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Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
J Am Heart Assoc. 2017 May 25; 6(6)JA

Abstract

BACKGROUND

Cardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate-to-vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus.

METHODS AND RESULTS

This cross-sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008-2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c <7.0%; systolic/diastolic blood pressure <140/80 mm Hg; triglycerides <150 mg/dL; low-density lipoprotein cholesterol <100 mg/dL; and high-density lipoprotein cholesterol >40/50 mg/dL for men/women. After adjustment for covariates including moderate-to-vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95% CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate-to-vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60-min/day of sedentary time with light-intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high-density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals.

CONCLUSIONS

Among US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate-to-vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Collaborative Studies Coordinating Center, Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC.South Bay Latino Research Center, Graduate School of Public Health, San Diego State University, San Diego, CA.Department of Psychology, San Diego State University, San Diego, CA.Behavioral Medicine Research Center, Miller School of Medicine, University of Miami, FL.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.Department of Public Health Sciences, Miller School of Medicine, University of Miami, FL.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY qibin.qi@einstein.yu.edu.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

28546455

Citation

Wang, Xueyin, et al. "Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)." Journal of the American Heart Association, vol. 6, no. 6, 2017.
Wang X, Strizich G, Hua S, et al. Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Am Heart Assoc. 2017;6(6).
Wang, X., Strizich, G., Hua, S., Sotres-Alvarez, D., Buelna, C., Gallo, L. C., Gellman, M. D., Mossavar-Rahmani, Y., O'Brien, M. J., Stoutenberg, M., Wang, T., Avilés-Santa, M. L., Kaplan, R. C., & Qi, Q. (2017). Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Journal of the American Heart Association, 6(6). https://doi.org/10.1161/JAHA.116.004324
Wang X, et al. Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Am Heart Assoc. 2017 May 25;6(6) PubMed PMID: 28546455.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Objectively Measured Sedentary Time and Cardiovascular Risk Factor Control in US Hispanics/Latinos With Diabetes Mellitus: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). AU - Wang,Xueyin, AU - Strizich,Garrett, AU - Hua,Simin, AU - Sotres-Alvarez,Daniela, AU - Buelna,Christina, AU - Gallo,Linda C, AU - Gellman,Marc D, AU - Mossavar-Rahmani,Yasmin, AU - O'Brien,Matthew J, AU - Stoutenberg,Mark, AU - Wang,Tao, AU - Avilés-Santa,M Larissa, AU - Kaplan,Robert C, AU - Qi,Qibin, Y1 - 2017/05/25/ PY - 2017/5/27/entrez PY - 2017/5/27/pubmed PY - 2018/3/27/medline KW - Hispanic/Latino KW - cardiovascular disease risk factors KW - diabetes mellitus KW - moderate‐to‐vigorous physical activity KW - sedentary behaviors JF - Journal of the American Heart Association JO - J Am Heart Assoc VL - 6 IS - 6 N2 - BACKGROUND: Cardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate-to-vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus. METHODS AND RESULTS: This cross-sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008-2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c <7.0%; systolic/diastolic blood pressure <140/80 mm Hg; triglycerides <150 mg/dL; low-density lipoprotein cholesterol <100 mg/dL; and high-density lipoprotein cholesterol >40/50 mg/dL for men/women. After adjustment for covariates including moderate-to-vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95% CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate-to-vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60-min/day of sedentary time with light-intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high-density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals. CONCLUSIONS: Among US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate-to-vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals. SN - 2047-9980 UR - https://www.unboundmedicine.com/medline/citation/28546455/Objectively_Measured_Sedentary_Time_and_Cardiovascular_Risk_Factor_Control_in_US_Hispanics/Latinos_With_Diabetes_Mellitus:_Results_From_the_Hispanic_Community_Health_Study/Study_of_Latinos__HCHS/SOL__ L2 - https://www.ahajournals.org/doi/10.1161/JAHA.116.004324?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -