Differences of Sedentary Behavior, Physical Activity, and Metabolic Syndrome Severity Among Metabolic Syndrome Clusters

Author:

Booker Robert1ORCID,Jones Raymond2ORCID,Galloway Riley3,Holmes Megan E.4

Affiliation:

1. Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

2. Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA

3. School of Kinesiology and Nutrition, University of Southern Mississippi, Hattiesburg, MS, USA

4. Department of Kinesiology, Mississippi State University, Mississippi State, MS, USA

Abstract

Background: Sedentary behavior (SB), physical activity (PA), and metabolic syndrome (MetS) are risk indicators for cardiometabolic diseases. Novel methods for researching MetS by the 16 unique clusters (i.e., WC+FBG+BP) and as a continuous severity z-score (MetS-Z) have emerged. This study examined how SB, PA, and MetS-Z differed among MetS clusters and SB and PA differences by MetS-Z tertiles. Methods: Using 2015-2016 National Health and Nutritional Examination Survey (NHANES) data, participants with MetS (N = 792) were identified. Subsequently, sex-, race-, and ethnicity-specific MetS-Z were calculated. SB and PA differences were compared between MetS clusters and MetS-Z tertiles. Additionally, MetS-Z was compared between MetS clusters. Results: The WC+FBG+BP MetS cluster was prevalent among 23.80% of participants (95% CIs, 18.41-30.18) and the overall mean MetS-Z was 1.16 (1.08-1.24). Participants reported over 6 daily hours of SB (393.41 minutes⋅day-1 [370.07-416.75]). The TRI+FBG+BP+HDL MetS cluster had less SB than the WC+TRI+FBG+HDL, WC+TRI+HDL, and WC+FBG+BP MetS clusters. PA did not differ between MetS clusters and no differences in SB or PA between MetS-Z tertiles. Conclusions: Limited differences in SB and PA were observed. Participants with 4 or more MetS criteria had worse MetS-Z. Efforts should support replacing SB with PA to improve cardiometabolic health.

Funder

National Center for Medical Rehabilitation Research

National Heart, Lung, and Blood Institute

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Health Policy,Medicine (miscellaneous)

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