Evidence map›Paper›PMID 35470706›Full record

ArticleJournal of the American Heart Association2022

Association of Accelerometer-Measured Sedentary Accumulation Patterns With Incident Cardiovascular Disease, Cancer, and All-Cause Mortality.

Paddy C Dempsey, Tessa Strain, Elisabeth A H Winkler, Kate Westgate, Kirsten L Rennie, Nicholas J Wareham, Soren Brage, Katrien Wijndaele

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.8field-weighted citation impact, top 5% of its field
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

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
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  3. Association of wearableZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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  15. Physical Activity Fragmentation and Falls in Older Adults: Findings From the National Health and Aging Trends Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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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

8 authors at 3 institutions in 2 countries.

Paddy C DempseyMRC Epidemiology Unit Institute of Metabolic ScienceUniversity of CambridgeCambridge Biomedical Campus Cambridge United Kingdom.ORCID 0000-0002-1714-6087
Tessa StrainMRC Epidemiology Unit Institute of Metabolic ScienceUniversity of CambridgeCambridge Biomedical Campus Cambridge United Kingdom.ORCID 0000-0002-7086-1047
Elisabeth A H WinklerSchool of Public Health The University of Queensland Brisbane QLD Australia.ORCID 0000-0003-1452-6102
Kate WestgateMRC Epidemiology Unit Institute of Metabolic ScienceUniversity of CambridgeCambridge Biomedical Campus Cambridge United Kingdom.ORCID 0000-0002-0283-3562
Kirsten L RennieMRC Epidemiology Unit Institute of Metabolic ScienceUniversity of CambridgeCambridge Biomedical Campus Cambridge United Kingdom.ORCID 0000-0003-2690-1934
Nicholas J WarehamMRC Epidemiology Unit Institute of Metabolic ScienceUniversity of CambridgeCambridge Biomedical Campus Cambridge United Kingdom.ORCID 0000-0003-1422-2993
Soren BrageMRC Epidemiology Unit Institute of Metabolic ScienceUniversity of CambridgeCambridge Biomedical Campus Cambridge United Kingdom.ORCID 0000-0002-1265-7355
Katrien WijndaeleMRC Epidemiology Unit Institute of Metabolic ScienceUniversity of CambridgeCambridge Biomedical Campus Cambridge United Kingdom.ORCID 0000-0003-2199-7981
University of Cambridge · GBBaker Heart and Diabetes Institute · AUThe University of Queensland · AU

Funding

Medical Research Council MC_UU_00006/1Medical Research Council MC_UU_00006/4Medical Research Council MC_UU_12015/1Medical Research Council MC_UU_12015/3Medical Research Council MR/N003284/1
6 · The paper itself

Abstract

Background Emerging evidence suggests accruing sedentary behavior (SB) in relatively more prolonged periods may convey additional cardiometabolic risks, but few studies have examined prospective outcomes. We examined the association of SB accumulation patterns with incident cardiovascular disease (CVD), cancer, and all-cause mortality (ACM). Methods and Results Data were from 7671 EPIC-Norfolk (European Prospective Investigation Into Cancer and Nutrition-Norfolk) cohort middle- to older-aged adults who wore accelerometers on the right hip for 4 to 7 days. Cox proportional hazards regression modeled associations between 2 measures of SB accumulation and incident CVD, cancer, and ACM. These were usual SB bout duration (the midpoint of each individual's SB accumulation curve, fitted using nonlinear regression) and alpha (hybrid measure of bout frequency and duration, with higher values indicating relatively shorter bouts and fewer long bouts). Models were adjusted for potential confounders, then further for 24-hour time-use compositions. During mean follow-up time of 6.4 years, 339 ACM, 1106 CVD, and 516 cancer events occurred. Elevated rates of incident cancer and ACM were seen with more prolonged SB accumulation (lower alpha, higher usual SB bout duration) but not CVD. For usual SB bout duration and alpha, respectively, the confounder-adjusted hazard ratios per SD of the exposure were 1.12 (95% CI, 1.02-1.23) and 0.88 (95% CI, 0.79-0.98) with incident cancer and 1.16 (95% CI, 1.07-1.26) and 0.80 (95% CI, 0.72-0.89) with ACM (all

Indexed as

Cardiovascular DiseasesNeoplasmsAccelerometryAdultHumansMiddle AgedProspective StudiesSedentary Behaviorcancercardiovascular diseasecompositionalmortalitypatternsphysical activitysedentary

Identifiers

PMID35470706
PMCPMC9238579
OpenAlexW4224938573

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.