Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis

Purpose: To estimate the strength and shape of the dose-response relationship between sedentary behaviour and all-cause, cardiovascular disease (CVD) and cancer mortality, and incident type 2 diabetes (T2D), adjusted for physical activity (PA). Data Sources: Pubmed, Web of Knowledge, Medline, Embase...

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Vydané v:European journal of epidemiology Ročník 33; číslo 9; s. 811 - 829
Hlavní autori: Patterson, Richard, McNamara, Eoin, Tainio, Marko, de Sá, Thiago Hérick, Smith, Andrea D., Sharp, Stephen J., Edwards, Phil, Woodcock, James, Brage, Søren, Wijndaele, Katrien
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Dordrecht Springer 01.09.2018
Springer Netherlands
Springer Nature B.V
Predmet:
Cancer
Cardiology
Cardiovascular diseases
Cardiovascular Diseases - mortality
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - mortality
Epidemiology
Exercise
Female
Health risk assessment
Humans
Infectious Diseases
Male
Medicine
Medicine & Public Health
META-ANALYSIS
Mortality
Neoplasms - mortality
Oncology
Physical activity
Public Health
Quality assessment
Risk
Scientific papers
Sedentary Behavior
Systematic review
Television
Time Factors
Viewing
Prevention
Diabetes
Sedentary
Mortality
Public health
Meta-analysis
ISSN:0393-2990, 1573-7284, 1573-7284
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Shrnutí:Purpose: To estimate the strength and shape of the dose-response relationship between sedentary behaviour and all-cause, cardiovascular disease (CVD) and cancer mortality, and incident type 2 diabetes (T2D), adjusted for physical activity (PA). Data Sources: Pubmed, Web of Knowledge, Medline, Embase, Cochrane Library and Google Scholar (through September-2016); reference lists. Study Selection: Prospective studies reporting associations between total daily sedentary time or TV viewing time, and ≥ one outcome of interest. Data Extraction: Two independent reviewers extracted data, study quality was assessed; corresponding authors were approached where needed. Data Synthesis: Thirty-four studies (1,331,468 unique participants; good study quality) covering 8 exposure-outcome combinations were included. For total sedentary behaviour, the PA-adjusted relationship was non-linear for all-cause mortality (RR per 1 h/day: were 1.01 (1.00-1.01) ≤ 8 h/day; 1.04 (1.03-1.05) > 8 h/day of exposure), and for CVD mortality (1.01 (0.99-1.02) ≤ 6 h/day; 1.04 (1.03-1.04) > 6 h/day). The association was linear (1.01 (1.00-1.01)) with T2D and non-significant with cancer mortality. Stronger PA-adjusted associations were found for TV viewing (h/day); non-linear for all-cause mortality (1.03 (1.01-1.04) ≤ 3.5 h/day; 1.06 (1.05-1.08) > 3.5 h/day) and for CVD mortality (1.02 (0.99-1.04) ≤ 4 h/day; 1.08 (1.05-1.12) > 4 h/day). Associations with cancer mortality (1.03 (1.02-1.04)) and T2D were linear (1.09 (1.07-1.12)). Conclusions: Independent of PA, total sitting and TV viewing time are associated with greater risk for several major chronic disease outcomes. For all-cause and CVD mortality, a threshold of 6-8 h/day of total sitting and 3-4 h/day of TV viewing was identified, above which the risk is increased.
Bibliografia:ObjectType-Article-1
ObjectType-Evidence Based Healthcare-3
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ObjectType-Review-3
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ObjectType-Undefined-4
ISSN:0393-2990
1573-7284
1573-7284
DOI:10.1007/s10654-018-0380-1