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

Research output: Contribution to journalArticle

Abstract

Background: 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. Methods: 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. Results: 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. Conclusions: 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.

Original languageEnglish (US)
JournalInternational Journal of Obesity
DOIs
StateAccepted/In press - Jan 1 2019

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Exercise
Weights and Measures
Linear Models
Accelerometry
Weight Gain
Obesity
Body Weight
Light

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Bidirectional 10-year associations of accelerometer-measured sedentary behavior and activity categories with weight among middle-aged adults. / Barone Gibbs, Bethany; Aaby, David; Siddique, Juned; Reis, Jared P.; Sternfeld, Barbara; Whitaker, Kara; Pettee Gabriel, Kelley.

In: International Journal of Obesity, 01.01.2019.

Research output: Contribution to journalArticle

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title = "Bidirectional 10-year associations of accelerometer-measured sedentary behavior and activity categories with weight among middle-aged adults",
abstract = "Background: 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. Methods: 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. Results: 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. Conclusions: 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.",
author = "{Barone Gibbs}, Bethany and David Aaby and Juned Siddique and Reis, {Jared P.} and Barbara Sternfeld and Kara Whitaker and {Pettee Gabriel}, Kelley",
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language = "English (US)",
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T1 - Bidirectional 10-year associations of accelerometer-measured sedentary behavior and activity categories with weight among middle-aged adults

AU - Barone Gibbs, Bethany

AU - Aaby, David

AU - Siddique, Juned

AU - Reis, Jared P.

AU - Sternfeld, Barbara

AU - Whitaker, Kara

AU - Pettee Gabriel, Kelley

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: 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. Methods: 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. Results: 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. Conclusions: 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.

AB - Background: 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. Methods: 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. Results: 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. Conclusions: 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.

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