Accelerometer-Measured Sedentary Behavior, Future Disease, and Cardiovascular-Kidney-Metabolic Health
Authors' conclusion
Excess sedentary behavior is broadly associated with future disease risk. Effects are prominent for CKM conditions, where population-level burden rivals consensus lifestyle factors. Avoiding excess sedentary behavior should be a key public health target.
Study context
- Population
- UK Biobank participants with accelerometer-measured sedentary timeindividuals undergoing accelerometry, age 63 ± 8 years, 56.3% women, median follow-up 8.0 years (quartile-1: 7.5, quartile-3: 8.5)
- Participants
- 89,537 participants
- Exposure
- Sedentary time in the top quartile vs the second quartile as referent
- Outcome
- Incident diseases associated with sedentary time
- Follow-up
- Median 8.0 years
Methodological detailsaccelerometer-measured sedentary time, false discovery rate of 1%, population-attributable fractions
- Accelerometer-measured sedentary time
- False discovery rate of 1%
- Population-attributable fractions
Main finding
As reported in the abstract
Incident diseases associated with sedentary time at false discovery rate 1%
81 of 761
10.6%
Associations indicating higher disease risk with greater sedentary time
Seventy-five associations (92.6%)
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | |
|---|---|---|
| Hypertension | 1.13 (1.08–1.19) | |
| Diabetes | 1.18 (1.07–1.31) | |
| Chronic kidney disease | 1.14 (1.02–1.27) | |
| Obstructive sleep apnea | 1.19 (0.99–1.42) | |
| 0.512Hazard ratio (log scale) |
Population-attributable fractions at the >10.6 hours/day threshold
- Hypertension PAF
- 1.6% (95% CI 1.2-1.9)
- Diabetes PAF
- 1.3% (95% CI 0.5-2.7)
- Chronic kidney disease PAF
- 1.9% (95% CI 1.2-2.5)
- Obstructive sleep apnea PAF
- 4.2% (95% CI 2.3-6.6)
- Exceeding certain components of Life's Essential 8 (eg, adequate sleep)
Original publication
Accelerometer-Measured Sedentary Behavior, Future Disease, and Cardiovascular-Kidney-Metabolic Health. JACC Adv. Published 9 April 2026. doi:10.
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