Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/35740
Título: Leisure-time physical activity, sedentary behaviors, sleep, and cardiometabolic risk factors at baseline in the PREDIMED-PLUS intervention trial: A cross-sectional analysis
Autores/as: Rosique Esteban, N.
Díaz-López, A.
Martínez-González, Miguel Ángel
Corella, Dolores
Goday, Albert
Martínez, J. Alfredo
Romaguera, Dora
Vioque, Jesus
Arós, Fernando
Garcia-Rios, Antonio
Tinahones, Francisco
Estruch, Ramón
Fernández-García, José Carlos
Lapetra, José
Serra-Majem, Lluis 
Pinto, Xavier
Tur, Josep A.
Bueno-Cavanillas, Aurora
Vidal, Josep
Delgado-Rodríguez, Miguel
Daimiel, Lidia
Vázquez, Clotilde
Rubio, Miguel Ángel
Ros, Emilio
Salas-Salvadó, Jordi
PREDIMED-PLUS Investigators
Clasificación UNESCO: 3206 Ciencias de la nutrición
Palabras clave: Type-2 Diabetes-Mellitus
Health Outcomes
Sitting Time
Adults
Associations, et al.
Fecha de publicación: 2017
Publicación seriada: PLoS ONE 
Resumen: 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%Cl: 1.01, 1.03; RR:1.04, 95`)/X1: 1.02, 1.06 and RR: 1.01 95`)/X1: 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%Cl: 0.93, 0.97; RR: 0.94, 95%Cl: 0.89, 0.99; RR: 0.97, 95%Cl: 0.96, 0.98; and RR: 0.95, 95%Cl: 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.
URI: http://hdl.handle.net/10553/35740
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0172253
Fuente: PLoS ONE [ISSN 1932-6203], v. 12 (3), Article number e0172253
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