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3. Ecological monitoring of physical activity, emotions and daily life activities in schizophrenia: The DiAPAson study

Author

Zarbo, C, Rota, M, Calza, S, Crouter, S, Ekelund, U, Barlati, S, Bussi, R, Clerici, M, Placenti, R, Paulillo, G, Pogliaghi, S, Rocchetti, M, Ruggeri, M, Starace, F, Zanolini, S, Zamparini, M, De Girolamo, G, Zarbo C., Rota M., Calza S., Crouter S. E., Ekelund U., Barlati S., Bussi R., Clerici M., Placenti R., Paulillo G., Pogliaghi S., Rocchetti M., Ruggeri M., Starace F., Zanolini S., Zamparini M., De Girolamo G., Zarbo, C, Rota, M, Calza, S, Crouter, S, Ekelund, U, Barlati, S, Bussi, R, Clerici, M, Placenti, R, Paulillo, G, Pogliaghi, S, Rocchetti, M, Ruggeri, M, Starace, F, Zanolini, S, Zamparini, M, De Girolamo, G, Zarbo C., Rota M., Calza S., Crouter S. E., Ekelund U., Barlati S., Bussi R., Clerici M., Placenti R., Paulillo G., Pogliaghi S., Rocchetti M., Ruggeri M., Starace F., Zanolini S., Zamparini M., and De Girolamo G.

Abstract

Background Schizophrenia spectrum disorders (SSD) compromise psychosocial functioning, including daily time use, emotional expression and physical activity (PA). Objective We performed a cohort study aimed at investigating: (1) the differences in PA, daily activities and emotions between patients with SSD and healthy controls (HC); (2) the strength of the association between these variables and clinical features among patients with SSD. Methods Ninety-nine patients with SSD (53 residential patients, 46 outpatients) and 111 matched HC were assessed for several clinical variables, and levels of functioning by means of standardised clinical measures. Self-reported daily activities and emotions were assessed with a smartphone application for ecological momentary assessment (EMA), and PA levels were assessed with a wearable accelerometer for 7 consecutive days. Findings Patients with SSD, especially those living in residential facilities, spent more time being sedentary, and self-reported more sedentary and self-care activities, experiencing higher levels of negative emotions compared with HC. Moreover, higher functioning levels among patients were associated with more time spent in moderate-to-vigorous activity. Conclusions Sedentary behaviour and negative emotions are particularly critical among patients with SSD and are associated with more impaired clinical outcomes. Clinical implications Mobile-EMA and wearable sensors are useful for monitoring the daily life of patients with SSD and the level of PA. This population needs to be targeted with specific rehabilitative programmes aimed at improving their commitment to structured daily activities.

Published
2023

12. Altered respiratory function is associated with increased metabolic risk, independently of adiposity, fitness and physical activity

Author

Steele, RM, Finucane, FM, Simmons, RK, Griffin, SJ, Wareham, NJ, Ekelund, U, and ProActive Research Team

Subjects
Adult, Male, Vital Capacity, Middle Aged, Motor Activity, Respiratory Function Tests, Diabetes Mellitus, Type 2, Humans, Female, Insulin Resistance, Epidemiologic Methods, Lung, Risk Reduction Behavior, Adiposity
Abstract

AIMS: Reduced lung function is associated with an adverse metabolic risk profile, even after adjusting for body fatness. However, previous observations may have been confounded by aerobic fitness and physical activity. This study aimed to examine the association between lung function and both metabolic risk and insulin resistance in a cohort of White British adults with a family history of Type 2 diabetes, and to explore the extent to which these associations are independent of body fatness, aerobic fitness (VO(2max)) and objectively measured physical activity. METHODS: Adults (n = 320, mean age 40.4 +/- 6.0 years) underwent measurement of physical activity energy expenditure (PAEE), spirometry [forced expiratory volume in 1 s (FEV(1))] and forced vital capacity (FVC), aerobic fitness (predicted VO(2max)), and anthropometric and metabolic status at baseline and again after 1 year (n = 257) in the ProActive trial. Clustered metabolic risk was calculated by summing standardized values for triglycerides, fasting insulin, fasting glucose, blood pressure and the inverse of high-density lipoprotein-cholesterol. A cross-sectional analysis using linear regression with repeated measures was performed. RESULTS: Both FEV(1) and FVC were inversely and statistically significantly associated with metabolic risk and insulin resistance after adjusting for age, sex, smoking status, height, PAEE and fitness. The associations with metabolic risk remained significant after adjusting for measures of body fatness, but those with insulin resistance did not. CONCLUSIONS: Reduced lung function was associated with increased metabolic risk in this cohort of carefully characterized at-risk individuals. This association was independent of overall and central body fatness, objectively measured physical activity and aerobic fitness.

Published
2023
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24. Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts

Author

Paluch, AE, Bajpai, S, Bassett, DR, Carnethon, MR, Ekelund, U, Evenson, KR, Galuska, DA, Jefferis, BJ, Kraus, WE, Lee, I-M, Matthews, CE, Omura, JD, Patel, AV, Pieper, CF, Rees-Punia, E, Dallmeier, D, Klenk, J, Whincup, PH, Dooley, EE, Pettee Gabriel, K, Palta, P, Pompeii, LA, Chernofsky, A, Larson, MG, Vasan, RS, Spartano, N, Ballin, M, Nordström, P, Nordström, A, Anderssen, SA, Hansen, BH, Cochrane, JA, Dwyer, T, Wang, J, Ferrucci, L, Liu, F, Schrack, J, Urbanek, J, Saint-Maurice, PF, Yamamoto, N, Yoshitake, Y, Newton, RL, Yang, S, Shiroma, EJ, Fulton, JE, and Steps for Health Collaborative

Abstract

BACKGROUND: Although 10 000 steps per day is widely promoted to have health benefits, there is little evidence to support this recommendation. We aimed to determine the association between number of steps per day and stepping rate with all-cause mortality. METHODS: In this meta-analysis, we identified studies investigating the effect of daily step count on all-cause mortality in adults (aged ≥18 years), via a previously published systematic review and expert knowledge of the field. We asked participating study investigators to process their participant-level data following a standardised protocol. The primary outcome was all-cause mortality collected from death certificates and country registries. We analysed the dose-response association of steps per day and stepping rate with all-cause mortality. We did Cox proportional hazards regression analyses using study-specific quartiles of steps per day and calculated hazard ratios (HRs) with inverse-variance weighted random effects models. FINDINGS: We identified 15 studies, of which seven were published and eight were unpublished, with study start dates between 1999 and 2018. The total sample included 47 471 adults, among whom there were 3013 deaths (10·1 per 1000 participant-years) over a median follow-up of 7·1 years ([IQR 4·3-9·9]; total sum of follow-up across studies was 297 837 person-years). Quartile median steps per day were 3553 for quartile 1, 5801 for quartile 2, 7842 for quartile 3, and 10 901 for quartile 4. Compared with the lowest quartile, the adjusted HR for all-cause mortality was 0·60 (95% CI 0·51-0·71) for quartile 2, 0·55 (0·49-0·62) for quartile 3, and 0·47 (0·39-0·57) for quartile 4. Restricted cubic splines showed progressively decreasing risk of mortality among adults aged 60 years and older with increasing number of steps per day until 6000-8000 steps per day and among adults younger than 60 years until 8000-10 000 steps per day. Adjusting for number of steps per day, comparing quartile 1 with quartile 4, the association between higher stepping rates and mortality was attenuated but remained significant for a peak of 30 min (HR 0·67 [95% CI 0·56-0·83]) and a peak of 60 min (0·67 [0·50-0·90]), but not significant for time (min per day) spent walking at 40 steps per min or faster (1·12 [0·96-1·32]) and 100 steps per min or faster (0·86 [0·58-1·28]). INTERPRETATION: Taking more steps per day was associated with a progressively lower risk of all-cause mortality, up to a level that varied by age. The findings from this meta-analysis can be used to inform step guidelines for public health promotion of physical activity. FUNDING: US Centers for Disease Control and Prevention.

Published
2022

25. Cross-sectional and longitudinal associations of active travel, organised sport and physical education with accelerometer-assessed moderate-to-vigorous physical activity in young people: the International Children’s Accelerometry Database

Author

Ikeda, E, Guagliano, JM, Atkin, AJ, Sherar, LB, Ekelund, U, Hansen, B, Northstone, K, van Sluijs, E, Salmon, Jo, Riddoch, C, Judge, K, Cooper, A, Griew, P, Andersen, LB, Anderssen, S, Cardon, G, Davey, R, Hallal, P, Jago, R, Janz, KF, Kriemler, S, Møller, N, Pate, R, Puder, JJ, Reilly, J, Salmon, J, Sardinha, LB, van Sluijs, EMF, Ikeda, E, Guagliano, JM, Atkin, AJ, Sherar, LB, Ekelund, U, Hansen, B, Northstone, K, van Sluijs, E, Salmon, Jo, Riddoch, C, Judge, K, Cooper, A, Griew, P, Andersen, LB, Anderssen, S, Cardon, G, Davey, R, Hallal, P, Jago, R, Janz, KF, Kriemler, S, Møller, N, Pate, R, Puder, JJ, Reilly, J, Salmon, J, Sardinha, LB, and van Sluijs, EMF

Abstract

Background: Physical activity (PA) declines during childhood. Important sources of PA are active travel, organised sport and physical education (PE), but it is unclear how these domain-specific PA sources contribute to (changes in) daily moderate-to-vigorous PA (MVPA) in young people. This study aimed to examine (1) the cross-sectional association between domain-specific physical activity (i.e., active travel, organised sport and PE) and daily minutes in accelerometer-assessed MVPA; and (2) the longitudinal association between domain-specific physical activity at baseline and change in daily minutes in MVPA. Methods: Participants (baseline age 11.3 ±.1.2 years) were drawn from three studies in the International Children’s Accelerometry Database. The contribution of self-reported standardised active travel, organised sport and PE to accelerometer-measured daily minutes in MVPA was examined using linear regression. In cross-sectional analyses, MVPA was regressed on each PA domain in separate models, adjusted for study, age, sex, maternal education, season, and monitor wear time. In longitudinal analyses, change in MVPA was regressed on each of the baseline PA domains, additionally adjusting for changes in season and wear time, follow-up duration, and baseline MVPA. R-squared was used to compare variance explained by each PA domain. Results: In the cross-sectional analyses (n = 3871), organised sport (standardised β = 3.81, 95% confidence interval [95%CI] = 3.06, 4.56) and active travel (β = 3.46, 95%CI = 2.73, 4.19) contributed more to daily MVPA than PE (β = 0.82, 95%CI = -0.02, 1.66). Compared to the base model which included only covariates (R2 = 21.5%), organised sport (absolute change: + 1.9%) and active travel (+ 1.7%) models explained more of the variance than the PE model (± < 0.1%). Associations followed a similar pattern in the longitudinal analyses (n = 2302), but none of the PA domains predicted change i

