Sedentary behaviour and risk of mortality from all-causes and cardiometabolic diseases in adults: evidence from the HUNT3 population cohort

被引:118
作者
Chau, Josephine Y. [1 ]
Grunseit, Anne [1 ]
Midthjell, Kristian [2 ]
Holmen, Jostein [2 ]
Holmen, Turid Lingaas [2 ]
Bauman, Adrian E. [1 ]
Van der Ploeg, Hidde P. [1 ,3 ]
机构
[1] Univ Sydney, Sydney Sch Publ Hlth, Prevent Res Collaborat, Sydney, NSW 2006, Australia
[2] Norwegian Univ Sci & Technol, Fac Med, Dept Publ Hlth & Gen Practice, HUNT Res Ctr, Levanger, Norway
[3] Vrije Univ Amsterdam Med Ctr, Dept Publ & Occupat Hlth, Amsterdam, Netherlands
基金
英国医学研究理事会;
关键词
PHYSICAL-ACTIVITY QUESTIONNAIRE; TELEVISION VIEWING TIME; LEISURE-TIME; CARDIOVASCULAR MORTALITY; FINNISH SUBJECTS; HEALTH OUTCOMES; OBESITY; DEATH; SPENT;
D O I
10.1136/bjsports-2012-091974
中图分类号
G8 [体育];
学科分类号
040301 [体育人文社会学];
摘要
Background Sedentary behaviour is a potential risk factor for chronic-ill health and mortality, that is, independent of health-enhancing physical activity. Few studies have investigated the risk of mortality associated with multiple contexts of sedentary behaviour. Objective To examine the prospective associations of total sitting time, TV-viewing time and occupational sitting with mortality from all causes and cardiometabolic diseases. Methods Data from 50 817 adults aged >= 20 years from the Nord-Trondelag Health Study 3 (HUNT3) in 2006-2008 were linked to the Norwegian Cause of Death Registry up to 31 December 2010. Cox proportional hazards models examined all-cause and cardiometabolic disease-related mortality associated with total sitting time, TV-viewing and occupational sitting, adjusting for multiple potential confounders including physical activity. Results After mean follow-up of 3.3 years (137 315.8 person-years), 1068 deaths were recorded of which 388 were related to cardiometabolic diseases. HRs for all-cause mortality associated with total sitting time were 1.12 (95% CI 0.89 to 1.42), 1.18 (95% CI 0.90 to 1.57) and 1.65 (95% CI 1.24 to 2.21) for total sitting time 4-<7, 7-<10 and >= 10 h/day, respectively, relative to <4 h/day after adjusting for confounders (p-trend=0.001). A similar pattern of associations was observed between total sitting time and mortality from cardiometabolic diseases, but TV-viewing time and occupational sitting showed no or borderline significant associations with all-cause or cardiometabolic disease-related mortality over the same follow-up period. Conclusions Total sitting time is associated with all-cause and cardiometabolic disease-related mortality in the short term. However, prolonged sitting in specific contexts (ie, watching TV, at work) do not adversely impact health in the same timeframe. These findings suggest that adults should be encouraged to sit less throughout the day to reduce their daily total sitting time.
引用
收藏
页码:737 / 742
页数:7
相关论文
共 36 条
[1]
All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work [J].
Andersen, LB ;
Schnohr, P ;
Schroll, M ;
Hein, HO .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (11) :1621-1628
[2]
[Anonymous], 1978, Medicine Science in Sports Exercise, V10, pvii
[3]
[Anonymous], SITT LESS AD
[4]
Barnes J, 2012, APPL PHYSIOL NUTR ME, V37, P540, DOI [10.1139/h2012-024, 10.1139/H2012-024]
[5]
The Descriptive Epidemiology of Sitting A 20-Country Comparison Using the International Physical Activity Questionnaire (IPAQ) [J].
Bauman, Adrian ;
Ainsworth, Barbara E. ;
Sallis, James F. ;
Hagstromer, Maria ;
Craig, Cora L. ;
Bull, Fiona C. ;
Pratt, Michael ;
Venugopal, Kamalesh ;
Chau, Josephine ;
Sjostrom, Michael .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2011, 41 (02) :228-235
[6]
Canchola AJ, 2003, W US SAS SOFTW ANN M
[7]
Validity of Two Self-Report Measures of Sitting Time [J].
Clemes, Stacy A. ;
David, Beverley M. ;
Zhao, Yi ;
Han, Xu ;
Brown, Wendy .
JOURNAL OF PHYSICAL ACTIVITY & HEALTH, 2012, 9 (04) :533-539
[8]
Cleves MA, 2004, INTRO SURVIVAL ANAL, P197
[9]
International physical activity questionnaire:: 12-country reliability and validity [J].
Craig, CL ;
Marshall, AL ;
Sjöström, M ;
Bauman, AE ;
Booth, ML ;
Ainsworth, BE ;
Pratt, M ;
Ekelund, U ;
Yngve, A ;
Sallis, JF ;
Oja, P .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2003, 35 (08) :1381-1395
[10]
Television Viewing Time and Mortality The Australian Diabetes, Obesity and Lifestyle Study (AusDiab) [J].
Dunstan, D. W. ;
Barr, E. L. M. ;
Healy, G. N. ;
Salmon, J. ;
Shaw, J. E. ;
Balkau, B. ;
Magliano, D. J. ;
Cameron, A. J. ;
Zimmet, P. Z. ;
Owen, N. .
CIRCULATION, 2010, 121 (03) :384-391