Cross-sectional associations of reallocating time between sedentary and active behaviours on cardiometabolic risk factors in young people: an International Children's Accelerometry Database (ICAD) analysis

Bjørge Herman Hansen, Sigmund Alfred Anderssen, Lars Bo Andersen, Maria Hildebrand, Elin Kolle, Jostein Steene-Johannessen, Susi Kriemler, Angie S. Page, Jardena J. Puder, John J. Reilly, Luis B. Sardinha, Esther M. F. van Sluijs, Niels Wedderkopp, Ulf Ekelund

Research output: Contribution to journalArticle

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Abstract

Introduction -- Sedentary time and time spent in various intensity-specific physical activity are co-dependent, and increasing time spent in one behaviour requires decreased time in another.

Objective -- The aim of the present study was to examine the theoretical associations with reallocating time between categories of intensities and cardiometabolic risk factors in a large and heterogeneous sample of children and adolescents.

Methods -- We analysed pooled data from 13 studies comprising 18,200 children and adolescents aged 4–18 years from the International Children’s Accelerometry Database (ICAD). Waist-mounted accelerometers measured sedentary time, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). Cardiometabolic risk factors included waist circumference (WC), systolic blood pressure (SBP), fasting high- and low-density lipoprotein cholesterol (HDL-C and LDL-C), triglycerides, insulin, and glucose. Associations of reallocating time between the various intensity categories with cardiometabolic risk factors were explored using isotemporal substitution modelling.

Results -- Replacing 10 min of sedentary time with 10 min of MVPA showed favourable associations with WC, SBP, LDL-C, insulin, triglycerides, and glucose; the greatest magnitude was observed for insulin (reduction of 2–4%), WC (reduction of 0.5–1%), and triglycerides (1–2%). In addition, replacing 10 min of sedentary time with an equal amount of LPA showed beneficial associations with WC, although only in adolescents.

Conclusions -- Replacing sedentary time and/or LPA with MVPA in children and adolescents is favourably associated with most markers of cardiometabolic risk. Efforts aimed at replacing sedentary time with active behaviours, particularly those of at least moderate intensity, appear to be an effective strategy to reduce cardiometabolic risk in young people.
LanguageEnglish
JournalSports Medicine
Early online date6 Apr 2018
DOIs
Publication statusE-pub ahead of print - 6 Apr 2018

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Accelerometry
Databases
Exercise
Waist Circumference
Blood Pressure
Insulin
Light
Triglycerides
Glucose
LDL Cholesterol
Fasting

Keywords

  • International Children’s Accelerometry Database
  • ICAD
  • sedentary behaviour
  • physical activity
  • cardiometabolic risk factors
  • adolescent health
  • child health behaviours

Cite this

Hansen, Bjørge Herman ; Anderssen, Sigmund Alfred ; Andersen, Lars Bo ; Hildebrand, Maria ; Kolle, Elin ; Steene-Johannessen, Jostein ; Kriemler, Susi ; Page, Angie S. ; Puder, Jardena J. ; Reilly, John J. ; Sardinha, Luis B. ; van Sluijs, Esther M. F. ; Wedderkopp, Niels ; Ekelund, Ulf. / Cross-sectional associations of reallocating time between sedentary and active behaviours on cardiometabolic risk factors in young people : an International Children's Accelerometry Database (ICAD) analysis. In: Sports Medicine. 2018.
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title = "Cross-sectional associations of reallocating time between sedentary and active behaviours on cardiometabolic risk factors in young people: an International Children's Accelerometry Database (ICAD) analysis",
abstract = "Introduction -- Sedentary time and time spent in various intensity-specific physical activity are co-dependent, and increasing time spent in one behaviour requires decreased time in another.Objective -- The aim of the present study was to examine the theoretical associations with reallocating time between categories of intensities and cardiometabolic risk factors in a large and heterogeneous sample of children and adolescents.Methods -- We analysed pooled data from 13 studies comprising 18,200 children and adolescents aged 4–18 years from the International Children’s Accelerometry Database (ICAD). Waist-mounted accelerometers measured sedentary time, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). Cardiometabolic risk factors included waist circumference (WC), systolic blood pressure (SBP), fasting high- and low-density lipoprotein cholesterol (HDL-C and LDL-C), triglycerides, insulin, and glucose. Associations of reallocating time between the various intensity categories with cardiometabolic risk factors were explored using isotemporal substitution modelling.Results -- Replacing 10 min of sedentary time with 10 min of MVPA showed favourable associations with WC, SBP, LDL-C, insulin, triglycerides, and glucose; the greatest magnitude was observed for insulin (reduction of 2–4{\%}), WC (reduction of 0.5–1{\%}), and triglycerides (1–2{\%}). In addition, replacing 10 min of sedentary time with an equal amount of LPA showed beneficial associations with WC, although only in adolescents.Conclusions -- Replacing sedentary time and/or LPA with MVPA in children and adolescents is favourably associated with most markers of cardiometabolic risk. Efforts aimed at replacing sedentary time with active behaviours, particularly those of at least moderate intensity, appear to be an effective strategy to reduce cardiometabolic risk in young people.",
keywords = "International Children’s Accelerometry Database, ICAD, sedentary behaviour, physical activity, cardiometabolic risk factors, adolescent health, child health behaviours",
author = "Hansen, {Bj{\o}rge Herman} and Anderssen, {Sigmund Alfred} and Andersen, {Lars Bo} and Maria Hildebrand and Elin Kolle and Jostein Steene-Johannessen and Susi Kriemler and Page, {Angie S.} and Puder, {Jardena J.} and Reilly, {John J.} and Sardinha, {Luis B.} and {van Sluijs}, {Esther M. F.} and Niels Wedderkopp and Ulf Ekelund",
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Hansen, BH, Anderssen, SA, Andersen, LB, Hildebrand, M, Kolle, E, Steene-Johannessen, J, Kriemler, S, Page, AS, Puder, JJ, Reilly, JJ, Sardinha, LB, van Sluijs, EMF, Wedderkopp, N & Ekelund, U 2018, 'Cross-sectional associations of reallocating time between sedentary and active behaviours on cardiometabolic risk factors in young people: an International Children's Accelerometry Database (ICAD) analysis' Sports Medicine. https://doi.org/10.1007/s40279-018-0909-1

