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Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis.


ABSTRACT:

Purpose

 To estimate the strength and shape of the dose-response relationship between sedentary behaviour and all-cause, cardiovascular disease (CVD) and cancer mortality, and incident type 2 diabetes (T2D), adjusted for physical activity (PA). Data Sources: Pubmed, Web of Knowledge, Medline, Embase, Cochrane Library and Google Scholar (through September-2016); reference lists. Study Selection: Prospective studies reporting associations between total daily sedentary time or TV viewing time, and ??one outcome of interest. Data Extraction: Two independent reviewers extracted data, study quality was assessed; corresponding authors were approached where needed. Data Synthesis: Thirty-four studies (1,331,468 unique participants; good study quality) covering 8 exposure-outcome combinations were included. For total sedentary behaviour, the PA-adjusted relationship was non-linear for all-cause mortality (RR per 1 h/day: were 1.01 (1.00-1.01)???8 h/day; 1.04 (1.03-1.05)?>?8 h/day of exposure), and for CVD mortality (1.01 (0.99-1.02)???6 h/day; 1.04 (1.03-1.04)?>?6 h/day). The association was linear (1.01 (1.00-1.01)) with T2D and non-significant with cancer mortality. Stronger PA-adjusted associations were found for TV viewing (h/day); non-linear for all-cause mortality (1.03 (1.01-1.04)???3.5 h/day; 1.06 (1.05-1.08)?>?3.5 h/day) and for CVD mortality (1.02 (0.99-1.04)???4 h/day; 1.08 (1.05-1.12)?>?4 h/day). Associations with cancer mortality (1.03 (1.02-1.04)) and T2D were linear (1.09 (1.07-1.12)).

Conclusions

 Independent of PA, total sitting and TV viewing time are associated with greater risk for several major chronic disease outcomes. For all-cause and CVD mortality, a threshold of 6-8 h/day of total sitting and 3-4 h/day of TV viewing was identified, above which the risk is increased.

SUBMITTER: Patterson R 

PROVIDER: S-EPMC6133005 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis.

Patterson Richard R   McNamara Eoin E   Tainio Marko M   de Sá Thiago Hérick TH   Smith Andrea D AD   Sharp Stephen J SJ   Edwards Phil P   Woodcock James J   Brage Søren S   Wijndaele Katrien K  

European journal of epidemiology 20180328 9


<h4>Purpose</h4> To estimate the strength and shape of the dose-response relationship between sedentary behaviour and all-cause, cardiovascular disease (CVD) and cancer mortality, and incident type 2 diabetes (T2D), adjusted for physical activity (PA). Data Sources: Pubmed, Web of Knowledge, Medline, Embase, Cochrane Library and Google Scholar (through September-2016); reference lists. Study Selection: Prospective studies reporting associations between total daily sedentary time or TV viewing ti  ...[more]

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