A cohort study on the relationship between sedentary time and all-cause mortality in community residents in Shanghai

ZHANG Yan; DUAN Chunmei; JIN Yaqin; GONG Gang; ZHAO Qi; ZHAO Genming; PENG Qian; YU Hongjie

doi:10.16462/j.cnki.zhjbkz.2024.06.009

Volume 28 Issue 6

Jun. 2024

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ZHANG Yan, DUAN Chunmei, JIN Yaqin, GONG Gang, ZHAO Qi, ZHAO Genming, PENG Qian, YU Hongjie. A cohort study on the relationship between sedentary time and all-cause mortality in community residents in Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 672-677. doi: 10.16462/j.cnki.zhjbkz.2024.06.009

Citation:

ZHANG Yan, DUAN Chunmei, JIN Yaqin, GONG Gang, ZHAO Qi, ZHAO Genming, PENG Qian, YU Hongjie. A cohort study on the relationship between sedentary time and all-cause mortality in community residents in Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 672-677. doi: 10.16462/j.cnki.zhjbkz.2024.06.009

Citation:

ZHANG Yan, DUAN Chunmei, JIN Yaqin, GONG Gang, ZHAO Qi, ZHAO Genming, PENG Qian, YU Hongjie. A cohort study on the relationship between sedentary time and all-cause mortality in community residents in Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 672-677. doi: 10.16462/j.cnki.zhjbkz.2024.06.009

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A cohort study on the relationship between sedentary time and all-cause mortality in community residents in Shanghai

doi: 10.16462/j.cnki.zhjbkz.2024.06.009

1.
General Office, Jiading District Center for Disease Control and Prevention, Shanghai 201899, China
2.
School of Public Health, Fudan University, Shanghai 200032, China

Funds:

National Key Research and Development Plan Precision Medicine Key Project 2017YFC0907000

Talent Youth Project, Three-year (2023-2025) Action Plan of Shanghai Public Health System Development GWIV-11.2-YQ18

Key Young Talents Training Program for Shanghai Disease Control and Prevention 21QNGG22

More Information

Corresponding author: YU Hongjie, E-mail: jiecky2002@163.com
Received Date: 2024-03-11
Rev Recd Date: 2024-05-27

Available Online: 2024-07-13

Publish Date: 2024-06-10

Abstract

Abstract

Objective To explore the relationship between sedentary time and mortality of the community residents aged 20-74 in Jiading District, Shanghai, in order to provide a scientific basis for the guidance of sedentary behavior. Methods Based on the project site data of Shanghai Peak Cohort in Jiading District, a total of 10 038 individuals without missing sedentary time were used as baseline data. Sedentary time was obtained through baseline questionnaires, and individual death information was obtained from the death surveillance system and active surveillance. The Cox proportional risk model was used to assess the risk of death. Results As of December 31, 2022, the mean follow-up was (5.4±0.4) years (53 985.7 person-years). During the follow-up period, 205 deaths occurred. The mortality rates in the groups 0-<4 h/d, 4-<6 h/d, 6-<8 h/d and ≥8 h/d were 1.8% (89/5 040), 2.0% (54/2 654), 2.8% (26/945) and 2.6% (36/1 399), respectively. Kaplan-Meier curve showed that the risk of all-cause death increased with the increase of follow-up time in the four groups, but there was no statistically significant difference between groups (Log-Rank $\chi^2$=6.230, P=0.101). Compared to the community residents with sedentary time 0-<4 h/d, those with sedentary time 6-<8 h/d and ≥8 h/d had an increased risk of all-cause death (HR_{6-<8 h/d group}=1.602, 95% CI: 1.007-2.548, P=0.047; HR_{≥8 h/d group}=1.670, 95% CI: 1.100-2.538, P=0.016). Conclusions Sedentary time is an independent risk factor for all-cause mortality in the community residents, and those with sedentary time ≥6 h/d have an increased risk of all-cause death. In the future, we need to take personalized intervention to avoid high levels of sedentary behavior.
- Sedentary time,
- Community residents,
- Mortality risk,
- Cohort study

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References(21)

