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Can we walk away from cardiovascular disease risk or do we have to 'huff and puff'? A cross-sectional compositional accelerometer data analysis among adults and older adults in the Copenhagen City Heart Study

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@article{17d0cc1add4b456eb040017589f76ebd,
title = "Can we walk away from cardiovascular disease risk or do we have to 'huff and puff'?: A cross-sectional compositional accelerometer data analysis among adults and older adults in the Copenhagen City Heart Study",
abstract = "BACKGROUND: It is unclear whether walking can decrease cardiovascular disease (CVD) risk or if high intensity physical activity (HIPA) is needed, and whether the association is modified by age. We investigated how sedentary behaviour, walking, and HIPA, were associated with systolic blood pressure (SBP), waist circumference (WC), and low-density lipoprotein cholesterol (LDL-C) among adults and older adults in a general population sample using compositional data analysis. Specifically, the measure of association was quantified by reallocating time between sedentary behaviour and 1) walking, and 2) HIPA.METHODS: Cross-sectional data from the fifth examination of the Copenhagen City Heart Study was used. Using the software Acti4, we estimated daily time spent in physical behaviours from accelerometer data worn 24 h/day for 7 days (i.e., right frontal thigh and iliac crest; median wear time: 6 days, 23.8 h/day). SBP, WC, and LDL-C were measured during a physical examination. Inclusion criteria were ≥ 5 days with ≥16 h of accelerometer recordings per day, and no use of antihypertensives, diuretics or cholesterol lowering medicine. The 24-h physical behaviour composition consisted of sedentary behaviour, standing, moving, walking, HIPA (i.e., sum of climbing stairs, running, cycling, and rowing), and time in bed. We used fitted values from linear regression models to predict the difference in outcome given the investigated time reallocations relative to the group-specific mean composition.RESULTS: Among 1053 eligible participants, we found an interaction between the physical behaviour composition and age. Age-stratified analyses (i.e., CONCLUSIONS: Less sedentary behaviour and more walking seems to be associated with lower CVD risk among older adults, while HIPA types are associated with lower risk among adults. Therefore, to reduce CVD risk, the modifying effect of age should be considered in future physical activity-promoting initiatives.",
keywords = "Accelerometry/instrumentation, Aged, Blood Pressure, Cardiovascular Diseases/prevention & control, Cholesterol, LDL, Cross-Sectional Studies, Data Analysis, Denmark/epidemiology, Exercise, Female, Humans, Male, Middle Aged, Sedentary Behavior, Waist Circumference, Walking/physiology, Wearable Electronic Devices, Systolic blood pressure, Physical activity, Sedentary behaviour, High-intensity physical activity, Low-density lipoprotein cholesterol, Waist circumference, Walking",
author = "Johansson, {Melker Staffan} and Karen S{\o}gaard and Eva Prescott and Marott, {Jacob Louis} and Peter Schnohr and Andreas Holtermann and Mette Korsh{\o}j",
year = "2020",
month = jul,
day = "6",
doi = "10.1186/s12966-020-00985-w",
language = "English",
volume = "17",
pages = "84",
journal = "International Journal of Behavioral Nutrition and Physical Activity",
issn = "1479-5868",
publisher = "BioMed Central Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - Can we walk away from cardiovascular disease risk or do we have to 'huff and puff'?

T2 - A cross-sectional compositional accelerometer data analysis among adults and older adults in the Copenhagen City Heart Study

