Stephanie E Bonn1, Eric B Rimm1,2,3, Charles E Matthews4, Richard P Troiano5, Heather R Bowles6, Jennifer Rood7, Junaidah B Barnett1,8,9, Walter C Willett1,2,3, Andrea K Chomistek10. 1. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA. 2. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA. 3. Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA. 4. Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD. 5. Risk Factor Assessment Branch, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD. 6. Division of Cancer Prevention, National Cancer Institute, Bethesda, MD. 7. Pennington Biomedical Research Center, Baton Rouge, LA. 8. Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA. 9. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. 10. Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington, IN.
Abstract
PURPOSE: To investigate associations between accelerometer-determined sedentary time (ST) in prolonged (≥30 min) and nonprolonged (<30 min) bouts with physical activity energy expenditure (PAEE) from doubly labeled water. Additionally, associations between ST and body mass index (BMI) and waist circumference were examined. METHODS: Data from 736 women and 655 men age 43 to 82 yr were analyzed. Participants wore the Actigraph GT3X for 7 d on two occasions approximately 6 months apart, and the average of the measurements was used. Physical activity energy expenditure was estimated by subtracting resting metabolic rate and the thermic effect of food from doubly labeled water estimates of total daily energy expenditure. Cross-sectional associations were analyzed using isotemporal substitution modeling. RESULTS: Reallocation of prolonged ST to nonprolonged was not associated with increased PAEE and only significantly associated with lower BMI (β = -0.57 kg·m; 95% confidence interval, -0.94 to -0.20) and waist circumference (β = -1.61 cm; 95% confidence interval, -2.61 to -0.60) in men. Replacing either type of ST with light or moderate-to-vigorous physical activity was significantly associated with higher PAEE, and lower BMI and waist circumference in both women and men. CONCLUSIONS: Limiting time spent sedentary as well as decreasing ST accumulated in prolonged bouts may have beneficial effects on BMI and waist circumference. Replacing any type of ST with activities of light or higher intensity may also have a substantial impact on PAEE.
PURPOSE: To investigate associations between accelerometer-determined sedentary time (ST) in prolonged (≥30 min) and nonprolonged (<30 min) bouts with physical activity energy expenditure (PAEE) from doubly labeled water. Additionally, associations between ST and body mass index (BMI) and waist circumference were examined. METHODS: Data from 736 women and 655 men age 43 to 82 yr were analyzed. Participants wore the Actigraph GT3X for 7 d on two occasions approximately 6 months apart, and the average of the measurements was used. Physical activity energy expenditure was estimated by subtracting resting metabolic rate and the thermic effect of food from doubly labeled water estimates of total daily energy expenditure. Cross-sectional associations were analyzed using isotemporal substitution modeling. RESULTS: Reallocation of prolonged ST to nonprolonged was not associated with increased PAEE and only significantly associated with lower BMI (β = -0.57 kg·m; 95% confidence interval, -0.94 to -0.20) and waist circumference (β = -1.61 cm; 95% confidence interval, -2.61 to -0.60) in men. Replacing either type of ST with light or moderate-to-vigorous physical activity was significantly associated with higher PAEE, and lower BMI and waist circumference in both women and men. CONCLUSIONS: Limiting time spent sedentary as well as decreasing ST accumulated in prolonged bouts may have beneficial effects on BMI and waist circumference. Replacing any type of ST with activities of light or higher intensity may also have a substantial impact on PAEE.
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