Top

BMC Public Health

Published in:

Open Access 01-12-2015 | Research article

Correlates of sitting time in adults with type 2 diabetes

Authors: Anne-Sophie Brazeau, Samantha Hajna, Lawrence Joseph, Kaberi Dasgupta

Published in: BMC Public Health | Issue 1/2015

Abstract

Background

Studies suggest a relationship between sitting time and cardiovascular disease mortality. Our aim was to identify socio-demographic, contextual, and clinical (e.g., body composition, diabetes duration) correlates of self-reported sitting time among adults with type 2 diabetes, a clinical population at high risk for cardiovascular disease. We sought to determine if there was an inverse relationship between sitting and step counts in a diabetes cohort in whom we had previously identified low step counts with further lowering in fall/winter.

Methods

The cohort included 198 adults (54 % men; age 60.0 SD 11.5 years; Body mass index 30.4 SD 5.6 kg/m²) (Montréal, Canada). Socio-demographic, contextual and clinical factors were assessed using standardized questionnaires and step counts with a pedometer over 14 days (concealed viewing windows). Total sitting time was estimated once per season (up to 4 times per year at –month intervals) using the International Physical Activity Questionnaire-Short version. Potential sitting time correlates were evaluated using Bayesian longitudinal hierarchical linear regression models in participants with sitting time data (n = 191).

Results

The average sitting time was 308 (SD 161) minutes/day without variation across seasons. Sitting time correlates were being an immigrant (56 fewer minutes/day spent sitting compared to non- immigrants, 95 % credible interval, CrI: −100, −11) and having a university degree (55 more minutes/day spent sitting compared to those without a university degree, 95 % CrI: 10, 100) after adjustment for potential correlates observed in univariate analyses (sex, age, job status, waist circumference, depressed mood, steps). Correlation between sitting and steps, adjusted for age and sex, was −0.144 (95 % CI: −0.280, 0.002).

Conclusion

There was low correlation between sitting time and step counts. Therefore, high sitting time and low step counts are behaviours that may need to be independently targeted. Interventions to reduce sitting time in adults with type 2 diabetes may need to target non-immigrants and those with a university degree.

Lanningham-Foster L, Nysse LJ, Levine JA. Labor saved, calories lost: the energetic impact of domestic labor-saving devices. Obes Res. 2003;11(10):1178–81. doi:10.1038/oby.2003.162.CrossRefPubMed

Tudor-Locke CE, Bell RC, Myers AM, Harris SB, Lauzon N, Rodger NW. Pedometer-determined ambulatory activity in individuals with type 2 diabetes. Diabetes Res Clin Pract. 2002;55:191–9.CrossRefPubMed

Tudor-Locke C, Bassett Jr DR. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34(1):1–8.CrossRefPubMed

Dasgupta K, Joseph L, Pilote L, Strachan I, Sigal RJ, Chan C. Daily steps are low year-round and dip lower in fall/winter: findings from a longitudinal diabetes cohort. Cardiovasc Diabetol. 2010;9:81. doi:10.1186/1475-2840-9-81.CrossRefPubMedPubMedCentral

Manjoo P, Joseph L, Pilote L, Dasgupta K. Sex differences in step count-blood pressure association: a preliminary study in type 2 diabetes. PLoS One. 2010;5(11), e14086. doi:10.1371/journal.pone.0014086.CrossRefPubMedPubMedCentral

Manjoo P, Joseph L, Dasgupta K. Abdominal adiposity and daily step counts as determinants of glycemic control in a cohort of patients with type 2 diabetes mellitus. Nutr Diabetes. 2012;2, e25. doi:10.1038/nutd.2011.22.CrossRefPubMedPubMedCentral

Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, Lewis R, et al. Using pedometers to increase physical activity and improve health. A systematic review. JAMA. 2007;289:2296–304.CrossRef

Yates T, Haffner SM, Schulte PJ, Thomas L, Huffman KM, Bales CW, et al. Association between change in daily ambulatory activity and cardiovascular events in people with impaired glucose tolerance (NAVIGATOR trial): a cohort analysis. Lancet. 2014;383(9922):1059–66. doi:10.1016/S0140-6736(13)62061-9.CrossRefPubMed

Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 2012;55(11):2895–905. doi:10.1007/s00125-012-2677-z.CrossRefPubMed

10.