Published
2022

26. Influence of Guideline Operationalization on Youth Activity Prevalence in the International Children’s Accelerometry Database

Author

Gammon, C, Atkin, AJ, Corder, K, Ekelund, U, Hansen, BH, Sherar, LB, Andersen, LB, Anderssen, S, Davey, R, Hallal, PC, Jago, R, Kriemler, S, Kristensen, PL, Kwon, S, Northstone, K, Pate, R, Salmon, Jo, Sardinha, LB, van Sluijs, EMF, Gammon, C, Atkin, AJ, Corder, K, Ekelund, U, Hansen, BH, Sherar, LB, Andersen, LB, Anderssen, S, Davey, R, Hallal, PC, Jago, R, Kriemler, S, Kristensen, PL, Kwon, S, Northstone, K, Pate, R, Salmon, Jo, Sardinha, LB, and van Sluijs, EMF

Published
2022

27. Genome-wide association analyses of physical activity and sedentary behavior provide insights into underlying mechanisms and roles in disease prevention

Author

Wang, Zhe, Emmerich, A., Pillon, N.J., Moore, T., Hemerich, D., Cornelis, M.C., Mazzaferro, E., Broos, S., Ahluwalia, T.S., Bartz, T.M., Bentley, A.R., Bielak, L.F., Chong, M., Chu, A.Y., Berry, D., Dorajoo, R., Dueker, N.D., Kasbohm, E., Feenstra, B., Feitosa, M.F., Gieger, C., Graff, M, Hall, L.M., Haller, T., Hartwig, F.P., Hillis, D.A., Huikari, V., Heard-Costa, N., Holzapfel, C., Jackson, A.U., Johansson, Å., Jørgensen, A.M., Kaakinen, M.A., Karlsson, R., Kerr, K.F., Kim, Boram, Koolhaas, C.M., Kutalik, Z., Lagou, V., Lind, P.A., Lorentzon, M., Lyytikäinen, L.P., Mangino, M., Metzendorf, C., Monroe, K.R., Pacolet, A., Pérusse, L., Pool, R., Richmond, R.C., Rivera, N.V., Robiou-du-Pont, S., Schraut, K.E., Schulz, C.A., Stringham, H.M., Tanaka, T., Teumer, A., Turman, C., Most, P.J. van der, Vanmunster, M., Rooij, F.J. van, Vliet-Ostaptchouk, J.V. Van, Zhang, Xiaoshuai, Zhao, J.H., Zhao, W, Balkhiyarova, Z., Balslev-Harder, M.N., Baumeister, S.E., Beilby, J., Blangero, J., Boomsma, D.I., Brage, S., Braund, P.S., Brody, J.A., Bruinenberg, M., Ekelund, U., Liu, C.T., Cole, J.W., Collins, F.S., Cupples, L.A., Esko, T., Enroth, S., Faul, J.D., Fernandez-Rhodes, L., Fohner, A.E., Franco, O.H., Galesloot, T.E., Gordon, S.D.S., Grarup, N., Hartman, C.A., Heiss, G., Hui, J., Illig, T., Jago, R., James, A., Joshi, P.K., Jung, T., Kähönen, M., Kilpeläinen, T.O., Koh, W.P., Kolcic, I., Kiemeney, L.A.L.M., Loos, R.J.F., Hoed, Marcel Den, Wang, Zhe, Emmerich, A., Pillon, N.J., Moore, T., Hemerich, D., Cornelis, M.C., Mazzaferro, E., Broos, S., Ahluwalia, T.S., Bartz, T.M., Bentley, A.R., Bielak, L.F., Chong, M., Chu, A.Y., Berry, D., Dorajoo, R., Dueker, N.D., Kasbohm, E., Feenstra, B., Feitosa, M.F., Gieger, C., Graff, M, Hall, L.M., Haller, T., Hartwig, F.P., Hillis, D.A., Huikari, V., Heard-Costa, N., Holzapfel, C., Jackson, A.U., Johansson, Å., Jørgensen, A.M., Kaakinen, M.A., Karlsson, R., Kerr, K.F., Kim, Boram, Koolhaas, C.M., Kutalik, Z., Lagou, V., Lind, P.A., Lorentzon, M., Lyytikäinen, L.P., Mangino, M., Metzendorf, C., Monroe, K.R., Pacolet, A., Pérusse, L., Pool, R., Richmond, R.C., Rivera, N.V., Robiou-du-Pont, S., Schraut, K.E., Schulz, C.A., Stringham, H.M., Tanaka, T., Teumer, A., Turman, C., Most, P.J. van der, Vanmunster, M., Rooij, F.J. van, Vliet-Ostaptchouk, J.V. Van, Zhang, Xiaoshuai, Zhao, J.H., Zhao, W, Balkhiyarova, Z., Balslev-Harder, M.N., Baumeister, S.E., Beilby, J., Blangero, J., Boomsma, D.I., Brage, S., Braund, P.S., Brody, J.A., Bruinenberg, M., Ekelund, U., Liu, C.T., Cole, J.W., Collins, F.S., Cupples, L.A., Esko, T., Enroth, S., Faul, J.D., Fernandez-Rhodes, L., Fohner, A.E., Franco, O.H., Galesloot, T.E., Gordon, S.D.S., Grarup, N., Hartman, C.A., Heiss, G., Hui, J., Illig, T., Jago, R., James, A., Joshi, P.K., Jung, T., Kähönen, M., Kilpeläinen, T.O., Koh, W.P., Kolcic, I., Kiemeney, L.A.L.M., Loos, R.J.F., and Hoed, Marcel Den

Abstract

Contains fulltext : 282313.pdf (Publisher’s version ) (Open Access), Although physical activity and sedentary behavior are moderately heritable, little is known about the mechanisms that influence these traits. Combining data for up to 703,901 individuals from 51 studies in a multi-ancestry meta-analysis of genome-wide association studies yields 99 loci that associate with self-reported moderate-to-vigorous intensity physical activity during leisure time (MVPA), leisure screen time (LST) and/or sedentary behavior at work. Loci associated with LST are enriched for genes whose expression in skeletal muscle is altered by resistance training. A missense variant in ACTN3 makes the alpha-actinin-3 filaments more flexible, resulting in lower maximal force in isolated type II(A) muscle fibers, and possibly protection from exercise-induced muscle damage. Finally, Mendelian randomization analyses show that beneficial effects of lower LST and higher MVPA on several risk factors and diseases are mediated or confounded by body mass index (BMI). Our results provide insights into physical activity mechanisms and its role in disease prevention.

Published
2022

28. Accuracy of a combined heart rate and motion sensor for assessing energy expenditure in free-living adults during a double-blind crossover caffeine trial using doubly labeled water as the reference method

Author

Silva, A.M., Santos, D.A., Matias, C.N., Judice, P.B., Magalhaes, J.P., Ekelund, U., and Sardinha, L.B.

Subjects
Research, Health aspects, Energy metabolism -- Research, Heart rate -- Health aspects, Movement (Physiology) -- Health aspects, Medical research, Caffeine -- Health aspects, Medicine, Experimental, Heart beat -- Health aspects, Bioenergetics -- Research, Human mechanics -- Health aspects
Abstract

INTRODUCTION Measuring physical activity (PA) adequately is important for determining trends in PA levels over time, for evaluating the effect of PA interventions and for determining PA health benefits. Poor [...], BACKGROUND/OBJECTIVES: A combined heart rate (HR) and motion sensor (Actiheart) has been proposed as an accurate method for assessing total energy expenditure (TEE) and physical activity energy expenditure (PAEE). However, the extent to which factors such as caffeine may affect the accuracy by which the estimated HR-related PAEE contribution will affect TEE and PAEE estimates is unknown. Therefore, we examined the validity of Actiheart in estimating TEE and PAEE in free-living adults under a caffeine trial compared with doubly labeled water (DLW) as reference criterion. SUBJECTS/METHODS: Using a double-blind crossover trial (Clinicaltrials.gov ID: #NCT01477294) with two conditions (4-day each with a 3-day-washout period), randomly ordered as caffeine (5 mg/kg per day) and placebo (malt-dextrine) intake, TEE was measured by DLW in 17 physically active men (20-38 years) who were non-caffeine users. In each condition, resting energy expenditure (REE) was assessed by indirect calorimetry and PAEE was calculated as (TEE - (REE+0.1 TEE)). Simultaneously, PAEE and TEE were estimated by Actiheart using an individual calibration (ACC+[HR.sub.step]). RESULTS: Under caffeine, ACC+[HR.sub.step] explained 76 and 64% of TEE and PAEE from DLW, respectively; corresponding results for the placebo condition were 82 and 66%. No mean bias was found between ACC+[HR.sub.step] and DLW for TEE (caffeine:-468 kJ per day; placebo: -407 kJ per day), although PAEE was slightly underestimated (caffeine:-856 kJ per day; placebo:-1147 kJ per day). Similar limits of agreement were observed in both conditions ranging from -2066 to 3002 and from -3488 to 1776 kJ per day for TEE and PAEE, respectively. CONCLUSIONS: Regardless of caffeine intake, the combined HR and motion sensor is valid for estimating free-living energy expenditure in a group of healthy men but is less accurate for an individual assessment. European Journal of Clinical Nutrition (2015) 69, 20-27; doi: 10.1038/ejcn.2014.51; published online 2 April 2014

Published
2015
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30. The association of education with long-term weight change in the EPIC-PANACEA cohort

