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Association between cardiorespiratory fitness and accelerometer-derived physical activity and sedentary time in the general population. Mayo Clin Proc 2014 Aug;89(8):1063-71

Date

07/12/2014

Pubmed ID

25012770

Pubmed Central ID

PMC5152946

DOI

10.1016/j.mayocp.2014.04.019

Scopus ID

2-s2.0-84905406953 (requires institutional sign-in at Scopus site)   81 Citations

Abstract

OBJECTIVE: To determine the association between cardiorespiratory fitness and sedentary behavior, independent of exercise activity.

PATIENTS AND METHODS: We included 2223 participants (aged 12-49 years; 1053 females [47%]) without known heart disease who had both cardiovascular fitness testing and at least 1 day of accelerometer data from the National Health and Nutrition Examination Survey 2003-2004. From accelerometer data, we quantified bouts of exercise as mean minutes per day for each participant. Sedentary time was defined as less than 100 counts per minute in mean minutes per day. Cardiorespiratory fitness was derived from a submaximal exercise treadmill test. Multivariable-adjusted linear regression analyses were performed with fitness as the dependent variable. Models were stratified by sex, adjusted for age, body mass index, and wear time, and included sedentary and exercise time.

RESULTS: An additional hour of daily exercise activity time was associated with a 0.88 (0.37-1.39; P<.001) metabolic equivalent of task (MET) higher fitness for men and a 1.37 (0.43-2.31; P=.004) MET higher fitness for women. An additional hour of sedentary time was associated with a -0.12 (-0.02 to -0.22; P=.03) and a -0.24 (-0.10 to -0.38; P<.001) MET difference in fitness for men and women, respectively.

CONCLUSION: After adjustment for exercise activity, sedentary behavior appears to have an inverse association with fitness. These findings suggest that the risk related to sedentary behavior might be mediated, in part, through lower fitness levels.

Author List

Kulinski JP, Khera A, Ayers CR, Das SR, de Lemos JA, Blair SN, Berry JD

Author

Jacquelyn P. Kulinski MD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Accelerometry
Adult
Exercise Test
Female
Humans
Male
Middle Aged
Motor Activity
Nutrition Surveys
Physical Fitness
Young Adult