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Effects of sedentary behavior and physical activity on the caliber of retinal microvessels in Chinese adults |
Xueping Zhang,Chimei Liao,Wei Zhang,Hongfei Huang,Mingguang He |
Department of Ophthalmology, the Eleventh People's Hospital, Guangzhou 510530, China
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University,Guangzhou 510060, China |
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Abstract Objective: To explore the association between sedentary behavior, physical activity and retinal microvessels caliber in normal people. Methods: In this cross-sectional study, 6 560 participants, age ≥ 40 years (range40 – 87 years) were recruited from March 2008 to July 2017. The calibers of retinal microvessels were graded using retinal photography, and each participant's self-reported sedentary behavior and physical activity time were obtained through an extensive questionnaire. Physical activity was classified as high-intensity activity(running, swimming and basketball), moderate-intensity activity (Taichi, shuttlecock kicking and cycling)and low intensity activity (walking). Multivariate linear regression was used to explore the relationship between life activity habits and retinal microvessel caliber. Results: After exclusion of some recruited particpants for different reasons, 5 857 subjects were inclinded in the final analysis. After adjustment for age, gender,body mass index, blood pressure, fasting plasma glucose, triglycerides, total cholesterol, smoking status,and drinking status, the sedentary time was negatively associated with the caliber of the central retinal arterioles (β=-0.29, P =0.032). There was no significant association between physical activity and retinal vascular caliber. Conclusions: Sedentary time was significantly and independently associated with a decrease in the caliber of central retinal arterioles. The results suggest that sedentary behavior probably increases the risk of cardiovascular diseases among Chinese adults.
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Received: 21 July 2017
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Fund: This study was funded by Science and Technology Planning Project of Guangdong Province(2013B20400003); Fundamental Research Funds of the State Key Laboratory of Ophthalmology State Key Laboratory of Ophthalmology (3030901010058) |
Corresponding Authors:
Mingguang He, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China (Email: mingguang_he@yahoo.com)
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贾小芳, 王惠君, 王丹彤, 等. 中国12 省市儿童青少年身体活动和静坐行为分析. 卫生研究, 2016, 45(3): 394-397.
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[23] |
樊萌语, 吕筠, 郭彧, 等. 中国慢性病前瞻性研究: 10 个项目地区成人体力活动和休闲静坐时间特征差异的分析. 中华流行病学杂志, 2015, 36(8): 779-785. DOI: 10.3760/cma.j.issn.0254-6450.2015.08.002.
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金必辉, 连睿, 汤大俊, 等. 成都市323 名公务员体重控制相关知识、行为现状分析. 预防医学情报杂志, 2015, 31(8): 582-586.
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[25] |
Horta BL, Schaan BD, Bielemann RM, et al. Objectively measured physical activity and sedentary-time are associated with arterial stiffness in Brazilian young adults. Atherosclerosis,2015, 243(1): 148-154. DOI:10.1016/j.atherosclerosis.2015.09.005.
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[26] |
Mortensen B, Friedrichsen M, Andersen NR, et al. Physical inactivity affects skeletal muscle insulin signaling in a birth weight-dependent manner. J Diabetes Complications, 2014,28(1): 71-78. DOI: 10.1016/j.jdiacomp.2013.09.002.
|
[27] |
Dunstan DW, Kingwell BA, Larsen R, et al. Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care, 2012, 35(5): 976-983. DOI: 10.2337/dc11-1931.
|
[28] |
Sengstock DM, Vaitkevicius PV, Supiano MA. Arterial stiffness is related to insulin resistance in nondiabetic hypertensive older adults. J Clin Endocrinol Metab, 2005, 90(5): 2823-2827. DOI:10.1210/jc.2004-1686.
|
[29] |
Bey L, Hamilton MT. Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: a molecular reason to maintain daily low-intensity activity. J Physiol, 2003, 551(Pt 2):673-682. DOI: 10.1113/jphysiol.2003.045591.
|
[30] |
Pearson N, Braithwaite RE, Biddle S JH, et al. Associations between sedentary behaviour and physical activity in children and adolescents: a meta-analysis. Obes Rev, 2014, 15(8): 666-675. DOI: 10.1111/obr.12188.
|
[31] |
Keel S, Itsiopoulos C, Koklanis K, et al. Physical activity,sedentary behaviors, and retinal vascular caliber in children and adolescents with type 1 diabetes. Asia Pac J Ophthalmol (phila),2016, 5(3): 180-184. DOI:10.1097/APO.0000000000000186.
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