Cross-sectional associations of reallocating time between sedentary and active behaviours on cardiometabolic risk factors in young people : an International Children's Accelerometry Database (ICAD) analysis. / Hansen, Bjørge Herman; Anderssen, Sigmund Alfred; Andersen, Lars Bo; Hildebrand, Maria; Kolle, Elin; Steene-Johannessen, Jostein; Kriemler, Susi ; Page, Angie S.; Puder, Jardena J. ; Reilly, John J.; Sardinha, Luis B. ; van Sluijs, Esther M. F. ; Wedderkopp, Niels; Ekelund, Ulf.

In: Sports Medicine, 06.04.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cross-sectional associations of reallocating time between sedentary and active behaviours on cardiometabolic risk factors in young people

T2 - Sports Medicine

AU - Hansen, Bjørge Herman

AU - Anderssen, Sigmund Alfred

AU - Andersen, Lars Bo

AU - Hildebrand, Maria

AU - Kolle, Elin

AU - Steene-Johannessen, Jostein

AU - Kriemler, Susi

AU - Page, Angie S.

AU - Puder, Jardena J.

AU - Reilly, John J.

AU - Sardinha, Luis B.

AU - van Sluijs, Esther M. F.

AU - Wedderkopp, Niels

AU - Ekelund, Ulf

PY - 2018/4/6

Y1 - 2018/4/6

N2 - Introduction -- Sedentary time and time spent in various intensity-specific physical activity are co-dependent, and increasing time spent in one behaviour requires decreased time in another.Objective -- The aim of the present study was to examine the theoretical associations with reallocating time between categories of intensities and cardiometabolic risk factors in a large and heterogeneous sample of children and adolescents.Methods -- We analysed pooled data from 13 studies comprising 18,200 children and adolescents aged 4–18 years from the International Children’s Accelerometry Database (ICAD). Waist-mounted accelerometers measured sedentary time, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). Cardiometabolic risk factors included waist circumference (WC), systolic blood pressure (SBP), fasting high- and low-density lipoprotein cholesterol (HDL-C and LDL-C), triglycerides, insulin, and glucose. Associations of reallocating time between the various intensity categories with cardiometabolic risk factors were explored using isotemporal substitution modelling.Results -- Replacing 10 min of sedentary time with 10 min of MVPA showed favourable associations with WC, SBP, LDL-C, insulin, triglycerides, and glucose; the greatest magnitude was observed for insulin (reduction of 2–4%), WC (reduction of 0.5–1%), and triglycerides (1–2%). In addition, replacing 10 min of sedentary time with an equal amount of LPA showed beneficial associations with WC, although only in adolescents.Conclusions -- Replacing sedentary time and/or LPA with MVPA in children and adolescents is favourably associated with most markers of cardiometabolic risk. Efforts aimed at replacing sedentary time with active behaviours, particularly those of at least moderate intensity, appear to be an effective strategy to reduce cardiometabolic risk in young people.

AB - Introduction -- Sedentary time and time spent in various intensity-specific physical activity are co-dependent, and increasing time spent in one behaviour requires decreased time in another.Objective -- The aim of the present study was to examine the theoretical associations with reallocating time between categories of intensities and cardiometabolic risk factors in a large and heterogeneous sample of children and adolescents.Methods -- We analysed pooled data from 13 studies comprising 18,200 children and adolescents aged 4–18 years from the International Children’s Accelerometry Database (ICAD). Waist-mounted accelerometers measured sedentary time, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). Cardiometabolic risk factors included waist circumference (WC), systolic blood pressure (SBP), fasting high- and low-density lipoprotein cholesterol (HDL-C and LDL-C), triglycerides, insulin, and glucose. Associations of reallocating time between the various intensity categories with cardiometabolic risk factors were explored using isotemporal substitution modelling.Results -- Replacing 10 min of sedentary time with 10 min of MVPA showed favourable associations with WC, SBP, LDL-C, insulin, triglycerides, and glucose; the greatest magnitude was observed for insulin (reduction of 2–4%), WC (reduction of 0.5–1%), and triglycerides (1–2%). In addition, replacing 10 min of sedentary time with an equal amount of LPA showed beneficial associations with WC, although only in adolescents.Conclusions -- Replacing sedentary time and/or LPA with MVPA in children and adolescents is favourably associated with most markers of cardiometabolic risk. Efforts aimed at replacing sedentary time with active behaviours, particularly those of at least moderate intensity, appear to be an effective strategy to reduce cardiometabolic risk in young people.

KW - International Children’s Accelerometry Database

KW - ICAD

KW - sedentary behaviour

KW - physical activity

KW - cardiometabolic risk factors

KW - adolescent health

KW - child health behaviours

U2 - 10.1007/s40279-018-0909-1

DO - 10.1007/s40279-018-0909-1

M3 - Article

JO - Sports Medicine

JF - Sports Medicine

SN - 0112-1642

ER -