Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis

Author, as appears in the article.: Rosique-Esteban, Nuria; Diaz-Lopez, Andres; Martinez-Gonzalez, Miguel A; Corella, Dolores; Goday, Albert; Alfredo Martinez, J; Romaguera, Dora; Vioque, Jesus; Aros, Fernando; Garcia-Rios, Antonio; Tinahones, Francisco; Estruch, Ramon; Carlos Fernandez-Garcia, Jose; Lapetra, Jose; Serra-Majem, Luis; Pinto, Xavier; Tur, Josep A; Bueno-Cavanillas, Aurora; Vidal, Josep; Delgado-Rodriguez, Miguel; Daimiel, Lidia; Vazquez, Clotilde; Angel Rubio, Miguel; Ros, Emilio; Salas-Salvado, Jordi

Department: Bioquímica i Biotecnologia

URV's Author/s: Babio Sánchez, Nancy Elvira / Díaz López, Andres / ROSIQUE ESTEBAN, NÚRIA / Salas Salvadó, Jorge

Keywords: Type-2 diabetes-mellitus; Televisión; Sitting time; Obesity; Mortality; Metabolic risk; Metaanalysis; Health outcomes; Australian adults; Associations

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.

Thematic Areas: Zootecnia / recursos pesqueiros; Sociology; Sociología; Serviço social; Saúde coletiva; Química; Psychology; Psicología; Planejamento urbano e regional / demografia; Odontología; Nutrição; Multidisciplinary sciences; Multidisciplinary; Medicine (miscellaneous); Medicina veterinaria; Medicina iii; Medicina ii; Medicina i; Materiais; Matemática / probabilidade e estatística; Linguística e literatura; Letras / linguística; Interdisciplinary research in the social sciences; Interdisciplinar; Human geography and urban studies; History & philosophy of science; Historia; Geografía; Geociências; General medicine; General biochemistry,genetics and molecular biology; General agricultural and biological sciences; Farmacia; Environmental studies; Ensino; Engenharias iv; Engenharias iii; Engenharias ii; Engenharias i; Enfermagem; Educação física; Educação; Economia; Direito; Demography; Comunicação e informação; Ciências sociais aplicadas i; Ciências biológicas iii; Ciências biológicas ii; Ciências biológicas i; Ciências ambientais; Ciências agrárias i; Ciência política e relações internacionais; Ciência de alimentos; Ciência da computação; Biotecnología; Biology; Biodiversidade; Biochemistry, genetics and molecular biology (miscellaneous); Astronomia / física; Arquitetura, urbanismo e design; Archaeology; Antropologia / arqueologia; Anthropology; Agricultural and biological sciences (miscellaneous); Administração, ciências contábeis e turismo; Administração pública e de empresas, ciências contábeis e turismo

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 19326203

Author's mail: andres.diaz@urv.cat; jordi.salas@urv.cat; nancy.babio@urv.cat

Record's date: 2025-02-19

Paper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172253

Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/

Paper original source: Plos One. 12 (3): e0172253-

APA: Rosique-Esteban, Nuria; Diaz-Lopez, Andres; Martinez-Gonzalez, Miguel A; Corella, Dolores; Goday, Albert; Alfredo Martinez, J; Romaguera, Dora; Vioque (2017). 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-. DOI: 10.1371/journal.pone.0172253

Article's DOI: 10.1371/journal.pone.0172253

Entity: Universitat Rovira i Virgili

Journal publication year: 2017

Publication Type: Journal Publications