Accelerometer-measured sedentary time among Hispanic adults: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Excessive sedentary behavior is associated with negative health outcomes independent of physical activity. Objective estimates of time spent in sedentary behaviors are lacking among adults from diverse Hispanic/Latino backgrounds. The objective of this study was to describe accelerometer-assessed sedentary time in a large, representative sample of Hispanic/Latino adults living in the United States, and compare sedentary estimates by Hispanic/Latino background, sociodemographic characteristics and weight categories. This study utilized baseline data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) that included adults aged 18–74 years from four metropolitan areas (N = 16,415). Measured with the Actical accelerometer over 6 days, 76.9% (n = 12,631) of participants had > 10 h/day and > 3 days of data. Participants spent 11.9 h/day (SD 3.0), or 74% of their monitored time in sedentary behaviors. Adjusting for differences in wear time, adults of Mexican background were the least (11.6 h/day), whereas adults of Dominican background were the most (12.3 h/day), sedentary. Women were more sedentary than men, and older adults were more sedentary than younger adults. Household income was positively associated, whereas employment was negatively associated, with sedentary time. There were no differences in sedentary time by weight categories, marital status, or proxies of acculturation. To reduce sedentariness among these populations, future research should examine how the accumulation of various sedentary behaviors differs by background and region, and which sedentary behaviors are amenable to intervention.

[1]  S. Ebrahim,et al.  Sedentary behaviors and the risk of incident hypertension: the SUN Cohort. , 2007, American journal of hypertension.

[2]  L. Mâsse,et al.  Physical activity in the United States measured by accelerometer. , 2008, Medicine and science in sports and exercise.

[3]  S. Marshall,et al.  Accelerometer adherence and performance in a cohort study of US Hispanic adults. , 2015, Medicine and science in sports and exercise.

[4]  C. Y. Li,et al.  A review of the healthy worker effect in occupational epidemiology. , 1999, Occupational medicine.

[5]  Satyamurthy Anuradha,et al.  Replacing sitting time with standing or stepping: associations with cardio-metabolic risk biomarkers. , 2015, European heart journal.

[6]  N. Schneiderman,et al.  Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. , 2012, JAMA.

[7]  K. Khunti,et al.  Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis , 2012, Diabetologia.

[8]  Mark S Tremblay,et al.  Quality control and data reduction procedures for accelerometry-derived measures of physical activity. , 2010, Health reports.

[9]  N. Owen,et al.  Physiological and health implications of a sedentary lifestyle. , 2010, Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme.

[10]  Claude Bouchard,et al.  Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. , 1998, WMJ : official publication of the State Medical Society of Wisconsin.

[11]  Eileen M. Crimmins,et al.  The Role of Physical Activity , 2011 .

[12]  S. Person,et al.  Language, duration of United States residency, and leisure time physical activity among women from the Third National Health and Nutrition Examination Survey (NHANES III). , 2012, Journal of women's health.

[13]  Leena Choi,et al.  Validation of accelerometer wear and nonwear time classification algorithm. , 2011, Medicine and science in sports and exercise.

[14]  A comparison of the effectiveness of physical activity and sedentary behaviour interventions in reducing sedentary time in adults: a systematic review and meta-analysis of controlled trials , 2014, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[15]  Lloyd E Chambless,et al.  Design and implementation of the Hispanic Community Health Study/Study of Latinos. , 2010, Annals of epidemiology.

[16]  P. Matson,et al.  Television viewing in low-income latino children: variation by ethnic subgroup and English proficiency. , 2013, Childhood obesity.

[17]  C. Matthews,et al.  Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003-06. , 2011, European heart journal.

[18]  M. Daviglus,et al.  The Role of Physical Activity and Sedentary Behaviors in Explaining the Association between Acculturation and Obesity among Mexican-American Adults , 2015, American journal of health promotion : AJHP.

[19]  Michele Haynes,et al.  Mid-aged adults' sitting time in three contexts. , 2012, American journal of preventive medicine.

[20]  E. Arredondo,et al.  Physical Activity Levels in U.S. Latino/Hispanic Adults: Results From the Hispanic Community Health Study/Study of Latinos. , 2016, American journal of preventive medicine.

[21]  C. Drake,et al.  Acculturation, physical activity and television viewing in Hispanic women: findings from the 2005 California Women's Health Survey , 2011, Public Health Nutrition.

[22]  L. J. Gray,et al.  Associations of objectively measured sedentary behaviour and physical activity with markers of cardiometabolic health , 2013, Diabetologia.

[23]  R. Andersen,et al.  Acculturation and leisure-time physical inactivity in Mexican American adults: results from NHANES III, 1988-1994. , 2001, American journal of public health.

[24]  L. Koehly,et al.  Sitting time and health outcomes among Mexican origin adults: obesity as a mediator , 2012, BMC Public Health.

