Objectively Measured Physical Activity and Body Fatness: Associations with Total Body Fat, Visceral Fat, and Liver Fat.


Journal

Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433

Informations de publication

Date de publication:
01 11 2021
Historique:
pubmed: 4 6 2021
medline: 23 11 2021
entrez: 3 6 2021
Statut: ppublish

Résumé

It remains unclear to what extent habitual physical activity and sedentary time (ST) are associated with visceral fat and liver fat. We studied the substitution of ST with time spent physically active and total body fat (TBF), visceral adipose tissue (VAT), and hepatic triglyceride content (HTGC) in middle-age men and women. In this cross-sectional analysis of the Netherlands Epidemiology of Obesity study, physical activity was assessed in 228 participants using a combined accelerometer and heart rate monitor. TBF was assessed by the Tanita bioelectrical impedance, VAT by magnetic resonance imaging, and HTGC by proton-MR spectroscopy. Behavioral intensity distribution was categorized as ST, time spent in light physical activity (LPA), and moderate to vigorous physical activity (MVPA). To estimate the effect of replacing 30 min·d-1 of ST with 30 min·d-1 LPA or MVPA, we performed isotemporal substitution analyses, adjusted for sex, age, ethnicity, education, the Dutch Healthy Diet index, and smoking. Included participants (41% men) had a mean ± SD age of 56 ± 6 yr and spent 88 ± 56 min in MVPA and 9.0 ± 2.1 h of ST. Replacing 30 min·d-1 of ST with 30 min of MVPA was associated with 1.3% less TBF (95% confidence interval = -2.0 to -0.7), 7.8 cm2 less VAT (-11.6 to -4.0), and 0.89 times HTGC (0.82-0.97). Replacement with LPA was not associated with TBF (-0.03%; -0.5 to 0.4), VAT (-1.7 cm2; -4.4 to 0.9), or HTGC (0.98 times; 0.92-1.04). Reallocation of time spent sedentary with time spent in MVPA, but not LPA, was associated with less TBF, visceral fat, and liver fat. These findings contribute to the development of more specified guidelines on ST and physical activity.

Identifiants

pubmed: 34081059
doi: 10.1249/MSS.0000000000002712
pii: 00005768-202111000-00011
pmc: PMC7611840
mid: EMS134130
doi:

Substances chimiques

Triglycerides 0

Banques de données

ClinicalTrials.gov
['NCT03410316']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2309-2317

Subventions

Organisme : Medical Research Council
ID : MC_UU_00006/4
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_12015/3
Pays : United Kingdom

Informations de copyright

Copyright © 2021 by the American College of Sports Medicine.

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Auteurs

Esther Winters-VAN Eekelen (E)

Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, THE NETHERLANDS.

Sebastiaan C Boone (SC)

Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, THE NETHERLANDS.

Kate Westgate (K)

MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge, Cambridge, UNITED KINGDOM.

Søren Brage (S)

MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge, Cambridge, UNITED KINGDOM.

Hildo J Lamb (HJ)

Department of Radiology, Leiden University Medical Center, Leiden, THE NETHERLANDS.

Frits R Rosendaal (FR)

Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, THE NETHERLANDS.

Renée DE Mutsert (R)

Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, THE NETHERLANDS.

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