Striking the right balance: evidence to inform combined physical activity and sedentary behavior recommendations

Chastin, Sebastien F. M. and McGregor, Duncan E. and Biddle, Stuart J. H. ORCID: https://orcid.org/0000-0002-7663-6895 and Cardon, Greet and Chaput, Jean-Philippe and Dall, Philippa M. and Dempsey, Paddy C. and DiPietro, Loretta and Ekelund, Ulf and Katzmarzyk, Peter T. and Leitzmann, Michael and Stamatakis, Emmanuel and van der Ploeg, Hidde P. (2021) Striking the right balance: evidence to inform combined physical activity and sedentary behavior recommendations. Journal of Physical Activity and Health, 18 (6). pp. 631-637. ISSN 1543-3080

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Abstract

Background: Crucial evidence gaps regarding: (1) the joint association of physical activity and sedentary time with health outcomes and (2) the benefits of light-intensity physical activity were identified during the development of recommendations for the World Health Organization Guidelines on physical activity and sedentary behavior (SB). The authors present alternative ways to evidence the relationship between health outcomes and time spent in physical activity and SB and examine how this could be translated into a combined recommendation in future guidelines.

Methods: We used compositional data analysis to quantify the dose–response associations between the balance of time spent in physical activity and SB with all-cause mortality. The authors applied this approach using 2005–2006 National Health and Nutrition Examination Survey accelerometer data.

Results:Different combinations of time spent in moderate- to vigorous-intensity physical activity, light-intensity physical activity, and SB are associated with similar all-cause mortality risk level. A balance of more than 2.5 minutes of moderate- to vigorous-intensity physical activity per hour of daily sedentary time is associated with the same magnitude of risk reduction for all-cause mortality as obtained by being physically active according to the current recommendations.

Conclusion: This method could be applied to provide evidence for more flexible recommendations in the future with options to act on different behaviors depending on individuals’ circumstances and capacity.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2021 The Authors. Published by Human Kinetics, Inc. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, CC BY-NC-ND 4.0, which permits the copy and redistribution in any medium or format, provided it is not used for commercial purposes, no modifications are made, appropriate credit is given, and a link to the license is provided. See http://creativecommons.org/licenses/by-nc-nd/4.0. This license does not cover any third-party material that may appear with permission in the article. For commercial use, permission should be requested from Human Kinetics, Inc., through the Copyright Clearance Center (http://www.copyright.com).
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 10 Jun 2021 23:30
Last Modified: 11 Jun 2021 00:10
Uncontrolled Keywords: 24-hour, sitting, exercise, guidelines, public health
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health
Identification Number or DOI: https://doi.org/10.1123/jpah.2020-0635
URI: http://eprints.usq.edu.au/id/eprint/42135

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