A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants

BMC Medicine

Andrew Steptoe¹  Li-Jung Chen²  Yung Liao³  Ming-Chun Hsueh⁴  Po-Wen Ku⁵ 

[1] Department of Behavioural Science and Health, University College London;Department of Exercise Health Science, National Taiwan University of Sport;Department of Health Promotion and Health Education, National Taiwan Normal University;Department of Physical Education, National Taiwan Normal University;Graduate Institute of Sports and Health, National Changhua University of Education;

关键词: Sedentary behavior;    Sitting;    Inactivity;    Review;    Cut-point;    Recommendation;   

DOI  :  10.1186/s12916-018-1062-2

来源: DOAJ

【 摘 要 】

Abstract Background The appropriate limit to the amount of daily sedentary time (ST) required to minimize mortality is uncertain. This meta-analysis aimed to quantify the dose-response association between daily ST and all-cause mortality and to explore the cut-off point above which health is impaired in adults aged 18–64 years old. We also examined whether there are differences between studies using self-report ST and those with device-based ST. Methods Prospective cohort studies providing effect estimates of daily ST (exposure) on all-cause mortality (outcome) were identified via MEDLINE, PubMed, Scopus, Web of Science, and Google Scholar databases until January 2018. Dose-response relationships between daily ST and all-cause mortality were examined using random-effects meta-regression models. Results Based on the pooled data for more than 1 million participants from 19 studies, the results showed a log-linear dose-response association between daily ST and all-cause mortality. Overall, more time spent in sedentary behaviors is associated with increased mortality risks. However, the method of measuring ST moderated the association between daily ST and mortality risk (p < 0.05). The cut-off of daily ST in studies with self-report ST was 7 h/day in comparison with 9 h/day for those with device-based ST. Conclusions Higher amounts of daily ST are log-linearly associated with increased risk of all-cause mortality in adults. On the basis of a limited number of studies using device-based measures, the findings suggest that it may be appropriate to encourage adults to engage in less sedentary behaviors, with fewer than 9 h a day being relevant for all-cause mortality.

【 授权许可】

Unknown