| Title |
Which is more important for cardiometabolic health: sedentary time, higher intensity physical activity or cardiorespiratory fitness? The Maastricht Study
|
|---|---|
| Published in |
Diabetologia, September 2018
|
| DOI | 10.1007/s00125-018-4719-7 |
| Pubmed ID | |
| Authors |
Jeroen H. P. M. van der Velde, Nicolaas C. Schaper, Coen D. A. Stehouwer, Carla J. H. van der Kallen, Simone J. S. Sep, Miranda T. Schram, Ronald M. A. Henry, Pieter C. Dagnelie, Simone J. P. M. Eussen, Martien C. J. M. van Dongen, Hans H. C. M. Savelberg, Annemarie Koster |
| Abstract |
Our aim was to examine the independent and combined (cross-sectional) associations of sedentary time (ST), higher intensity physical activity (HPA) and cardiorespiratory fitness (CRF) with metabolic syndrome and diabetes status. In 1933 adults (aged 40-75 years) ST and HPA (surrogate measure for moderate to vigorous physical activity) were measured with the activPAL3. CRF was assessed by submaximal cycle-ergometer testing. Metabolic syndrome was defined according to the Adult Treatment Panel (ATP) III guidelines. Diabetes status (normal, prediabetes [i.e. impaired glucose tolerance and/or impaired fasting glucose] or type 2 diabetes) was determined from OGTT. (Multinomial) logistic regression analyses were used to calculate likelihood for the metabolic syndrome, prediabetes and type 2 diabetes according to ST, HPA and CRF separately and combinations of ST-CRF and HPA-CRF. Higher ST, lower HPA and lower CRF were associated with greater odds for the metabolic syndrome and type 2 diabetes independently of each other. Compared with individuals with high CRF and high HPA (CRFhigh-HPAhigh), odds for the metabolic syndrome and type 2 diabetes were higher in groups with a lower CRF regardless of HPA. Individuals with low CRF and low HPA (CRFlow-HPAlow) had a particularly high odds for the metabolic syndrome (OR 5.73 [95% CI 3.84, 8.56]) and type 2 diabetes (OR 6.42 [95% CI 3.95, 10.45]). Similarly, compared with those with high CRF and low ST (CRFhigh-STlow), those with medium or low CRF had higher odds for the metabolic syndrome, prediabetes and type 2 diabetes, irrespective of ST. In those with high CRF, high ST was associated with significantly high odds for the metabolic syndrome (OR 2.93 [95% CI 1.72, 4.99]) and type 2 diabetes (OR 2.21 [95% CI 1.17, 4.17]). The highest odds for the metabolic syndrome and type 2 diabetes were observed in individuals with low CRF and high ST (CRFlow-SThigh) (OR [95% CI]: the metabolic syndrome, 9.22 [5.74, 14.80]; type 2 diabetes, 8.38 [4.83, 14.55]). These data suggest that ST, HPA and CRF should all be targeted in order to optimally reduce the risk for the metabolic syndrome and type 2 diabetes. |
X Demographics
The data shown below were collected from the profiles of 58 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 11 | 19% |
| United States | 6 | 10% |
| Australia | 6 | 10% |
| Netherlands | 6 | 10% |
| Japan | 1 | 2% |
| Sweden | 1 | 2% |
| India | 1 | 2% |
| Spain | 1 | 2% |
| Mexico | 1 | 2% |
| Other | 5 | 9% |
| Unknown | 19 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 29 | 50% |
| Scientists | 20 | 34% |
| Practitioners (doctors, other healthcare professionals) | 8 | 14% |
| Science communicators (journalists, bloggers, editors) | 1 | 2% |
Mendeley readers
The data shown below were compiled from readership statistics for 140 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 140 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 24 | 17% |
| Student > Bachelor | 18 | 13% |
| Student > Master | 14 | 10% |
| Other | 13 | 9% |
| Researcher | 12 | 9% |
| Other | 17 | 12% |
| Unknown | 42 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 34 | 24% |
| Sports and Recreations | 17 | 12% |
| Nursing and Health Professions | 14 | 10% |
| Biochemistry, Genetics and Molecular Biology | 5 | 4% |
| Psychology | 3 | 2% |
| Other | 15 | 11% |
| Unknown | 52 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 136. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 April 2019.
All research outputs
#280,753
of 24,041,016 outputs
Outputs from Diabetologia
#163
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Outputs of similar age
#6,268
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Outputs of similar age from Diabetologia
#4
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