Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial : A cross-sectional analysis
Rosique-Esteban, Nuria (Instituto de Salud Carlos III)
Díaz-López, Andrés (Instituto de Salud Carlos III)
Martínez-González, Miguel A. (Instituto de Salud Carlos III)
Corella, Dolores (Instituto de Salud Carlos III)
Goday Arnó, Albert (Universitat Autònoma de Barcelona. Departament de Medicina)
Martínez, J. Alfredo (Instituto de Salud Carlos III)
Romaguera, Dora (Instituto de Salud Carlos III)
Vioque, Jesús (Universidad Miguel Hernández, Alicante)
Arós, Fernando (University Hospital Araba, Vitoria)
García-Rios, Antonio (Universitat de Còrdoba)
Tinahones, Francisco (Hospital Universitario Virgen de la Victoria (Màlaga, Andalusia))
Estruch, Ramón (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Fernández-García, José Carlos (Universidad de Málaga)
Lapetra, José (Distrito Sanitario Atencion Primaria Sevilla)
Serra-Majem, Luís (Universitat de Las Palmas de Gran Canaria)
Pinto, Xavier (Institut d'Investigació Biomèdica de Bellvitge)
Tur, Josep A. (University of the Balearic Islands)
Bueno-Cavanillas, Aurora (Instituto de Salud Carlos III)
Vidal, Josep (Hospital Clínic i Provincial de Barcelona)
Delgado-Rodríguez, Miguel (Universitat de Jaen)
Daimiel, Lidia (Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares)
Vázquez, Clotilde (Hospital Universitario Fundación Jiménez Díaz)
Rubio Herrera, Miguel Ángel (Instituto de Investigación Sanitaria del Hospital Clínico San Carlos)
Ros, Emilio (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Salas-Salvadó, Jordi (Instituto de Salud Carlos III)

Data:	2017
Resum:	Limited data exists on the interrelationships between physical activity (PA), sedentary behaviors and sleep concerning cardiometabolic risk factors in aged adults at high cardiovascular disease risk. Our aim was to examine independent and joint associations between time spent in leisure-time PA, sedentary behaviors and sleep on the prevalence of obesity, type 2 diabetes (T2D) and components of the metabolic syndrome (MetS) in Mediterranean individuals at high cardiovascular risk. Cross-sectional analyses were performed on baseline data from 5776 Spanish adults (aged 55-75y in men; 60-75y in women) with overweight/obesity and MetS, from October 2013 to October 2016, in the PREDIMED-PLUS trial. Employing multivariable-adjusted Cox regression with robust variance and constant time (given the cross-sectional design), higher prevalence of obesity, T2D and abdominal obesity as component of the MetS were associated with greater time in TV-viewing (Relative Risk, RR: 1. 02, 95%CI: 1. 01, 1. 03; RR:1. 04, 95%CI: 1. 02, 1. 06 and RR: 1. 01 95%CI: 1. 00, 1. 02; respectively, all P <. 01). Conversely, greater time in moderate-vigorous PA (MVPA) was associated with lower prevalence of obesity, T2D, abdominal obesity and low HDL-cholesterol (RR: 0. 95, 95%CI: 0. 93, 0. 97; RR: 0. 94, 95%CI: 0. 89, 0. 99; RR: 0. 97, 95%CI: 0. 96, 0. 98; and RR: 0. 95, 95%CI: 0. 91, 0. 99, respectively, all P <. 05). For these outcomes, theoretically substituting 1-h/day of MVPA for 1-h/day TV-viewing was also significantly associated with lower prevalence (RR 0. 91 to 0. 97, all P <. 05). Similar lower RR in these outcomes was observed when substituting 1-h/day of MVPA for 1-h/day of sleeping. Longer time watching TV and not meeting MVPA recommendations were jointly associated with higher RR of the prevalence of obesity and T2D. We concluded that, in senior individuals at high cardiovascular risk, greater time spent on MVPA and fewer on sedentary behaviors was inversely associated with prevalence of obesity, T2D, and some of the components of MetS.
Ajuts:	Ministerio de Economía y Competitividad PI13/00673 Ministerio de Economía y Competitividad PI13/00492 Ministerio de Economía y Competitividad PI13/00272 Ministerio de Economía y Competitividad PI13/01123 Ministerio de Economía y Competitividad PI13/00462 Ministerio de Economía y Competitividad PI13/00233 Ministerio de Economía y Competitividad PI13/02184 Ministerio de Economía y Competitividad PI13/00728 Ministerio de Economía y Competitividad PI13/01090 Ministerio de Economía y Competitividad PI13/01056 Ministerio de Economía y Competitividad PI14/01722 Ministerio de Economía y Competitividad PI14/00636 Ministerio de Economía y Competitividad PI14/00618 Ministerio de Economía y Competitividad PI14/00696 Ministerio de Economía y Competitividad PI14/01206 Ministerio de Economía y Competitividad PI14/01919 Ministerio de Economía y Competitividad PI14/00853 European Commission 340918
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	PloS one, Vol. 12 (march 2017) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0172253
PMID: 28273154

19 p, 1.6 MB

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