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Combined effect of physical activity and leisure time sitting on long-term risk of incident obesity and metabolic risk factor clustering

Aims/hypothesis Our study aimed to investigate the combined effects of moderate-to-vigorous physical activity and leisure time sitting on the long-term risk of obesity and clustering of metabolic risk factors. Methods The duration of moderate and vigorous physical activity and of leisure time sittin... Full description

Journal Title: Diabetologia 2014, Vol.57 (10), p.2048-2056
Main Author: Bell, Joshua A
Other Authors: Hamer, Mark , Batty, G. David , Singh-Manoux, Archana , Sabia, Séverine , Kivimaki, Mika
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
ID: ISSN: 0012-186X
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4153972
title: Combined effect of physical activity and leisure time sitting on long-term risk of incident obesity and metabolic risk factor clustering
format: Article
creator:
  • Bell, Joshua A
  • Hamer, Mark
  • Batty, G. David
  • Singh-Manoux, Archana
  • Sabia, Séverine
  • Kivimaki, Mika
subjects:
  • Article
  • Biological and medical sciences
  • Diabetes
  • Diabetes. Impaired glucose tolerance
  • Endocrine pancreas. Apud cells (diseases)
  • Endocrinology
  • Endocrinopathies
  • Epidemiology
  • Etiopathogenesis. Screening. Investigations. Target tissue resistance
  • Exercise
  • Exercise - physiology
  • Female
  • Health
  • Human Physiology
  • Humans
  • Hyperglycemia
  • Hypertension
  • Insulin resistance
  • Internal Medicine
  • Leisure Activities
  • Life Sciences
  • Logistic Models
  • Male
  • Medical sciences
  • Medicine
  • Medicine & Public Health
  • Metabolic Diseases
  • Metabolic syndrome
  • Metabolism
  • Middle Aged
  • Miscellaneous
  • Obesity
  • Obesity - epidemiology
  • Other metabolic disorders
  • Risk Factors
  • Santé publique et épidémiologie
  • Sedentary Behavior
  • Surveys and Questionnaires
  • Triglycerides
  • Weight regulation
ispartof: Diabetologia, 2014, Vol.57 (10), p.2048-2056
description: Aims/hypothesis Our study aimed to investigate the combined effects of moderate-to-vigorous physical activity and leisure time sitting on the long-term risk of obesity and clustering of metabolic risk factors. Methods The duration of moderate and vigorous physical activity and of leisure time sitting was assessed by questionnaire between 1997 and 1999 among 3,670 participants from the Whitehall II cohort study (73% male; mean age 56 years). Multivariable-adjusted logistic regression models examined associations of physical activity and leisure time sitting tertiles with odds of incident obesity (BMI ≥ 30 kg/m 2 ) and incident metabolic risk factor clustering (two or more of the following: low HDL-cholesterol, high triacylglycerol, hypertension, hyperglycaemia, insulin resistance) at 5 and 10 year follow-ups. Results Physical activity, but not leisure time sitting, was associated with incident obesity. The lowest odds of incident obesity after 5 years were observed for individuals reporting both high physical activity and low leisure time sitting (OR = 0.26; 95% CI 0.11, 0.64), with weaker effects after 10 years. Compared with individuals in the low physical activity/high leisure time sitting group, those with intermediate levels of both physical activity and leisure time sitting had lower odds of incident metabolic risk factor clustering after 5 years (OR 0.53; 95% CI 0.36, 0.78), with similar odds after 10 years. Conclusions/interpretation Both high levels of physical activity and low levels of leisure time sitting may be required to substantially reduce the risk of obesity. Associations with developing metabolic risk factor clustering were less clear.
language: eng
source:
identifier: ISSN: 0012-186X
fulltext: no_fulltext
issn:
  • 0012-186X
  • 1432-0428
url: Link


