Who is at risk of chronic disease? Associations between risk profiles of physical activity, sitting and cardio-metabolic disease in Australian adults

Lina Engelen*, Joanne Gale, Josephine Y. Chau, Louise L. Hardy, Martin Mackey, Nathan Johnson, Debra Shirley, Adrian Bauman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)
3 Downloads (Pure)

Abstract

Objective: To examine the associations of physical activity (PA) and sitting time (sit) with cardio-metabolic diseases. Methods: Cross-sectional data from the Australian National Nutrition and Physical Activity Survey 2011–2012 (n=9,435) were used to classify adults into low and high risk groups based on their physical activity and sitting behaviour profiles. Logistic regression models examined associations between low and high risk classifications (high PA-low sit; high PA-high sit; low PA-low sit; low PA-high sit;) and socio-demographic factors, and associations between low and high risk classifications and the prevalence of cardiovascular disease, Type 2 diabetes and metabolic syndrome. Results: These results characterise chronic disease risk based on both physical activity and sitting behaviour. Adults with the highest risk lifestyle behaviour pattern (low PA-high sit) tended to be middle aged, male, at greater social disadvantage, smoke, report fair health, be abdominally obese and employed in administrative and driver occupations. These individuals had a substantially greater risk of cardiovascular disease and metabolic syndrome (OR=1.41, 95% CI 1.13, 1.75; OR= 2.37, 95% CI 1.63, 3.45, respectively). Conclusions: The findings highlight the importance of both sufficient physical activity and low sitting time for cardio-metabolic health. Implications for public health: Primary prevention focus should consider physical activity and reduced sitting time as well as provision of relevant advice for cardio-metabolic health.

Original languageEnglish
Pages (from-to)178-183
Number of pages6
JournalAustralian and New Zealand Journal of Public Health
Volume41
Issue number2
DOIs
Publication statusPublished - 1 Apr 2017
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • cardiovascular disease
  • metabolic syndrome
  • physical activity
  • population surveys
  • prevention
  • sitting time

Fingerprint Dive into the research topics of 'Who is at risk of chronic disease? Associations between risk profiles of physical activity, sitting and cardio-metabolic disease in Australian adults'. Together they form a unique fingerprint.

Cite this