Bjork Petersen C, Bauman A, Gronbaek M, Wulff Helge J, Thygesen LC, Tolstrup JS. Total sitting time and risk of myocardial infarction, coronary heart disease and all-cause mortality in a prospective cohort of Danish adults. Int J Behav Nutr Phys Activ. 2014;11:13. doi:10.1186/1479-5868-11-13.CrossRef

11.

Matthews CE, George SM, Moore SC, Bowles HR, Blair A, Park Y, et al. Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr. 2012;95(2):437–45. doi:10.3945/ajcn.111.019620.CrossRefPubMedPubMedCentral

12.

Bauman A, Ainsworth BE, Sallis JF, Hagstromer M, Craig CL, Bull FC, et al. The descriptive epidemiology of sitting. A 20-country comparison using the International Physical Activity Questionnaire (IPAQ). Am J Prev Med. 2011;41(2):228–35. doi:10.1016/j.amepre.2011.05.003.CrossRefPubMed

13.

Bennie JA, Chau JY, van der Ploeg HP, Stamatakis E, Do A, Bauman A. The prevalence and correlates of sitting in European adults - a comparison of 32 Eurobarometer-participating countries. Int J Behav Nutr Phys Activ. 2013;10:107. doi:10.1186/1479-5868-10-107.CrossRef

14.

Booth GL, Kapral MK, Fung K, Tu JV. Relation between age and cardiovascular disease in men and women with diabetes compared with non-diabetic people: a population-based retrospective cohort study. Lancet. 2006;368(9529):29–36.CrossRefPubMed

15.

Dasgupta K, Chan C, Da Costa D, Pilote L, De Civita M, Ross N, et al. Walking behaviour and glycemic control in type 2 diabetes: seasonal and gender differences--study design and methods. Cardiovasc Diabetol. 2007;6:1. doi:10.1186/1475-2840-6-1.CrossRefPubMedPubMedCentral

16.

Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–95. doi:10.1249/01.MSS.0000078924.61453.FB.CrossRefPubMed

17.

Rosenberg DE, Bull FC, Marshall AL, Sallis JF, Bauman AE. Assessment of sedentary behavior with the International Physical Activity Questionnaire. J Phys Act Health. 2008;5 Suppl 1:S30–44.CrossRefPubMed

18.

Kurtze N, Rangul V, Hustvedt BE. Reliability and validity of the international physical activity questionnaire in the Nord-Trondelag health study (HUNT) population of men. BMC Med Res Methodol. 2008;8:63. doi:10.1186/1471-2288-8-63.CrossRefPubMedPubMedCentral

19.

Dyrstad SM, Hansen BH, Holme IM, Anderssen SA. Comparison of self-reported versus accelerometer-measured physical activity. Med Sci Sports Exerc. 2014;46(1):99–106. doi:10.1249/MSS.0b013e3182a0595f.CrossRefPubMed

20.

Patterson E. IPAQ scoring protocol. 2010. https://sites.google.com/site/theipaq/scoring-protocol. Accessed 15 August 2015.

21.

Radloff LS. The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Appl Psychol Meas. 1977;1(3):385–401.CrossRef

22.

Miller R, Brown W. Steps and sitting in a working population. Int J Behav Med. 2004;11(4):219–24. doi:10.1207/s15327558ijbm1104_5.CrossRefPubMed

23.

Wijndaele K, Brage S, Besson H, Khaw KT, Sharp SJ, Luben R, et al. Television viewing and incident cardiovascular disease: prospective associations and mediation analysis in the EPIC Norfolk Study. PLoS One. 2011;6(5):e20058. doi:10.1371/journal.pone.0020058.CrossRefPubMedPubMedCentral

24.

Shields M, Tremblay MS. Screen time among Canadian adults: a profile. Health reports/Statistics Canada, Canadian Centre for Health Information = Rapports sur la sante/Statistique Canada. Centre canadien d'information sur la sante. 2008;19(2):31–43.

25.

