Study: slight physical activity trumped out sitting behavior

Reference Beddhu S, Wei G, Marcus RL, Chonchol M, Greene T. Light-intensive physical activities and mortality in the general population of the United States and CNE subpopulation. Clin J at the SOC Nephrol. April 30, 2015. [Epub Ahead of Print] Design This observation analysis of the National Health and Nutrition Examination Survey (Nhanes) from 2003-2004 examined the connection between activities with low and low intensity and mortality. Participants were analyzed by 3,626 Nhanes participants who had worn an accelerator for at least 4 days a day as part of the study, which provided reliable measured values and were available for the mortality data. All …

07. März 2023

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Reference

Beddhu S, Wei G, Marcus RL, Chonchol M, Greene T. Light-intensive physical activities and mortality in the general population of the United States and CNE subpopulation. Clin J at the SOC Nephrol. April 30, 2015. [Epub Ahead of Print]

Design

This observation analysis of the National Health and Nutrition Examination Survey (Nhanes) from 2003-2004 examined the connection between activities with low and low intensity and mortality.

participant

Data from 3,626 Nhanes participants were analyzed who had worn a accelerometer for at least 4 days per day during the study, which provided reliable measured values and were available for the mortality data. All participants were over 20 years old. Acceleration meters provided objective measurements of physical activity. The data was recorded in 1-minute steps, and the physical activity was categorized per 1 minute interval as sitting or low, light or moderate/strong in the intensity. The middle follow -up period was 2.86 years. Of the total of 383 participants, had chronic kidney disease (CKD). There were 137 deaths in the 10,390 years of follow-up in the entire cohort (1.32 deaths/100 people) and 50 deaths in the CKD group (4.77 deaths/100 people).

target parameter

The mortality data were compared with physical activity.

important knowledge

The average adult in this study only spent about 35 minutes per west hour while sitting. If, for each guard hour of the day, 2 minutes are exchanged for 2 minutes of light activity (z [HR]: 0.67; 95% confidence interval [CI]: 0.48-0.93; p = 0.02). In the case of activities with low intensity such as sitting in class, learning, notes or standing, no significant changes in the risk of mortality were found (HR: 1.01; 95 %-KI: 0.86–1.19; p = 0.87)] or for moderate or intensive activities such as quick walking, running or lifting heavy weights (Mr.: 0.80; 95 % KI: 0.42–1.51;

practice implications

These results should turn up the way we move and the role that you play in the preservation of health, turn it upside down and dramatically change the goals we set to our patients.

According to this study, it can better pay for health to get up every hour of the day and move for a few minutes longer than move intensively. Few people would guess that; We assume that the more intensive our training program is, the better it is for us. We also assume that intensive training in the gym will compensate for the rest of the day in our office. We are wrong.

instead of trying to get patients to participate in activities with high energy intensity, a simple reduction in the time they spend on sitting can prove to be more achievable and effective to improve their health.

sitting or sitting behavior is clearly bad for a person's health; Lack of movement is a risk factor for obesity, 1 Insulin resistance, 2 diabetes, 3 and increased mortality in the general population. ^{4 The degree of physical activity is not used to be used by any spectrum to intensive activity, with units used metabolic equivalents (METS). Technically speaking, 1 Met is defined as the amount of oxygen that is consumed in full calm, e.g. For example, when sitting on a chair (1 met = 3.5 ml o 2 /KG/MIN). 5 Therefore, 2 Mets are the double metabolic expenses of the sitting, 3 mets of 3 times consumption and so on. In general, a seated activity is defined as 1.0 to 1.3 METS, a moderate physical activity as 3 to 6 mets and an intensive activity as more than 6 mets.

A randomized clinical intervention study published in 2013 reported that the increase in moderate physical activity to 175 minutes per week at 5.145 overweight or obese type 2 diabetics did not lower the rate of cardiovascular events. the lower meter area of the training spectrum is spent, possibly has a greater benefit than a more intensive movement.

Even if it were more effective, it is difficult to get the Americans to act intensively physically. At the moment, most Americans do not even achieve the goal of 2.5 hours of moderate physical activity per week. ^{8.9 instead of getting patients to participate in activities with high energy intensity, a simple reduction in the time they spend on sitting than both more easily and effectively prove to improve their health. In this study, slight activity is certainly more effective.}

Note that this 2 minute activity per hour is not an absolute value. It means 2 minutes "more" per hour. If a person has easy activity for 8 minutes per hour, we should encourage you to increase it to 10 minutes. If it can be increased further - let's say, another 5 minutes - even better. Our current picture of strong movement, with a dripping sweat, pounding heart and panting lungs, as if it were as healthy, may not be correct. Instead, a more precise picture could be that quiet sitting on a chair is simply bad for our health.}

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