Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries
Digital
- Autores:
-
Li, Sidong
Lear, Scott A.
Rangarajan, Sumathy
Hu, Bo
Yin, Lu
Bangdiwala, Shrikant I.
Alhabib, Khalid F.
Rosengren, Annika
Gupta, Rajeev
Mony, Prem K.
Wielgosz, Andreas
Rahman, Omar
Mazapuspavina, M. Y.
Avezum, Alvaro
Oguz, Aytekin
Yeates, Karen
Lanas, Fernando
Dans, Antonio
Evans, Marc
Abat, M.
Yusufali, Afzalhussein
Rafael, Diaz
Lopez-Jaramillo, Patricio
Leach, Lloyd
Lakshmi, P. V. M.
Iqbal, Romaina
Kelishadi, Roya
Chifamba, Jephat
Khatib, Rasha
Li, Wei
Yusuf, Salim
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2022
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/7452
- Acceso en línea:
- https://repositorio.udes.edu.co/handle/001/7452
- Palabra clave:
- Rights
- closedAccess
- License
- © 2022 American Medical Association. All Rights Reserved.
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries |
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Li, Sidong Lear, Scott A. Rangarajan, Sumathy Hu, Bo Yin, Lu Bangdiwala, Shrikant I. Alhabib, Khalid F. Rosengren, Annika Gupta, Rajeev Mony, Prem K. Wielgosz, Andreas Rahman, Omar Mazapuspavina, M. Y. Avezum, Alvaro Oguz, Aytekin Yeates, Karen Lanas, Fernando Dans, Antonio Evans, Marc Abat, M. Yusufali, Afzalhussein Rafael, Diaz Lopez-Jaramillo, Patricio Leach, Lloyd Lakshmi, P. V. M. Iqbal, Romaina Kelishadi, Roya Chifamba, Jephat Khatib, Rasha Li, Wei Yusuf, Salim |
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Li, Sidong Lear, Scott A. Rangarajan, Sumathy Hu, Bo Yin, Lu Bangdiwala, Shrikant I. Alhabib, Khalid F. Rosengren, Annika Gupta, Rajeev Mony, Prem K. Wielgosz, Andreas Rahman, Omar Mazapuspavina, M. Y. Avezum, Alvaro Oguz, Aytekin Yeates, Karen Lanas, Fernando Dans, Antonio Evans, Marc Abat, M. Yusufali, Afzalhussein Rafael, Diaz Lopez-Jaramillo, Patricio Leach, Lloyd Lakshmi, P. V. M. Iqbal, Romaina Kelishadi, Roya Chifamba, Jephat Khatib, Rasha Li, Wei Yusuf, Salim |
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Masira |
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Digital |
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2022 |
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2022-08-22T18:21:05Z |
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2022-08-22T18:21:05Z |
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2022-06-15 |
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Artículo de revista |
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10.1001/jamacardio.2022.1581 |
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2380-6591 |
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eng |
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eng |
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Scopus |
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© 2022 American Medical Association. All Rights Reserved. |
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© 2022 American Medical Association. All Rights Reserved. Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0) https://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_14cb |
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12 p |
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https://jamanetwork.com/journals/jamacardiology/article-abstract/2793521 |
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Li, Sidongabe5371e-d7ea-478a-90b0-849d633a155d-1Lear, Scott A.dc924e5a-246b-40a8-b08f-59610fa89be1-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Hu, Bobec2821d-8ea9-4783-b64e-5fc592117452-1Yin, Lu7dfe890c-f16f-48ed-9524-6f2b98bf885b-1Bangdiwala, Shrikant I.ce83fa9d-c515-475d-bf37-77b94384afe4-1Alhabib, Khalid F.84dc113a-dcf3-43f0-adec-af4dabb61538-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Gupta, Rajeevde1826df-aac8-4d9f-9b84-f21ba704686c-1Mony, Prem K.3298d501-1bf8-423c-ac81-6a707f162b8b-1Wielgosz, Andreasd9d25746-66c4-498e-a328-286412ab8782-1Rahman, Omar2fdf224c-97c9-4fb0-b7a9-ea79427bc631-1Mazapuspavina, M. Y.01603518-0f74-443c-9bc9-32d73b4285a0-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Oguz, Aytekince3e3101-01ec-4709-ad5f-2ba54357481e-1Yeates, Karen79418492-ec06-4cc6-831a-4bf5b245b584-1Lanas, Fernandod22b7fe4-9f1f-4028-a22b-be782ef03d3c-1Dans, Antoniof365ef5a-7610-4022-8485-31d6d3879cd6-1Evans, Marc26c41e4a-b517-4bdf-a830-b717624fcf37-1Abat, M.37ede4d5-e4f8-4507-8d4f-07e0b230c4a0-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1Rafael, Diaz07206c4c-5d8d-4c72-906e-0604f1c0dc29-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Leach, Lloyd7252194c-5d2c-4abc-9381-9d4e4e42ccef-1Lakshmi, P. V. M.d232c4c3-a8e0-4e8f-8fe6-e931f7ac471d-1Iqbal, Romaina015cbc16-dd01-4e26-adff-257bb8827f50-1Kelishadi, Roya4cdb25d6-6e41-4905-a399-c9d53f250b42-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Khatib, Rasha7beae0a6-cfd5-4272-bf8c-1b5896fed8e5-1Li, Wei16f14ef2-1a33-4354-93fe-e8d6d1ae09b7-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1Masira2022-08-22T18:21:05Z2022-08-22T18:21:05Z2022-06-15DigitalImportance