2024-03-28T19:31:54Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/133862023-10-13T09:59:47Zcom_20.500.12105_2145com_20.500.12105_2051com_20.500.12105_2144col_20.500.12105_2146
Repisalud
author
Rosique-Esteban, Nuria
author
Diaz-Lopez, Andres
author
Martinez-Gonzalez, Miguel A
author
Corella, Dolores
author
Goday, Albert
author
Martinez, J Alfredo
author
Romaguera, Dora
author
Vioque, Jesus
author
Aros, Fernando
author
Garcia-Rios, Antonio
author
Tinahones, Francisco J
author
Estruch, Ramon
author
Fernandez-Garcia, Jose Carlos
author
Lapetra, Jose
author
Serra-Majem, Luis
author
Pinto, Xavier
author
Tur, Josep A
author
Bueno-Cavanillas, Aurora
author
Vidal, Josep
author
Delgado Rodríguez, Miguel
author
Daimiel, Lidia
author
Vazquez, Clotilde
author
Rubio, Miguel Angel
author
Ros, Emilio
author
Salas-Salvado, Jordi
funder
Instituto de Salud Carlos III
funder
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)
funder
Unión Europea. Comisión Europea. European Research Council (ERC)
funder
Fundación La Caixa
funder
Regional Government of Andalusia (España)
funder
Government of Catalonia (España)
2021-09-14T06:06:30Z
2021-09-14T06:06:30Z
2017-03-08
PLoS One. 2017; 12(3):e0172253
1932-6203
http://hdl.handle.net/20.500.12105/13386
28273154
10.1371/journal.pone.0172253
PloS one
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.
eng
Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis.
journal article
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