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Diabetes Care Publish Ahead of Print published online ahead of print February 5, 2008
DOI: 10.2337/dc07-2046

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Original Research

BREAKS IN SEDENTARY TIME: BENEFICIAL ASSOCIATIONS WITH METABOLIC RISK

Genevieve N Healy, MPH1, David W Dunstan, MD2, Jo Salmon, MD3, Ester Cerin, MD4, Jonathan E Shaw, MD2, Paul Z Zimmet, MD2 and Neville Owen, MD1

1Cancer Prevention Research Centre, School of Population Health, The University of Queensland, Brisbane, Australia
2International Diabetes Institute, Melbourne, Australia
3Deakin University, School of Exercise and Nutrition Sciences, Melbourne, Australia
4The University of Hong Kong, Hong Kong

g.healy{at}uq.edu.au

ABSTRACT

Objective: Total sedentary (absence of whole-body movement) time is associated with obesity, abnormal glucose metabolism, and the metabolic syndrome. In addition to the effects of total sedentary time, the manner in which it is accumulated may also be important. We examined the association of breaks in objectively-measured sedentary time with biological markers of metabolic risk.

Research Design And Methods: Participants (n=168, mean age 53.4 years) for this cross-sectional study were recruited from the 2004–2005 Australian Diabetes, Obesity and Lifestyle study. Sedentary time was measured by an accelerometer (counts.minute–1 <100) worn during waking hours for seven consecutive days. Each interruption in sedentary time (counts.minute–1 ≥100) was considered a break. Fasting plasma glucose, 2-hr plasma glucose, serum-triglycerides, high density lipoprotein cholesterol, weight, height, waist circumference and resting blood pressure were measured. MatLab was used to derive the breaks variable; SPSS was used for the statistical analysis.

Results: Independent of total sedentary time and moderate-to-vigorous intensity activity time, increased breaks in sedentary time were beneficially associated with waist circumference (standardized β = –0.16, 95% CI –0.31 to –0.02, p=0.026), body mass index (β = –0.19, –0.35 to –0.02, p=0.026), triglycerides (β = –0.18, –0.34 to –0.02, p=0.029), and 2-hr plasma glucose (β = –0.18, –0.34 to –0.02, p=0.025).

Conclusions: This study provides evidence on the potential importance for human health of avoiding prolonged uninterrupted periods of sedentary (primarily sitting) time. These findings suggest new public health recommendations on the breaking-up of sedentary time that are complementary to those for physical activity.


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