Author

Rohrmann, S, Steinbrecher, A, Linseisen, J, Hermann, S, May, A, Luan, J, Ekelund, U, Overvad, K, Tjønneland, A, Halkjær, J, Fagherazzi, G, Boutron-Ruault, M-C, Clavel-Chapelon, F, Agnoli, C, Tumino, R, Masala, G, Mattiello, A, Ricceri, F, Travier, N, Amiano, P, Ardanaz, E, Chirlaque, M-D, Sanchez, M-J, Rodríguez, L, Nilsson, L M, Johansson, I, Hedblad, B, Rosvall, M, Lund, E, Braaten, T, Naska, A, Orfanos, P, Trichopoulou, A, van den Berg, S, Bueno-de-Mesquita, H B, Bergmann, M M, Steffen, A, Kaaks, R, Teucher, B, Wareham, N J, Khaw, K-T, Crowe, F L, Illner, A-K, Slimani, N, Gallo, V, Mouw, T, Norat, T, and Peeters, P H M

Published
2012
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32. The association of lifetime alcohol use with measures of abdominal and general adiposity in a large-scale European cohort

Author

Bergmann, M M, Schütze, M, Steffen, A, Boeing, H, Halkjaer, J, Tjonneland, A, Travier, N, Agudo, A, Slimani, N, Rinaldi, S, Norat, T, Romaguera, D, Rohrmann, S, Kaaks, R, Jakobsen, M U, Overvad, K, Ekelund, U, Spencer, E A, Rodríguez, L, Sánchez, M J, Dorronsoro, M, Barricarte, A, Chirlaque, M-D, Orfanos, P, Naska, A, Trichopoulou, A, Palli, D, Grioni, S, Vineis, P, Panico, S, Tumino, R, Riboli, E, Wareham, N J, Bueno-de-Mesquita, B, May, A, and Peeters, P H M

Published
2011
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38. Substituting prolonged sedentary time and cardiovascular risk in children and youth: a meta-analysis within the International Children's Accelerometry database (ICAD)

Author

Wijndaele, Katrien, White, Thomas, Andersen, Lars Bo, Bugge, Anna, Kolle, Elin, Northstone, Kate, Wedderkopp, Niels, Ried-Larsen, Mathias, Kriemler, Susi, Page, Angie S., Puder, Jardena J., Reilly, John J., Sardinha, Luis B., van Sluijs, Esther M. F., Sharp, Stephen J., Brage, Søren, Ekelund, Ulf, Andersen, L. B., Atkin, A. J., Cardon, G., Davey, R., Ekelund, U., Esliger, D. W., Hallal, P., Hansen, B. H., Janz, K. F., Kriemler, S., Møller, N., Northstone, K., Page, A., Pate, R., Puder, J. J., Reilly, J. J., Salmon, J., Sardinha, L. B., Sherar, L. B., Timperio, A., van Sluijs, E. M. F., International Children's Accelerometry Database (ICAD) Collaborators, Andersen, L.B., Anderssen, S., Atkin, A.J., Cardon, G., Davey, R., Ekelund, U., Esliger, D.W., Hallal, P., Hansen, B.H., Janz, K.F., Kriemler, S., Møller, N., Northstone, K., Page, A., Pate, R., Puder, J.J., Reilly, J.J., Salmon, J., Sardinha, L.B., Sherar, L.B., Timperio, A., van Sluijs, EMF, Wijndaele, Katrien [0000-0003-2199-7981], and Apollo - University of Cambridge Repository

Subjects
Iso-temporal, Waist, Adolescent, RJ101, ICAD, Accelerometry, Blood Pressure/physiology, Cardiovascular Diseases/epidemiology, Child, Child, Preschool, Cholesterol, HDL/blood, Cross-Sectional Studies, Exercise/physiology, Humans, Risk Factors, Sedentary Behavior, Waist Circumference/physiology, ALSPAC, Cardio-metabolic, Physical activity, Prolonged sitting, Medicine (miscellaneous), Physical Therapy, Sports Therapy and Rehabilitation, Blood Pressure, Clinical nutrition, computer.software_genre, Sitting, 03 medical and health sciences, 0302 clinical medicine, Linear regression, Medicine, 030212 general & internal medicine, lcsh:RC620-627, Exercise, Nutrition and Dietetics, Database, business.industry, Research, lcsh:Public aspects of medicine, Cholesterol, HDL, lcsh:RA1-1270, 030229 sport sciences, 3. Good health, lcsh:Nutritional diseases. Deficiency diseases, Blood pressure, Cardiovascular Diseases, Meta-analysis, Waist Circumference, business, computer
Abstract

Background Evidence on the association between sitting for extended periods (i.e. prolonged sedentary time (PST)) and cardio-metabolic health is inconsistent in children. We aimed to estimate the differences in cardio-metabolic health associated with substituting PST with non-prolonged sedentary time (non-PST), light (LIPA) or moderate-to-vigorous physical activity (MVPA) in children. Methods Cross-sectional data from 14 studies (7 countries) in the International Children’s Accelerometry Database (ICAD, 1998–2009) was included. Accelerometry in 19,502 participants aged 3–18 years, together with covariate and outcome data, was pooled and harmonized. Iso-temporal substitution in linear regression models provided beta coefficients (95%CI) for substitution of 1 h/day PST (sedentary time accumulated in bouts > 15 min) with non-PST, LIPA or MVPA, for each study, which were meta-analysed. Results Modelling substitution of 1 h/day of PST with non-PST suggested reductions in standardized BMI, but estimates were > 7-fold greater for substitution with MVPA (− 0.44 (− 0.62; − 0.26) SD units). Only reallocation by MVPA was beneficial for waist circumference (− 3.07 (− 4.47; − 1.68) cm), systolic blood pressure (− 1.53 (− 2.42; − 0.65) mmHg) and clustered cardio-metabolic risk (− 0.18 (− 0.3; − 0.1) SD units). For HDL-cholesterol and diastolic blood pressure, substitution with LIPA was beneficial; however, substitution with MVPA showed 5-fold stronger effect estimates (HDL-cholesterol: 0.05 (0.01; 0.10) mmol/l); diastolic blood pressure: − 0.81 (− 1.38; − 0.24) mmHg). Conclusions Replacement of PST with MVPA may be the preferred scenario for behaviour change, given beneficial associations with a wide range of cardio-metabolic risk factors (including adiposity, HDL-cholesterol, blood pressure and clustered cardio-metabolic risk). Effect estimates are clinically relevant (e.g. an estimated reduction in waist circumference of ≈1.5 cm for 30 min/day replacement). Replacement with LIPA could be beneficial for some of these risk factors, however with substantially lower effect estimates.

Published
2019
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39. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants

