Perez-Lasierra Jose Luis, Laclaustra Martin, Guallar-Castillón Pilar, Casasnovas Jose Antonio, Casajús Jose Antonio, Jarauta Estibaliz, Gonzalez-Agüero Alejandro, Moreno-Franco Belen
Department of Physiatry and Nursing, Universidad de Zaragoza, 50009 Zaragoza, Spain.
GENUD (Growth, Exercise, Nutrition and Development) Research Group, 50009 Zaragoza, Spain.
J Clin Med. 2021 Mar 16;10(6):1229. doi: 10.3390/jcm10061229.
Sedentarism is a risk factor for cardiovascular disease (CVD), but currently it is not clear how a sedentary behavior such as long sitting time can affect atherosclerosis development. This study examined the relationship between sitting time and the prevalence of carotid and femoral subclinical atherosclerosis. A cross-sectional analysis based on a subsample of 2082 participants belonging to the Aragon Workers' Health Study was carried out. Ultrasonography was used to assess the presence of plaques in carotid and femoral territories; the validated Spanish version of the questionnaire on the frequency of engaging in physical activity used in the Nurses' Health Study and the Health Professionals' was used to assess physical activity and sitting time; and demographic, anthropometric, and clinical data were obtained by trained personnel during the annual medical examination. Participants were categorized into <9 h/day and ≥9 h/day sitting time groups. After adjusting for several confounders, compared with participants that remain seated <9 h/day, those participants who remain seated ≥9 h/day had, respectively, OR = 1.25 (95%CI: 1.01, 1.55, < 0.05) and OR = 1.38 (95%CI: 1.09, 1.74, < 0.05) for carotid and any-territory plaque presence. Remaining seated ≥9 h/day is associated with higher odds for carotid and any-territory plaque presence independently of physical activity levels and other cardiovascular risk factors.
久坐不动是心血管疾病(CVD)的一个风险因素,但目前尚不清楚长时间坐着这样的久坐行为如何影响动脉粥样硬化的发展。本研究调查了久坐时间与颈动脉和股动脉亚临床动脉粥样硬化患病率之间的关系。基于阿拉贡工人健康研究中2082名参与者的子样本进行了横断面分析。使用超声检查评估颈动脉和股动脉区域是否存在斑块;使用护士健康研究和健康专业人员研究中使用的经过验证的西班牙文版体育活动频率问卷来评估体育活动和久坐时间;训练有素的人员在年度体检期间获取人口统计学、人体测量学和临床数据。参与者被分为每天久坐时间<9小时和≥9小时两组。在对多个混杂因素进行调整后,与每天久坐时间<9小时的参与者相比,每天久坐时间≥9小时的参与者颈动脉斑块存在和任何区域斑块存在的比值比(OR)分别为1.25(95%置信区间:1.01, 1.55,P<0.05)和1.38(95%置信区间:1.09, 1.74,P<0.05)。每天久坐时间≥9小时与颈动脉斑块存在和任何区域斑块存在的较高几率相关,且独立于体育活动水平和其他心血管风险因素。