Articles producció científica> Ciències Mèdiques Bàsiques

Targeting body composition in an older population: do changes in movement behaviours matter? Longitudinal analyses in the PREDIMED-Plus trial

  • Identification data

    Identifier: imarina:9139058
    Authors:
    Galmes-Panades, Aina MKonieczna, JadwigaVarela-Mato, VeronicaAbete, ItziarBabio, NancyFiol, MiquelAntonio de Paz, JoseCasas, RosaOlbeyra, RominaRuiz-Canela, MiguelPalau-Galindo, AntoniCastaner, OlgaMartin-Garcia, ArturoEstruch, RamonVidal, JosepBuil-Cosiales, PilarWarnberg, JuliaSalas-Salvado, JordiAlfredo Martinez, JRomaguera, Dora
    Abstract:
    © 2021, The Author(s). Background: The optimal distribution between physical activity (PA) levels and sedentary behaviour (SB) for the greatest benefits for body composition among older adults with overweight/obesity and chronic health conditions remains unclear. We aimed to determine the prospective association between changes in PA and in SB with concurrent changes in body composition and to examine whether reallocating inactive time into different physical activity levels was associated with 12-month change to body composition in older adults. Methods: Longitudinal assessment nested in the PREDIMED-Plus trial. A subsample (n = 1564) of men and women (age 55–75 years) with overweight/obesity and metabolic syndrome from both arms of the PREDIMED-Plus trial was included in the present analysis. Participants were followed up at 6 and 12 months. Physical activity and SB were assessed using validated questionnaires. Out of 1564 participants, 388 wore an accelerometer to objectively measure inactive time and PA over a 7-day period. At each time point, participants’ body composition was measured using dual-energy X-ray absorptiometry (DXA). Standard covariate-adjusted and isotemporal substitution modelling were applied to linear mixed-effects models. Results: Increasing 30 min of total PA and moderate-to-vigorous physical activity (MVPA) was associated with significant reductions in body fat (β − 0.07% and − 0.08%) and visceral adipose tissue (VAT) (− 13.9 g, and − 15.6 g) at 12 months (all p values < 0.001). Reallocating 30 min of inactive time to MVPA was associated with reductions in body fat and VAT and with an increase in muscle mass and muscle-to-fat mass ratio (all p values < 0.001). Conclusions: At 12 months, increasing total PA and MVPA and reducing total SB and TV-
  • Others:

    Author, as appears in the article.: Galmes-Panades, Aina M; Konieczna, Jadwiga; Varela-Mato, Veronica; Abete, Itziar; Babio, Nancy; Fiol, Miquel; Antonio de Paz, Jose; Casas, Rosa; Olbeyra, Romina; Ruiz-Canela, Miguel; Palau-Galindo, Antoni; Castaner, Olga; Martin-Garcia, Arturo; Estruch, Ramon; Vidal, Josep; Buil-Cosiales, Pilar; Warnberg, Julia; Salas-Salvado, Jordi; Alfredo Martinez, J; Romaguera, Dora
    Department: Ciències Mèdiques Bàsiques Bioquímica i Biotecnologia
    e-ISSN: 1741-7015
    URV's Author/s: Babio Sánchez, Nancy Elvira / Basora Gallisa, Josep / Becerra Tomás, Nerea / Cabre Vila, Juan Jose / Díaz López, Andres / Palau Galindo, Antonio / Salas Huetos, Albert / Salas Salvadó, Jorge
    Keywords: Visceral adipose tissue Surveys and questionnaires Sedentary behaviour Sedentary behavior Prospective studies Physical activity Overweight Obesity Middle aged Metabolic syndrome Male Longitudinal studies Isotemporal substitution Humans Female Exercise Body composition Aging Aged Adipose tissue Absorptiometry, photon
    Abstract: © 2021, The Author(s). Background: The optimal distribution between physical activity (PA) levels and sedentary behaviour (SB) for the greatest benefits for body composition among older adults with overweight/obesity and chronic health conditions remains unclear. We aimed to determine the prospective association between changes in PA and in SB with concurrent changes in body composition and to examine whether reallocating inactive time into different physical activity levels was associated with 12-month change to body composition in older adults. Methods: Longitudinal assessment nested in the PREDIMED-Plus trial. A subsample (n = 1564) of men and women (age 55–75 years) with overweight/obesity and metabolic syndrome from both arms of the PREDIMED-Plus trial was included in the present analysis. Participants were followed up at 6 and 12 months. Physical activity and SB were assessed using validated questionnaires. Out of 1564 participants, 388 wore an accelerometer to objectively measure inactive time and PA over a 7-day period. At each time point, participants’ body composition was measured using dual-energy X-ray absorptiometry (DXA). Standard covariate-adjusted and isotemporal substitution modelling were applied to linear mixed-effects models. Results: Increasing 30 min of total PA and moderate-to-vigorous physical activity (MVPA) was associated with significant reductions in body fat (β − 0.07% and − 0.08%) and visceral adipose tissue (VAT) (− 13.9 g, and − 15.6 g) at 12 months (all p values < 0.001). Reallocating 30 min of inactive time to MVPA was associated with reductions in body fat and VAT and with an increase in muscle mass and muscle-to-fat mass ratio (all p values < 0.001). Conclusions: At 12 months, increasing total PA and MVPA and reducing total SB and TV-viewing SB were associated with improved body composition in participants with overweight or obesity, and metabolic syndrome. This was also observed when substituting 30 min of inactive time with total PA, LPA and MVPA, with the greatest benefits observed with MVPA. Trial registration: International Standard Randomized Controlled Trial (ISRCTN), 89898870. Retrospectively registered on 24 July 2014
    Thematic Areas: Saúde coletiva Medicine, general & internal Medicine (miscellaneous) Medicine (all) Medicina veterinaria Medicina ii Medicina i General medicine Ciências biológicas iii Ciências biológicas ii Ciências biológicas i
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: antonio.palau@urv.cat juanjose.cabre@urv.cat josep.basora@urv.cat andres.diaz@urv.cat albert.salas@urv.cat nerea.becerra@urv.cat josep.basora@urv.cat jordi.salas@urv.cat nancy.babio@urv.cat
    Author identifier: 0000-0003-1082-6861 0000-0002-7500-5629 0000-0001-5914-6862 0000-0002-4429-6507 0000-0003-2700-7459 0000-0003-3527-5277
    Record's date: 2024-10-12
    Journal volume: 19
    Papper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Bmc Medicine. 19 (1): 3-
    APA: Galmes-Panades, Aina M; Konieczna, Jadwiga; Varela-Mato, Veronica; Abete, Itziar; Babio, Nancy; Fiol, Miquel; Antonio de Paz, Jose; Casas, Rosa; Olbey (2021). Targeting body composition in an older population: do changes in movement behaviours matter? Longitudinal analyses in the PREDIMED-Plus trial. Bmc Medicine, 19(1), 3-. DOI: 10.1186/s12916-020-01847-9
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    Visceral adipose tissue
    Surveys and questionnaires
    Sedentary behaviour
    Sedentary behavior
    Prospective studies
    Physical activity
    Overweight
    Obesity
    Middle aged
    Metabolic syndrome
    Male
    Longitudinal studies
    Isotemporal substitution
    Humans
    Female
    Exercise
    Body composition
    Aging
    Aged
    Adipose tissue
    Absorptiometry, photon
    Saúde coletiva
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
    Medicina veterinaria
    Medicina ii
    Medicina i
    General medicine
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
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