High amounts of sitting time are associated with increased risks of cardiovascular disease (CVD) and mortality in high-income countries, but it is unknown whether risks also increase in low- and middle-income countries. Objective To investigate the association of sitting time with mortality and major CVD in countries at different economic levels using data from the Prospective Urban Rural Epidemiology study. Design, Setting, and Participants This population-based cohort study included participants aged 35 to 70 years recruited from January 1, 2003, and followed up until August 31, 2021, in 21 high-income, middle-income, and low-income countries with a median follow-up of 11.1 years. Exposures Daily sitting time measured using the International Physical Activity Questionnaire. Main Outcomes and Measures The composite of all-cause mortality and major CVD (defined as cardiovascular death, myocardial infarction, stroke, or heart failure). Results Of 105 677 participants, 61 925 (58.6%) were women, and the mean (SD) age was 50.4 (9.6) years. During a median follow-up of 11.1 (IQR, 8.6-12.2) years, 6233 deaths and 5696 major cardiovascular events (2349 myocardial infarctions, 2966 strokes, 671 heart failure, and 1792 cardiovascular deaths) were documented. Compared with the reference group (<4 hours per day of sitting), higher sitting time (≥8 hours per day) was associated with an increased risk of the composite outcome (hazard ratio [HR], 1.19; 95% CI, 1.11-1.28; Pfor trend < .001), all-cause mortality (HR, 1.20; 95% CI, 1.10-1.31; Pfor trend < .001), and major CVD (HR, 1.21; 95% CI, 1.10-1.34; Pfor trend < .001). When stratified by country income levels, the association of sitting time with the composite outcome was stronger in low-income and lower-middle–income countries (≥8 hours per day: HR, 1.29; 95% CI, 1.16-1.44) compared with high-income and upper-middle–income countries (HR, 1.08; 95% CI, 0.98-1.19; P for interaction = .02). Compared with those who reported sitting time less than 4 hours per day and high physical activity level, participants who sat for 8 or more hours per day experienced a 17% to 50% higher associated risk of the composite outcome across physical activity levels; and the risk was attenuated along with increased physical activity levels. Conclusions and Relevance High amounts of sitting time were associated with increased risk of all-cause mortality and CVD in economically diverse settings, especially in low-income and lower-middle–income countries. Reducing sedentary time along with increasing physical activity might be an important strategy for easing the global burden of premature deaths and CVD.Ciencias Médicas y de la Salud12 papplication/pdf10.1001/jamacardio.2022.15812380-65912380-6583https://repositorio.udes.edu.co/handle/001/7452engUSA80787967Scopus© 2022 American Medical Association. All Rights Reserved.info:eu-repo/semantics/closedAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)https://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_14cbhttps://jamanetwork.com/journals/jamacardiology/article-abstract/2793521Association of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income CountriesArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALAssociation of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries.pdfAssociation of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries.pdfapplication/pdf222313https://repositorio.udes.edu.co/bitstreams/30e67256-f5c5-4646-8a3f-acb4458cfbe3/download01ea1f1e0026a9efcb3095c0493d1f79MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/1d860928-51b9-484d-a4c6-1073b9bba83a/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTAssociation of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries.pdf.txtAssociation of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries.pdf.txtExtracted texttext/plain5https://repositorio.udes.edu.co/bitstreams/5d3328bd-2fe5-4b72-af11-6067bb7c426c/download5dbe86c1111d64f45ba435df98fdc825MD53THUMBNAILAssociation of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries.pdf.jpgAssociation of Sitting Time with Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries.pdf.jpgGenerated Thumbnailimage/jpeg8504https://repositorio.udes.edu.co/bitstreams/77f0b6b8-acd4-46c3-8068-a05164493101/download422e24528f238a83d56551c0b67d51beMD54001/7452oai:repositorio.udes.edu.co:001/74522023-10-09 16:29:48.448https://creativecommons.org/licenses/by-nc-nd/4.0/© 2022 American Medical Association. All Rights Reserved.https://repositorio.udes.edu.coRepositorio Universidad de Santandersoporte@metabiblioteca.comTGljZW5jaWEgZGUgUHVibGljYWNpw7NuIFVERVMKRGlyZWN0cmljZXMgZGUgVVNPIHkgQUNDRVNPCgo= |