Compositional analysis of the association between mortality and 24-hour movement behaviour from NHANES

Journal article


McGregor, Duncan E., Palarea-Albaladejo, Javier, Dall, Philippa M., del Pozo Cruz, Borja and Chastin, Sebastien F. M.. (2021). Compositional analysis of the association between mortality and 24-hour movement behaviour from NHANES. European Journal of Preventive Cardiology. 28(7), pp. 791-798. https://doi.org/10.1177/2047487319867783
AuthorsMcGregor, Duncan E., Palarea-Albaladejo, Javier, Dall, Philippa M., del Pozo Cruz, Borja and Chastin, Sebastien F. M.
Abstract

Aims
Previous prospective studies of the association between mortality and physical activity have generally not fully accounted for the interplay between movement behaviours. A compositional data modelling approach accounts for relative scale and co-dependency in time-use data across physical activity behaviours of the 24-hour day.

Methods
A prospective analysis of the National Health and Nutrition Examination Survey 2005–2006 on N = 1468 adults (d = 135 deaths) in ages 50–79 years was undertaken using compositional Cox regression analysis. Daily time spent in sedentary behaviour, light intensity (LIPA) and moderate-to-vigorous physical activity (MVPA) was determined from waist-mounted accelerometer data (Actigraph 7164) and supplemented with self-reported sleep data to determine the daily time-use composition.

Results
The composition of time spent in sedentary behaviour, LIPA, MVPA and sleep was associated with mortality rate after allowing for age and sex effects (p < 0.001), and remained significant when other lifestyle factors were added (p < 0.001). This was driven primarily by the preponderance of MVPA; however, significant changes are attributable to LIPA relative to sedentary behaviour and sleep, and sedentary behaviour relative to sleep. The final ratio ceased to be statistically significant after incorporating lifestyle factors. The preponderance of MVPA ceased to be statistically significant after incorporating health at outset and physical limitations on movement.

Conclusions
An association is inferred between survival rate and the physical activity composition of the day. The MVPA time share is important, but time spent in LIPA relative to sedentary behaviour and sleep is also a significant factor. Increased preponderance of MVPA may have detrimental associations at higher levels of MVPA.

Keywordssurvival analysis; compositional data analysis; 24-hour time-use; accelerometry; physical activity; sedentary behaviour
Year2021
JournalEuropean Journal of Preventive Cardiology
Journal citation28 (7), pp. 791-798
PublisherOxford University Press
ISSN2047-4873
Digital Object Identifier (DOI)https://doi.org/10.1177/2047487319867783
Scopus EID2-s2.0-85070986152
Open accessPublished as green open access
Page range791-798
FunderRural and Environment Science and Analytical Services Division, Scottish Government
Spanish Ministry of Economy and Competitiveness
Author's accepted manuscript
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All rights reserved
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Open
Publisher's version
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File Access Level
Controlled
Output statusPublished
Publication dates
Online05 Aug 2019
Publication process dates
Accepted15 Jul 2019
Deposited07 Oct 2022
Grant IDCODA-RETOS MTM2015-65016-C2-1(2)-R
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Reliability of spirometric tests during the different menstrual cycle phases in healthy women
Timon, Rafael, Ramirez-Balas, Almudena, