Both Light Intensity and Moderate-to-Vigorous Physical Activity Measured by Accelerometry Are Favorably Associated With Cardiometabolic Risk Factors in Older Women: The Objective Physical Activity and Cardiovascular Health (OPACH) Study.

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Citation: Journal of the American Heart Association. 6(10), 2017 Oct 17PMID: 29042429Institution: MedStar Health Research InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Actigraphy | *Cardiovascular Diseases/pc [Prevention & Control] | *Exercise | *Risk Reduction Behavior | *Women's Health | Actigraphy/is [Instrumentation] | Age Factors | Aged | Aged, 80 and over | Cardiovascular Diseases/di [Diagnosis] | Cardiovascular Diseases/eh [Ethnology] | Cardiovascular Diseases/pp [Physiopathology] | Chi-Square Distribution | Cross-Sectional Studies | Female | Fitness Trackers | Humans | Logistic Models | Middle Aged | Multivariate Analysis | Odds Ratio | Predictive Value of Tests | Prognosis | Prospective Studies | Risk Assessment | Risk Factors | Sex Factors | Time Factors | United States/ep [Epidemiology]Year: 2017ISSN:
  • 2047-9980
Name of journal: Journal of the American Heart AssociationAbstract: BACKGROUND: The relationship between light intensity physical activity (PA), which is common in older adults, and cardiovascular disease (CVD) risk factors is unclear. This study examined associations of accelerometer-measured PA intensity with CVD risk factors in older women of different race-ethnicities.CONCLUSIONS: PA measured by accelerometry, including light intensity PA, was associated with lower CVD risk factor levels in race-ethnically diverse older women.Copyright (c) 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.METHODS AND RESULTS: Cross-sectional analyses were conducted in 4832 women (mean age 78.9 years; 52.5% white, 30.5% black, 17.1% Hispanic) who were without known CVD and wore triaxial accelerometers a minimum of 4 of 7 days with >=10 hours/d awake wear-time. Vector magnitude counts per 15-s epoch were used to define time spent in low light (19-225 counts/15 s), high light (226-518), and moderate-to-vigorous; >=519) intensity PA. Fasting CVD biomarkers, resting blood pressure, waist girth, body mass index, and 10-year predicted CVD risk (Reynolds Risk Score) were measured. After adjusting for age, wear time, race-ethnicity, and potential confounders, each PA measure was favorably associated with mean high-density lipoprotein, triglyceride, glucose, C-reactive protein, body mass index, waist girth, and Reynolds Risk Score (P<0.05, all). Associations with mean blood pressure, insulin, and total and low-density lipoprotein cholesterol were variable. A 30-minute/d increment in PA was associated, on average, with odds ratios for high predicted CVD risk (Reynolds Risk Score >=20) of 0.96 (95% confidence interval, 0.92, 1.00), 0.88 (0.83, 0.94), and 0.85 (0.79, 0.91) for low light, high light, and moderate-to-vigorous, respectively, and remained significant with further mutual control for PA intensity.All authors: Bellettiere J, Bird C, Buchner DM, Di C, Eaton CB, Evenson KR, Howard BV, LaCroix AZ, LaMonte MJ, Lee IM, Lewis CE, Rillamas-Sun E, Stefanick MLFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2017-11-10
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Journal Article MedStar Authors Catalog Article 29042429 Available 29042429

BACKGROUND: The relationship between light intensity physical activity (PA), which is common in older adults, and cardiovascular disease (CVD) risk factors is unclear. This study examined associations of accelerometer-measured PA intensity with CVD risk factors in older women of different race-ethnicities.

CONCLUSIONS: PA measured by accelerometry, including light intensity PA, was associated with lower CVD risk factor levels in race-ethnically diverse older women.

Copyright (c) 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

METHODS AND RESULTS: Cross-sectional analyses were conducted in 4832 women (mean age 78.9 years; 52.5% white, 30.5% black, 17.1% Hispanic) who were without known CVD and wore triaxial accelerometers a minimum of 4 of 7 days with >=10 hours/d awake wear-time. Vector magnitude counts per 15-s epoch were used to define time spent in low light (19-225 counts/15 s), high light (226-518), and moderate-to-vigorous; >=519) intensity PA. Fasting CVD biomarkers, resting blood pressure, waist girth, body mass index, and 10-year predicted CVD risk (Reynolds Risk Score) were measured. After adjusting for age, wear time, race-ethnicity, and potential confounders, each PA measure was favorably associated with mean high-density lipoprotein, triglyceride, glucose, C-reactive protein, body mass index, waist girth, and Reynolds Risk Score (P<0.05, all). Associations with mean blood pressure, insulin, and total and low-density lipoprotein cholesterol were variable. A 30-minute/d increment in PA was associated, on average, with odds ratios for high predicted CVD risk (Reynolds Risk Score >=20) of 0.96 (95% confidence interval, 0.92, 1.00), 0.88 (0.83, 0.94), and 0.85 (0.79, 0.91) for low light, high light, and moderate-to-vigorous, respectively, and remained significant with further mutual control for PA intensity.

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