Sedentary Time and Its Association With Risk for Disease Incidence, Mortality, and Hospitalization in Adults A Systematic Review and Meta-analysis

被引:2024
作者
Biswas, Aviroop [1 ]
Oh, Paul I. [2 ]
Faulkner, Guy E. [3 ]
Bajaj, Ravi R. [4 ]
Silver, Michael A. [5 ]
Mitchell, Marc S. [3 ]
Alter, David A. [6 ]
机构
[1] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON M5T 3M6, Canada
[2] Univ Hlth Network, Toronto Rehabil Inst, Toronto, ON M4G 1R7, Canada
[3] Univ Toronto, Fac Kinesiol & Phys Educ, Toronto, ON M5S 2W6, Canada
[4] Sunnybrook Hlth Sci Ctr, Dept Cardiol, Toronto, ON M4N 3A5, Canada
[5] York Univ, Osgoode Hall Law Sch, N York, ON M3J 1P3, Canada
[6] Inst Clin Evaluat Sci, Toronto, ON M4N 3M5, Canada
基金
加拿大健康研究院;
关键词
RECREATIONAL PHYSICAL-ACTIVITY; TYPE-2; DIABETES-MELLITUS; TELEVISION VIEWING TIME; ALL-CAUSE MORTALITY; SITTING TIME; CARDIOVASCULAR-DISEASE; METABOLIC SYNDROME; CANCER; BEHAVIORS; SPENT;
D O I
10.7326/M14-1651
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Background: The magnitude, consistency, and manner of association between sedentary time and outcomes independent of physical activity remain unclear. Purpose: To quantify the association between sedentary time and hospitalizations, all-cause mortality, cardiovascular disease, diabetes, and cancer in adults independent of physical activity. Data Sources: English-language studies in MEDLINE, PubMed, EMBASE, CINAHL, Cochrane Library, Web of Knowledge, and Google Scholar databases were searched through August 2014 with hand-searching of in-text citations and no publication date limitations. Study Selection: Studies assessing sedentary behavior in adults, adjusted for physical activity and correlated to at least 1 outcome. Data Extraction: Two independent reviewers performed data abstraction and quality assessment, and a third reviewer resolved inconsistencies. Data Synthesis: Forty-seven articles met our eligibility criteria. Meta-analyses were performed on outcomes for cardiovascular disease and diabetes (14 studies), cancer (14 studies), and all-cause mortality (13 studies). Prospective cohort designs were used in all but 3 studies; sedentary times were quantified using self-report in all but 1 study. Significant hazard ratio (HR) associations were found with all-cause mortality (HR, 1.240 [95% CI, 1.090 to 1.410]), cardiovascular disease mortality (HR, 1.179 [CI, 1.106 to 1.257]), cardiovascular disease incidence (HR, 1.143 [CI, 1.002 to 1.729]), cancer mortality (HR, 1.173 [CI, 1.108 to 1.242]), cancer incidence (HR, 1.130 [CI, 1.053 to 1.213]), and type 2 diabetes incidence (HR, 1.910 [CI, 1.642 to 2.222]). Hazard ratios associated with sedentary time and outcomes were generally more pronounced at lower levels of physical activity than at higher levels. Limitation: There was marked heterogeneity in research designs and the assessment of sedentary time and physical activity. Conclusion: Prolonged sedentary time was independently associated with deleterious health outcomes regardless of physical activity.
引用
收藏
页码:123 / +
页数:19
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