Author

Zhou, B, Carrillo-Larco, Rm, Danaei, G, Riley, Lm, Paciorek, Cj, Stevens, Ga, Gregg, Ew, Bennett, Je, Solomon, B, Singleton, Rk, Sophiea, Mk, Iurilli, Mlc, Lhoste, Vpf, Cowan, Mj, Savin, S, Woodward, M, Balanova, Y, Cifkova, R, Damasceno, A, Elliott, P, Farzadfar, F, He, J, Ikeda, N, Kengne, Ap, Khang, Yh, Kim, Hc, Laxmaiah, A, Lin, Hh, Maira, Pm, Miranda, Jj, Neuhauser, H, Sundstrom, J, Varghese, C, Widyahening, Is, Zdrojewski, T, Ezzati, M, Abarca-Gomez, L, Abdeen, Za, Rahim, Hfa, Abu-Rmeileh, Nm, Acosta-Cazares, B, Adams, Rj, Aekplakorn, W, Afsana, K, Afzal, S, Agdeppa, Ia, Aghazadeh-Attari, J, Aguilar-Salinas, Ca, Agyemang, C, Ahmad, Na, Ahmadi, A, Ahmadi, N, Ahmadizar, F, Ahmed, Sh, Ahrens, W, Ajlouni, K, Al-Raddadi, R, Alarouj, M, Albuhairan, F, Aldhukair, S, Ali, Mm, Alkandari, A, Alkerwi, A, Allin, K, Aly, E, Amarapurkar, Dn, Amougou, N, Amouyel, P, Andersen, Lb, Anderssen, Sa, Anjana, Rm, Ansari-Moghaddam, A, Ansong, D, Aounallah-Skhiri, H, Araujo, J, Ariansen, I, Aris, T, Arku, Re, Arlappa, N, Aryal, Kk, Aspelund, T, Assah, Fk, Assuncao, Mcf, Auvinen, J, Avdicova, M, Azevedo, A, Azimi-Nezhad, M, Azizi, F, Azmin, M, Babu, Bv, Bahijri, S, Balakrishna, N, Bamoshmoosh, M, Banach, M, Banadinovic, M, Bandosz, P, Banegas, Jr, Baran, J, Barbagallo, Cm, Barcelo, A, Barkat, A, Barreto, M, Barros, Ajd, Barros, Mvg, Bartosiewicz, A, Basit, A, Bastos, Jld, Bata, I, Batieha, Am, Batyrbek, A, Baur, La, Beaglehole, R, Belavendra, A, Ben Romdhane, H, Benet, M, Benson, Ls, Berkinbayev, S, Bernabe-Ortiz, A, Bettiol, H, Bezerra, J, Bhagyalaxmi, A, Bhargava, Sk, Bia, D, Biasch, K, Lele, Ecb, Bikbov, Mm, Bista, B, Bjerregaard, P, Bjertness, E, Bjertness, Mb, Bjorkelund, C, Bloch, Kv, Blokstra, A, Bo, S, Bobak, M, Boeing, H, Boggia, Jg, Boissonnet, Cp, Bojesen, Se, Bongard, V, Bonilla-Vargas, A, Bopp, M, Borghs, H, Bovet, P, Boyer, Cb, Braeckman, L, Brajkovich, I, Branca, F, Breckenkamp, J, Brenner, H, Brewster, Lm, Briceno, Y, Brito, M, Bruno, G, Bueno-de-Mesquita, Hb, Bueno, G, Bugge, A, Burns, C, Bursztyn, M, de Leon, Ac, Cacciottolo, J, Cameron, C, Can, G, Candido, Apc, Capanzana, Mv, Capkova, N, Capuano, E, Capuano, V, Cardoso, Vc, Carlsson, Ac, Carvalho, J, Casanueva, Ff, Censi, L, Cervantes-Loaiza, M, Chadjigeorgiou, Ca, Chamukuttan, S, Chan, Aw, Chan, Q, Chaturvedi, Hk, Chaturvedi, N, Chee, Ml, Chen, Cj, Chen, Ff, Chen, Hs, Chen, Sh, Chen, Zm, Cheng, Cy, Cheraghian, B, Dekkaki, Ic, Chetrit, A, Chien, Kl, Chiolero, A, Chiou, St, Chirita-Emandi, A, Chirlaque, Md, Cho, B, Christensen, K, Christofaro, Dg, Chudek, J, Cinteza, E, Claessens, F, Clarke, J, Clays, E, Cohen, E, Concin, H, Cooper, C, Coppinger, Tc, Costanzo, S, Cottel, D, Cowell, C, Craig, Cl, Crampin, Ac, Crujeiras, Ab, Cruz, Jj, Csilla, S, Cui, Lf, Cureau, Fv, Cuschieri, S, D'Arrigo, G, D'Orsi, E, Dallongeville, J, Dankner, R, Dantoft, Tm, Dauchet, L, Davletov, K, De Backer, G, De Bacquer, D, De Curtis, A, de Gaetano, G, De Henauw, S, de Oliveira, Pd, De Ridder, D, De Smedt, D, Deepa, M, Deev, Ad, Degennaro, V, Delisle, H, Demarest, S, Dennison, E, Deschamps, V, Dhimal, M, Di Castelnuovo, Af, Dias-da-Costa, Js, Diaz, A, Dickerson, Tt, Dika, Z, Djalalinia, S, Htp, Do, Dobson, Aj, Donfrancesco, C, Donoso, Sp, Doring, A, Dorobantu, M, Dorr, M, Doua, K, Dragano, N, Drygas, W, Duante, Ca, Duboz, P, Duda, Rb, Dulskiene, V, Dushpanova, A, Dzakula, A, Dzerve, V, Dziankowska-Zaborszczyk, E, Eddie, R, Eftekhar, E, Eggertsen, R, Eghtesad, S, Eiben, G, Ekelund, U, El-Khateeb, M, El Ati, J, Eldemire-Shearer, D, Eliasen, M, Elosua, R, Erasmus, Rt, Erbel, R, Erem, C, Eriksen, L, Eriksson, Jg, Escobedo-de la Pena, J, Eslami, S, Esmaeili, A, Evans, A, Faeh, D, Fakhretdinova, Aa, Fall, Ch, Faramarzi, E, Farjam, M, Fattahi, Mr, Fawwad, A, Felix-Redondo, Fj, Felix, Sb, Ferguson, Ts, Fernandes, Ra, Fernandez-Berges, D, Ferrante, D, Ferrao, T, Ferrari, M, Ferrario, Mm, Ferreccio, C, Ferreira, Hs, Ferrer, E, Ferrieres, J, Figueiro, Th, Fink, G, Fischer, K, Foo, Lh, Forsner, M, Fouad, Hm, Francis, Dk, Grego, Franco, Frikke-Schmidt, R, Frontera, G, Fuchs, Fd, Fuchs, Sc, Fujita, Y, Fumihiko, M, Furdela, V, Furer, A, Furusawa, T, Gaciong, Z, Galbarczyk, A, Galenkamp, H, Galvano, F, Gao, Jl, Gao, P, Garcia-de-la-Hera, M, Garcia, P, Gareta, D, Garnett, Sp, Gaspoz, Jm, Gasull, M, Gazzinelli, A, Gehring, U, Geleijnse, Jm, George, R, Ghanbari, A, Ghasemi, E, Gheorghe-Fronea, Of, Ghimire, A, Gialluisi, A, Giampaoli, S, Gieger, C, Gill, Tk, Giovannelli, J, Gironella, G, Giwercman, A, Gkiouras, K, Goldberg, M, Goldsmith, Ra, Gomez, Lf, Gomula, A, da Silva, Bgc, Goncalves, H, Goncalves, M, Gonzalez-Chica, Da, Gonzalez-Gross, M, Gonzalez-Rivas, Jp, Gonzalez-Villalpando, C, Gonzalez-Villalpando, Me, Gonzalez, Ar, Gorbea, Mb, Gottrand, F, Graff-Iversen, S, Grafnetter, D, Grajda, A, Grammatikopoulou, Mg, Gregor, Rd, Grodzicki, T, Grosso, G, Gruden, G, Df, Gu, Guan, Op, Gudmundsson, Ef, Gudnason, V, Guerrero, R, Guessous, I, Guimaraes, Al, Gulliford, Mc, Gunnlaugsdottir, J, Gunter, Mj, Gupta, Pc, Gupta, R, Gureje, O, Gurzkowska, B, Gutierrez, L, Gutzwiller, F, Ha, S, Hadaegh, F, Haghshenas, R, Hakimi, H, Halkjaer, J, Hambleton, Ir, Hamzeh, B, Hange, D, Hanif, Aam, Hantunen, S, Hao, J, Hardman, Cm, Kumar, Rh, Hashemi-Shahri, Sm, Hata, J, Haugsgjerd, T, Hayes, Aj, Yn, He, Heier, M, Hendriks, Me, Henrique, Rd, Henriques, A, Cadena, Lh, Herrala, S, Heshmat, R, Hill, Ag, Sy, Ho, Sc, Ho, Hobbs, M, Holdsworth, M, Homayounfar, R, Dinc, Gh, Horimoto, Arvr, Hormiga, Cm, Horta, Bl, Houti, L, Howitt, C, Htay, Tt, Htet, As, Htike, Mmt, Yh, Hu, Huerta, Jm, Huhtaniemi, It, Huiart, L, Huisman, M, Husseini, As, Huybrechts, I, Hwalla, N, Iacoviello, L, Iannone, Ag, Ibrahim, Mm, Wong, Ni, Ikram, Ma, Iotova, V, Irazola, Ve, Ishida, T, Isiguzo, Gc, Islam, M, Islam, Sms, Iwasaki, M, Jackson, Rt, Jacobs, Jm, Jaddou, Hy, Jafar, T, James, K, Jamrozik, K, Janszky, I, Janus, E, Jarvelin, Mr, Jasienska, G, Jelakovic, A, Jelakovic, B, Jennings, G, Jha, Ak, Jiang, Cq, Jimenez, Ro, Jockel, Kh, Joffres, M, Johansson, M, Jokelainen, Jj, Jonas, Jb, Jorgensen, T, Joshi, P, Joukar, F, Jozwiak, J, Juolevi, A, Jurak, G, Juresa, V, Kaaks, R, Kafatos, A, Kajantie, Eo, Kalmatayeva, Z, Kalpourtzi, N, Kalter-Leibovici, O, Kampmann, Fb, Kannan, S, Karaglani, E, Karhus, Ll, Karki, Kb, Katibeh, M, Katz, J, Kauhanen, J, Kaur, P, Kavousi, M, Kazakbaeva, Gm, Keil, U, Boker, Lk, Keinanen-Kiukaanniemi, S, Kelishadi, R, Kemper, Hcg, Keramati, M, Kerimkulova, A, Kersting, M, Key, T, Khader, Ys, Khalili, D, Khaw, Kt, Kheiri, B, Kheradmand, M, Khosravi, A, Kiechl-Kohlendorfer, U, Kiechl, S, Killewo, J, Kim, Dw, Kim, J, Klakk, H, Klimek, M, Klumbiene, J, Knoflach, M, Kolle, E, Kolsteren, P, Kontto, Jp, Korpelainen, R, Korrovits, P, Kos, J, Koskinen, S, Kouda, K, Kowlessur, S, Koziel, S, Kratenova, J, Kriaucioniene, V, Kristensen, Pl, Krokstad, S, Kromhout, D, Kruger, Hs, Kubinova, R, Kuciene, R, Kujala, Um, Kulaga, Z, Kumar, Rk, Kurjata, P, Kusuma, Ys, Kutsenko, V, Kuulasmaa, K, Kyobutungi, C, Laatikainen, T, Lachat, C, Laid, Y, Lam, Th, Landrove, O, Lanska, V, Lappas, G, Larijani, B, Latt, Ts, Le Coroller, G, Bao, Kln, Le, THUY DUNG, Lee, J, Lehmann, N, Lehtimaki, T, Lemogoum, D, Levitt, Ns, Yp, Li, Lilly, Cl, Lim, Wy, Lima-Costa, Mf, Lin, X, Lin, Yt, Lind, L, Lingam, V, Linneberg, A, Lissner, L, Litwin, M, Wc, Lo, Loit, Hm, Lopez-Garcia, E, Lopez, T, Lotufo, Pa, Lozano, Je, Lovrencic, Il, Lukrafka, Jl, Luksiene, D, Lundqvist, A, Lundqvist, R, Lunet, N, Lustigova, M, Luszczki, E, Gs, Ma, Ma, J, Machado-Coelho, Gll, Machado-Rodrigues, Am, Macia, E, Macieira, Lm, Madar, Aa, Maggi, S, Magliano, Dj, Magriplis, E, Mahasampath, G, Maire, B, Majer, M, Makdisse, M, Malekzadeh, F, Malekzadeh, R, Malhotra, R, Mallikharjuna, K, Malyutina, Sk, Maniego, Lv, Manios, Y, Mann, Ji, Mansour-Ghanaei, F, Manzato, E, Marcil, A, Margozzini, P, Marild, Sb, Glavic, Mm, Marques-Vidal, P, Marques, Lp, Marrugat, J, Martorell, R, Mascarenhas, Lp, Matasin, M, Mathiesen, Eb, Mathur, P, Matijasevich, A, Matlosz, P, Matsha, Te, Mavrogianni, C, Mbanya, Jcn, Posso, Ajm, Mcfarlane, Sr, Mcgarvey, St, Mclachlan, S, Mclean, Rm, Mclean, Sb, Mcnulty, Ba, Benchekor, Sm, Medzioniene, J, Mehdipour, P, Mehlig, K, Mehrparvar, Ah, Meirhaeghe, A, Meisinger, C, Montano, Cm, Menezes, Amb, Menon, Gr, Mereke, A, Meshram, Ii, Metspalu, A, Meyer, He, Mi, J, Michels, N, Mikkel, K, Milkowska, K, Miller, Jc, Minderico, Cs, Mini, Gk, Mirjalili, Mr, Mirrakhimov, E, Misigoj-Durakovic, M, Modesti, Pa, Moghaddam, Ss, Mohajer, B, Mohamed, Mk, Mohamed, Sf, Mohammad, K, Mohammadi, Mr, Mohammadi, Z, Mohammadifard, N, Mohammadpourhodki, R, Mohan, V, Mohanna, S, Yusoff, Mfm, Mohebbi, I, Mohebi, F, Moitry, M, Mollehave, Lt, Molnar, D, Momenan, A, Mondo, Ck, Monterrubio-Flores, E, Monyeki, Kdk, Moon, Js, Moosazadeh, M, Moreira, Lb, Morejon, A, Moreno, La, Morgan, K, Moschonis, G, Mossakowska, M, Mostafa, A, Mostafavi, Sa, Mota, J, Motlagh, Me, Motta, J, Moura-dos-Santos, Ma, Mridha, Mk, Msyamboza, Kp, Tt, Mu, Muhihi, Aj, Muiesan, Ml, Muller-Nurasyid, M, Murphy, N, Mursu, J, Musa, Ki, Milanovic, Sm, Musil, V, Mustafa, N, Nabipour, I, Naderimagham, S, Nagel, G, Naidu, Bm, Najafi, F, Nakamura, H, Namesna, J, Nang, Eek, Nangia, Vb, Narake, S, Ndiaye, Nc, Neal, Wa, Nejatizadeh, A, Nenko, I, Neovius, M, Neuhauser, Hk, Nguyen, Ct, Nguyen, Nd, Nguyen, Qv, Nguyen, Qn, Nieto-Martinez, Re, Niiranen, Tj, Nikitin, Yp, Ninomiya, T, Nishtar, S, Njelekela, Ma, Noale, M, Noboa, Oa, Noorbala, Aa, Norat, T, Nordendahl, M, Nordestgaard, Bg, Noto, D, Nowak-Szczepanska, N, Al