Sedentary Bout Patterns and Metabolic Health in the Hispanic Community Health Study/Study of Latino Youth (SOL Youth)

Jordan A. Carlson; Paul R. Hibbing; Bethany Forseth; Keith M. Diaz; Daniela Sotres-Alvarez; Carolina M. Bejarano; Andrea T. Duran; Sheila F. Castañeda; Melawhy L. Garcia; Krista M. Perreira; Martha L. Daviglus; Linda Van Horn; Marc D. Gellman; Carmen R. Isasi; Jianwen Cai; Alan M. Delamater; Vincent S. Staggs; John Thyfault; Linda C. Gallo

doi:10.1161/JAHA.122.028495

Sedentary Bout Patterns and Metabolic Health in the Hispanic Community Health Study/Study of Latino Youth (SOL Youth)

Jordan A. Carlson, Paul R. Hibbing, Bethany Forseth, Keith M. Diaz, Daniela Sotres-Alvarez, Carolina M. Bejarano, Andrea T. Duran, Sheila F. Castañeda, Melawhy L. Garcia, Krista M. Perreira, Martha L. Daviglus, Linda Van Horn, Marc D. Gellman, Carmen R. Isasi, Jianwen Cai, Alan M. Delamater, Vincent S. Staggs, John Thyfault, Linda C. Gallo

Epidemiology & Population Health

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: There is limited evidence on the potential negative metabolic health impacts of prolonged and uninterrupted sedentary bouts in structurally disadvantaged youth. This study investigated associations between sedentary bout variables and metabolic health markers in the Hispanic Community Health Study/SOL Youth (Study of Latino Youth). METHODS AND RESULTS: SOL Youth was a population-based cohort of 1466 youth (age range, 8–16 years; 48.5% female); 957 youth were included in the analytic sample based on complete data. Accelerometers measured moderate-to-vigorous physical activity (MVPA), total sedentary time, and sedentary bout patterns (daily time spent in sedentary bouts ≥30 minutes, median sedentary bout duration, and number of daily breaks from sedentary time). Clinical measures included body mass index, waist circumference, fasting glucose, glycated hemoglobin, fasting insulin, and the homeostasis model assessment of insulin resistance. After adjusting for sociodemographics, total sedentary time, and MVPA, longer median bout durations and fewer sedentary breaks were associated with a greater body mass index percentile (b_bouts =0.09 and b_breaks =−0.18), waist circumference (b_bouts =0.12 and b_breaks =−0.20), and fasting insulin (b_bouts =0.09 and b_breaks =−0.21). Fewer breaks were also associated with a greater homeostasis model assessment of insulin resistance (b=−0.21). More time in bouts lasting ≥30 minutes was associated with a greater fasting glucose (b=0.18) and glycated hemoglobin (b=0.19). CONCLUSIONS: Greater accumulation of sedentary time in prolonged and uninterrupted bouts had adverse associations with adiposity and glycemic control over and above total sedentary time and MVPA. Findings suggest interventions in Hispanic/ Latino youth targeting both ends of the activity spectrum (more MVPA and less prolonged/uninterrupted sedentary patterns) may provide greater health benefits than those targeting only MVPA.

Original language	English (US)
Article number	e028495
Journal	Journal of the American Heart Association
Volume	12
Issue number	18
DOIs	https://doi.org/10.1161/JAHA.122.028495
State	Published - Sep 19 2023

Keywords

children
glucose
insulin
obesity
physical activity

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1161/JAHA.122.028495

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Carlson, J. A., Hibbing, P. R., Forseth, B., Diaz, K. M., Sotres-Alvarez, D., Bejarano, C. M., Duran, A. T., Castañeda, S. F., Garcia, M. L., Perreira, K. M., Daviglus, M. L., Van Horn, L., Gellman, M. D., Isasi, C. R., Cai, J., Delamater, A. M., Staggs, V. S., Thyfault, J., & Gallo, L. C. (2023). Sedentary Bout Patterns and Metabolic Health in the Hispanic Community Health Study/Study of Latino Youth (SOL Youth). Journal of the American Heart Association, 12(18), Article e028495. https://doi.org/10.1161/JAHA.122.028495

