Sedentary time and markers of chronic low-grade inflammation in a high risk population.

<h4>Background</h4>Sedentary behaviour has been identified as a distinct risk factor for several health outcomes. Nevertheless, little research has been conducted into the underlying mechanisms driving these observations. This study aimed to investigate the association of objectively mea...

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Autores principales: Joseph Henson, Thomas Yates, Charlotte L Edwardson, Kamlesh Khunti, Duncan Talbot, Laura J Gray, Thomas M Leigh, Patrice Carter, Melanie J Davies
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:5af182a06e6847cca79e512c4be325592021-11-18T08:49:06ZSedentary time and markers of chronic low-grade inflammation in a high risk population.1932-620310.1371/journal.pone.0078350https://doaj.org/article/5af182a06e6847cca79e512c4be325592013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24205208/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Sedentary behaviour has been identified as a distinct risk factor for several health outcomes. Nevertheless, little research has been conducted into the underlying mechanisms driving these observations. This study aimed to investigate the association of objectively measured sedentary time and breaks in sedentary time with markers of chronic low-grade inflammation and adiposity in a population at a high risk of type 2 diabetes mellitus.<h4>Methods</h4>This study reports data from an ongoing diabetes prevention programme conducted in Leicestershire, UK. High risk individuals were recruited from 10 primary care practices. Sedentary time (<25 counts per 15 s) was measured using Actigraph GT3X accelerometers (15 s epochs). A break was considered as any interruption in sedentary time (≥25 counts per 15 s). Biochemical outcomes included interleukin-6 (IL-6), C-reactive protein (CRP), leptin, adiponectin and leptin:adiponectin ratio (LAR). A sensitivity analysis investigated whether results were affected by removing participants with a CRP level >10 mg/L, as this can be indicative of acute inflammation.<h4>Results</h4>558 participants (age = 63.6±7.7 years; male = 64.7%) had complete adipokine and accelerometer data. Following adjustment for various confounders, sedentary time was detrimentally associated with CRP (β = 0.176±0.057, p = 0.002), IL-6 (β = 0.242±0.056, p = <0.001), leptin (β = 0.146±0.043, p = <0.001) and LAR (β = 0.208±0.052, p = <0.001). Associations were attenuated after further adjustment for moderate-to-vigorous physical activity (MVPA) with only IL-6 (β = 0.231±0.073, p = 0.002) remaining significant; this result was unaffected after further adjustment for body mass index and glycosylated haemoglobin (HbA1c). Similarly, breaks in sedentary time were significantly inversely associated with IL-6 (β = -0.094±0.047, p = 0.045) and leptin (β = -0.075±0.037, p = 0.039); however, these associations were attenuated after adjustment for accelerometer derived variables. Excluding individuals with a CRP level >10 mg/L consistently attenuated the significant associations across all markers of inflammation.<h4>Conclusion</h4>These novel findings from a high risk population recruited through primary care suggest that sedentary behaviour may influence markers associated with inflammation, independent of MVPA, glycaemia and adiposity.Joseph HensonThomas YatesCharlotte L EdwardsonKamlesh KhuntiDuncan TalbotLaura J GrayThomas M LeighPatrice CarterMelanie J DaviesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 10, p e78350 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Joseph Henson
Thomas Yates
Charlotte L Edwardson
Kamlesh Khunti
Duncan Talbot
Laura J Gray
Thomas M Leigh
Patrice Carter
Melanie J Davies
Sedentary time and markers of chronic low-grade inflammation in a high risk population.
description <h4>Background</h4>Sedentary behaviour has been identified as a distinct risk factor for several health outcomes. Nevertheless, little research has been conducted into the underlying mechanisms driving these observations. This study aimed to investigate the association of objectively measured sedentary time and breaks in sedentary time with markers of chronic low-grade inflammation and adiposity in a population at a high risk of type 2 diabetes mellitus.<h4>Methods</h4>This study reports data from an ongoing diabetes prevention programme conducted in Leicestershire, UK. High risk individuals were recruited from 10 primary care practices. Sedentary time (<25 counts per 15 s) was measured using Actigraph GT3X accelerometers (15 s epochs). A break was considered as any interruption in sedentary time (≥25 counts per 15 s). Biochemical outcomes included interleukin-6 (IL-6), C-reactive protein (CRP), leptin, adiponectin and leptin:adiponectin ratio (LAR). A sensitivity analysis investigated whether results were affected by removing participants with a CRP level >10 mg/L, as this can be indicative of acute inflammation.<h4>Results</h4>558 participants (age = 63.6±7.7 years; male = 64.7%) had complete adipokine and accelerometer data. Following adjustment for various confounders, sedentary time was detrimentally associated with CRP (β = 0.176±0.057, p = 0.002), IL-6 (β = 0.242±0.056, p = <0.001), leptin (β = 0.146±0.043, p = <0.001) and LAR (β = 0.208±0.052, p = <0.001). Associations were attenuated after further adjustment for moderate-to-vigorous physical activity (MVPA) with only IL-6 (β = 0.231±0.073, p = 0.002) remaining significant; this result was unaffected after further adjustment for body mass index and glycosylated haemoglobin (HbA1c). Similarly, breaks in sedentary time were significantly inversely associated with IL-6 (β = -0.094±0.047, p = 0.045) and leptin (β = -0.075±0.037, p = 0.039); however, these associations were attenuated after adjustment for accelerometer derived variables. Excluding individuals with a CRP level >10 mg/L consistently attenuated the significant associations across all markers of inflammation.<h4>Conclusion</h4>These novel findings from a high risk population recruited through primary care suggest that sedentary behaviour may influence markers associated with inflammation, independent of MVPA, glycaemia and adiposity.
format article
author Joseph Henson
Thomas Yates
Charlotte L Edwardson
Kamlesh Khunti
Duncan Talbot
Laura J Gray
Thomas M Leigh
Patrice Carter
Melanie J Davies
author_facet Joseph Henson
Thomas Yates
Charlotte L Edwardson
Kamlesh Khunti
Duncan Talbot
Laura J Gray
Thomas M Leigh
Patrice Carter
Melanie J Davies
author_sort Joseph Henson
title Sedentary time and markers of chronic low-grade inflammation in a high risk population.
title_short Sedentary time and markers of chronic low-grade inflammation in a high risk population.
title_full Sedentary time and markers of chronic low-grade inflammation in a high risk population.
title_fullStr Sedentary time and markers of chronic low-grade inflammation in a high risk population.
title_full_unstemmed Sedentary time and markers of chronic low-grade inflammation in a high risk population.
title_sort sedentary time and markers of chronic low-grade inflammation in a high risk population.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/5af182a06e6847cca79e512c4be32559
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