Objectively measured sedentary time and cardiovascular risk factor control in US Hispanics/Latinos with diabetes mellitus

Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Xueyin Wang, Garrett Strizich, Simin Hua, Daniela Sotres-Alvarez, Christina Buelna, Linda C. Gallo, Marc D. Gellman, Yasmin Mossavar-Rahmani, Matthew J. O'Brien, Mark Stoutenberg, Tao Wang, M. Larissa Avilés-Santa, Robert C. Kaplan, Qibin Qi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background--Cardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate-to-vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus. Methods and Results--This cross-sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008-2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c < 7.0%; systolic/diastolic blood pressure < 140/ 80 mm Hg; triglycerides < 150 mg/dL; low-density lipoprotein cholesterol < 100 mg/dL; and high-density lipoprotein cholesterol > 40/50 mg/dL for men/women. After adjustment for covariates including moderate-to-vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95% CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥ 3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate-to-vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60-min/day of sedentary time with light-intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high-density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals. Conclusions--Among US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate-to-vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals.

Original languageEnglish (US)
Article numbere004324
JournalJournal of the American Heart Association
Volume6
Issue number6
DOIs
StatePublished - Jun 1 2017

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Hispanic Americans
Diabetes Mellitus
Odds Ratio
Cardiovascular Diseases
Health
Exercise
Hemoglobins
Triglycerides
Logistic Models
HDL Cholesterol
Cross-Sectional Studies
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Keywords

  • Cardiovascular disease risk factors
  • Diabetes mellitus
  • Hispanic/Latino
  • Moderate-to-vigorous physical activity
  • Sedentary behaviors

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Objectively measured sedentary time and cardiovascular risk factor control in US Hispanics/Latinos with diabetes mellitus : Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). / Wang, Xueyin; Strizich, Garrett; Hua, Simin; Sotres-Alvarez, Daniela; Buelna, Christina; Gallo, Linda C.; Gellman, Marc D.; Mossavar-Rahmani, Yasmin; O'Brien, Matthew J.; Stoutenberg, Mark; Wang, Tao; Larissa Avilés-Santa, M.; Kaplan, Robert C.; Qi, Qibin.

In: Journal of the American Heart Association, Vol. 6, No. 6, e004324, 01.06.2017.

Research output: Contribution to journalArticle

Wang, Xueyin ; Strizich, Garrett ; Hua, Simin ; Sotres-Alvarez, Daniela ; Buelna, Christina ; Gallo, Linda C. ; Gellman, Marc D. ; Mossavar-Rahmani, Yasmin ; O'Brien, Matthew J. ; Stoutenberg, Mark ; Wang, Tao ; Larissa Avilés-Santa, M. ; Kaplan, Robert C. ; Qi, Qibin. / Objectively measured sedentary time and cardiovascular risk factor control in US Hispanics/Latinos with diabetes mellitus : Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). In: Journal of the American Heart Association. 2017 ; Vol. 6, No. 6.
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abstract = "Background--Cardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate-to-vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus. Methods and Results--This cross-sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008-2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c < 7.0{\%}; systolic/diastolic blood pressure < 140/ 80 mm Hg; triglycerides < 150 mg/dL; low-density lipoprotein cholesterol < 100 mg/dL; and high-density lipoprotein cholesterol > 40/50 mg/dL for men/women. After adjustment for covariates including moderate-to-vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95{\%} CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥ 3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate-to-vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60-min/day of sedentary time with light-intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high-density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals. Conclusions--Among US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate-to-vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals.",
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AU - Strizich, Garrett

AU - Hua, Simin

AU - Sotres-Alvarez, Daniela

AU - Buelna, Christina

AU - Gallo, Linda C.

AU - Gellman, Marc D.

AU - Mossavar-Rahmani, Yasmin

AU - O'Brien, Matthew J.

AU - Stoutenberg, Mark

AU - Wang, Tao

AU - Larissa Avilés-Santa, M.

AU - Kaplan, Robert C.

AU - Qi, Qibin

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N2 - Background--Cardiovascular disease (CVD) risk factor control is a cornerstone of diabetes mellitus management. Little is known about relationships of objectively measured sedentary time and physical activity with major CVD risk factor control in individuals with diabetes mellitus. We examined associations of objectively measured sedentary time and moderate-to-vigorous physical activity with reaching major CVD risk factor control goals among US Hispanic/Latino adults with diabetes mellitus. Methods and Results--This cross-sectional analysis included 1699 participants with diabetes mellitus from the Hispanic Community Health Study/Study of Latinos (2008-2011). Logistic regression models were used to estimate the odds ratios (ORs) of meeting the following 5 major CVD risk factor control goals: hemoglobin A1c < 7.0%; systolic/diastolic blood pressure < 140/ 80 mm Hg; triglycerides < 150 mg/dL; low-density lipoprotein cholesterol < 100 mg/dL; and high-density lipoprotein cholesterol > 40/50 mg/dL for men/women. After adjustment for covariates including moderate-to-vigorous physical activity, less sedentary time was associated with increased odds of reaching hemoglobin A1c (OR=1.76 [95% CI: 1.10, 2.82]) and triglyceride control goals (OR=2.16 [1.36, 3.46]), and reaching ≥ 3 CVD risk factor control goals (OR=2.08 [1.34, 3.23]) (all ORs for comparisons of extreme tertiles of sedentary time). Moderate-to-vigorous physical activity was not associated with reaching any CVD risk factor control goals. Substituting 60-min/day of sedentary time with light-intensity physical activity was associated with increased odds of reaching hemoglobin A1c (OR=1.18 [1.04, 1.35]), high-density lipoprotein cholesterol (OR=1.17 [1.04, 1.32]), and triglyceride (OR=1.20 [1.05, 1.36]) control goals. Conclusions--Among US Hispanic/Latino adults with diabetes mellitus, less sedentary time, but not moderate-to-vigorous physical activity, was associated with improved CVD risk factor control, specifically in reaching hemoglobin A1c and triglyceride control goals.

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