Evidence map›Paper›PMID 33549100›Full record

ArticleThe international journal of behavioral nutrition and physical activity2021

A compositional analysis of time spent in sleep, sedentary behaviour and physical activity with all-cause mortality risk.

Anna E Clarke, Ian Janssen

Abstract read
In one paragraph

Article in The international journal of behavioral nutrition and physical activity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

  1. Trial
  2. Article
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  4. County-level residential segregation and sedentary behavior in US adults.Journal of activity, sedentary and sleep behaviors · 2025
    Article
  5. Twenty-Four-Hour Compositional Data Analysis in Healthcare: Clinical Potential and Future Directions.International journal of environmental research and public health · 2025
    Article
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  15. Continuous-Time Modeling of the Bidirectional Relationship Between Incidental Affect and Physical Activity.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
    Article
  16. Changes in the 24-h movement behaviors during the transition to retirement: compositional data analysis.The international journal of behavioral nutrition and physical activity · 2022
    Article
  17. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Anna E ClarkeDepartment of Public Health Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada.
Ian JanssenDepartment of Public Health Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada. ian.janssen@queensu.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaily time spent in sleep, sedentary behaviour (SED), light intensity physical activity (LIPA), and moderate-to-vigorous intensity physical activity (MVPA) are compositional, co-dependent variables. The objectives of this study were to use compositional data analysis to: (1) examine the relationship between the movement behaviour composition (daily time spent in sleep, SED, LIPA and MVPA) and all-cause mortality risk, and (2) estimate the extent to which changing time spent in any given movement behaviour (sleep, SED, LIPA, or MVPA) within the movement behaviour composition was associated with changes in risk of all-cause mortality.

methods2838 adult participants from the 2005-2006 cycle of the U.S. National Health and Nutrition Examination Survey were studied using a prospective cohort design. Daily time spent in SED, LIPA and MVPA were determined by accelerometer. Nightly time spent sleeping was self-reported. Survey data were linked with mortality data through to the end of December 2015. Compositional data analysis was used to investigate relationships between the movement behaviour composition and mortality.

resultsThe movement behaviour composition was significantly associated with mortality risk. Time spent in MVPA relative to other movement behaviours was negatively associated with mortality risk (HR = .74; 95% CI [.67, .83]) while relative time spent in SED was positively associated with mortality risk (HR = 1.75; 95% CI [1.10, 2.79]). Time displacement estimates revealed that the greatest estimated changes in mortality risk occurred when time spent in MVPA was decreased and replaced with sleep, SED, LIPA or a combination of these behaviours (HRs of 1.76 to 1.80 for 15 min/day displacements).

conclusionsThe daily movement behaviour composition was related to mortality. Replacing time in MVPA or SED with equivalent time from any other movement behaviour was associated with an increase and decrease in mortality risk, respectively.

Indexed as

MortalitySedentary BehaviorAdultExerciseHumansNutrition SurveysRiskSleep24-h movement behavioursCompositional data analysisPhysical activityPublic healthSedentary behaviourSleepSurvival analysis

Identifiers

PMID33549100
PMCPMC7866642

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Registered trials

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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.