Objectively measured total sedentary time and pattern of sedentary accumulation in older adults: associations with incident cardiovascular disease and all-cause mortality

Manasa Shanta Yerramalla*, Vincent T. van Hees, Mathilde Chen, Aurore Fayosse, Sebastien F.M. Chastin, Séverine Sabia

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
6 Downloads (Pure)

Abstract

Background: We examined associations of total duration and pattern of accumulation of objectively measured sedentary behavior (SB) with incident cardiovascular disease (CVD) and all-cause mortality among older adults. Methods: Total sedentary time and 8 sedentary accumulation pattern metrics were extracted from accelerometer data of 3 991 Whitehall II study participants aged 60-83 years in 2012-2013. Incident CVD and all-cause mortality were ascertained up to March 2019. Results: Two hundred and ninety-nine CVD cases and 260 deaths were recorded over a mean (standard deviation [SD]) follow-up of 6.2 (1.3) and 6.4 (0.8) years, respectively. Adjusting for sociodemographic and behavioral factors, 1-SD (100.2 minutes) increase in total sedentary time was associated with 20% higher CVD risk (hazard ratio [95% confidence interval]: 1.20 [1.05-1.37]). More fragmented SB was associated with reduced CVD risk (eg, 0.86 [0.76-0.97] for 1-SD [6.2] increase in breaks per sedentary hour). Associations were not evident once health-related factors and moderate-to-vigorous physical activity (MVPA) were considered. For all-cause mortality, associations with more fragmented SB (eg, 0.73 [0.59-0.91] for breaks per sedentary hour) were found only among the youngest older group (<74 years; p for interaction with age <. 01) independently from all covariates. Conclusions: In this study, no associations of total sedentary time and sedentary accumulation patterns with incident CVD and all-cause mortality were found in the total sample once MVPA was considered. Our findings of reduced mortality risk with less total and more fragmented SB independent from MVPA among individuals <74 years need to be replicated to support the recent recommendations to reduce and fragment SB.

Original languageEnglish
Pages (from-to)842-850
Number of pages9
JournalJournals of Gerontology, Series A
Volume77
Issue number4
Early online date30 Jan 2022
DOIs
Publication statusPublished - Apr 2022

Keywords

  • Accelerometer
  • breaks in sedentary behavior
  • moderate-to-vigorous physical activity
  • Prospective
  • Moderate-to-vigorous physical activity
  • Breaks in sedentary behavior

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Ageing

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