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Isotemporal substitution of inactive time with physical activity and time in bed: cross-sectional associations with cardiometabolic health in the PREDIMED-Plus study.


ABSTRACT:

Background

This study explored the association between inactive time and measures of adiposity, clinical parameters, obesity, type 2 diabetes and metabolic syndrome components. It further examined the impact of reallocating inactive time to time in bed, light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) on cardio-metabolic risk factors, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults.

Methods

This is a cross-sectional analysis of baseline data from 2189 Caucasian men and women (age 55-75?years, BMI 27-40 Kg/m2) from the PREDIMED-Plus study (http://www.predimedplus.com/). All participants had ?3 components of the metabolic syndrome. Inactive time, physical activity and time in bed were objectively determined using triaxial accelerometers GENEActiv during 7?days (ActivInsights Ltd., Kimbolton, United Kingdom). Multiple adjusted linear and logistic regression models were used. Isotemporal substitution regression modelling was performed to assess the relationship of replacing the amount of time spent in one activity for another, on each outcome, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults.

Results

Inactive time was associated with indicators of obesity and the metabolic syndrome. Reallocating 30?min per day of inactive time to 30?min per day of time in bed was associated with lower BMI, waist circumference and glycated hemoglobin (HbA1c) (all p-values ConclusionsInactive time was associated with a poor cardio-metabolic profile. Isotemporal substitution of inactive time with MVPA and LPA or time in bed could have beneficial impact on cardio-metabolic health.

Trial registration

The trial was registered at the International Standard Randomized Controlled Trial (ISRCTN: http://www.isrctn.com/ISRCTN89898870) with number 89898870 and registration date of 24 July 2014, retrospectively registered.

SUBMITTER: Galmes-Panades AM 

PROVIDER: S-EPMC6929461 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Isotemporal substitution of inactive time with physical activity and time in bed: cross-sectional associations with cardiometabolic health in the PREDIMED-Plus study.

Galmes-Panades Aina M AM   Varela-Mato Veronica V   Konieczna Jadwiga J   Wärnberg Julia J   Martínez-González Miguel Ángel MÁ   Salas-Salvadó Jordi J   Corella Dolores D   Schröder Helmut H   Vioque Jesús J   Alonso-Gómez Ángel M ÁM   Martínez J Alfredo JA   Serra-Majem Luís L   Estruch Ramon R   Tinahones Francisco J FJ   Lapetra José J   Pintó Xavier X   Tur Josep A JA   Garcia-Rios Antonio A   Riquelme-Gallego Blanca B   Gaforio José Juan JJ   Matía-Martín Pilar P   Daimiel Lidia L   Micó Pérez Rafael Manuel RM   Vidal Josep J   Vázquez Clotilde C   Ros Emilio E   Garcia-Arellano Ana A   Díaz-López Andrés A   Asensio Eva M EM   Castañer Olga O   Fiol Francisca F   Mira-Castejón Luis Alfredo LA   Moreno Rodríguez Anai A   Benavente-Marín Juan Carlos JC   Abete Itziar I   Tomaino Laura L   Casas Rosa R   Barón López F Javier FJ   Fernández-García José Carlos JC   Fernández-García José Carlos JC   Santos-Lozano José Manuel JM   Galera Ana A   Mascaró Catalina M CM   Razquin Cristina C   Papandreou Christopher C   Portoles Olga O   Pérez-Vega Karla Alejandra KA   Fiol Miguel M   Compañ-Gabucio Laura L   Vaquero-Luna Jessica J   Ruiz-Canela Miguel M   Becerra-Tomás Nerea N   Fitó Montserrat M   Romaguera Dora D  

The international journal of behavioral nutrition and physical activity 20191223 1


<h4>Background</h4>This study explored the association between inactive time and measures of adiposity, clinical parameters, obesity, type 2 diabetes and metabolic syndrome components. It further examined the impact of reallocating inactive time to time in bed, light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) on cardio-metabolic risk factors, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults.<h4>Methods</  ...[more]

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