Associations of 24-h Movement Behaviors With Incidence of Cardiovascular Risk Factors: The Finnish Retirement and Aging Study - UTU Research Portal

A1 Refereed original research article in a scientific journal

Associations of 24-h Movement Behaviors With Incidence of Cardiovascular Risk Factors: The Finnish Retirement and Aging Study

Authors: Suorsa, Kristin; Leskinen, Tuija; Pasanen, Jesse; Pentti, Jaana; Vahtera, Jussi; Stenholm, Sari

Publisher: WILEY

Publishing place: HOBOKEN

Publication year: 2025

Journal: Scandinavian Journal of Medicine and Science in Sports

Journal name in source: SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS

Journal acronym: SCAND J MED SCI SPOR

Article number: e70030

Volume: 35

Issue: 2

Number of pages: 10

ISSN: 0905-7188

eISSN: 1600-0838

DOI: https://doi.org/10.1111/sms.70030(external)

Web address : https://onlinelibrary.wiley.com/doi/10.1111/sms.70030(external)

Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/491379763(external)

Abstract

Low physical activity, high sedentary time (SED), and inadequate sleep increase cardiovascular disease risk, but the codependency between these 24-h movement behaviors has often been neglected. This study examined associations between 24-h movement behaviors and incidence of cardiovascular risk factors. The study included 866 adults (mean age 62.4 years, SD 1.1) from the Finnish Retirement and Aging study who participated in wrist-accelerometry measurements between 2014 and 2018. Incident register-based cardiovascular risk factors including hypertension, dyslipidemia, type 2 diabetes, and questionnaire-based obesity were followed up over on average 3-year follow-up. Compositional Cox regression models were adjusted for age, sex, occupation, smoking, and heavy alcohol consumption. We recorded 84 (17%) new cases of hypertension, 66 (9%) dyslipidemia, 28 (3%) type 2 diabetes, 43 (6%) obesity, and 94 (26%) any of these cardiovascular risk factors. Compared to mean composition (7.8 h sleep, 11.0 h SED, 4.2 h light physical activity [LPA], 60 min moderate-to-vigorous physical activity [MVPA]), having 10 min more MVPA at the cost of other behaviors was associated with 5%-7% risk reduction in hypertension, 10%-13% in obesity, and 6%-7% in any cardiovascular risk factor. Among the least active (sleep 7.9 h, SED 12.1 h, LPA 3.6 h, MVPA 24 min), the risk reductions were nearly twofold. In conclusion, when accounting the interdependence of movement behaviors, MVPA associated with highest risk reduction in hypertension and obesity, especially among the least active participants. This suggests that even a small increase in daily MVPA could help prevent development of cardiovascular risk factors.

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Scandinavian Med Sci Sports - 2025 - Suorsa - Associations of 24‐h Movement Behaviors With Incidence of Cardiovascular Risk.pdf

Funding information in the publication:
This study was supported by funding granted by the Research Council Finland (286294, 319246, 294154, 332030 to S.S.), Finnish Ministry of Education and Culture (to S.S.), Juho Vainio Foundation (to S.S. & K.S.), the State Research Funding (Turku University Hospital) (to S.S.), and Finnish Foundation for Cardiovascular Research (to S.S.). These funding bodies did not have a role in study design, collection, analysis, interpretation of data, writing the report, or the decision to submit the report for publication.