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Title: Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: a cross-sectional analysis
Author: Rosique Esteban, Núria
Díaz López, Andrés
Martínez-González, Miguel Ángel, 1957-
Corella Piquer, Dolores
Goday Arnó, Albert
Alfredo Martínez, J.
Romaguera, Dora
Vioque, Jesus
Arós, Fernando
Garcia Rios, Antonio
Tinahones, Francisco J.
Estruch Riba, Ramon
Fernández García, José C.
Lapetra, José
Serra Majem, Lluís
Pintó Sala, Xavier
Tur, Josep Antoni
Bueno-Cavanillas, Aurora
Vidal i Cortada, Josep
Delgado Rodríguez, Miguel
Daimiel, Lidia
Vazquez, Clotilde
Rubio, Miguel Angel
Ros Rahola, Emilio
Salas Salvadó, Jordi
Lamuela Raventós, Rosa Ma.
Fernández Aranda, Fernando
Keywords: Diabetis no-insulinodependent
Síndrome metabòlica
Factors de risc en les malalties
Hàbits sanitaris
Non-insulin-dependent diabetes
Metabolic syndrome
Risk factors in diseases
Health behavior
Issue Date: 8-Mar-2017
Publisher: Public Library of Science (PLoS)
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%Cl: 1.01, 1.03; RR:1.04, 95`)/X1: 1.02, 1.06 and RR: 1.01 95`)/X1: 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%Cl: 0.93, 0.97; RR: 0.94, 95%Cl: 0.89, 0.99; RR: 0.97, 95%Cl: 0.96, 0.98; and RR: 0.95, 95%Cl: 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.
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It is part of: PLoS One, 2017, vol. 12, num. 3, p. e0172253
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ISSN: 1932-6203
Appears in Collections:Articles publicats en revistes (Medicina)
Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)
Publicacions de projectes de recerca finançats per la UE

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