Rhodes RE, Mark RS, Temmel CP. Adult sedentary behavior: a systematic review. Am J Prev Med. 2012;42(3):e3–28. doi:10.1016/j.amepre.2011.10.020.CrossRefPubMed

26.

Hajna S, Ross N, Dasgupta K. Individual and socio-environmental determinants of walking in adults with type 2 diabetes. Diabetes. 2012;61(S1):A381.

27.

Hajna S, Ross N, Dasgupta K. Dog ownership is associated with higher daily step counts in the fall and winter in adults living with type 2 diabetes. Can J Diabetes. 2013;37:s242.CrossRef

28.

Finni T, Haakana P, Pesola AJ, Pullinen T. Exercise for fitness does not decrease the muscular inactivity time during normal daily life. Scand J Med Sci Sports. 2014;24(1):211–9. doi:10.1111/j.1600-0838.2012.01456.x.CrossRefPubMed

29.

Mansoubi M, Pearson N, Biddle SJ, Clemes S. The relationship between sedentary behaviour and physical activity in adults: A systematic review. Prev Med. 2014;69C:28–35. doi:10.1016/j.ypmed.2014.08.028.CrossRef

30.

van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A. Sitting time and all-cause mortality risk in 222 497 Australian adults. Arch Intern Med. 2012;172(6):494–500. doi:10.1001/archinternmed.2011.2174.CrossRefPubMed

31.

Bell JA, Hamer M, Batty GD, Singh-Manoux A, Sabia S, Kivimaki M. Combined effect of physical activity and leisure time sitting on long-term risk of incident obesity and metabolic risk factor clustering. Diabetologia. 2014;57(10):2048–56. doi:10.1007/s00125-014-3323-8.CrossRefPubMedPubMedCentral

32.

Uijtdewilligen L, Twisk JW, Singh AS, Chinapaw MJ, van Mechelen W, Brown WJ. Biological, socio-demographic, work and lifestyle determinants of sitting in young adult women: a prospective cohort study. Int J Behav Nutr Phys Activ. 2014;11:7. doi:10.1186/1479-5868-11-7.CrossRef

33.

Heisz A. Canada’s global cities: Socio-economic conditions in Montréal, Toronto and Vancouver. Ottawa: Minister of Industry; 2006.

34.

Badets J, Howatson-Leo L. Recent immigrants in the workforce. Ottawa: Statistics Canada; 1999. p. 16–23.

35.

Healy GN, Clark BK, Winkler EA, Gardiner PA, Brown WJ, Matthews CE. Measurement of adults’ sedentary time in population-based studies. Am J Prev Med. 2011;41(2):216–27. doi:10.1016/j.amepre.2011.05.005.CrossRefPubMedPubMedCentral

36.

Criniere L, Lhommet C, Caille A, Giraudeau B, Lecomte P, Couet C, et al. Reproducibility and validity of the French version of the long international physical activity questionnaire in patients with type 2 diabetes. J Phys Act Health. 2011;8(6):858–65.CrossRefPubMed

37.

Chau JY, Daley M, Srinivasan A, Dunn S, Bauman AE, van der Ploeg HP. Desk-based workers’ perspectives on using sit-stand workstations: a qualitative analysis of the Stand@Work study. BMC Public Health. 2014;14(1):752. doi:10.1186/1471-2458-14-752.CrossRefPubMedPubMedCentral

Title: Correlates of sitting time in adults with type 2 diabetes
Authors: Anne-Sophie Brazeau
Samantha Hajna
Lawrence Joseph
Kaberi Dasgupta
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-015-2086-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Correlates of sitting time in adults with type 2 diabetes

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2015

The association between mental health, chronic disease and sleep duration in Koreans: a cross-sectional study

Potentially preventable premature deaths in women and men from the two leading causes of death in Austria, mortality statistics of the nine federal states 2010–2012

An objective assessment of toddlers’ physical activity and sedentary levels: a cross-sectional study

Household antimicrobial self-medication: a systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries

Optimizing strategies for population-based chlamydia infection screening among young women: an age-structured system dynamics approach

Comparison of IgG against plastic resin in workers with and without chemical dermatitis