Bidirectional 10-year associations of accelerometer-measured sedentary behavior and activity categories with weight among middle-aged adults

Bethany Barone Gibbs; David Aaby; Juned Siddique; Jared P Reis; Barbara Sternfeld; Kara Whitaker; Kelley Pettee Gabriel

doi:10.1038/s41366-019-0443-8

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Bidirectional 10-year associations of accelerometer-measured sedentary behavior and activity categories with weight among middle-aged adults

Journal article

Peer reviewed

Bidirectional 10-year associations of accelerometer-measured sedentary behavior and activity categories with weight among middle-aged adults

Bethany Barone Gibbs, David Aaby, Juned Siddique, Jared P Reis, Barbara Sternfeld, Kara Whitaker and Kelley Pettee Gabriel

International journal of obesity (2005), Vol.44(3), pp.559-567

03/2020

DOI: 10.1038/s41366-019-0443-8

PMCID: PMC7047540

PMID: 31462688

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https://www.ncbi.nlm.nih.gov/pmc/articles/7047540View

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Abstract

Although higher sedentary behavior (SB) with low light intensity (LPA) and moderate-to-vigorous intensity physical activity (MVPA) are thought to increase risk for obesity, other data suggest excess weight may precede these behaviors in the causal pathway. We aimed to investigate 10-year bidirectional associations between SB and activity with weight. Analysis included 886 CARDIA participants (aged 38-50 years, 62% female, 38% black) with weight and accelerometry ( ≥ 4 days with ≥ 10 h/day) collected in 2005-6 (ActiGraph 7164) and 2015-6 (ActiGraph wGT3X-BT). Accelerometer data were calibrated, harmonized, and expressed as counts per minute (cpm) and time-dependent intensity categories (min/day of SB, LPA, and MVPA; SB and MVPA were also separated into long-bout and short-bout categories). Linear regression models were constructed to estimate adjusted associations of baseline activity with 10-year change in weight and vice versa. When activity categories were the independent variables, standardized regression coefficients (βstd.) estimated associations of replacing SB with a one SD increase in other categories, adjusted for accelerometer wear time. Over 10-years, weight increased by a mean 2.55 ± 8.05 kg and mean total activity decreased by 50 ± 153 cpm. In adjusted models, one SD higher baseline mean total activity (βstd. = -1.4 kg, p < 0.001), LPA (βstd. = -0.80 kg, p = 0.013), total MVPA (βstd. = -1.07 kg, p = 0.001), and long-bout MVPA (βstd. = -1.20 kg, p < 0.001) were associated with attenuated 10-year weight gain. Conversely, a one SD higher baseline weight was associated with unfavorable 10-year changes in daily activity profile including increases in SB (βstd. = 12.0 min, p < 0.001) and decreases in mean total activity (βstd. = 14.9 cpm, p = 0.004), LPA (βstd. = 8.9, p = 0.002), and MVPA (βstd. = 3.5 min, p = 0.001). Associations varied by race and gender. Higher SB with lower activity and body weight were bidirectionally related. Interventions that work simultaneously to replace SB with LPA and long-bout MVPA while also using other methods to address excess weight may be optimal.

Accelerometry

Adult

Body Weight - physiology

Exercise - physiology

Female

Fitness Trackers

Humans

Male

Middle Aged

Obesity

Prospective Studies

Sedentary Behavior

Weight Gain - physiology

Details

Title: Subtitle: Bidirectional 10-year associations of accelerometer-measured sedentary behavior and activity categories with weight among middle-aged adults
Creators: Bethany Barone Gibbs - University of Pittsburgh
David Aaby - Northwestern University
Juned Siddique - Northwestern University
Jared P Reis - National Institutes of Health
Barbara Sternfeld - Kaiser Permanente
Kara Whitaker - University of Iowa
Kelley Pettee Gabriel - Department of Epidemiology, Human Genetics, and Environmental Sciences, University of Texas Health Science Center at Houston School of Public Health- Austin Campus, and Department of Women's Health Dell Medical School, University of Texas at Austin, Austin, TX, USA
Resource Type: Journal article
Publication Details: International journal of obesity (2005), Vol.44(3), pp.559-567
DOI: 10.1038/s41366-019-0443-8
PMID: 31462688
PMCID: PMC7047540
NLM abbreviation: Int J Obes (Lond)
ISSN: 0307-0565
eISSN: 1476-5497
Grant note: HHSN268201800003I / NHLBI NIH HHS HHSN268201800004I / NHLBI NIH HHS R01 HL078972 / NHLBI NIH HHS HHSN268201300025C / NHLBI NIH HHS R56 HL125423 / NHLBI NIH HHS HHSN268201300029C / NHLBI NIH HHS N01 HC048047 / NHLBI NIH HHS R01 HL131606 / NHLBI NIH HHS HHSN268201800005I / NHLBI NIH HHS HHSN268201800007I / NHLBI NIH HHS HHSN268201800006I / NHLBI NIH HHS
Language: English
Date published: 03/2020
Academic Unit: Epidemiology; Health, Sport, and Human Physiology
Record Identifier: 9984245774102771

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