Associations of Objectively Assessed Physical Activity and Sedentary Time with All-Cause Mortality in US Adults: The NHANES Study
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{"title"=>"Associations of objectively assessed physical activity and sedentary time with all-cause mortality in US adults: The NHANES study", "type"=>"journal", "authors"=>[{"first_name"=>"Daniela", "last_name"=>"Schmid", "scopus_author_id"=>"56962600100"}, {"first_name"=>"Cristian", "last_name"=>"Ricci", "scopus_author_id"=>"35750564000"}, {"first_name"=>"Michael F.", "last_name"=>"Leitzmann", "scopus_author_id"=>"7004664088"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"604134755", "sgr"=>"84928902796", "issn"=>"19326203", "pmid"=>"25768112", "scopus"=>"2-s2.0-84928902796", "doi"=>"10.1371/journal.pone.0119591", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"6f7e4ad4-1746-3625-8b6d-8a04ead8a0a7", "abstract"=>"BACKGROUND: Sedentary behavior is related to increased mortality risk. Whether such elevated risk can be offset by enhanced physical activity has not been examined using accelerometry data. MATERIALS AND METHODS: We examined the relations of sedentary time and physical activity to mortality from any cause using accelerometry data among 1,677 women and men aged 50 years or older from the National Health and Nutrition Examination Survey (NHANES) 2003-2004 cycle with follow-up through December 31, 2006. RESULTS: During an average follow-up of 34.67 months and 4,845.42 person-years, 112 deaths occurred. In multivariate Cox proportional hazard models, greater sedentary time (> median of 8.60 hours/day) was associated with increased risk of mortality from any cause (relative risk (RR) = 2.03; 95% confidence interval (CI) = 1.09-3.81). Low level of moderate to vigorous physical activity (< median of 6.60 minutes/day) was also related to enhanced all-cause mortality risk (RR = 3.30; 95% CI = 1.33-8.17). In combined analyses, greater time spent sedentary and low levels of moderate to vigorous physical activity predicted a substantially elevated all-cause mortality risk. As compared with the combination of a low sedentary level and a high level of moderate to vigorous physical activity, the risks of mortality from all causes were 4.38 (95% CI = 1.26-15.16) for low levels of both sedentary time and physical activity, 2.79 (95% CI = 0.77-10.12) for greater time spent sedentary and high physical activity level, and 7.79 (95% CI = 2.26-26.82) for greater time spent sedentary and low physical activity level. The interaction term between sedentary time and moderate to vigorous physical activity was not statistically significant (p = 0.508). CONCLUSIONS: Both high levels of sedentary time and low levels of moderate to vigorous physical activity are strong and independent predictors of early death from any cause. Whether a high physical activity level removes the increased risk of all-cause mortality related to sedentariness requires further investigation.", "link"=>"http://www.mendeley.com/research/associations-objectively-assessed-physical-activity-sedentary-time-allcause-mortality-adults-nhanes", "reader_count"=>84, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>8, "Researcher"=>18, "Student > Ph. D. Student"=>19, "Student > Postgraduate"=>4, "Other"=>4, "Student > Master"=>11, "Student > Bachelor"=>9, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>8, "Researcher"=>18, "Student > Ph. D. Student"=>19, "Student > Postgraduate"=>4, "Other"=>4, "Student > Master"=>11, "Student > Bachelor"=>9, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>13, "Agricultural and Biological Sciences"=>2, "Business, Management and Accounting"=>1, "Computer Science"=>2, "Economics, Econometrics and Finance"=>1, "Engineering"=>5, "Biochemistry, Genetics and Molecular Biology"=>4, "Nursing and Health Professions"=>6, "Mathematics"=>1, "Medicine and Dentistry"=>24, "Neuroscience"=>1, "Sports and Recreations"=>13, "Psychology"=>5, "Social Sciences"=>6}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>24}, "Social Sciences"=>{"Social Sciences"=>6}, "Sports and Recreations"=>{"Sports and Recreations"=>13}, "Psychology"=>{"Psychology"=>5}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>13}, "Engineering"=>{"Engineering"=>5}, "Neuroscience"=>{"Neuroscience"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>6}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>4}}, "reader_count_by_country"=>{"United States"=>1, "Japan"=>1, "United Kingdom"=>2, "Australia"=>1}, "group_count"=>10}

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  • {"files"=>["https://ndownloader.figshare.com/files/1948166"], "description"=>"<p>*Multivariate analyses are adjusted for age, sex, education, ethnicity, smoking, light physical activity, alcohol consumption, history of diabetes, history of cardiovascular disease (coronary heart disease, congestive heart failure, stroke), history of cancer, and mobility limitations.</p><p>MVPA = moderate to vigorous physical activity; BMI = body mass index; sedentary time and moderate to vigorous physical activity were mutually adjusted.</p><p>Age- and sex-, and multivariate-adjusted relative risks (RRs) and 95% confidence intervals (CIs)<sup><a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0119591#t002fn001\" target=\"_blank\">*</a></sup> of mortality from any cause according to sedentary time and moderate to vigorous physical activity.</p>", "links"=>[], "tags"=>["rr", "mortality", "Objectively Assessed Physical Activity", "Nutrition Examination Survey", "activity level", "NHANES Study BackgroundSedentary behavior", "ci"], "article_id"=>1335211, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Daniela Schmid", "Cristian Ricci", "Michael F. Leitzmann"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0119591.t002", "stats"=>{"downloads"=>3, "page_views"=>29, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Age_and_sex_and_multivariate_adjusted_relative_risks_RRs_and_95_confidence_intervals_CIs_of_mortality_from_any_cause_according_to_sedentary_time_and_moderate_to_vigorous_physical_activity_/1335211", "title"=>"Age- and sex-, and multivariate-adjusted relative risks (RRs) and 95% confidence intervals (CIs)<sup>*</sup> of mortality from any cause according to sedentary time and moderate to vigorous physical activity.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-13 04:04:59"}

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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