Sitting time in Germany: an analysis of socio-demographic and environmental correlates

BMC Public Health

Ingo Froboese¹  Peter Schantz²  Sylvia Hansen³  Jens Bucksch⁴  Birgit Wallmann-Sperlich¹ 

[1] Centre for Health, German Sports University Cologne, Köln, D-50933, Germany;Department of Health Sciences, Mid-Sweden University, Östersund, SE- 831 25, Sweden;Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, 6229 ER, The Netherlands;WHO Collaborating Centre for Child and Adolescent Health Promotion, School of Public Health, Bielefeld University, Bielefeld, D-33615, Germany

关键词: Gender;    Income;    Educational level;    Perceived physical environment;    Physical activity;    Sedentary behaviour;   

Others  :  1162483
DOI  :  10.1186/1471-2458-13-196

 received in 2012-09-06, accepted in 2013-02-20,  发布年份 2013

【 摘 要 】

Background

Sedentary behaviour in general and sitting time in particular is an emerging global health concern. The aim of this study was to provide data on the prevalence of sitting time in German adults and to examine socio-demographic and environmental correlates of sitting time.

Methods

A representative sample of German adults (n = 2000; 967 men, 1033 women; 49.3 ±17.6 years of age) filled in the Global Physical Activity Questionnaire, including one question on overall sitting time and answered questions about the neighbourhood environment, as well as concerning demographics. Daily sitting time was stratified by gender, age group, BMI, educational and income level, as well as physical activity (PA). To identify socio-demographic and environmental correlates of sitting time, we used a series of linear regressions.

Results

The overall median was 5 hours (299 minutes) of sitting time/day and men sat longer than women (5 vs. 4 hours/day; p < 0.05). In both genders age and PA were negatively and the educational level positively associated with sitting time. The level of income was not a correlate of sitting time in multivariate analyses. Sitting time was significantly positively associated with higher neighbourhood safety for women. The variance of the multivariate model ranged from 16.5% for men to 8.9% for women.

Conclusions

The overall sitting time was unequally distributed in the German adult population. Our findings suggest implementing specific interventions to reduce sitting time for subgroups such as men, younger aged adults and adults with a higher education and lower PA. Future studies should enhance our understanding of the specific correlates of different types and domains of sitting in order to guide the development of effective public health strategies.

