited by 326
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Self-citationSitting Less and Moving More: Implications for Hypertension
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Self-citationSedentary Behavior and Chronic Disease: Mechanisms and Future Directions
Dempsey, P. C., Matthews, C. E., Dashti, S. G., Doherty, A., Bergouignan, A., van Roekel, E. H., Dunstan, D. W., Wareham, N. J., Yates, T. E., Wijndaele, K., et al. (2019) · Journal of Physical Activity and Health · doi:10.1123/jpah.2019-0377 · Cited by 150
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Metadata
- Authors
- Bellettiere, J., Winkler, E. A. H., Chastin, S. F. M., Kerr, J., Owen, N., Dunstan, D. W., & Healy, G. N.
- Affiliations
- San Diego State University (US)
- The University of Queensland (AU)
- Glasgow Caledonian University (GB)
- University of California San Diego (US)
- Baker Heart and Diabetes Institute (AU)
- Corresponding author
- Bellettiere, John
- Winkler, Elisabeth A. H.
- Chastin, Sebastien F. M.
- Kerr, Jacqueline
- Owen, Neville
- Dunstan, David W.
- Healy, Genevieve N.
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2017-06-29
- Volume
- 12
- Issue
- 6
- Pages
- e0180119
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5491133
- OpenAlex
- W2729779756
- Cited by
- 169
- References
- 45
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 14 · 2023: 13 · 2022: 19 · 2021: 38 · 2020: 22 · 2019: 29 · 2018: 18 · 2017: 3
- FWCI
- 14.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UniSA Research Outputs Repository (University of South Australia) (acceptedVersion, other-oa)
- ResearchOnline (Glasgow Caledonian University) (acceptedVersion, cc-by)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Research Bank (Australian Catholic University) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion, cc-by)
- Swinburne figshare (Swinburne University of Technology) (cc-by)
- Funders
- National Health and Medical Research Council (566940, 1000986, 1003960, 1078360, 108029, 233200)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Social Sciences › Human Factors and Ergonomics › Ergonomics and Musculoskeletal Disorders
- Keywords
- sedentary behavior, prolonged sitting, body mass index, waist circumference, HDL cholesterol, triglycerides, HbA1c, post-load glucose, blood pressure, Australian adults
- MeSH terms
- Adult, Aged, Aged, 80 and over, Australia, Cardiovascular Diseases, Female, Humans, Male, Middle Aged, Posture, Biomarkers, Young Adult, Sedentary Behavior
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