Nsour, M, Nunes, B, O'Neill, Tw, O'Reilly, D, Ochimana, C, Oda, E, Odili, An, Oh, K, Ohara, K, Ohtsuka, R, Olie, V, Olinto, Mta, Oliveira, Io, Omar, Ma, Onat, A, Ong, Sk, Ono, Lm, Ordunez, P, Ornelas, R, Ortiz, Pj, Osmond, C, Ostojic, Sm, Ostovar, A, Otero, Ja, Overvad, K, Owusu-Dabo, E, Paccaud, Fm, Padez, C, Pahomova, E, de Paiva, Km, Pajak, A, Palli, D, Palmieri, L, Pan, Wh, Panda-Jonas, S, Panza, F, Paoli, M, Papandreou, D, Park, Sw, Park, S, Parnell, Wr, Parsaeian, M, Pasquet, P, Patel, Nd, Pavlyshyn, H, Pecin, I, Pednekar, Ms, Pedro, Jm, Peer, N, Peixoto, Sv, Peltonen, M, Pereira, Ac, Peres, Kgda, Peres, Ma, Peters, A, Petkeviciene, J, Peykari, N, Pham, St, Pichardo, Rn, Pigeot, I, Pikhart, H, Pilav, A, Pilotto, L, Pitakaka, F, Piwonska, A, Pizarro, An, Plans-Rubio, P, Polasek, O, Porta, M, Poudyal, A, Pourfarzi, F, Pourshams, A, Poustchi, H, Pradeepa, R, Price, Aj, Price, Jf, Providencia, R, Puhakka, Se, Puiu, M, Punab, M, Qasrawi, Rf, Qorbani, M, Queiroz, D, Bao, Tq, Radic, I, Radisauskas, R, Rahimikazerooni, S, Rahman, M, Raitakari, O, Raj, M, Rakhimova, Em, Rao, Sr, Ramachandran, A, Ramos, E, Rampal, L, Rampal, S, Reina, Dar, Rarra, V, Rech, Cr, Redon, J, Reganit, Pfm, Regecova, V, Revilla, L, Rezaianzadeh, A, Ribeiro, R, Riboli, E, Richter, A, Rigo, F, de Wit, Tfr, Ritti-Dias, Rm, Robitaille, C, Rodriguez-Artalejo, F, Rodriguez-Perez, Md, Rodriguez-Villamizar, La, Roggenbuck, U, Rojas-Martinez, R, Romaguera, D, Romeo, El, Rosengren, A, Roy, Jgr, Rubinstein, A, Ruidavets, Jb, Ruiz-Betancourt, Bs, Ruiz-Castell, M, Rusakova, Ia, Russo, P, Rutkowski, M, Sabanayagam, C, Sabbaghi, H, Sachdev, Hs, Sadjadi, A, Safarpour, Ar, Safi, S, Safiri, S, Saidi, O, Sakarya, S, Saki, N, Salanave, B, Martinez, Es, Salmeron, D, Salomaa, V, Salonen, Jt, Salvetti, M, Sanchez-Abanto, J, Sans, S, Santos, Da, Santos, Is, Santos, Lc, Santos, Mp, Santos, R, Saramies, Jl, Sardinha, Lb, Sarganas, G, Sarrafzadegan, N, Sathish, T, Saum, Ku, Savva, S, Sawada, N, Sbaraini, M, Scazufca, M, Schaan, Bd, Schargrodsky, H, Schipf, S, Schmidt, Co, Schnohr, P, Schottker, B, Schramm, S, Schultsz, C, Schutte, Ae, Sebert, S, Sein, Aa, Sen, A, Senbanjo, Io, Sepanlou, Sg, Servais, J, Shalnova, Sa, Shamah-Levy, T, Shamshirgaran, M, Shanthirani, Cs, Sharafkhah, M, Sharma, Sk, Shaw, Je, Shayanrad, A, Shayesteh, Aa, Shi, Zm, Shibuya, K, Shimizu-Furusawa, H, Shin, Dw, Shirani, M, Shiri, R, Shrestha, N, Si-Ramlee, K, Siani, A, Siantar, R, Sibai, Am, Silva, Crd, Silva, Das, Simon, M, Simons, J, Simons, La, Sjostrom, M, Slowikowska-Hilczer, J, Slusarczyk, P, Smeeth, L, Hk, So, Soares, Fc, Sobngwi, E, Soderberg, S, Soemantri, A, Sofat, R, Solfrizzi, V, Somi, Mh, Sonestedt, E, Song, Y, Sorensen, Tia, Sorgjerd, Ep, Soric, M, Jerome, Cs, Soumare, A, Sparboe-Nilsen, B, Sparrenberger, K, Staessen, Ja, Starc, G, Stavreski, B, Steene-Johannessen, J, Stehle, P, Stein, Ad, Stergiou, Gs, Stessman, J, Stieber, J, Stockl, D, Stocks, T, Stokwiszewski, J, Stronks, K, Strufaldi, Mw, Suka, M, Sun, Ca, Sung, Yt, Suriyawongpaisal, P, Rg, Sy, Syddall, He, Sylva, Rc, Szklo, M, Tai, Es, Tammesoo, Ml, Tamosiunas, A, Tan, Ej, Tang, X, Tanser, F, Tao, Y, Tarawneh, Mr, Tarqui-Mamani, Cb, Taylor, A, Taylor, J, Tebar, Wr, Tell, Gs, Tello, T, Tham, Yc, Thankappan, Kr, Theobald, H, Theodoridis, X, Thijs, L, Thinggaard, M, Thomas, N, Thorand, B, Thuesen, Bh, Timmermans, Ej, Tjandrarini, Dh, Tjonneland, A, Toft, U, Tolonen, Hk, Tolstrup, Js, Topbas, M, Topor-Madry, R, Tormo, Mj, Tornaritis, Mj, Torrent, M, Torres-Collado, L, Touloumi, G, Traissac, P, Triantafyllou, A, Trichopoulos, D, Trichopoulou, A, Trinh, Oth, Trivedi, A, Tshepo, L, Tsugane, S, Tuliakova, Am, Tulloch-Reid, Mk, Tullu, F, Tuomainen, Tp, Tuomilehto, J, Turley, Ml, Twig, G, Tynelius, P, Tzourio, C, Ueda, P, Ugel, E, Ulmer, H, Uusitalo, Hmt, Valdivia, G, Valvi, D, van Dam, Rm, van den Born, Bj, Van der Heyden, J, van der Schouw, Yt, Van Herck, K, Minh, Hv, Van Schoor, Nm, van Valkengoed, Igm, van Zutphen, Em, Vanderschueren, D, Vanuzzo, D, Varbo, A, Vasan, Sk, Vega, T, Veidebaum, T, Velasquez-Melendez, G, Veronesi, G, Verschuren, Wmm, Verstraeten, R, Victora, Cg, Viet, L, Villalpando, S, Vineis, P, Vioque, J, Virtanen, Jk, Visvikis-Siest, S, Viswanathan, B, Vlasoff, T, Vollenweider, P, Voutilainen, A, Wade, An, Walton, J, Wambiya, Eoa, Bebakar, Wmw, Mohamud, Wnw, Wanderley, Rd, Wang, Md, Wang, Nl, Wang, Q, Wang, Xj, Wang, Yx, Wang, Yw, Wannamethee, Sg, Wareham, N, Wei, Wb, Weres, A, Werner, B, Whincup, Ph, Widhalm, K, Wiecek, A, Wilks, Rj, Willeit, J, Willeit, P, Williams, Ea, Wilsgaard, T, Wojtyniak, B, Wong-McClure, Ra, Wong, A, Wong, Ty, Woo, J, Fc, Wu, Sl, Wu, Wyszynska, J, Hq, Xu, Xu, L, Yaacob, Na, Yan, Wl, Yang, L, Yang, Xg, Yang, Y, Yasuharu, T, Xw, Ye, Yiallouros, Pk, Yoosefi, M, Yoshihara, A, You, Sl, Younger-Coleman, No, Yusoff, Af, Zainuddin, Aa, Zakavi, Sr, Zamani, F, Zambon, S, Zampelas, A, Zapata, Me, Zaw, Kk, Zejglicova, K, Vrkic, Tz, Zeng, Y, Zhang, Lx, Zhang, Zy, Zhao, D, Zhao, Mh, Zhen, Sq, Zheng, Yf, Zholdin, B, Zhu, D, Zins, M, Zitt, E, Zocalo, Y, Zoghlami, N, Cisneros, Jz, Borghs, Herman, Claessens, Frank, Staessen, Jan, Thijs, Lutgarde, Vanderschueren, Dirk, Zhang, Zhen-Yu, Imperial Coll London, Harvard TH Chan Sch Publ Hlth, WHO, Univ Calif Berkeley, Univ New South Wales, Natl Med Res Ctr Therapy & Prevent Med, Charles Univ Prague, Thomayer Hosp, Eduardo Mondlane Univ, Noncommunicable Dis Res Ctr, Tulane Univ, Natl Inst Biomed 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Kazakbaeva, Ulrich Keil, Lital Keinan Boker, Sirkka Keinänen-Kiukaanniemi, Roya Kelishadi, Han Cg Kemper, Maryam Keramati, Alina Kerimkulova, Mathilde Kersting, Timothy Key, Yousef Saleh Khader, Davood Khalili, Kay-Tee Khaw, Bahareh Kheiri, Motahareh Kheradmand, Alireza Khosravi, Ursula Kiechl-Kohlendorfer, Stefan Kiechl, Japhet Killewo, Dong Wook Kim, Jeongseon Kim, Heidi Klakk, Magdalena Klimek, Jurate Klumbiene, Michael Knoflach, Elin Kolle, Patrick Kolsteren, Jukka P Kontto, Raija Korpelainen, Paul Korrovits, Jelena Kos, Seppo Koskinen, Katsuyasu Kouda, Sudhir Kowlessur, Slawomir Koziel, Jana Kratenova, Vilma Kriaucioniene, Peter Lund Kristensen, Steiner Krokstad, Daan Kromhout, Herculina S Kruger, Ruzena Kubinova, Renata Kuciene, Urho M Kujala, Zbigniew Kulaga, R Krishna Kumar, Pawel Kurjata, Yadlapalli S Kusuma, Vladimir Kutsenko, Kari Kuulasmaa, Catherine Kyobutungi, Tiina Laatikainen, Carl Lachat, Youcef Laid, Tai Hing Lam, Orlando Landrove, Vera Lanska, Georg Lappas, Bagher Larijani, Tint Swe Latt, Gwenaëlle Le Coroller, Khanh Le Nguyen Bao, Tuyen D Le, Jeannette Lee, Jeonghee Lee, Nils Lehmann, Terho Lehtimäki, Daniel Lemogoum, Naomi S Levitt, Yanping Li, Christa L Lilly, Wei-Yen Lim, M Fernanda Lima-Costa, Xu Lin, Yi-Ting Lin, Lars Lind, Vijaya Lingam, Allan Linneberg, Lauren Lissner, Mieczyslaw Litwin, Wei-Cheng Lo, Helle-Mai Loit, Esther Lopez-Garcia, Tania Lopez, Paulo A Lotufo, José Eugenio Lozano, Iva Lukačević Lovrenčić, Janice L Lukrafka, Dalia Luksiene, Annamari Lundqvist, Robert Lundqvist, Nuno Lunet, Michala Lustigová, Edyta Luszczki, Guansheng Ma, Jun Ma, George Ll Machado-Coelho, Aristides M Machado-Rodrigues, Enguerran Macia, Luisa M Macieira, Ahmed A Madar, Stefania Maggi, Dianna J Magliano, Emmanuella Magriplis, Gowri Mahasampath, Bernard Maire, Marjeta Majer, Marcia Makdisse, Fatemeh Malekzadeh, Reza Malekzadeh, Rahul Malhotra, Kodavanti Mallikharjuna Rao, Sofia K Malyutina, Lynell V Maniego, Yannis Manios, Jim I Mann, Fariborz 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Subjects
Male, Latin Americans, Nutrition and Disease, Epidemiology, [SDV]Life Sciences [q-bio], Medizin, BLOOD-PRESSURE, 030204 cardiovascular system & hematology, Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants, Hypertension, Prevalence, Control, Tretament, GUIDELINES, Global Health, Worldwide trends, 0302 clinical medicine, Hypertension prevalence, Voeding en Ziekte, Medicine and Health Sciences, kohonnut verenpaine, Medicine, 030212 general & internal medicine, Prevention and Control, 11 Medical and Health Sciences, ComputingMilieux_MISCELLANEOUS, education.field_of_study, food and beverages, Public Health, Global Health, Social Medicine and Epidemiology, General Medicine, Noncommunicable diseases, Period prevalence, Middle Aged, kansainvälinen vertailu, 3142 Public health care science, environmental and occupational health, 3. Good health, MIDDLE-INCOME, Pooled analysis, SYSTEMATIC ANALYSIS, INCOME COUNTRIES, ADULTS, PREVENTION, MANAGEMENT, ADHERENCE, DIAGNOSIS, Western europe, [SDE]Environmental Sciences, Hypertension/diagnosis, NCD Risk Factor Collaboration (NCD-RisC), Female, B990 Subjects Allied to Medicine not elsewhere classified, Life Sciences & Biomedicine, Adult, health-care, esiintyvyys, Central asia, Population, Nursing, 3121 Internal medicine, 03 medical and health sciences, Medicine, General & Internal, Drug Therapy, General & Internal Medicine, Life Science, Humans, ddc:610, education, Antihypertensive Agents, VLAG, Aged, Science & Technology, Antihypertensive Agents/therapeutic use, business.industry, Omvårdnad, fungi, General and internal medicine, Estados de Saúde e de Doença, Taking medication, Treatment, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Blood pressure, Faculdade de Ciências Sociais, 3121 General medicine, internal medicine and other clinical medicine, lääkehoito, 1182 Biochemistry, cell and molecular biology, business, Demography
Abstract