【 授权许可】

   
2013 Wallmann-Sperlich et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Owen N, Healy GN, Matthews CE, Dunstan DW: Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev 2010, 38(3):105-113.
• [2]Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, Troiano RP: Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol 2008, 167(7):875-881.
• [3]Thorp AA, Owen N, Neuhaus M, Dunstan DW: Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996–2011. Am J Prev Med 2011, 41(2):207-215.
• [4]Dunstan DW, Barr EL, Healy GN, Salmon J, Shaw JE, Balkau B, Magliano DJ, Cameron AJ, Zimmet PZ, Owen N: Television viewing time and mortality: the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Circulation 2010, 121(3):384-391.
• [5]Martinez-Gonzalez MA, Martinez JA, Hu FB, Gibney MJ, Kearney J: Physical inactivity, sedentary lifestyle and obesity in the European Union. Int J Obes Relat Metab Disord 1999, 23(11):1192-1201.
• [6]Healy GN, Wijndaele K, Dunstan DW, Shaw JE, Salmon J, Zimmet PZ, Owen N: Objectively measured sedentary time, physical activity, and metabolic risk: the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Diabetes Care 2008, 31(2):369-371.
• [7]Santos R, Soares-Miranda L, Vale S, Moreira C, Marques AI, Mota J: Sitting time and body mass index, in a Portuguese sample of men: results from the Azorean Physical Activity and Health Study (APAHS). Int J Environ Res Public Health 2010, 7(4):1500-1507.
• [8]Warren TY, Barry V, Hooker SP, Sui X, Church TS, Blair SN: Sedentary behaviors increase risk of cardiovascular disease mortality in men. Med Sci Sports Exerc 2010, 42(5):879-885.
• [9]Dunstan DW, Thorp AA, Healy GN: Prolonged sitting: is it a distinct coronary heart disease risk factor? Curr Opin Cardiol 2011, 26(5):412-419.
• [10]Ford ES, Schulze MB, Kroger J, Pischon T, Bergmann MM, Boeing H: Television watching and incident diabetes: findings from the European Prospective Investigation into Cancer and Nutrition-Potsdam Study. J Diabetes 2010, 2(1):23-27.
• [11]Sisson SB, Camhi SM, Church TS, Martin CK, Tudor-Locke C, Bouchard C, Earnest CP, Smith SR, Newton RL Jr, Rankinen T: Leisure time sedentary behavior, occupational/domestic physical activity, and metabolic syndrome in U.S. men and women. Metab Syndr Relat Disord 2009, 7(6):529-536.
• [12]Sedentary Behaviour Research N: Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours". Appl Physiol Nutr Metab 2012, 37(3):540-545.
• [13]Owen N, Bauman A, Brown W: Too much sitting: a novel and important predictor of chronic disease risk? Br J Sports Med 2009, 43(2):81-83.
• [14]Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW: Correlates of physical activity: why are some people physically active and others not? Lancet 2012, 380(9838):258-271.
• [15]Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007, 116(9):1081-1093.
• [16]Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, Bowles HR, Hagstromer M, Sjostrom M, Pratt M: The International Prevalence Study on Physical Activity: results from 20 countries. Int J Behav Nutr Phys Act 2009, 6(1):21. BioMed Central Full Text
• [17]Bauman A, Ainsworth BE, Sallis JF, Hagstromer M, Craig CL, Bull FC, Pratt M, Venugopal K, Chau J, Sjostrom M: The Descriptive Epidemiology of Sitting A 20-Country Comparison Using the International Physical Activity Questionnaire (IPAQ). Am J Prev Med 2011, 41(2):228-235.
• [18]Hagstromer M, Troiano RP, Sjostrom M, Berrigan D: Levels and patterns of objectively assessed physical activity–a comparison between Sweden and the United States. Am J Epidemiol 2010, 171(10):1055-1064.
• [19]Sjöström M, Oja P, Hagströmer M, Smith B, Bauman A: Health-enhancing physical activity across European Union countries: the Eurobarometer study. J Public Health 2006, 14(5):291-300.
• [20]Burton NW, Khan A, Brown WJ, Turrell G: The association between sedentary leisure and physical activity in middle-aged adults. Br J Sports Med 2012, 46(10):747-752.
• [21]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-S44.
• [22]Sugiyama T, Healy GN, Dunstan DW, Salmon J, Owen N: Is television viewing time a marker of a broader pattern of sedentary behavior? Ann Behav Med 2008, 35(2):245-250.
• [23]Owen N, Sugiyama T, Eakin EE, Gardiner PA, Tremblay MS, Sallis JF: Adults' sedentary behavior determinants and interventions. Am J Prev Med 2011, 41(2):189-196.
• [24]Sugiyama T, Salmon J, Dunstan DW, Bauman AE, Owen N: Neighborhood walkability and TV viewing time among Australian adults. Am J Prev Med 2007, 33(6):444-449.
• [25]Frank LD, Saelens BE, Powell KE, Chapman JE: Stepping towards causation: do built environments or neighborhood and travel preferences explain physical activity, driving, and obesity? Soc Sci Med 2007, 65(9):1898-1914.
• [26]Van Dyck D, Cardon G, Deforche B, Sallis JF, Owen N, De Bourdeaudhuij I: Neighborhood SES and walkability are related to physical activity behavior in Belgian adults. Prev Med 2010, 50:S74-S79.
• [27]Van Dyck D, Cerin E, Conway TL, De Bourdeaudhuij I, Owen N, Kerr J, Cardon G, Frank LD, Saelens BE, Sallis JF: Associations between perceived neighborhood environmental attributes and adults' sedentary behavior: Findings from the USA. Soc Sci Med: Australia and Belgium; 2012.
• [28]Curtin R, Presser S, Singer E: Changes in Telephone Survey Nonresponse over the Past Quarter Century. Public Opin Q 2005, 69(1):87-98.
• [29]Davern M, McAlpine D, Beebe TJ, Ziegenfuss J, Rockwood T, Call KT: Are lower response rates hazardous to your health survey? An analysis of three state telephone health surveys. Health Serv Res 2010, 45(5 Pt 1):1324-1344.
• [30]Armstrong T, Bull F: Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ). J Public Health 2006, 14(2):66-70.
• [31]Global Physical Activity Questionnaire (GPAQ) Analysis Guide. www.who.int/entity/chp/steps/resources/GPAQ_Analysis_Guide.pdf webcite
• [32]Bull FC, Maslin TS, Armstrong T: Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Act Health 2009, 6(6):790-804.
• [33]Ekelund U, Sepp H, Brage S, Becker W, Jakes R, Hennings M, Wareham NJ: Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults. Public Health Nutr 2006, 9(2):258-265.
• [34]Spittaels H, Verloigne M, Gidlow C, Gloanec J, Titze S, Foster C, Oppert JM, Rutter H, Oja P, Sjostrom M: Measuring physical activity-related environmental factors: reliability and predictive validity of the European environmental questionnaire ALPHA. Int J Behav Nutr Phys Act 2010, 7(1):48. BioMed Central Full Text
• [35]Tabachnick BG, Fidell LS: Using multivariate statistics. 5th edition. Boston: Pearson Education; 2007.
• [36]Federal Statistical Office: Statistical Yearbook 2011: For the Federal Republic of Germany including »International tables. Wiesbaden: Federal Statistical Office; 2011.
• [37]Peters TM, Moore SC, Xiang YB, Yang G, Shu XO, Ekelund U, Ji BT, Tan YT, da Liu K, Schatzkin A: Accelerometer-measured physical activity in Chinese adults. Am J Prev Med 2010, 38(6):583-591.
• [38]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):216-227.
• [39]Ottevaere C, Huybrechts I, Benser J, De Bourdeaudhuij I, Cuenca-Garcia M, Dallongeville J, Zaccaria M, Gottrand F, Kersting M, Rey-Lopez JP: Clustering patterns of physical activity, sedentary and dietary behavior among European adolescents: the HELENA study. BMC Publ Health 2011, 11:328. BioMed Central Full Text
• [40]Burton NW, Haynes M, van Uffelen JG, Brown WJ, Turrell G: Mid-aged adults' sitting time in three contexts. Am J Prev Med 2012, 42(4):363-373.
• [41]van Uffelen J, Heesch K, Hill R, Brown W: A qualitative study of older adults' responses to sitting-time questions: do we get the information we want? BMC Publ Health 2011, 11(1):458. BioMed Central Full Text
• [42]Williams DM, Raynor HA, Ciccolo JT: A review of TV viewing and its association with health outcomes in adults. Am J Lifestyle Med 2008, 2(3):250-259.
• [43]Proper KI, Cerin E, Brown WJ, Owen N: Sitting time and socio-economic differences in overweight and obesity. Int J Obes (Lond) 2007, 31(1):169-176.
• [44]van Uffelen JG, Watson MJ, Dobson AJ, Brown WJ: Comparison of self-reported week-day and weekend-day sitting time and weekly time-use: results from the Australian Longitudinal Study on Women's Health. Int J Behav Med 2011, 18(3):221-228.