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titleCombined effect of physical activity and leisure time sitting on long-term risk of incident obesity and metabolic risk factor clustering
creatorBell, Joshua A ; Hamer, Mark ; Batty, G. David ; Singh-Manoux, Archana ; Sabia, Séverine ; Kivimaki, Mika
creatorcontribBell, Joshua A ; Hamer, Mark ; Batty, G. David ; Singh-Manoux, Archana ; Sabia, Séverine ; Kivimaki, Mika
descriptionAims/hypothesis Our study aimed to investigate the combined effects of moderate-to-vigorous physical activity and leisure time sitting on the long-term risk of obesity and clustering of metabolic risk factors. Methods The duration of moderate and vigorous physical activity and of leisure time sitting was assessed by questionnaire between 1997 and 1999 among 3,670 participants from the Whitehall II cohort study (73% male; mean age 56 years). Multivariable-adjusted logistic regression models examined associations of physical activity and leisure time sitting tertiles with odds of incident obesity (BMI ≥ 30 kg/m 2 ) and incident metabolic risk factor clustering (two or more of the following: low HDL-cholesterol, high triacylglycerol, hypertension, hyperglycaemia, insulin resistance) at 5 and 10 year follow-ups. Results Physical activity, but not leisure time sitting, was associated with incident obesity. The lowest odds of incident obesity after 5 years were observed for individuals reporting both high physical activity and low leisure time sitting (OR = 0.26; 95% CI 0.11, 0.64), with weaker effects after 10 years. Compared with individuals in the low physical activity/high leisure time sitting group, those with intermediate levels of both physical activity and leisure time sitting had lower odds of incident metabolic risk factor clustering after 5 years (OR 0.53; 95% CI 0.36, 0.78), with similar odds after 10 years. Conclusions/interpretation Both high levels of physical activity and low levels of leisure time sitting may be required to substantially reduce the risk of obesity. Associations with developing metabolic risk factor clustering were less clear.
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subjectArticle ; Biological and medical sciences ; Diabetes ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinology ; Endocrinopathies ; Epidemiology ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Exercise ; Exercise - physiology ; Female ; Health ; Human Physiology ; Humans ; Hyperglycemia ; Hypertension ; Insulin resistance ; Internal Medicine ; Leisure Activities ; Life Sciences ; Logistic Models ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Metabolic syndrome ; Metabolism ; Middle Aged ; Miscellaneous ; Obesity ; Obesity - epidemiology ; Other metabolic disorders ; Risk Factors ; Santé publique et épidémiologie ; Sedentary Behavior ; Surveys and Questionnaires ; Triglycerides ; Weight regulation
ispartofDiabetologia, 2014, Vol.57 (10), p.2048-2056
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1Hamer, Mark
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3Singh-Manoux, Archana
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descriptionAims/hypothesis Our study aimed to investigate the combined effects of moderate-to-vigorous physical activity and leisure time sitting on the long-term risk of obesity and clustering of metabolic risk factors. Methods The duration of moderate and vigorous physical activity and of leisure time sitting was assessed by questionnaire between 1997 and 1999 among 3,670 participants from the Whitehall II cohort study (73% male; mean age 56 years). Multivariable-adjusted logistic regression models examined associations of physical activity and leisure time sitting tertiles with odds of incident obesity (BMI ≥ 30 kg/m 2 ) and incident metabolic risk factor clustering (two or more of the following: low HDL-cholesterol, high triacylglycerol, hypertension, hyperglycaemia, insulin resistance) at 5 and 10 year follow-ups. Results Physical activity, but not leisure time sitting, was associated with incident obesity. The lowest odds of incident obesity after 5 years were observed for individuals reporting both high physical activity and low leisure time sitting (OR = 0.26; 95% CI 0.11, 0.64), with weaker effects after 10 years. Compared with individuals in the low physical activity/high leisure time sitting group, those with intermediate levels of both physical activity and leisure time sitting had lower odds of incident metabolic risk factor clustering after 5 years (OR 0.53; 95% CI 0.36, 0.78), with similar odds after 10 years. Conclusions/interpretation Both high levels of physical activity and low levels of leisure time sitting may be required to substantially reduce the risk of obesity. Associations with developing metabolic risk factor clustering were less clear.
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1Biological and medical sciences
2Diabetes
3Diabetes. Impaired glucose tolerance
4Endocrine pancreas. Apud cells (diseases)
5Endocrinology
6Endocrinopathies
7Epidemiology
8Etiopathogenesis. Screening. Investigations. Target tissue resistance
9Exercise
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32Obesity - epidemiology
33Other metabolic disorders
34Risk Factors
35Santé publique et épidémiologie
36Sedentary Behavior
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38Triglycerides
39Weight regulation
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2Diabetes
3Diabetes. Impaired glucose tolerance
4Endocrine pancreas. Apud cells (diseases)
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6Endocrinopathies
7Epidemiology
8Etiopathogenesis. Screening. Investigations. Target tissue resistance
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13Human Physiology
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15Hyperglycemia
16Hypertension
17Insulin resistance
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26Metabolic Diseases
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28Metabolism
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32Obesity - epidemiology
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35Santé publique et épidémiologie
36Sedentary Behavior
37Surveys and Questionnaires
38Triglycerides
39Weight regulation
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atitleCombined effect of physical activity and leisure time sitting on long-term risk of incident obesity and metabolic risk factor clustering
jtitleDiabetologia
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date2014-07-31
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volume57
issue10
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pages2048-2056
issn0012-186X
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abstractAims/hypothesis Our study aimed to investigate the combined effects of moderate-to-vigorous physical activity and leisure time sitting on the long-term risk of obesity and clustering of metabolic risk factors. Methods The duration of moderate and vigorous physical activity and of leisure time sitting was assessed by questionnaire between 1997 and 1999 among 3,670 participants from the Whitehall II cohort study (73% male; mean age 56 years). Multivariable-adjusted logistic regression models examined associations of physical activity and leisure time sitting tertiles with odds of incident obesity (BMI ≥ 30 kg/m 2 ) and incident metabolic risk factor clustering (two or more of the following: low HDL-cholesterol, high triacylglycerol, hypertension, hyperglycaemia, insulin resistance) at 5 and 10 year follow-ups. Results Physical activity, but not leisure time sitting, was associated with incident obesity. The lowest odds of incident obesity after 5 years were observed for individuals reporting both high physical activity and low leisure time sitting (OR = 0.26; 95% CI 0.11, 0.64), with weaker effects after 10 years. Compared with individuals in the low physical activity/high leisure time sitting group, those with intermediate levels of both physical activity and leisure time sitting had lower odds of incident metabolic risk factor clustering after 5 years (OR 0.53; 95% CI 0.36, 0.78), with similar odds after 10 years. Conclusions/interpretation Both high levels of physical activity and low levels of leisure time sitting may be required to substantially reduce the risk of obesity. Associations with developing metabolic risk factor clustering were less clear.
copBerlin/Heidelberg
pubSpringer Berlin Heidelberg
pmid25078481
doi10.1007/s00125-014-3323-8
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