Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
PLoS One. 2017 Oct 17;12(10):e0186538. doi: 10.1371/journal.pone.0186538. eCollection 2017.
As the detrimental health effects of sedentary behaviour are well established, insight into the individual and environmental factors that influence adults' sedentary behaviour is needed. Most studies to date rely on self-reported measures of sedentary time. Therefore, the aim of the current study was to examine individual and environmental correlates of objectively measured sedentary time in Dutch and Belgian adults. Between March and August 2014, Belgian (n = 133) and Dutch (n = 223) adults, recruited as sub-sample of the SPOTLIGHT survey, wore an ActiGraph accelerometer to provide objectively measured sedentary and moderate to vigorous physical activity time. Participants completed a questionnaire assessing sociodemographic (country of residence, age, gender and educational level), lifestyle (sleep, smoking, sugar-containing beverage consumption, alcohol intake), health (body mass index, self-rated health), work (employment status and type of work), happiness, physical environmental (owning a car, number of screens, socioeconomic status and residential density) and social environmental factors (social network, social cohesion). Univariate and multivariable regression analyses showed that Belgian participants had a lower odds of being sedentary for at least 9 hours per day compared to Dutch participants. Women, older participants and those meeting the WHO recommendation for physical activity were also less likely to sit for 9 hours or more per day. Participants doing (heavy) manual work or being in education, homemaker, unemployed had lower odds of being sedentary for at least 9 hours per day compared to participants with a sitting job. Those with a higher self-reported social network also had lower odds for sedentary time. No associations between physical and other social environmental characteristics and sedentary time were found. Our findings add to the growing evidence of factors associated with prolonged sedentary time in adults. These findings may be used to inform the development of strategies and interventions aimed at reducing sedentary time, and to identify high risk groups.
由于久坐行为对健康的有害影响已得到充分证实,因此需要深入了解影响成年人久坐行为的个体和环境因素。迄今为止,大多数研究都依赖于对久坐时间的自我报告测量。因此,本研究旨在检查荷兰和比利时成年人中客观测量的久坐时间的个体和环境相关性。在 2014 年 3 月至 8 月期间,比利时(n=133)和荷兰(n=223)成年人作为 SPOTLIGHT 调查的子样本,佩戴 ActiGraph 加速度计以提供客观测量的久坐时间和中等至剧烈体力活动时间。参与者完成了一份问卷,评估了社会人口统计学(居住国家、年龄、性别和教育水平)、生活方式(睡眠、吸烟、含糖饮料消费、饮酒)、健康(体重指数、自我报告健康)、工作(就业状况和工作类型)、幸福感、物理环境(拥有汽车、屏幕数量、社会经济地位和居住密度)和社会环境因素(社交网络、社会凝聚力)。单变量和多变量回归分析表明,与荷兰参与者相比,比利时参与者每天至少久坐 9 小时的可能性较低。女性、年龄较大的参与者和符合世界卫生组织体力活动建议的参与者也不太可能每天坐 9 小时或更长时间。与从事坐式工作的参与者相比,从事(重)体力劳动或正在接受教育、家庭主妇、失业的参与者每天久坐至少 9 小时的可能性较低。自我报告的社交网络较高的参与者也不太可能久坐。没有发现身体和其他社会环境特征与久坐时间之间存在关联。我们的研究结果为与成年人久坐时间相关的因素增加了证据。这些发现可用于为旨在减少久坐时间的策略和干预措施提供信息,并确定高风险群体。