HypertensionCross-sectional study

Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium

CirculationPublished

  • Cross-sectional study
  • individual participant data analysis
  • compositional data analysis
  • 6 cohorts

Authors' conclusion

Study findings reiterate the importance of exercise for BP control, suggesting that small additional amounts of exercise are associated with lower BP in a free-living setting.

Study context

Population
Adults with thigh-worn accelerometer and blood pressure (BP) data from 6 ProPASS cohorts (mean±SD age 54.2±9.6 years)
Participants
14,761 adults · 6 cohorts
Exposure
Reallocation of time between 24-hour movement behaviours
Outcome
SBP and DBP

Main finding

As reported in the abstract

Estimated BP reduction with an additional 5 minutes of exercise-like activity

Estimated reduction, mm Hg

Systolic BP (SBP)
−0.68 (95% CI −0.15 to −1.21)
Diastolic BP (DBP)
−0.54 (95% CI −0.19 to 0.89)
Clinically meaningful improvements in SBP estimated after reallocation into additional exercise
20 to 27 minutes
Clinically meaningful improvements in DBP estimated after reallocation into additional exercise
10 to 15 minutes

Observational data: associations, not effects.

Further findings

Average 24-hour composition

Sleeping (mean±SD)
7.13±1.19 hours
Sedentary behaviour (mean±SD)
10.7±1.9 hours
Standing (mean±SD)
3.2±1.1 hours
Slow walking (mean±SD)
1.6±0.6 hours
Fast walking (mean±SD)
1.1±0.5 hours
Exercise-like activity (mean±SD)
16.0±16.3 minutes

Original publication

Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium. Circulation. Published 6 November 2024. doi:10.1161/circulationaha.124.069820

Summarised from the published abstract; every number is checked against it