Low physical activity, high television viewing and poor sleep duration cluster in overweight and obese adults; a cross-sectional study of 398,984 participants from the UK Biobank

International Journal of Behavioral Nutrition and Physical Activity

Research

Sophie Cassidy¹  Michael I. Trenell¹  Michael Catt²  Adrian Bauman³  Josephine Y. Chau³ 

[1] Institute of Cellular Medicine, Faculty of Medical Sciences, Newcastle University, NE2 4HH, Newcastle upon Tyne, UK;Institute of Neuroscience, Faculty of Medical Sciences, Newcastle University, NE2 4HH, Newcastle upon Tyne, UK;Prevention Research Collaboration, Sydney School of Public Health, Charles Perkins Centre D17, Level 6 The Hub, University of Sydney, 2006, Sydney, NSW, Australia;

关键词: Physical activity;    Sedentary;    Sleep;    Lifestyle;    Obesity;   

DOI  :  10.1186/s12966-017-0514-y

 received in 2016-12-07, accepted in 2017-04-19,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAn unhealthy lifestyle is one of the greatest contributors to obesity. A number of behaviours are linked with obesity, but are often measured separately. The UK Biobank cohort of >500,000 participants allows us to explore these behaviours simultaneously. We therefore aimed to compare physical activity, television (TV) viewing and sleep duration across body mass index (BMI) categories in a large sample of UK adults.MethodsUK Biobank participants were recruited and baseline measures were taken between 2007 and 2010 and data analysis was performed in 2015. BMI was measured objectively using trained staff. Self-report questionnaires were used to measure lifestyle behaviours including the international physical activity questionnaire (IPAQ-short form) for physical activity. During data analysis, six groups were defined based on BMI; ‘Underweight’ (n = 2026), ‘Normal weight’ (n = 132,372), ‘Overweight (n = 171,030), ‘Obese I’ (n = 67,903), ‘Obese II’ (n = 18,653) and ‘Obese III’ (n = 7000). The odds of reporting unhealthy lifestyle behaviours (low physical activity, high TV viewing or poor sleep duration) were compared across BMI groups using logistic regression analysis.ResultsOverweight and obese adults were more likely to report low levels of physical activity (≤967.5 MET.mins/wk) (‘Overweight’-OR [95% CI]: 1.23 [1.20 to 1.26], ‘Obese I’ 1.66 [1.61–1.71], ‘Obese II’ 2.21 [2.12–2.30], and ‘Obese III’ 3.13 [2.95 to 3.23]) compared to ‘Normal weight’ adults. The odds of reporting high TV viewing (3 h/day) was greater in ‘Overweight’ (1.52 [1.48 to 1.55]) and obese adults (‘Obese I’ 2.06 [2.00–2.12], ‘Obese II’ 2.69 [2.58–2.80], ‘Obese III’ 3.26 [3.07 to 3.47]), and poor sleep duration (<7, >8 h/night) was higher in ‘Overweight’ (1.09 [1.07 to 1.12]) and obese adults (‘Obese I’ 1.31 [1.27–1.34], ‘Obese II’ 1.50 [1.44–1.56], ‘Obese III’ (1.78 [1.68 to 1.89]) compared to the ‘Normal weight’ group. These lifestyle behaviours were clustered, the odds of reporting simultaneous low physical activity, high TV viewing and poor sleep (unhealthy behavioural phenotype) was higher than reporting these behaviours independently, in overweight and obese groups. ‘Obese III’ adults were almost six times more likely (5.47 [4.96 to 6.05]) to report an unhealthy behavioural phenotype compared to the ‘Normal weight’ group.ConclusionsOverweight and obese adults report low levels of physical activity, high TV viewing and poor sleep duration. These behaviours seem to cluster and collectively expose individuals to greater risk of obesity. Multiple lifestyle behaviours should be targeted in future interventions.

【 授权许可】

CC BY   
© The Author(s). 2017