AU - Johansson, Melker Staffan

AU - Søgaard, Karen

AU - Prescott, Eva

AU - Marott, Jacob Louis

AU - Schnohr, Peter

AU - Holtermann, Andreas

AU - Korshøj, Mette

PY - 2020/7/6

Y1 - 2020/7/6

N2 - BACKGROUND: It is unclear whether walking can decrease cardiovascular disease (CVD) risk or if high intensity physical activity (HIPA) is needed, and whether the association is modified by age. We investigated how sedentary behaviour, walking, and HIPA, were associated with systolic blood pressure (SBP), waist circumference (WC), and low-density lipoprotein cholesterol (LDL-C) among adults and older adults in a general population sample using compositional data analysis. Specifically, the measure of association was quantified by reallocating time between sedentary behaviour and 1) walking, and 2) HIPA.METHODS: Cross-sectional data from the fifth examination of the Copenhagen City Heart Study was used. Using the software Acti4, we estimated daily time spent in physical behaviours from accelerometer data worn 24 h/day for 7 days (i.e., right frontal thigh and iliac crest; median wear time: 6 days, 23.8 h/day). SBP, WC, and LDL-C were measured during a physical examination. Inclusion criteria were ≥ 5 days with ≥16 h of accelerometer recordings per day, and no use of antihypertensives, diuretics or cholesterol lowering medicine. The 24-h physical behaviour composition consisted of sedentary behaviour, standing, moving, walking, HIPA (i.e., sum of climbing stairs, running, cycling, and rowing), and time in bed. We used fitted values from linear regression models to predict the difference in outcome given the investigated time reallocations relative to the group-specific mean composition.RESULTS: Among 1053 eligible participants, we found an interaction between the physical behaviour composition and age. Age-stratified analyses (i.e., CONCLUSIONS: Less sedentary behaviour and more walking seems to be associated with lower CVD risk among older adults, while HIPA types are associated with lower risk among adults. Therefore, to reduce CVD risk, the modifying effect of age should be considered in future physical activity-promoting initiatives.

AB - BACKGROUND: It is unclear whether walking can decrease cardiovascular disease (CVD) risk or if high intensity physical activity (HIPA) is needed, and whether the association is modified by age. We investigated how sedentary behaviour, walking, and HIPA, were associated with systolic blood pressure (SBP), waist circumference (WC), and low-density lipoprotein cholesterol (LDL-C) among adults and older adults in a general population sample using compositional data analysis. Specifically, the measure of association was quantified by reallocating time between sedentary behaviour and 1) walking, and 2) HIPA.METHODS: Cross-sectional data from the fifth examination of the Copenhagen City Heart Study was used. Using the software Acti4, we estimated daily time spent in physical behaviours from accelerometer data worn 24 h/day for 7 days (i.e., right frontal thigh and iliac crest; median wear time: 6 days, 23.8 h/day). SBP, WC, and LDL-C were measured during a physical examination. Inclusion criteria were ≥ 5 days with ≥16 h of accelerometer recordings per day, and no use of antihypertensives, diuretics or cholesterol lowering medicine. The 24-h physical behaviour composition consisted of sedentary behaviour, standing, moving, walking, HIPA (i.e., sum of climbing stairs, running, cycling, and rowing), and time in bed. We used fitted values from linear regression models to predict the difference in outcome given the investigated time reallocations relative to the group-specific mean composition.RESULTS: Among 1053 eligible participants, we found an interaction between the physical behaviour composition and age. Age-stratified analyses (i.e., CONCLUSIONS: Less sedentary behaviour and more walking seems to be associated with lower CVD risk among older adults, while HIPA types are associated with lower risk among adults. Therefore, to reduce CVD risk, the modifying effect of age should be considered in future physical activity-promoting initiatives.

KW - Accelerometry/instrumentation

KW - Aged

KW - Blood Pressure

KW - Cardiovascular Diseases/prevention & control

KW - Cholesterol, LDL

KW - Cross-Sectional Studies

KW - Data Analysis

KW - Denmark/epidemiology

KW - Exercise

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Sedentary Behavior

KW - Waist Circumference

KW - Walking/physiology

KW - Wearable Electronic Devices

KW - Systolic blood pressure

KW - Physical activity

KW - Sedentary behaviour

KW - High-intensity physical activity

KW - Low-density lipoprotein cholesterol

KW - Waist circumference

KW - Walking

UR - http://www.scopus.com/inward/record.url?scp=85087726139&partnerID=8YFLogxK

U2 - 10.1186/s12966-020-00985-w

DO - 10.1186/s12966-020-00985-w

M3 - Journal article

C2 - 32631371

VL - 17

SP - 84

JO - International Journal of Behavioral Nutrition and Physical Activity

JF - International Journal of Behavioral Nutrition and Physical Activity

SN - 1479-5868

IS - 1

M1 - 84

ER -

ID: 61664337