Background: hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. Methods: we used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blood pressure treatment. We defined hypertension as having systolic blood pressure 140 mm Hg or greater, diastolic blood pressure 90 mm Hg or greater, or taking medication for hypertension. We applied a Bayesian hierarchical model to estimate the prevalence of hypertension and the proportion of people with hypertension who had a previous diagnosis (detection), who were taking medication for hypertension (treatment), and whose hypertension was controlled to below 140/90 mm Hg (control). The model allowed for trends over time to be non-linear and to vary by age. Findings: the number of people aged 30-79 years with hypertension doubled from 1990 to 2019, from 331 (95% credible interval 306-359) million women and 317 (292-344) million men in 1990 to 626 (584-668) million women and 652 (604-698) million men in 2019, despite stable global age-standardised prevalence. In 2019, age-standardised hypertension prevalence was lowest in Canada and Peru for both men and women; in Taiwan, South Korea, Japan, and some countries in western Europe including Switzerland, Spain, and the UK for women; and in several low-income and middle-income countries such as Eritrea, Bangladesh, Ethiopia, and Solomon Islands for men. Hypertension prevalence surpassed 50% for women in two countries and men in nine countries, in central and eastern Europe, central Asia, Oceania, and Latin America. Globally, 59% (55-62) of women and 49% (46-52) of men with hypertension reported a previous diagnosis of hypertension in 2019, and 47% (43-51) of women and 38% (35-41) of men were treated. Control rates among people with hypertension in 2019 were 23% (20-27) for women and 18% (16-21) for men. In 2019, treatment and control rates were highest in South Korea, Canada, and Iceland (treatment >70%; control >50%), followed by the USA, Costa Rica, Germany, Portugal, and Taiwan. Treatment rates were less than 25% for women and less than 20% for men in Nepal, Indonesia, and some countries in sub-Saharan Africa and Oceania. Control rates were below 10% for women and men in these countries and for men in some countries in north Africa, central and south Asia, and eastern Europe. Treatment and control rates have improved in most countries since 1990, but we found little change in most countries in sub-Saharan Africa and Oceania. Improvements were largest in high-income countries, central Europe, and some upper-middle-income and recently high-income countries including Costa Rica, Taiwan, Kazakhstan, South Africa, Brazil, Chile, Turkey, and Iran. Interpretation Improvements in the detection, treatment, and control of hypertension have varied substantially across countries, with some middle-income countries now outperforming most high-income nations. The dual approach of reducing hypertension prevalence through primary prevention and enhancing its treatment and control is achievable not only in high-income countries but also in low-income and middle-income settings., British Heart Foundation Centre of Research Excellence Grant; World Health Organization (WHO); Abdul Latif Jameel Institute for Disease and Emergency Analytics Fellowship

Published
2021
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40. Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

