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Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/45628

Title: Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis
Authors: Rosique-Esteban, Nuria
Díaz-López, Andrés
Martínez-González, Miguel Ángel
Corella, Dolores
Goday, Albert
Martínez, J. Alfredo
Romaguera, Dora
Vioque, Jesús
Arós, Fernando
García Ríos, Antonio
Tinahones, Francisco
Estruch, Ramón
Fernández-García, José Carlos
Lapetra, José
Serra-Majem, Lluís
Pintó, Xavier
Tur, Josep A.
Bueno-Cavanillas, Aurora
Vidal, Josep
Delgado-Rodríguez, Miguel
Daimiel, Lidia
Vázquez, Clotilde
Rubio, Miguel Ángel
Ros, Emilio
Salas-Salvadó, Jordi
Predimed-Plus Investigators
Issue Date: 2017
Abstract: Limited data exists on the interrelationships between physical activity (PA), sedentary behaviors and sleep concerning cardiometabolic risk factors in aged adults at high cardiovascular disease risk. Our aim was to examine independent and joint associations between time spent in leisure-time PA, sedentary behaviors and sleep on the prevalence of obesity, type 2 diabetes (T2D) and components of the metabolic syndrome (MetS) in Mediterranean individuals at high cardiovascular risk. Cross-sectional analyses were performed on baseline data from 5776 Spanish adults (aged 55-75y in men; 60-75y in women) with overweight/obesity and MetS, from October 2013 to October 2016, in the PREDIMED-PLUS trial. Employing multivariable-adjusted Cox regression with robust variance and constant time (given the cross-sectional design), higher prevalence of obesity, T2D and abdominal obesity as component of the MetS were associated with greater time in TV-viewing (Relative Risk, RR: 1.02, 95%CI: 1.01, 1.03; RR:1.04, 95%CI: 1.02, 1.06 and RR: 1.01 95%CI: 1.00, 1.02; respectively, all P < .01). Conversely, greater time in moderate-vigorous PA (MVPA) was associated with lower prevalence of obesity, T2D, abdominal obesity and low HDL-cholesterol (RR: 0.95, 95%CI: 0.93, 0.97; RR: 0.94, 95%CI: 0.89, 0.99; RR: 0.97, 95%CI: 0.96, 0.98; and RR: 0.95, 95%CI: 0.91, 0.99, respectively, all P < .05). For these outcomes, theoretically substituting 1-h/day of MVPA for 1-h/day TV-viewing was also significantly associated with lower prevalence (RR 0.91 to 0.97, all P < .05). Similar lower RR in these outcomes was observed when substituting 1-h/day of MVPA for 1-h/day of sleeping. Longer time watching TV and not meeting MVPA recommendations were jointly associated with higher RR of the prevalence of obesity and T2D. We concluded that, in senior individuals at high cardiovascular risk, greater time spent on MVPA and fewer on sedentary behaviors was inversely associated with prevalence of obesity, T2D, and some of the components of MetS.
Sponsorship: This study was funded by the Spanish Ministry of Health (Carlos III Health Institute) through the Fondo de Investigación para la Salud (FIS), which is co-funded by the European Regional Development Fund (two coordinated FIS projects leaded by Jordi Salas-Salvadó and Josep Vidal, including the following projects: PI13/00673, PI13/00492, PI13/00272, PI13/01123, PI13/00462, PI13/00233, PI13/02184, PI13/00728 PI13/01090 PI13/01056, PI14/01722, PI14/00636, PI14/00618, PI14- 00696, PI14/01206, PI14/01919, PI14/00853), the European Research Council (Advanced Research Grant 2013-2018; 340918) granted to MAMG, the Recercaixa grant 2013 (2013ACUP00194), the grant from the Consejería de Salud de la Junta de Andalucía (PI0458/2013), and the SEMERGEN grant. NRE has been beneficiary of a predoctoral FIAGAUR 2016 Grant from the Catalan Government; Secretaria d’Universitats i Recerca del Departament d’Economia i Coneixement de la Generalitat de Catalunya.
Publisher: Public Library of Science (PLOS)
Keywords: Obesity
Physical activity
Cardiovascular diseases
URI: http://hdl.handle.net/10481/45628
ISSN: 1932-6203
Rights : Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License
Citation: Rosique-Esteban, N.; et al. Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis. Plos One, 12(3): e0172253 (2017). [http://hdl.handle.net/10481/45628]
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