Prevention & lipidsCross-sectional study

Device-measured physical activity and cardiometabolic health: the Prospective Physical Activity, Sitting, and Sleep (ProPASS) consortium

Eur Heart JPublished

  • Cross-sectional study
  • pooled data from six studies
  • compositional data analysis

Authors' conclusion

Compositional data analyses revealed a distinct hierarchy of behaviours. Moderate-vigorous physical activity demonstrated the strongest, most time-efficient protective associations with cardiometabolic outcomes.

Study context

Population
Adults in the ProPASS consortium, six studies, five countries
Participants
15,253 adults · 6 studies
Exposure
Reallocation of time between movement behaviours
Outcome
Associations of five-part movement compositions with adiposity and cardiometabolic biomarkers (body mass index (BMI), waist circumference, HDL-C, total:HDL cholesterol ratio, TG, HbA1c)

Main finding

As reported in the abstract

BMI with 30 min reallocated into MVPA

Difference, kg/m²

Moderate-vigorous physical activity (MVPA) replacing sedentary behaviour (SB) (30 min)
−0.63 (95% CI −0.48 to −0.79)
MVPA replacing sleep (30 min)
−0.43 (95% CI −0.25 to −0.59)
MVPA replacing standing (30 min)
−0.40 (95% CI −0.25 to −0.56)
MVPA replacing light-intensity physical activity (LIPA) (30 min)
−0.15 (95% CI 0.05,–0.34)
Minimal displacement into MVPA for improved cardiometabolic health
3.8 (HbA1c) to 12.7 (triglycerides) min/day

Observational data: associations, not effects.

Further findings

Average daily composition

h

Sleep
7.7
Sedentary
10.4
Standing
3.1
LIPA
1.5
MVPA
1.3
  • age 53.7 ± 9.7 years; 54.7% female

Original publication

Device-measured physical activity and cardiometabolic health: the Prospective Physical Activity, Sitting, and Sleep (ProPASS) consortium. Eur Heart J. Published 10 November 2023. doi:10.1093/eurheartj/ehad717

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