[25]  Nazeem Muhajarine,et al.  Towards uniform accelerometry analysis: a standardization methodology to minimize measurement bias due to systematic accelerometer wear-time variation. , 2014, Journal of sports science & medicine.

[26]  Minsoo Kang,et al.  How many hours are enough? Accelerometer wear time may provide bias in daily activity estimates. , 2013, Journal of physical activity & health.

[27]  E. Ford,et al.  Prevalence of Diabetes and High Risk for Diabetes Using A1C Criteria in the U.S. Population in 1988–2006 , 2010, Diabetes Care.

[28]  M. Leitzmann,et al.  Television viewing and time spent sedentary in relation to cancer risk: a meta-analysis. , 2014, Journal of the National Cancer Institute.

[29]  N. Owen,et al.  Too little exercise and too much sitting: Inactivity physiology and the need for new recommendations on sedentary behavior , 2008, Current cardiovascular risk reports.

[30]  Ulf Ekelund,et al.  Association between objectively assessed sedentary time and physical activity with metabolic risk factors among people with recently diagnosed type 2 diabetes , 2013, Diabetologia.

[31]  S. Marshall,et al.  Sedentary behavior and adiposity-associated inflammation: the Multi-Ethnic Study of Atherosclerosis. , 2012, American journal of preventive medicine.

[32]  K. D'Alonzo The Influence of Marianismo Beliefs on Physical Activity of Immigrant Latinas , 2012, Journal of transcultural nursing : official journal of the Transcultural Nursing Society.

[33]  N. Owen,et al.  Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996-2011. , 2011, American journal of preventive medicine.

[34]  J. Shaw,et al.  Objectively Measured Sedentary Time, Physical Activity, and Metabolic Risk , 2007, Diabetes Care.

[35]  P. Loprinzi,et al.  Accelerometer-determined physical activity, mobility disability, and health. , 2014, Disability and health journal.

[36]  S. Cromwell,et al.  Lifelong physical activity patterns of sedentary Mexican American women. , 2006, Geriatric nursing.

[37]  Lucas J Carr,et al.  Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours". , 2012, Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme.

[38]  W. Rosamond,et al.  Prevalence of Physical Activity and Sedentary Behavior Among Adults With Cardiovascular Disease in the United States , 2014, Journal of cardiopulmonary rehabilitation and prevention.

[39]  R. Rhodes,et al.  Adult sedentary behavior: a systematic review. , 2012, American journal of preventive medicine.

[40]  B. Ainsworth,et al.  Domain-specific physical activity and self-report bias among low-income Latinas living in San Diego County. , 2011, Journal of physical activity & health.

[41]  C. Matthews,et al.  Measurement of adults' sedentary time in population-based studies. , 2011, American journal of preventive medicine.

[42]  Charles E. Matthews,et al.  Accelerometer-based measures of active and sedentary behavior in relation to breast cancer risk , 2012, Breast Cancer Research and Treatment.

[43]  John P Elder,et al.  Sample design and cohort selection in the Hispanic Community Health Study/Study of Latinos. , 2010, Annals of epidemiology.

[44]  Katherine M Flegal,et al.  Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. , 2012, JAMA.

[45]  Jennifer L. Gay,et al.  Ethnic disparities in objectively measured physical activity may be due to occupational activity. , 2014, Preventive medicine.

[46]  Genevieve N Healy,et al.  Prolonged sedentary time and physical activity in workplace and non-work contexts: a cross-sectional study of office, customer service and call centre employees , 2012, International Journal of Behavioral Nutrition and Physical Activity.

[47]  W. Brown,et al.  A qualitative study of older adults' responses to sitting-time questions: do we get the information we want? , 2011, BMC public health.

[48]  M. Tremblay,et al.  Actical accelerometer sedentary activity thresholds for adults. , 2011, Journal of physical activity & health.

[49]  Scott E Crouter,et al.  A novel method for using accelerometer data to predict energy expenditure. , 2006, Journal of applied physiology.

[50]  N. Schneiderman,et al.  Objectively Measured Sedentary Time and Cardiometabolic Biomarkers in US Hispanic/Latino Adults: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). , 2015, Circulation.

[51]  Catrine Tudor-Locke,et al.  U.S. population profile of time-stamped accelerometer outputs: impact of wear time. , 2011, Journal of physical activity & health.

[52]  I. White,et al.  Review of inverse probability weighting for dealing with missing data , 2013, Statistical methods in medical research.

[53]  P. Freedson,et al.  Amount of time spent in sedentary behaviors in the United States, 2003-2004. , 2008, American journal of epidemiology.

[54]  Annemarie Koster,et al.  Employment and physical activity in the U.S. , 2011, American journal of preventive medicine.