Evidence map›Paper›PMID 30616480›Full record

ArticleJournal of the American Heart Association2019

Associations of Accelerometer-Measured Sedentary Time and Physical Activity With Prospectively Assessed Cardiometabolic Risk Factors: The CARDIA Study.

Kara M Whitaker, Kelley Pettee Gabriel, Matthew P Buman, Mark A Pereira, David R Jacobs, Jared P Reis, Bethany Barone Gibbs, Mercedes R Carnethon, John Staudenmayer, Stephen Sidney and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Exercise Is a Vital Sign.HCA healthcare journal of medicine · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kara M Whitaker1 Department of Health and Human Physiology College of Liberal Arts & Sciences University of Iowa Iowa City IA.
Kelley Pettee Gabriel3 Department of Epidemiology, Human Genetics, and Environmental Sciences School of Public Health University of Texas Health Science Center at Houston Austin TX.
Matthew P Buman5 College of Health Solutions Arizona State University Phoenix AZ.
Mark A Pereira6 Division of Epidemiology and Community Health School of Public Health University of Minnesota Minneapolis MN.
David R Jacobs6 Division of Epidemiology and Community Health School of Public Health University of Minnesota Minneapolis MN.
Jared P Reis7 Division of Cardiovascular Sciences National Heart, Lung, and Blood Institute Bethesda MD.
Bethany Barone Gibbs8 Department of Health and Physical Activity University of Pittsburgh PA.
Mercedes R Carnethon9 Department of Preventive Medicine Feinberg School of Medicine Northwestern University Chicago IL.
John Staudenmayer10 Department of Mathematics and Statistics University of Massachusetts Amherst MA.
Stephen Sidney11 Division of Research Kaiser Permanente Northern California Oakland CA.
Barbara Sternfeld11 Division of Research Kaiser Permanente Northern California Oakland CA.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
Cardiovascular Disease Epidemiology &Prevention TrngT32HL007779 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI PAMELA L. Lutsey, JAMES S PANKOW · 1994 to 2026
$9.3M
20 YEAR CHANGES IN FITNESS &CARDIOVASCULAR DISEASE RISKR01HL078972 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIDNEY, STEPHEN · 2005 to 2008
$6.1M
10-Year Changes in Objectively-Measured Physical Activity and Sedentary Behavior in the CARDIA CohortR56HL125423 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GABRIEL, KELLEY PETTEE, SIDNEY, STEPHEN · 2015 to 2015
$689k
NHLBI NIH HHS HHSN268200900041CNHLBI NIH HHS HHSN268201300025CNHLBI NIH HHS HHSN268201300026CNHLBI NIH HHS HHSN268201300027CNHLBI NIH HHS HHSN268201300028CNHLBI NIH HHS HHSN268201300029CNHLBI NIH HHS R01 HL078972NHLBI NIH HHS R56 HL125423NHLBI NIH HHS T32 HL007779NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

Background Isotemporal substitution examines the effect on health outcomes of replacing sedentary time with light-intensity physical activity or moderate-to-vigorous intensity physical activity; however, existing studies are limited by cross-sectional study designs. Methods and Results Participants were 1922 adults from the CARDIA (Coronary Artery Risk Development in Young Adults) study. Linear regression examined the associations of sedentary, light-intensity physical activity, and moderate-to-vigorous intensity physical activity at year 20 (2005-2006) with waist circumference, blood pressure, glucose, insulin, triglycerides, high-density lipoprotein cholesterol, and a composite risk score at year 30 (2015-2016). Models then examined change in activity with change in cardiometabolic risk over the same 10-year period. Replacing 30 min/day of sedentary time with 30 min/day of light-intensity physical activity at year 20 was associated with a lower composite risk score (-0.01 SD [95% CI, -0.02, -0.00]) at year 30, characterized by lower waist circumference (0.15 cm [95% CI, -0.27, 0.02]), insulin (0.20 μU/mL [95% CI, -0.35, -0.04]), and higher high-density lipoprotein cholesterol (0.20 mg/dL [95% CI, 0.00, 0.40]; all P<0.05). An increase of 30 min/day in MVPA from year 20 to year 30, when replacing an equivalent increase in sedentary time, was associated with a decrease in the composite risk score (-0.08 [95% CI, -0.13, -0.04]) over the same 10 years, characterized by a decrease in waist circumference (1.52 cm [95% CI, -2.21, -0.84]), insulin (-1.13 μU/mL [95% CI, -1.95, -0.31]), triglycerides (-6.92 mg/dL [95% CI, -11.69, -2.15]), and an increase in high-density lipoprotein cholesterol (1.59 mg/dL [95% CI, 0.45, 2.73]; all P<0.05). Conclusions Replacement of sedentary time with light-intensity physical activity or moderate-to-vigorous intensity physical activity is associated with improved cardiometabolic health 10 years later.

Indexed as

Sedentary BehaviorAccelerometryAdolescentAdultBlood PressureCardiovascular DiseasesCross-Sectional StudiesExerciseFemaleFollow-Up StudiesHumansIncidenceMaleProspective StudiesRisk FactorsTime Factorscardiometabolic riskepidemiologyisotemporal substitutionphysical activitysedentary time

Identifiers

PMID30616480
PMCPMC6405708

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.