Author

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Sanz, S.S. Saramies, J.L. Sardinha, L.B. Sarrafzadegan, N. Sathish, T. Saum, K.-U. Savva, S. Savy, M. Sawada, N. Sbaraini, M. Scazufca, M. Schaan, B.D. Rosario, A.S. Schargrodsky, H. Schienkiewitz, A. Schipf, S. Schmidt, C.O. Schmidt, I.M. Schnohr, P. Schöttker, B. Schramm, S. Schramm, S. Schröder, H. Schultsz, C. Schutte, A.E. Sein, A.A. Selamat, R. Sember, V. Sen, A. Senbanjo, I.O. Sepanlou, S.G. Sequera, V. Serra-Majem, L. Servais, J. Ševcíková, L. Shalnova, S.A. Shamah-Levy, T. Shamshirgaran, M. Shanthirani, C.S. Sharafkhah, M. Sharma, S.K. Shaw, J.E. Shayanrad, A. Shayesteh, A.A. Shengelia, L. Shi, Z. Shibuya, K. Shimizu-Furusawa, H. Shin, D.W. Shirani, M. Shiri, R. Shrestha, N. Si-Ramlee, K. Siani, A. Siantar, R. Sibai, A.M. Silva, A.M. Silva, D.A.S. Simon, M. Simons, J. Simons, L.A. Sjöberg, A. Sjöström, M. Skodje, G. Slowikowska-Hilczer, J. Slusarczyk, P. Smeeth, L. So, H.-K. Soares, F.C. Sobek, G. Sobngwi, E. Sodemann, M. Söderberg, S. Soekatri, M.Y.E. Soemantri, A. Sofat, R. Solfrizzi, V. Somi, M.H. Sonestedt, E. Song, Y. Sørensen, T.I.A. Sørgjerd, E.P. Jérome, C.S. Soto-Rojas, V.E. Soumaré, A. Sovic, S. Sparboe-Nilsen, B. Sparrenberger, K. Spinelli, A. Spiroski, I. Staessen, J.A. Stamm, H. Stathopoulou, M.G. Staub, K. Stavreski, B. Steene-Johannessen, J. Stehle, P. Stein, A.D. Stergiou, G.S. Stessman, J. Stevanovic, R. Stieber, J. Stöckl, D. Stocks, T. Stokwiszewski, J. Stoyanova, E. Stratton, G. Stronks, K. Strufaldi, M.W. Sturua, L. Suárez-Medina, S. Suka, M. Sun, C.-A. Sundström, J. Sung, Y.-T. Sunyer, J. Suriyawongpaisal, P. Swinburn, B.A. Sy, R.G. Syddall, H.E. Sylva, R.C. Szklo, M. Szponar, L. Tai, E.S. Tammesoo, M.-L. Tamosiunas, A. Tan, E.J. Tang, X. Tanrygulyyeva, M. Tanser, F. Tao, Y. Tarawneh, M.R. Tarp, J. Tarqui-Mamani, C.B. Braunerová, R.T. Taylor, A. Taylor, J. Tchibindat, F. Tebar, W.R. Tell, G.S. Tello, T. Tham, Y.C. Thankappan, K.R. Theobald, H. Theodoridis, X. Thijs, L. Thomas, N. Thuesen, B.H. Tichá, L. Timmermans, E.J. Tjonneland, A. Tolonen, H.K. Tolstrup, J.S. Topbas, M. Topór-Madry, R. Torheim, L.E. Tormo, M.J. Tornaritis, M.J. Torrent, M. Torres-Collado, L. Toselli, S. Touloumi, G. Traissac, P. Tran, T.T.-H. Trichopoulos, D. Trichopoulou, A. Trinh, D.T.H. Trivedi, A. Tshepo, L. Tsigga, M. Tsugane, S. Tuliakova, A.M. Tulloch-Reid, M.K. Tullu, F. Tuomainen, T.-P. Tuomilehto, J. Turley, M.L. Twig, G. Tynelius, P. Tzotzas, T. Tzourio, C. Ueda, P. Ugel, E. Ukoli, F.A.M. Ulmer, H. Unal, B. Usupova, Z. Uusitalo, H.M.T. Uysal, N. Vaitkeviciute, J. Valdivia, G. Vale, S. Valvi, D. van Dam, R.M. Van der Heyden, J. van der Schouw, Y.T. Van Herck, K. Van Minh, H. Van Schoor, N.M. van Valkengoed, I.G.M. Vanderschueren, D. Vanuzzo, D. Varbo, A. Varela-Moreiras, G. Varona-Pérez, P. Vasan, S.K. Vega, T. Veidebaum, T. Velasquez-Melendez, G. Velika, B. Veronesi, G. Verschuren, W.M.M. Victora, C.G. Viegi, G. Viet, L. Villalpando, S. Vineis, P. Vioque, J. Virtanen, J.K. Visser, M. Visvikis-Siest, S. Viswanathan, B. Vladulescu, M. Vlasoff, T. Vocanec, D. Vollenweider, P. Völzke, H. Voutilainen, A. Voutilainen, S. Vrijheid, M. Vrijkotte, T.G.M. Wade, A.N. Wagner, A. Waldhör, T. Walton, J. Wambiya, E.O.A. Bebakar, A.M.W. Mohamud, W.N.W. de Souza Wanderley Júnior, R. Wang, M.-D. Wang, N. Wang, Q. Wang, X. Wang, Y.X. Wang, Y.-W. Wannamethee, S.G. Wareham, N. Weber, A. Wedderkopp, N. Weerasekera, D. Weghuber, D. Wei, W. Weres, A. Werner, B. Whincup, P.H. Widhalm, K. Widyahening, I.S. Wiecek, A. Wilks, R.J. Willeit, J. Willeit, P. Williams, J. Wilsgaard, T. Wojtyniak, B. Wong-McClure, R.A. Wong, A. Wong, J.E. Wong, T.Y. Woo, J. Woodward, M. Wu, F.C. Wu, J. Wu, L.J. Wu, S. Xu, H. Xu, L. Yaacob, N.A. Yamborisut, U. Yan, W. Yang, L. Yang, X. Yang, Y. Yardim, N. Yaseri, M. Yasuharu, T. Ye, X. Yiallouros, P.K. Yoosefi, M. Yoshihara, A. You, Q.S. You, S.-L. Younger-Coleman, N.O. Yusof, S.M. Yusoff, A.F. Zaccagni, L. Zafiropulos, V. Zainuddin, A.A. Zakavi, S.R. Zamani, F. Zambon, S. Zampelas, A. Zamrazilová, H. Zapata, M.E. Zargar, A.H. Zaw, K.K. Zdrojewski, T. Zejglicova, K. Vrkic, T.Z. Zeng, Y. Zhang, L. Zhang, Z.-Y. Zhao, D. Zhao, M.-H. Zhao, W. Zhen, S. Zheng, W. Zheng, Y. Zholdin, B. Zhou, M. Zhu, D. Zins, M. Zitt, E. Zocalo, Y. Cisneros, J.Z. Zuziak, M. Ezzati, M. Filippi, S. NCD Risk Factor Collaboration (NCD-RisC)

Subjects
nutritional and metabolic diseases, sense organs, skin and connective tissue diseases
Abstract

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions. © Copyright.

Published
2021

46. Substituting prolonged sedentary time and cardiovascular risk in children and youth: a meta-analysis within the International Children’s Accelerometry database (ICAD)

Author

Wijndaele, Katrien, White, Thomas, Andersen, Lars Bo, Bugge, Anna, Kolle, Elin, Northstone, Kate, Wedderkopp, Niels, Ried-Larsen, Mathias, Kriemler, Susi, Page, Angie S., Puder, Jardena J., Reilly, John J., Sardinha, Luis B., Van Sluijs, Esther M. F., Sharp, Stephen J., Brage, Søren, Ekelund, Ulf, Andersen, L. B., Anderssen, S., Atkin, A. J., Cardon, G., Davey, R., Ekelund, U., Esliger, D. W., Hallal, P., Hansen, B. H., Janz, K. F., Kriemler, S., Møller, N., Northstone, K., Page, A., Pate, R., Puder, J. J., Reilly, J. J., Salmon, J., Sardinha, L. B., Sherar, L. B., Timperio, A., Van Sluijs, E. M. F., Wijndaele, Katrien [0000-0003-2199-7981], and Apollo - University of Cambridge Repository

Subjects
Iso-temporal, ICAD, Cardio-metabolic, Physical activity, Research, Prolonged sitting, ALSPAC
Abstract

Background: Evidence on the association between sitting for extended periods (i.e. prolonged sedentary time (PST)) and cardio-metabolic health is inconsistent in children. We aimed to estimate the differences in cardio-metabolic health associated with substituting PST with non-prolonged sedentary time (non-PST), light (LIPA) or moderate-to-vigorous physical activity (MVPA) in children. Methods: Cross-sectional data from 14 studies (7 countries) in the International Children’s Accelerometry Database (ICAD, 1998–2009) was included. Accelerometry in 19,502 participants aged 3–18 years, together with covariate and outcome data, was pooled and harmonized. Iso-temporal substitution in linear regression models provided beta coefficients (95%CI) for substitution of 1 h/day PST (sedentary time accumulated in bouts > 15 min) with non-PST, LIPA or MVPA, for each study, which were meta-analysed. Results: Modelling substitution of 1 h/day of PST with non-PST suggested reductions in standardized BMI, but estimates were > 7-fold greater for substitution with MVPA (− 0.44 (− 0.62; − 0.26) SD units). Only reallocation by MVPA was beneficial for waist circumference (− 3.07 (− 4.47; − 1.68) cm), systolic blood pressure (− 1.53 (− 2.42; − 0.65) mmHg) and clustered cardio-metabolic risk (− 0.18 (− 0.3; − 0.1) SD units). For HDL-cholesterol and diastolic blood pressure, substitution with LIPA was beneficial; however, substitution with MVPA showed 5-fold stronger effect estimates (HDL-cholesterol: 0.05 (0.01; 0.10) mmol/l); diastolic blood pressure: − 0.81 (− 1.38; − 0.24) mmHg). Conclusions: Replacement of PST with MVPA may be the preferred scenario for behaviour change, given beneficial associations with a wide range of cardio-metabolic risk factors (including adiposity, HDL-cholesterol, blood pressure and clustered cardio-metabolic risk). Effect estimates are clinically relevant (e.g. an estimated reduction in waist circumference of ≈1.5 cm for 30 min/day replacement). Replacement with LIPA could be beneficial for some of these risk factors, however with substantially lower effect estimates.

Published
2020
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47. Variations in accelerometry measured physical activity and sedentary time across Europe - harmonized analyses of 47,497 children and adolescents

