Daily sitting time and its association with non-communicable diseases and multimorbidity in Catalonia

Author:

Poses-Ferrer Elisa12ORCID,Parisi Rosa2,Gonzalez-Viana Angelina3,Castell Conxa3,Arias de la Torre Jorge456,Jones Andrew2,Serra-Sutton Vicky14,Espallargues Mireia17,Cabezas Carmen3

Affiliation:

1. Agency for Health Quality and Assessment of Catalonia (AQuAS), Government of Catalonia, Catalonia, Spain

2. School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK

3. Agència de Salut Pública de Catalunya, Departament de Salut, Government of Catalonia, Catalonia, Spain

4. CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain

5. Institute of Biomedicine (IBIOMED), University of Leon, León, Spain

6. Institute of Psychiatry, Psychology and Neurosciences (IoPPN), King’s College London, London, UK

7. Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Valencia, Spain

Abstract

Abstract Background Non-communicable diseases (NCDs) account for 71% of deaths worldwide and individual behaviours such as sedentariness play an important role on their development and management. However, the detrimental effect of daily sitting on multiple NCDs has rarely been studied. This study sought (i) to investigate the association between sitting time and main NCDs and multimorbidity in the population of Catalonia and (ii) to explore the effect of physical activity as a modifier of the associations between sitting time and health outcomes. Methods Cross-sectional data from the 2016 National Health Survey of Catalonia were analyzed, and multivariable logistic regression, adjusting for socio-demographics and individual risk factors (tobacco and alcohol consumption, diet, hyperlipidaemia, hypertension, body mass index) was used to estimated odds ratios (ORs) and 95% confidence intervals (CIs) of the association between sitting time and NCDs. Results A total of 3320 people ≥15 years old were included in the study. Sitting more than 5 h/day was associated with a higher risk of cardiovascular disease (OR 1.90, 95% CI: 1.21–2.97), respiratory disease (OR 1.61, 95% CI: 1.13–2.30) and multimorbidity (OR 2.80, 95% CI: 1.53–5.15). Sitting more than 3 h/day was also associated with a higher risk of multimorbidity (OR 2.26, 95% CI: 1.23–4.16). Physical activity did not modify the associations between sitting time and any of the outcomes. Conclusions Daily sitting time might be an independent risk factor for some NCDs, such as cardiovascular disease, respiratory disease and multimorbidity, independently of the level risk of physical inactivity.

Funder

Instituto de Salud Carlos III through the project

European Regional Development Fund/European Social Fund "A way to make Europe"/"Investing in your future"

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

Reference40 articles.

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