Acute effects of sedentary breaks on vascular health in adults at risk for type 2 diabetes: A systematic review.

Aged Blood Pressure Diabetes Mellitus, Type 2 / diagnosis Exercise Humans Sedentary Behavior Sitting Position
blood pressure diabetes mellitus obesity physical activity sedentary behavior vascular health

Journal

Vascular medicine (London, England)
ISSN: 1477-0377
Titre abrégé: Vasc Med
Pays: England
ID NLM: 9610930

Informations de publication

Date de publication:
08 2021
Historique:
pubmed: 13 5 2021
medline: 11 3 2022
entrez: 12 5 2021
Statut: ppublish

Résumé

The aim of this systematic review was to evaluate the available evidence regarding the acute effects of interrupting/breaking up prolonged sedentary behavior (SB) on vascular health among individuals at elevated risk for type 2 diabetes (T2D). Searches of MEDLINE, Embase, Web of Science, and Cochrane Library databases were conducted on April 7, 2020. Included studies: (1) examined the effect of breaking up prolonged SB in adults with or at elevated risk for T2D and (2) assessed a vascular health outcome, such as blood pressure (BP), flow-mediated dilation (FMD), pulse-wave velocity, or endothelin-1. A total of 20 articles (17 unique studies) were included. Only three studies reported adequate statistical power for the specified vascular outcome. The available evidence suggests that light and moderate intensity activity breaks are effective in acutely lowering BP when compared to prolonged sitting. The small number of studies that included FMD or other vascular outcomes prohibits conclusions regarding the impact of SB breaks on these outcomes. Few studies evaluating the impact of breaking up SB among adults at risk for T2D have included and been adequately powered to examine vascular outcomes, but our preliminary finding, that certain SB breaks improve BP, provides proof-of-concept for this line of inquiry. Future studies should examine both the acute and chronic vascular effects of breaking up SB among individuals most vulnerable to the effects of SB (e.g. older adults, those with T2D), as these individuals are both highly sedentary and at greatest risk of poor health outcomes.

Identifiants

DOI: 10.1177/1358863X211009307 PMID: 33977799 PMC: PMC9074004
pubmed: 33977799
doi: 10.1177/1358863X211009307
pmc: PMC9074004
mid: NIHMS1799782
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, Non-P.H.S. Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

448-458

Subventions

Organisme : NIDDK NIH HHS
ID : P30 DK048520
Pays : United States
Organisme : BLRD VA
ID : IK2 BX004533
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK123334
Pays : United States
Organisme : NIDDK NIH HHS
ID : R00 DK100465
Pays : United States
Organisme : NIA NIH HHS
ID : T32 AG000279
Pays : United States
Organisme : CSRD VA
ID : I01 CX001532
Pays : United States
Organisme : BLRD VA
ID : I01 BX002046
Pays : United States
Organisme : NIA NIH HHS
ID : U54 AG062319
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000154
Pays : United States
Organisme : NCI NIH HHS
ID : P50 CA244688
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK116073
Pays : United States

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Auteurs

Mary O Whipple (MO)

Department of Medicine, Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Department of Medicine, Division of Geriatric Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
ORCID: 0000-0001-7073-3224

Kevin S Masters (KS)

Department of Psychology, Clinical Health Psychology, University of Colorado Denver, Denver, CO, USA.
Anschutz Health and Wellness Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Amy G Huebschmann (AG)

Department of Medicine, Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
ORCID: 0000-0002-9329-3142

Rebecca L Scalzo (RL)

Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rocky Mountain Regional VA, Aurora, CO, USA.

Jane Eb Reusch (JE)

Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rocky Mountain Regional VA, Aurora, CO, USA.
ORCID: 0000-0001-8620-1003

Audrey Bergouignan (A)

Department of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Institut Pluridisciplinaire Hubert Curien, French National Center for Scientific Research, Université de Strasbourg, UMR 7178, Strasbourg, France.

Judith G Regensteiner (JG)

Department of Medicine, Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Center for Women's Health Research, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

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Classifications MeSH

Recherchemedicale.com › Personnes › Tranches d'âge › Adulte › Sujet âgé › Acute effects of sedentary breaks on vascular...
Recherchemedicale.com › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Pression sanguine › Acute effects of sedentary breaks on vascular...
Recherchemedicale.com › Maladies endocriniennes › Diabète › Diabète de type 2 › Acute effects of sedentary breaks on vascular...
Recherchemedicale.com › Activités humaines › Exercice physique › Acute effects of sedentary breaks on vascular...
Recherchemedicale.com › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Acute effects of sedentary breaks on vascular...
Recherchemedicale.com › Comportement et mécanismes comportementaux › Mode de vie › Mode de vie sédentaire › Acute effects of sedentary breaks on vascular...
Recherchemedicale.com › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système locomoteur › Posture › Position assise › Acute effects of sedentary breaks on vascular...