Author

Steene-Johannessen, Jostein, Hansen, Bjørge Herman, Dalene, Knut Eirik, Kolle, Elin, Northstone, Kate, Møller, Niels Christian, Grøntved, Anders, Wedderkopp, Niels, Kriemler, Susi, Page, Angie S., Puder, Jardena J., Reilly, John J., Sardinha, Luis B., Van Sluijs, Esther M. F., Andersen, Lars Bo, Van Der Ploeg, Hidde, Ahrens, Wolfgang, Flexeder, Claudia, Standl, Marie, Shculz, Holger, Moreno, Luis A., De Henauw, Stefaan, Michels, Nathalie, Cardon, Greet, Ortega, Francisco B., Ruiz, Jonatan, Aznar, Susana, Fogelholm, Mikael, Decelis, Andrew, Olesen, Line Grønholt, Hjorth, Mads Fiil, Santos, Rute, Vale, Susana, Christiansen, Lars Breum, Jago, Russ, Basterfield, Laura, Owen, Christopher G., Nightingale, Claire M., Eiben, Gabriele, Polito, Angela, Lauria, Fabio, Vanhelst, Jeremy, Hadjigeorgiou, Charalambos, Konstabel, Kenn, Molnár, Dénes, Sprengeler, Ole, Manios, Yannis, Harro, Jaanus, Kafatos, Anthony, Anderssen, Sigmund Alfred, Ekelund, Ulf, Andersen, L. B., Anderssen, S., Atkin, A. J., Cardon, G., Davey, R., Ekelund, U., Esliger, D. W., Hallal, P., Hansen, B. H., Janz, K. F., Kriemler, S., Møller, N., Northstone, K., Pate, R., Puder, J. J., Reilly, J., Salmon, J., Sardinha, L. B., Sherar, L. B., Van Sluijs, E. M. F., Steene-Johannessen, Jostein [0000-0002-3710-9021], Apollo - University of Cambridge Repository, Université de Lille, LillOA, Norwegian School of Sport Sciences = Norges idrettshøgskole [Oslo] (NIH), University Hospitals Bristol, University of Southern Denmark (SDU), Universität Zürich [Zürich] = University of Zurich (UZH), University of Bristol [Bristol], Centre Hospitalier Universitaire Vaudois [Lausanne] (CHUV), University of Strathclyde [Glasgow], Universidade de Lisboa = University of Lisbon (ULISBOA), University of Cambridge [UK] (CAM), Western Norway University of Applied Sciences, VU University Medical Center [Amsterdam], Leibniz Institute for Prevention Research and Epidemiology - BIPS, Leibniz Association, Helmholtz Zentrum München = German Research Center for Environmental Health, German Research Center for Environmental Health - Helmholtz Center München (GmbH), University of Zaragoza - Universidad de Zaragoza [Zaragoza], Universiteit Gent = Ghent University (UGENT), Universidad de Granada = University of Granada (UGR), Universidad de Castilla-La Mancha = University of Castilla-La Mancha (UCLM), Helsingin yliopisto = Helsingfors universitet = University of Helsinki, University of Malta [Malta], University of Copenhagen = Københavns Universitet (UCPH), Universidade Católica Portuguesa [Porto], Polytechnic Institute of Porto, Newcastle University [Newcastle], University of London [London], St George's, University of London, University of Skövde [Sweden], Consiglio per la Ricerca in Agricoltura e l’analisi dell’economia agraria = Council for Agricultural Research and Economics (CREA), Institute of Sciences of Food Production (ISPA), Consiglio Nazionale delle Ricerche (CNR), Lille Inflammation Research International Center - U 995 (LIRIC), Institut Pasteur de Lille, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), University of Cyprus [Nicosia] (UCY), Tallinn University, University of Pecs, Harokopio University of Athens, University of Tartu, University of Crete [Heraklion] (UOC), National Research Council of Italy | Consiglio Nazionale delle Ricerche (CNR), Universidade de Lisboa (ULISBOA), Helmholtz-Zentrum München (HZM), Universiteit Gent = Ghent University [Belgium] (UGENT), Universidad de Granada (UGR), Universidad de Castilla-La Mancha (UCLM), University of Helsinki, University of Copenhagen = Københavns Universitet (KU), Consiglio per la Ricerca in Agricoltura e l’analisi dell’economia agraria (CREA), University of Cyprus [Nicosia], Université de Lille, Inserm, CHU Lille, Norwegian School of Sport Sciences = Norges idrettshøgskole [Oslo] [NIH], University of Southern Denmark [SDU], Centre Hospitalier Universitaire Vaudois [Lausanne] [CHUV], Universidade de Lisboa = University of Lisbon [ULISBOA], University of Cambridge [UK] [CAM], Universiteit Gent = Ghent University [UGENT], Universidad de Granada = University of Granada [UGR], Universidad de Castilla-La Mancha = University of Castilla-La Mancha [UCLM], University of Copenhagen = Københavns Universitet [UCPH], Consiglio per la Ricerca in Agricoltura e l’analisi dell’economia agraria = Council for Agricultural Research and Economics [CREA], Institute of Sciences of Food Production [ISPA], Lille Inflammation Research International Center - U 995 [LIRIC], University of Cyprus [Nicosia] [UCY], University of Crete [Heraklion] [UOC], Department of Food and Nutrition, Nutrition Science, Repositório Científico do Instituto Politécnico do Porto, Public and occupational health, and APH - Health Behaviors & Chronic Diseases

Subjects
Male, DANISH CHILDREN, RECOMMENDED LEVELS, FITNESS, Physical Therapy, [SDV]Life Sciences [q-bio], Medicine (miscellaneous), Acceleometry, RA773, Motor activity, 0302 clinical medicine, Accelerometry, Medicine and Health Sciences, Faculty of Science, Medicine, adolescents, 030212 general & internal medicine, Child, lcsh:RC620-627, National data, CALIBRATION, Nutrition and Dietetics, lcsh:Public aspects of medicine, Public Health, Global Health, Social Medicine and Epidemiology, Accelerometry measured, [SDV] Life Sciences [q-bio], Europe, lcsh:Nutritional diseases. Deficiency diseases, Child, Preschool, Female, 3143 Nutrition, BEHAVIOR, Adolescent, sedentary time, PARTICIPATION, Physical activity, Behavioural sciences, Physical Therapy, Sports Therapy and Rehabilitation, Sports Therapy and Rehabilitation, Clinical nutrition, VALIDATION, VDP::Samfunnsvitenskap: 200::Samfunnsvitenskapelige idrettsfag: 330::Aktivitetslære: 332, Wear time, 03 medical and health sciences, children, Humans, Exercise physiology, Physical activity & health, Exercise, Sedentary time, business.industry, Research, lcsh:RA1-1270, 030229 sport sciences, BODY-MASS INDEX, accelerometer, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, SCHOOL, Commentary, MODERATE, SPS Exercise, Nutrition and Health Sciences, Sedentary Behavior, business, Body mass index, Demography
Abstract

Funder: Ministero delle Politiche Agricole Alimentari e Forestali; doi: http://dx.doi.org/10.13039/501100005401, Funder: ZonMw; doi: http://dx.doi.org/10.13039/501100001826, Funder: The Research Council of Norway, Division for Society and Health., Background: Levels of physical activity and variation in physical activity and sedentary time by place and person in European children and adolescents are largely unknown. The objective of the study was to assess the variations in objectively measured physical activity and sedentary time in children and adolescents across Europe. Methods: Six databases were systematically searched to identify pan-European and national data sets on physical activity and sedentary time assessed by the same accelerometer in children (2 to 9.9 years) and adolescents (≥10 to 18 years). We harmonized individual-level data by reprocessing hip-worn raw accelerometer data files from 30 different studies conducted between 1997 and 2014, representing 47,497 individuals (2–18 years) from 18 different European countries. Results: Overall, a maximum of 29% (95% CI: 25, 33) of children and 29% (95% CI: 25, 32) of adolescents were categorized as sufficiently physically active. We observed substantial country- and region-specific differences in physical activity and sedentary time, with lower physical activity levels and prevalence estimates in Southern European countries. Boys were more active and less sedentary in all age-categories. The onset of age-related lowering or leveling-off of physical activity and increase in sedentary time seems to become apparent at around 6 to 7 years of age. Conclusions: Two third of European children and adolescents are not sufficiently active. Our findings suggest substantial gender-, country- and region-specific differences in physical activity. These results should encourage policymakers, governments, and local and national stakeholders to take action to facilitate an increase in the physical activity levels of young people across Europe.

Published
2020
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48. Associations of physical activity, sedentary time, and diet quality with biomarkers of inflammation in children

Author

Haapala, E. A., Väistö, J., Ihalainen, Johanna K., Tomaselli González, C., Leppänen, M. H., Veijalainen, A., Sallinen, T., Eloranta, A. -M, Ekelund, U., Schwab, U., Brage, S., Atalay, M., Lakka, T. A., Haapala, E. A., Väistö, J., Ihalainen, Johanna K., Tomaselli González, C., Leppänen, M. H., Veijalainen, A., Sallinen, T., Eloranta, A. -M, Ekelund, U., Schwab, U., Brage, S., Atalay, M., and Lakka, T. A.

Abstract

We investigated the associations of physical activity (PA), sedentary time (ST), and diet quality with biomarkers of inflammation in 390 children (192 girls, 198 boys) aged 6–8 years. PA energy expenditure (PAEE), light PA, moderate PA (MPA), vigorous PA (VPA), moderate-to-vigorous PA (MVPA), and ST were assessed by combined movement and heart rate sensor. Finnish Children Healthy Eating Index was calculated using data from 4 d food records. Body fat percentage (BF%) was measured by dual-energy X-ray absorptiometry. High-sensitivity C-reactive protein (Hs-CRP), leptin, interleukin-6 (IL-6), adiponectin, tumour necrosis factor-α, and glycoprotein acetyls were measured from fasting blood samples. PAEE, MPA, VPA, and MVPA were inversely associated with hs-CRP (β=−191 to −139, 95% CI=−0.294 to −0.024), leptin (β=−0.409 to −0.301, 95% CI=−0.499 to −0.107), IL-6 (β=−0.136 to −0.104, 95% CI=−0.240 to −0.001) and PAEE, MPA, and MVPA were inversely associated with glycoprotein acetyls (β=−0.117 to −0.103, 95% CI=−0.213 to −0.001). ST was directly associated with hs-CRP (β=0.170, 95% CI=0.070–0.269), leptin (β=0.355, 95% CI=0.265–0.445), and IL-6 (β=0.105, 95% CI=0.005–0.205). VPA was inversely associated with hs-CRP, leptin, and IL-6 in children with higher BF% (β=−0.344 to −0.181, 95% CI=−0.477 to −0.033) but not among children with lower BF% (β=−0.007–0.033, 95% CI=−0.183–0.184). In conclusion, PA was inversely and ST directly associated with circulating levels of biomarkers of inflammation among children. Furthermore, we observed that PA was inversely associated with these biomarkers for inflammation in children with a higher BF%. Highlights Systemic inflammation, as indicated by increased circulating concentrations of biomarkers for inflammation, may be important in causal pathways leading to insulin resistance, sub-clinical atherosclerosis, and eventually clinical manifestations of cardiovascular diseases. Higher levels of physical activity and lower levels of sedentary

Published
2021
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49. Cross-sectional and prospective associations of sleep duration and bedtimes with adiposity and obesity risk in 15 810 youth from 11 international cohorts

Author

Collings, PJ, Grøntved, A, Jago, R, Kriemler, S, Northstone, K, Puder, JJ, Salmon, Jo, Sardinha, LB, Steene-Johannessen, J, van Sluijs, EMF, Sherar, LB, Esliger, DW, Ekelund, U, Collings, PJ, Grøntved, A, Jago, R, Kriemler, S, Northstone, K, Puder, JJ, Salmon, Jo, Sardinha, LB, Steene-Johannessen, J, van Sluijs, EMF, Sherar, LB, Esliger, DW, and Ekelund, U

Published
2021

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