scholarly journals How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies

2018 ◽  
Vol 53 (6) ◽  
pp. 370-376 ◽  
Author(s):  
Sebastien F M Chastin ◽  
Marieke De Craemer ◽  
Katrien De Cocker ◽  
Lauren Powell ◽  
Jelle Van Cauwenberg ◽  
...  

AimTo assess the relationship between time spent in light physical activity and cardiometabolic health and mortality in adults.DesignSystematic review and meta-analysis.Data sourcesSearches in Medline, Embase, PsycInfo, CINAHL and three rounds of hand searches.Eligibility criteria for selecting studiesExperimental (including acute mechanistic studies and physical activity intervention programme) and observational studies (excluding case and case–control studies) conducted in adults (aged ≥18 years) published in English before February 2018 and reporting on the relationship between light physical activity (<3 metabolic equivalents) and cardiometabolic health outcomes or all-cause mortality.Study appraisal and synthesisStudy quality appraisal with QUALSYST tool and random effects inverse variance meta-analysis.ResultsSeventy-two studies were eligible including 27 experimental studies (and 45 observational studies). Mechanistic experimental studies showed that short but frequent bouts of light-intensity activity throughout the day reduced postprandial glucose (−17.5%; 95% CI −26.2 to −8.7) and insulin (−25.1%; 95% CI −31.8 to –18.3) levels compared with continuous sitting, but there was very limited evidence for it affecting other cardiometabolic markers. Three light physical activity programme intervention studies (n ranging from 12 to 58) reduced adiposity, improved blood pressure and lipidaemia; the programmes consisted of activity of >150 min/week for at least 12 weeks. Six out of eight prospective observational studies that were entered in the meta-analysis reported that more time spent in daily light activity reduced risk of all-cause mortality (pooled HR 0.71; 95% CI 0.62 to 0.83).ConclusionsLight-intensity physical activity could play a role in improving adult cardiometabolic health and reducing mortality risk. Frequent short bouts of light activity improve glycaemic control. Nevertheless, the modest volume of the prospective epidemiological evidence base and the moderate consistency between observational and laboratory evidence inhibits definitive conclusions.

2019 ◽  
Vol 30 (1) ◽  
pp. 13-24 ◽  
Author(s):  
Po‐Wen Ku ◽  
Mark Hamer ◽  
Yung Liao ◽  
Ming‐Chun Hsueh ◽  
Li‐Jung Chen

2009 ◽  
Vol 6 (4) ◽  
pp. 419-425 ◽  
Author(s):  
Makoto Ayabe ◽  
Takuya Yahiro ◽  
Myumi Yoshioka ◽  
Hiroyuki Higuchi ◽  
Yasuki Higaki ◽  
...  

Background:The purpose of the present investigation was to examine the relationship between age and the intensity of the daily physical activity in men and women, aged 18 to 69 years.Methods:A total 507 volunteers continuously wore a pedometer with a uni-ax-ial accelerometer (Lifecorder, Kenz, Japan) for 7 days, to determine the number of steps (steps/day) as well as the time spent in physical activity (minutes/day) at light (below 3 METs), moderate (3 to 6 METs), and vigorous (above 6 METs) intensities, respectively. All procedures carried out in the present investigation were conducted from 1999 to 2000 in Japan.Results:The time spent in moderate to vigorous intensity physical activity significantly decreased with aging (P < 0.01). In contrast, the middle- to older-aged individuals spent a longer time in light intensity physical activity in comparison with the younger individuals (P < 0.05). Furthermore, these age-associated differences of physical activity were also significant, even though the number of steps did not differ significantly.Conclusions:These results indicate that the intensity of daily physical activity decreases with increasing age regardless of the amount of daily physical activity.


2014 ◽  
Vol 11 (2) ◽  
pp. 266-271 ◽  
Author(s):  
Yuko Gando ◽  
Haruka Murakami ◽  
Ryoko Kawakami ◽  
Noriko Tanaka ◽  
Kiyoshi Sanada ◽  
...  

Background:It is unclear whether light physical activity is beneficially associated with insulin resistance, similar to moderate and/or vigorous physical activity. This cross-sectional study was performed to determine the relationship between the amount of light physical activity, as determined with a triaxial accelerometer, and insulin resistance.Methods:A total of 807 healthy men and women participated in this study. Physical activity was measured using a triaxial accelerometer worn for 28 days and summarized as light intensity (1.1–2.9 METs) or moderate to vigorous intensity (≥ 3.0 METs). Insulin resistance was evaluated by HOMA_R (FPG [mg/dL] × IRI [μU/mL]/405).Results:The daily time spent in light physical activity was inversely associated with HOMA_R (r = –0.173, P < 0.05). After adjustment for confounders, the association between light physical activity and HOMA_R remained statistically significant (β = –0.119, P < .05). Light physical activity remained significantly associated with HOMA_R following further adjustment for moderate to vigorous intensity activity (β = –0.125, P < .05). Similar results were observed when light physical activity was modeled as quartiles, especially in elderly women.Conclusions:These cross-sectional data suggest that light-intensity physical activity is beneficially associated with insulin resistance in elderly Japanese women.


