Are the different cut-off points for sitting time associated with excess weight in adults? A population based study in Latin America

Victo, Eduardo Rossato de; Kovalskys, Irina; Fisberg, Mauro; Gomez, Georgina; Rigotti, Attilio; Cortes Sanabria, Lilia Yadira; Yepez Garcia, Martha Cecilia; Pareja Torres, Rossina Gabriella; Marianella Herrera-Cuenca; Sole, Dirceu; Drenowatz, Clemens; Marques, Adilson; Ferrari, Gerson Luis de Moraes

Keywords: Sitting time, Sedentary behavior, Obesity, Epidemiologic studies

Abstract

Background Excess weight is increasing worldwide, and in Latin America more than half of the population is excess weight. One of the reasons for this increase has been excessive sitting time. Still, it remains to be seen whether there is an excessive amount of that time in Latin American adults. This study aimed to associate different sitting time cut-off points with the excess weight. Methods Data from the Latin American Study of Nutrition and Health (ELANS), a cross-sectional population-based survey conducted in eight Latin American countries, were used. The excess weight indicators used were body mass index, and waist and neck circumferences. Sitting time was obtained using questionnaires and categorized at different cut-off points. Differences between sitting time categories (< 4 or ≥ 4; < 6 or ≥ 6; and < 8 or ≥ 8 hours/day) and excess weight were obtained by Student’s t test for independent samples and the association between sitting time categories and different indicators of excess weight were obtained by logistic regression. Results The median of the sitting time was 420 min/day (IQR: 240–600). There were no significant differences between body mass index (kg/m2) and waist circumference (cm) with categories of sitting time. The mean values of neck circumference (cm) were significantly higher in ≥4, ≥6 and ≥ 8 hours/day than < 4, < 6, and < 8 hours/day of sitting time in the pooled sample. Some distinct differences by country were observed. There were significant differences among excess weight by body mass index (63.2% versus 60.8) with < 8 vs ≥8 hours/day of sitting time. The proportion of excess weight by neck circumference was higher in participants who reported ≥4, ≥6, and ≥ 8 hours/ day compared to < 4, < 6, and < 8 hours/day of sitting time. Considering ≥8 hours/day of sitting time, higher odds of excess weight were found evaluated by body mass index (OR: 1.10; 95% CI: 1.01, 1.20) and neck circumference (OR: 1.13; CI 95%: 1.03, 1.24) overall. Conclusions Sitting time above 8 hours/day was associated with higher odds of excess weight, even though there were no differences in waist circumference between sitting time categories.

Más información

Título de la Revista: BMC PUBLIC HEALTH
Volumen: 23
Editorial: BMC
Fecha de publicación: 2023
Página de inicio: 1
Página final: 11
Idioma: Ingles
Financiamiento/Sponsor: Fieldwork and data analysis compromised in ELANS protocol was supported by a scientific grant from the Coca Cola Company, and by grant and/ or support from Instituto Pensi/Hospital Infantil Sabara, International Life Science Institute of Argentina, Univer
URL: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15029-8
DOI:

https://doi.org/10.1186/s12889-023-15029-8

Notas: WOS