Daily step volume and intensity moderate the association of sedentary time and cardiometabolic disease risk in community-dwelling older adults : A cross-sectional study
Copyright © 2022 Elsevier Inc. All rights reserved..
OBJECTIVE: To investigate the moderating effect of step count and peak cadence on the relationship of sedentary time and cardiometabolic disease risk in community-dwelling older adults.
METHODS: This cross-sectional study included 248 older adults aged 60-80 years without cardiovascular disease (66.0 ± 4.6 years of age; 78 % females). Sedentary time, step count and peak cadence were measured by a hip-worn accelerometer for seven days. Peak cadence was defined as the average of 30 min of the day (but not necessarily consecutive) with the highest cadence (steps per minute) for all valid days. Cardiometabolic disease risk was defined using a sex-specific continuous metabolic syndrome score (cMetS). Sedentary time was used as an explanatory variable for cMetS and step count and peak cadence as moderators. The analyses were adjusted for known cardiometabolic disease risk factors and accelerometer wear time. The Johnson-Neyman technique was used to specify the value of moderator variables at which the significant relationship between sedentary time and cMetS disappears.
RESULTS: Both step count (β = -0.186, P = 0.032) and peak cadence (β = -0.003, P = 0.007) showed a moderating effect on the relationship of sedentary time and cMetS. The association of sedentary time and cMetS was not statistically significant (p > 0.05) when step count or peak cadence exceed 5715 steps per day and 57 steps per minute, respectively.
CONCLUSION: Steps per day and peak cadence moderate the association of sedentary time and cardiometabolic disease risk in older adults. Therefore, steps per day and peak cadence seem to offset the deleterious effects of sedentary time on cardiometabolic health in this population.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2022 |
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Erschienen: |
2022 |
Enthalten in: |
Zur Gesamtaufnahme - volume:170 |
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Enthalten in: |
Experimental gerontology - 170(2022) vom: 07. Dez., Seite 111989 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Freire, Yuri Alberto [VerfasserIn] |
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Links: |
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Themen: |
Ambulatory behavior |
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Anmerkungen: |
Date Completed 09.11.2022 Date Revised 28.12.2022 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.exger.2022.111989 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM348168241 |
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100 | 1 | |a Freire, Yuri Alberto |e verfasserin |4 aut | |
245 | 1 | 0 | |a Daily step volume and intensity moderate the association of sedentary time and cardiometabolic disease risk in community-dwelling older adults |b A cross-sectional study |
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500 | |a Date Revised 28.12.2022 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Copyright © 2022 Elsevier Inc. All rights reserved. | ||
520 | |a OBJECTIVE: To investigate the moderating effect of step count and peak cadence on the relationship of sedentary time and cardiometabolic disease risk in community-dwelling older adults | ||
520 | |a METHODS: This cross-sectional study included 248 older adults aged 60-80 years without cardiovascular disease (66.0 ± 4.6 years of age; 78 % females). Sedentary time, step count and peak cadence were measured by a hip-worn accelerometer for seven days. Peak cadence was defined as the average of 30 min of the day (but not necessarily consecutive) with the highest cadence (steps per minute) for all valid days. Cardiometabolic disease risk was defined using a sex-specific continuous metabolic syndrome score (cMetS). Sedentary time was used as an explanatory variable for cMetS and step count and peak cadence as moderators. The analyses were adjusted for known cardiometabolic disease risk factors and accelerometer wear time. The Johnson-Neyman technique was used to specify the value of moderator variables at which the significant relationship between sedentary time and cMetS disappears | ||
520 | |a RESULTS: Both step count (β = -0.186, P = 0.032) and peak cadence (β = -0.003, P = 0.007) showed a moderating effect on the relationship of sedentary time and cMetS. The association of sedentary time and cMetS was not statistically significant (p > 0.05) when step count or peak cadence exceed 5715 steps per day and 57 steps per minute, respectively | ||
520 | |a CONCLUSION: Steps per day and peak cadence moderate the association of sedentary time and cardiometabolic disease risk in older adults. Therefore, steps per day and peak cadence seem to offset the deleterious effects of sedentary time on cardiometabolic health in this population | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Ambulatory behavior | |
650 | 4 | |a Elderly | |
650 | 4 | |a Light physical activity | |
650 | 4 | |a Sedentary behavior | |
650 | 4 | |a Step cadence | |
700 | 1 | |a Cabral, Ludmila Lucena Pereira |e verfasserin |4 aut | |
700 | 1 | |a Browne, Rodrigo Alberto Vieira |e verfasserin |4 aut | |
700 | 1 | |a Vlietstra, Lara |e verfasserin |4 aut | |
700 | 1 | |a Waters, Debra L |e verfasserin |4 aut | |
700 | 1 | |a Duhamel, Todd A |e verfasserin |4 aut | |
700 | 1 | |a Costa, Eduardo Caldas |e verfasserin |4 aut | |
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