Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health Study
Background Limited evidence exists on the link between sedentary activity and blood pressure (BP), especially using combined thigh‐ and back‐worn accelerometry, which offers accurate posture classification. This study examined the association between device‐measured sedentary activity patterns and B...
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| Format: | Article |
| Language: | English |
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Wiley
2025-08-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.124.039133 |
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| author | Sofie Rath Mortensen Jan Christian Brønd Therese Lockenwitz Petersen Randi Jepsen Fernando Domínguez‐Navarro Søren T. Skou Anders Grøntved |
| author_facet | Sofie Rath Mortensen Jan Christian Brønd Therese Lockenwitz Petersen Randi Jepsen Fernando Domínguez‐Navarro Søren T. Skou Anders Grøntved |
| author_sort | Sofie Rath Mortensen |
| collection | DOAJ |
| description | Background Limited evidence exists on the link between sedentary activity and blood pressure (BP), especially using combined thigh‐ and back‐worn accelerometry, which offers accurate posture classification. This study examined the association between device‐measured sedentary activity patterns and BP levels and hypertension and explored whether obesity explained these associations. Methods This cross‐sectional study included 3127 adults (≥18 years) from the Danish Lolland‐Falster Health Study (2017–2020). The outcome was participants' systolic BP and diastolic BP in mm Hg measured by a health care professional. Exposure was time spent on sedentary activity (duration, postures, prolonged bouts and breaks in sedentary activity) during the day assessed with thigh‐worn and back‐worn accelerometers. Multiple regression models were used to investigate if sedentary activity was associated with BP levels. Results Participants with hypertension, standardized for age and sex, were more sedentary (9.4 hours/day), had fewer sedentary breaks (54 breaks/day), and more prolonged sedentary bouts (5 bouts/day) compared with those without hypertension. Daily number of sedentary breaks between ≥50 to <65 and ≥65 was associated with lower systolic BP (−1.8 mm Hg [95% CI, −3.3 to −0.3] and −2.3 mm Hg, [95% CI, −3.8 to −0.7]) when compared with participants with daily breaks <50. Higher total daily sedentary time was associated with higher diastolic BP (0.3 mm Hg per hours/day [95% CI, 0.05–0.5]). Conclusions Higher total sedentary time and prolonged sedentary bouts were associated with higher diastolic BP, independent of lifestyle factors. Conversely, a higher number of sedentary breaks was associated with lower systolic BP, diastolic BP, and lower odds of hypertension. Registration URL: https://www.clinicaltrials.gov; Unique identifier: NCT02482896. |
| format | Article |
| id | doaj-art-fa1d3da0f6054dad805e9c992f4a6ce1 |
| institution | Kabale University |
| issn | 2047-9980 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-fa1d3da0f6054dad805e9c992f4a6ce12025-08-20T07:25:05ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-08-01141610.1161/JAHA.124.039133Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health StudySofie Rath Mortensen0Jan Christian Brønd1Therese Lockenwitz Petersen2Randi Jepsen3Fernando Domínguez‐Navarro4Søren T. Skou5Anders Grøntved6The Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, Department of Sports Science and Clinical Biomechanics University of Southern Denmark Odense DenmarkThe Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, Department of Sports Science and Clinical Biomechanics University of Southern Denmark Odense DenmarkThe Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy Naestved‐Slagelse‐Ringsted Hospitals Slagelse DenmarkLolland‐Falster Health Study Zealand University Hospital Nykøbing F DenmarkDepartment of Physiotherapy, Faculty of Physiotherapy University of Valencia SpainThe Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy Naestved‐Slagelse‐Ringsted Hospitals Slagelse DenmarkThe Research Unit for Exercise Epidemiology, Centre of Research in Childhood Health, Department of Sports Science and Clinical Biomechanics University of Southern Denmark Odense DenmarkBackground Limited evidence exists on the link between sedentary activity and blood pressure (BP), especially using combined thigh‐ and back‐worn accelerometry, which offers accurate posture classification. This study examined the association between device‐measured sedentary activity patterns and BP levels and hypertension and explored whether obesity explained these associations. Methods This cross‐sectional study included 3127 adults (≥18 years) from the Danish Lolland‐Falster Health Study (2017–2020). The outcome was participants' systolic BP and diastolic BP in mm Hg measured by a health care professional. Exposure was time spent on sedentary activity (duration, postures, prolonged bouts and breaks in sedentary activity) during the day assessed with thigh‐worn and back‐worn accelerometers. Multiple regression models were used to investigate if sedentary activity was associated with BP levels. Results Participants with hypertension, standardized for age and sex, were more sedentary (9.4 hours/day), had fewer sedentary breaks (54 breaks/day), and more prolonged sedentary bouts (5 bouts/day) compared with those without hypertension. Daily number of sedentary breaks between ≥50 to <65 and ≥65 was associated with lower systolic BP (−1.8 mm Hg [95% CI, −3.3 to −0.3] and −2.3 mm Hg, [95% CI, −3.8 to −0.7]) when compared with participants with daily breaks <50. Higher total daily sedentary time was associated with higher diastolic BP (0.3 mm Hg per hours/day [95% CI, 0.05–0.5]). Conclusions Higher total sedentary time and prolonged sedentary bouts were associated with higher diastolic BP, independent of lifestyle factors. Conversely, a higher number of sedentary breaks was associated with lower systolic BP, diastolic BP, and lower odds of hypertension. Registration URL: https://www.clinicaltrials.gov; Unique identifier: NCT02482896.https://www.ahajournals.org/doi/10.1161/JAHA.124.039133accelerometryhypertensionobesitysedentary time |
| spellingShingle | Sofie Rath Mortensen Jan Christian Brønd Therese Lockenwitz Petersen Randi Jepsen Fernando Domínguez‐Navarro Søren T. Skou Anders Grøntved Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health Study Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease accelerometry hypertension obesity sedentary time |
| title | Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health Study |
| title_full | Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health Study |
| title_fullStr | Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health Study |
| title_full_unstemmed | Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health Study |
| title_short | Association of Device‐Measured Habitual Sedentary Activity and Standing Posture With Blood Pressure and Hypertension in Danish Adults: The Lolland‐Falster Health Study |
| title_sort | association of device measured habitual sedentary activity and standing posture with blood pressure and hypertension in danish adults the lolland falster health study |
| topic | accelerometry hypertension obesity sedentary time |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.124.039133 |
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