Sedentary time, breaks in sedentary time and metabolic variables in people with newly diagnosed type 2 diabetes

Cooper, Ashley R; Sebire, Simon J; Montgomery, Alan; Peters, Tim J.; Sharp, Deborah; Jackson, Nancy A; Fitzsimons, Kate J; Dayan, Colin; Andrews, Robert C.

doi:10.1007/s00125-011-2408-x

Cited by 169 publications

(199 citation statements)

References 35 publications

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“…Consistent with previous results that MVPA showed no or weak independent associations with cardiometabolic biomarkers in individuals with diabetes mellitus,10, 11, 39 our study also did not find significant associations between MVPA and reaching CVD risk factor control goals in US Hispanics/Latinos with diabetes mellitus. This might be due to low levels of MVPA in people with diabetes mellitus 40.…”

Section: Discussionsupporting

confidence: 92%

“…However, few studies have investigated these associations using objective physical activity–related measurements in individuals with diabetes mellitus. Previous studies among individuals with newly diagnosed diabetes mellitus found that sedentary time, but not MVPA, was associated with cardiometabolic biomarkers 10, 11. Relationships of sedentary time and physical activity with reaching major CVD risk control goals among individuals with diabetes mellitus remain unknown.…”

Section: Introductionmentioning

confidence: 97%

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Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Wang

Strizich

Hua

et al. 2017

JAHA

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BackgroundCardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate‐to‐vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus.Methods and ResultsThis cross‐sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008–2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c <7.0%; systolic/diastolic blood pressure <140/80 mm Hg; triglycerides <150 mg/dL; low‐density lipoprotein cholesterol <100 mg/dL; and high‐density lipoprotein cholesterol >40/50 mg/dL for men/women. After adjustment for covariates including moderate‐to‐vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95% CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate‐to‐vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60‐min/day of sedentary time with light‐intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high‐density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals.ConclusionsAmong US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate‐to‐vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 97%

Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Wang

Strizich

Hua

et al. 2017

JAHA

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“…Contrary to our hypothesis, breaks decreased when using the technology as compared with baseline. The number of breaks in sedentary time observed at baseline (83 breaks) are similar to the average number of breaks reported by Cooper et al [34] (84 breaks) among individuals newly diagnosed with type 2 diabetes. The break duration and intensity found at baseline and 1 month were also comparable with those reported in a cross-sectional study conducted by Healy et al [12].…”

Section: Discussionsupporting

confidence: 86%

Acceptability of smartphone technology to interrupt sedentary time in adults with diabetes

Pellegrini

Hoffman²,

Daly³

et al. 2015

Behav. Med. Pract. Policy Res.

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Breaking up sitting time with light-or moderate-intensity physical activity may help to alleviate some negative health effects of sedentary behavior, but few studies have examined ways to effectively intervene. This feasibility study examined the acceptability of a new technology (NEAT!) developed to interrupt prolonged bouts (≥20 min) of sedentary time among adults with type 2 diabetes. Eight of nine participants completed a 1-month intervention and agreed that NEAT! made them more conscious of sitting time. Most participants (87.5 %) expressed a desire to use NEAT! in the future. Sedentary time decreased by 8.1±4.5 %, and light physical activity increased by 7.9±5.5 % over the 1-month period. The results suggest that NEAT! is an acceptable technology to intervene on sedentary time among adults with type 2 diabetes. Future studies are needed to examine the use of the technology among larger samples and determine its effects on glucose and insulin levels.

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“…Other studies have however shown favourable associations between accelerometer measured interruptions to sedentary time with WC 8,9,22 and BMI. 8 Healy et al 8 The contrasting evidence between the findings in the present study and those that use accelerometers could be explained by the different methods used to assess an 'interruption'.…”

Section: Discussionmentioning

confidence: 89%

“…9,[21][22][23][24][25][26] For example, British researchers reported that each additional hour of sedentary time is associated with a 1.89cm larger WC in 30 to 80 year olds with newly diagnosed type 2 diabetes. 22 Although accelerometers may not directly measure sitting, these cumulative findings suggest associations between sedentary time and WC and BMI.…”

Section: Discussionmentioning

confidence: 99%

Desk-Based Occupational Sitting Patterns

Ryde

Brown

Peeters

et al. 2013

American Journal of Preventive Medicine

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Background: Prolonged, uninterrupted sitting time is associated with poor health outcomes.As most sitting time occurs at work, accurate, objective measurement of occupational sitting patterns is required to fully understand its effects on employee health. Purpose:The purpose of this study was to examine associations between desk-based sitting patterns, waist circumference (WC) and body mass index (BMI).Methods: Participants were full-time, office-based employees (N=105; mean age 40.9±11.5 years; BMI 26.1±3.9, 65% women). Sitting patterns (total desk-based sitting time and number of times employees got up from their desk) were assessed for five days using an objective measure of desk-based sitting, the sitting pad. WC, height and weight were measured, and BMI calculated (weight/height 2 ). Associations between sitting patterns, WC and BMI were tested using logistic regression models. Data were collected and analysed between 2011/12.Results: Those with high sitting time at their desk were 2.7 times (95% CI: 1.3 to 6.3) more likely to have WC ≥94 cm (men) or ≥80cm (women), and 9.0 times (95% CI: 1.9 to 41.9) more likely to have BMI ≥30 than those with lower sitting time. There were no significant associations between the number of times employees got up from sitting at their desk and WC or BMI. Conclusion:High desk-based sitting time was associated with increased likelihood of weight related health outcomes whereas frequency of getting up from sitting at the desk was not.3

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Sedentary time, breaks in sedentary time and metabolic variables in people with newly diagnosed type 2 diabetes

Cited by 169 publications

References 35 publications

Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Acceptability of smartphone technology to interrupt sedentary time in adults with diabetes

Desk-Based Occupational Sitting Patterns

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