References

[1]	从祥丰, 刘少博, 徐婷玲, 等. 中国成年人静坐时间与2型糖尿病发病关系的前瞻性队列研究[J]. 中华流行病学杂志, 2020, 41(9): 1465-1470. DOI: 10.3760/cma.j.cn112338-20190926-00705. Cong XF, Liu SB, Xu TL, et al. Relationship between sedentary time and incidence of type 2 diabetes in adults in China: a prospective cohort study[J]. Chin J Epidemiol, 2020, 41(9): 1465-1470. DOI: 10.3760/cma.j.cn112338-20190926-00705.
[2]	Yang L, Cao C, Kantor ED, et al. Trends in Sedentary Behavior Among the US Population, 2001-2016[J]. JAMA, 2019, 321(16): 1587-1597. DOI: 10.1001/jama.2019.3636.
[3]	Du Y, Liu B, Sun Y, et al. Trends in adherence to the physical activity guidelines for americans for aerobic activity and time spent on sedentary behavior among US adults, 2007 to 2016[J]. JAMA Netw Open, 2019, 2(7): e197597. DOI: 10.1001/jamanetworkopen.2019.7597
[4]	Van Dyck D, Cerin E, De Bourdeaudhuij I, et al. International study of objectively measured physical activity and sedentary time with body mass index and obesity: IPEN adult study[J]. Int J Obes (Lond), 2015, 39(2): 199-207. DOI: 10.1038/ijo.2014.115.
[5]	程思宇, 张岚, 何田静, 等. 多水平模型分析2015年湖北省成人基于屏幕久坐时间现状及其影响因素[J]. 现代预防医学, 2021, 48(11): 2014-2017. Cheng SY, Zhang L, He TJ, et al. Screen-based sedentary time and associated factors among adults in Hubei in 2015: a multi-level model[J]. Modern Preventive Medicine, 2021, 48(11): 2014-2017.
[6]	Ekelund U, Tarp J, Steene-Johannessen J, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis[J]. BMJ, 2019, 366: l4570. DOI: 10.1136/bmj.l4570.
[7]	Ekelund U, Steene-Johannessen J, Brown W J, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women[J]. Lancet, 2016, 388(10051): 1302-1310. DOI: 10.1016/S0140-6736(16)30370-1.
[8]	Hagger-Johnson G, Gow AJ, Burley V, et al. Sitting time, fidgeting, and all-cause mortality in the UK women's cohort study[J]. Am J Prev Med, 2016, 50(2): 154-160. DOI: 10.1016/j.amepre.2015.06.025.
[9]	Zhao Q, Chen B, Wang R, et al. Cohort profile: protocol and baseline survey for the Shanghai suburban adult cohort and biobank (SSACB) study[J]. BMJ Open, 2020, 10(7): e35430. DOI: 10.1136/bmjopen-2019-035430
[10]	周伟, 祝玲娟, 王涛, 等. 静坐时间与心脑血管病死亡关系的前瞻性队列研究[J]. 中华高血压杂志, 2022, 30(8): 761-766. DOI: 10.16439/j.issn.1673-7245.2022.08.013. Zhou W, Zhu LJ, Wang T, et al. Association of sedentary time with cardiocerebral deaths: a prospective cohort study[J]. Chin J Hypertens, 2019, 30(8): 761-766. DOI: 10.16439/j.issn.1673-7245.2022.08.013.
[11]	Hirshkowitz M, Whiton K, Albert SM, et al. National sleep foundation's updated sleep duration recommendations: final report[J]. Sleep Health, 2015, 1(4): 233-243. DOI: 10.1016/j.sleh.2015.10.004.
[12]	裴剑锋, 王娜, 赵琦, 等. 上海市松江区成人2型糖尿病确诊状况与体力活动的关联[J]. 复旦学报(医学版), 2022, 49(6): 852-861. DOI: 10.3969/j.issn.1672-8467.2022.06.003. Pei JF, Wang N, Zhao Q, et al. Association of physical activities in adults with diagnosis of type 2 diabetes in Songjiang District, Shanghai[J]. Fudan Univ J Med Sci, 2022, 49(6): 852-861. DOI: 10.3969/j.issn.1672-8467.2022.06.003.
[13]	樊萌语, 吕筠, 何平平. 国际体力活动问卷中体力活动水平的计算方法[J]. 中华流行病学杂志, 2014, 35(8): 961-964. DOI: 10.3760/cma.j.issn.0254-6450.2014.08.019. Fan MY, Lyu J, He PP. Chinese guidelines for data processing and analysis concerning the international physical activity questionnaire[J]. Chin J Epidemiol, 2014, 35(8): 961-964. DOI: 10.3760/cma.j.issn.0254-6450.2014.08.019.
[14]	Liew SJ, Petrunoff NA, Neelakantan N, et al. Device-measured physical activity and sedentary behavior in relation to cardiovascular diseases and all-cause mortality: systematic review and meta-analysis of prospective cohort studies[J]. AJPM Focus, 2023, 2(1): 100054. DOI: 10.1016/j.focus.2022.100054.
[15]	Zhao Y, Zhang X, Yang L, et al. Independent and interactive effect of sedentary time and physical activity on risk of all-cause mortality: A prospective cohort study[J]. Scand J Med Sci Sports, 2023, 33(7): 1168-1176. DOI: 10.1111/sms.14346.
[16]	Li S, Lear SA, Rangarajan S, et al. Association of sitting time with mortality and cardiovascular events in high-income, middle-income, and low-income countries[J]. JAMA Cardiol, 2022, 7(8): 796-807. DOI: 10.1001/jamacardio.2022.1581.
[17]	Rezende L, Sa TH, Mielke GI, et al. All-cause mortality attributable to sitting time: analysis of 54 countries worldwide[J]. Am J Prev Med, 2016, 51(2): 253-263. DOI: 10.1016/j.amepre.2016.01.022
[18]	郭春美. 久坐时间与2型糖尿病发病关联的前瞻性队列研究[D]. 郑州: 郑州大学, 2020. Guo CM. A prospective cohort study on the association between sedentary time and the onset of type 2 diabetes mellitus[D]. Zhengzhou: Zhengzhou University, 2020.
[19]	Stingl-Zuniga I, Farias-Valenzuela C, Ferrero-Hernandez P, et al. All-cause mortality attributable to sitting time and physical inactivity in chilean adults[J]. BMC Public Health, 2023, 23(1): 1507. DOI: 10.1186/s12889-023-16467-0.
[20]	World Health Organization. WHO guidelines on physical activity and sedentary behaviour[EB/OL]. (2020-11-25)[2023-07-01]. https://www.who.int/publications/i/item/9789240015128.
[21]	Patterson R, McNamara E, Tainio M, et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis[J]. Eur J Epidemiol, 2018, 33(9): 811-829. DOI: 10.1007/s10654-018-0380-1.