Carlson, JA, Hibbing, PR, Forseth, B, Diaz, KM, Sotres-Alvarez, D, Bejarano, CM, Duran, AT, Castañeda, SF, Garcia, ML, Perreira, KM, Daviglus, ML, Van Horn, L, Gellman, MD, Isasi, CR, Cai, J, Delamater, AM, Staggs, VS, Thyfault, J & Gallo, LC 2023, 'Sedentary Bout Patterns and Metabolic Health in the Hispanic Community Health Study/Study of Latino Youth (SOL Youth)', Journal of the American Heart Association, vol. 12, no. 18, e028495. https://doi.org/10.1161/JAHA.122.028495

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title = "Sedentary Bout Patterns and Metabolic Health in the Hispanic Community Health Study/Study of Latino Youth (SOL Youth)",

abstract = "BACKGROUND: There is limited evidence on the potential negative metabolic health impacts of prolonged and uninterrupted sedentary bouts in structurally disadvantaged youth. This study investigated associations between sedentary bout variables and metabolic health markers in the Hispanic Community Health Study/SOL Youth (Study of Latino Youth). METHODS AND RESULTS: SOL Youth was a population-based cohort of 1466 youth (age range, 8–16 years; 48.5% female); 957 youth were included in the analytic sample based on complete data. Accelerometers measured moderate-to-vigorous physical activity (MVPA), total sedentary time, and sedentary bout patterns (daily time spent in sedentary bouts ≥30 minutes, median sedentary bout duration, and number of daily breaks from sedentary time). Clinical measures included body mass index, waist circumference, fasting glucose, glycated hemoglobin, fasting insulin, and the homeostasis model assessment of insulin resistance. After adjusting for sociodemographics, total sedentary time, and MVPA, longer median bout durations and fewer sedentary breaks were associated with a greater body mass index percentile (bbouts =0.09 and bbreaks =−0.18), waist circumference (bbouts =0.12 and bbreaks =−0.20), and fasting insulin (bbouts =0.09 and bbreaks =−0.21). Fewer breaks were also associated with a greater homeostasis model assessment of insulin resistance (b=−0.21). More time in bouts lasting ≥30 minutes was associated with a greater fasting glucose (b=0.18) and glycated hemoglobin (b=0.19). CONCLUSIONS: Greater accumulation of sedentary time in prolonged and uninterrupted bouts had adverse associations with adiposity and glycemic control over and above total sedentary time and MVPA. Findings suggest interventions in Hispanic/ Latino youth targeting both ends of the activity spectrum (more MVPA and less prolonged/uninterrupted sedentary patterns) may provide greater health benefits than those targeting only MVPA.",

keywords = "children, glucose, insulin, obesity, physical activity",

author = "Carlson, {Jordan A.} and Hibbing, {Paul R.} and Bethany Forseth and Diaz, {Keith M.} and Daniela Sotres-Alvarez and Bejarano, {Carolina M.} and Duran, {Andrea T.} and Casta{\~n}eda, {Sheila F.} and Garcia, {Melawhy L.} and Perreira, {Krista M.} and Daviglus, {Martha L.} and {Van Horn}, Linda and Gellman, {Marc D.} and Isasi, {Carmen R.} and Jianwen Cai and Delamater, {Alan M.} and Staggs, {Vincent S.} and John Thyfault and Gallo, {Linda C.}",

note = "Publisher Copyright: {\textcopyright} 2023 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.",

year = "2023",

month = sep,

day = "19",

doi = "10.1161/JAHA.122.028495",

language = "English (US)",

volume = "12",

journal = "Journal of the American Heart Association",

issn = "2047-9980",

publisher = "Wiley-Blackwell",

number = "18",

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TY - JOUR

T1 - Sedentary Bout Patterns and Metabolic Health in the Hispanic Community Health Study/Study of Latino Youth (SOL Youth)

AU - Carlson, Jordan A.

AU - Hibbing, Paul R.

AU - Forseth, Bethany

AU - Diaz, Keith M.

AU - Sotres-Alvarez, Daniela

AU - Bejarano, Carolina M.

AU - Duran, Andrea T.

AU - Castañeda, Sheila F.

AU - Garcia, Melawhy L.

AU - Perreira, Krista M.

AU - Daviglus, Martha L.

AU - Van Horn, Linda

AU - Gellman, Marc D.

AU - Isasi, Carmen R.