Author(s):  
Lauren S. Tye ◽  
Tessa Scott ◽  
Jillian J. Haszard ◽  
Meredith C. Peddie

Despite activity guidelines moving towards a 24-h focus, we have a poor understanding of the 24-h activity patterns of adolescents. Therefore, this study aims to describe the 24-h activity patterns of a sample of adolescent females and investigate the association with body mass index (BMI). Adolescent females aged 15–18 years (n = 119) were recruited across 13 schools in 8 locations throughout New Zealand. Actigraph GT3X+ accelerometers were worn 24-h a day for seven days and the output was used to identify time spent in each 24-h component (sleep, sedentary, light-intensity physical activity and moderate-to-vigorous intensity physical activity). In a 24-h period, adolescent females spent approximately half their time sedentary, one third sleeping and the remainder in light-intensity physical activity (15%) and moderate-to-vigorous intensity physical activity (5%). Higher BMI z-scores were associated with 16 min more time spent in light-intensity physical activity. Additionally, those with higher BMI were less likely to meet the sleep and physical activity guidelines for this age group. Compliance with the moderate-to-vigorous intensity physical activity guidelines, sleep guidelines, or both, was low, especially in those classified as overweight or obese. The association between BMI and light activity warrants further investigation.


Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 397
Author(s):  
Yanni Verhavert ◽  
Kristine De Martelaer ◽  
Elke Van Hoof ◽  
Eline Van Der Linden ◽  
Evert Zinzen ◽  
...  

Although it is believed that physical activity, sedentary, and dietary behavior (i.e., energy balance-related behavior) may decrease the risk of burn-out, the association between both is currently not well understood. Therefore, the aim of this systematic review was to synthesize studies investigating the relationship between energy balance-related behavior and burn-out risk. A systematic literature search was conducted in four databases, resulting in 25 included studies (ten experimental and 15 observational studies). Nine out of ten experimental studies showed that exercise programs were effective in reducing burn-out risk. Fourteen out of fifteen observational studies found a negative association between physical activity and burn-out risk, whereas one study did not find a relation. Two of the 15 observational studies also showed that being more sedentary was associated with a higher burn-out risk, and two other studies found that a healthier diet was related to a lower burn-out risk. No experimental studies were found for the latter two behaviors. It can be concluded that physical activity may be effective in reducing burn-out risk. The few observational studies linking sedentary and dietary behavior with burn-out risk suggest that being more sedentary and eating less healthy are each associated with higher burn-out risk. More high-quality research is needed to unravel the causal relationship between these two behaviors and burn-out risk.


Sensors ◽  
2020 ◽  
Vol 20 (4) ◽  
pp. 1118
Author(s):  
Jonatan Fridolfsson ◽  
Mats Börjesson ◽  
Elin Ekblom-Bak ◽  
Örjan Ekblom ◽  
Daniel Arvidsson

An improved method of physical activity accelerometer data processing, involving a wider frequency filter than the most commonly used ActiGraph filter, has been shown to better capture variations in physical activity intensity in a lab setting. The aim of the study was to investigate how this improved measure of physical activity affected the relationship with markers of cardiometabolic health. Accelerometer data and markers of cardiometabolic health from 725 adults from two samples, LIV 2013 and SCAPIS pilot, were analyzed. The accelerometer data was processed using both the original ActiGraph method with a low-pass cut-off at 1.6 Hz and the improved method with a low-pass cut-off at 10 Hz. The relationship between the physical activity intensity spectrum and a cardiometabolic health composite score was investigated using partial least squares regression. The strongest association between physical activity and cardiometabolic health was shifted towards higher intensities with the 10 Hz output compared to the ActiGraph method. In addition, the total explained variance was higher with the improved method. The 10 Hz output enables correctly measuring and interpreting high intensity physical activity and shows that physical activity at this intensity is stronger related to cardiometabolic health compared to the most commonly used ActiGraph method.


Author(s):  
Shanhu Qiu ◽  
Xue Cai ◽  
Lijing Jia ◽  
Zilin Sun ◽  
Tongzhi Wu ◽  
...  

Abstract Aims Current physical activity guidelines emphasize little on light-intensity physical activity (LPA) in terms of reducing the risk of cardiovascular mortality. This meta-analysis aimed to bridge this gap by assessing their association using objectively measured LPA data. Methods and results Databases of PubMed and Scopus were searched to April 2020 for prospective cohort studies that reported the association of LPA assessed by activity monitors with the risk of cardiovascular mortality in the general population. Multivariable-adjusted hazard ratios (HRs) with 95% confidence intervals (CIs) were pooled using a random-effects model. Dose–response and subgroup analyses were also performed. Six cohort studies with seven datasets enrolling 13 960 participants were included. LPA was all measured by accelerometers. The HR of LPA per 30 min/day for cardiovascular mortality was pooled to be 0.80 (95% CI 0.67–0.96). This association was non-linearly shaped (Pnonlinearity &lt; 0.01) and unaffected by sex difference. Moreover, substituting LPA for sedentary time of 30 min/day lowered the risk of cardiovascular mortality by 16% (95% CI 0.73–0.96). Results showed further that LPA was inferior to moderate-to-vigorous physical activity in reducing the risk of cardiovascular mortality when performed with an equal time-length set at 30 min/day (HR 0.83 vs. 0.54, Pcomparison = 0.046), but became comparable if at an equal activity-amount set at 150 metabolic equivalents-min/day (HR 0.67 vs. 0.54, Pcomparison = 0.41). Conclusion LPA shows potential in reducing the risk of cardiovascular mortality, and interventions targeting at LPA improvement are worth being encouraged.


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