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Latent profiles of sedentary time, exercise and cardiorespiratory fitness in adults, and the associations with metabolic and percieved health

Session Poster Session 2

Speaker Jane E H Salier Eriksson

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2019

  • Topic : preventive cardiology
  • Sub-topic : Physical Inactivity and Exercise
  • Session type : Poster Session

Authors : JEH Salier Eriksson (Stockholm,SE), E Ekblom-Bak (Stockholm,SE), V Blom (Stockholm,SE), LK Kallings (Stockholm,SE), O Ekblom (Stockholm,SE), E Hemmingsson (Stockholm,SE), B Ekblom (Stockholm,SE), G Andersson (Stockholm,SE), P Wallin (Stockholm,SE), A Stenling (Umea,SE), M Lindwall (Gothenburg,SE)

Authors:
JEH Salier Eriksson1 , E Ekblom-Bak1 , V Blom1 , LK Kallings1 , O Ekblom1 , E Hemmingsson1 , B Ekblom1 , G Andersson2 , P Wallin2 , A Stenling3 , M Lindwall4 , 1The Swedish School of Sport and Health Sciences - Stockholm - Sweden , 2HPI Health Profile Institute - Stockholm - Sweden , 3Umea University - Umea - Sweden , 4University of Gothenburg - Gothenburg - Sweden ,

Citation:

Introduction: Sedentary time, exercise and cardiorespiratory fitness are independently associated with health and disease risk, but do also tend to cluster. How they interact within-persons to create naturally occurring patterns, or profiles, in adult populations has not been studied.
Purpose: To identify naturally occurring patterns/latent profiles of sedentary time at work and in leisure time, exercise and VO2max in a large population of adult men and women of different ages, and to study how these associate with metabolic and perceived health and symptoms. 
Methods: 64.970 participants aged 18-75 years (42% women) from a nationwide occupational health service screening between January 2014 and April 2018 were included. Exercise frequency (Never, Sometimes, 1-2 times/week, 3-5 times/week or =6 times/week) and time spent sedentary at work and in leisure time (Almost all time, 75%, 50%, 25% of the time or Almost no time) were self-reported. VO2max was estimated from a submaximal cycle test. Latent profile analysis was used to group individuals in different classes based on their individual patterns of sedentary time, exercise and VO2max. 
Results: The best fitting solution of the latent profile analysis produced 6 profiles (Figure 1). Characteristics of the profiles and the associations with the outcomes are presented in Table 1.
Conclusions: Based on individual scores on sedentary time, exercise and fitness, six distinct latent profiles were identified. These profiles illustrate the complex and heterogeneous interplay of sedentary time, exercise and fitness and were also systematically related to metabolic health and perceived health symptoms, with large variations between the different profiles.

Profile 1

Profile 2 Profile 3 Profile 4 Profile 5 Profile 6
Women and mean age 33%, 43.2 39%, 44.2 43%, 44.1 45%, 44.4 45%, 37.0 37%, 34.6
High qualified job 20% 63% 29% 72% 78% 33%
Non-smokers 75% 83% 85% 89% 91% 84%
Healthy diet 57% 58% 75% 74% 84% 82%
BMI>30 1.00 (0.94-1.07) 1.00 (reference) 0.65 (0.61-0.69) 0.53 (0.50-0.56) 0.02 (0.01-0.03) 0.05 (0.03-0.07)
BPsys>=140 or BPdia>=90 mmHg 1.20 (1.12-1.28) 1.00 (reference) 0.93 (0.88-0.99) 0.83 (0.78-0.88) 0.37 (0.33-0.42) 0.47 (0.40-0.56)
Very often/often percieved Neck/Back pain 1.08 (1.01-1.15) 1.00 (reference) 0.80 (0.75-0.85) 0.70 (0.66-0.74) 0.56 (0.51-0.62) 0.54 (0.47-0.61)
Very often/often percieved overall stress 0.75 (0.70-0.81) 1.00 (reference) 0.48 (0.44-0.51) 0.60 (0.57-0.64) 0.61 (0.56-0.68) 0.43 (0.37-0.49)
Very often/often sleeping problems 1.03 (0.92-1.14) 1.00 (reference) 0.79 (0.72-0.87) 0.76 (0.69-0.83) 0.58 (0.50-0.68) 0.59 (0.47-0.75)
Very poor/poor global health 0.81 (0.74-0.89) 1.00 (reference) 0.28 (0.26-0.32) 0.31 (0.28-0.33) 0.13 (0.11-0.16) 0.09 (0.06-0.13)
Characteristics (top) and sex- and age adjusted OR (95% CI) for the association with dichotomized outcomes (bottom). BP=Blood pressure

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