AU - Cai, Jianwen

AU - Delamater, Alan M.

AU - Staggs, Vincent S.

AU - Thyfault, John

AU - Gallo, Linda C.

PY - 2023/9/19

Y1 - 2023/9/19

N2 - BACKGROUND: There is limited evidence on the potential negative metabolic health impacts of prolonged and uninterrupted sedentary bouts in structurally disadvantaged youth. This study investigated associations between sedentary bout variables and metabolic health markers in the Hispanic Community Health Study/SOL Youth (Study of Latino Youth). METHODS AND RESULTS: SOL Youth was a population-based cohort of 1466 youth (age range, 8–16 years; 48.5% female); 957 youth were included in the analytic sample based on complete data. Accelerometers measured moderate-to-vigorous physical activity (MVPA), total sedentary time, and sedentary bout patterns (daily time spent in sedentary bouts ≥30 minutes, median sedentary bout duration, and number of daily breaks from sedentary time). Clinical measures included body mass index, waist circumference, fasting glucose, glycated hemoglobin, fasting insulin, and the homeostasis model assessment of insulin resistance. After adjusting for sociodemographics, total sedentary time, and MVPA, longer median bout durations and fewer sedentary breaks were associated with a greater body mass index percentile (bbouts =0.09 and bbreaks =−0.18), waist circumference (bbouts =0.12 and bbreaks =−0.20), and fasting insulin (bbouts =0.09 and bbreaks =−0.21). Fewer breaks were also associated with a greater homeostasis model assessment of insulin resistance (b=−0.21). More time in bouts lasting ≥30 minutes was associated with a greater fasting glucose (b=0.18) and glycated hemoglobin (b=0.19). CONCLUSIONS: Greater accumulation of sedentary time in prolonged and uninterrupted bouts had adverse associations with adiposity and glycemic control over and above total sedentary time and MVPA. Findings suggest interventions in Hispanic/ Latino youth targeting both ends of the activity spectrum (more MVPA and less prolonged/uninterrupted sedentary patterns) may provide greater health benefits than those targeting only MVPA.

AB - BACKGROUND: There is limited evidence on the potential negative metabolic health impacts of prolonged and uninterrupted sedentary bouts in structurally disadvantaged youth. This study investigated associations between sedentary bout variables and metabolic health markers in the Hispanic Community Health Study/SOL Youth (Study of Latino Youth). METHODS AND RESULTS: SOL Youth was a population-based cohort of 1466 youth (age range, 8–16 years; 48.5% female); 957 youth were included in the analytic sample based on complete data. Accelerometers measured moderate-to-vigorous physical activity (MVPA), total sedentary time, and sedentary bout patterns (daily time spent in sedentary bouts ≥30 minutes, median sedentary bout duration, and number of daily breaks from sedentary time). Clinical measures included body mass index, waist circumference, fasting glucose, glycated hemoglobin, fasting insulin, and the homeostasis model assessment of insulin resistance. After adjusting for sociodemographics, total sedentary time, and MVPA, longer median bout durations and fewer sedentary breaks were associated with a greater body mass index percentile (bbouts =0.09 and bbreaks =−0.18), waist circumference (bbouts =0.12 and bbreaks =−0.20), and fasting insulin (bbouts =0.09 and bbreaks =−0.21). Fewer breaks were also associated with a greater homeostasis model assessment of insulin resistance (b=−0.21). More time in bouts lasting ≥30 minutes was associated with a greater fasting glucose (b=0.18) and glycated hemoglobin (b=0.19). CONCLUSIONS: Greater accumulation of sedentary time in prolonged and uninterrupted bouts had adverse associations with adiposity and glycemic control over and above total sedentary time and MVPA. Findings suggest interventions in Hispanic/ Latino youth targeting both ends of the activity spectrum (more MVPA and less prolonged/uninterrupted sedentary patterns) may provide greater health benefits than those targeting only MVPA.

KW - children

KW - glucose

KW - insulin

KW - obesity

KW - physical activity

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DO - 10.1161/JAHA.122.028495

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SN - 2047-9980

VL - 12

JO - Journal of the American Heart Association

JF - Journal of the American Heart Association

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ER -

Sedentary Bout Patterns and Metabolic Health in the Hispanic Community Health Study/Study of Latino Youth (SOL Youth)

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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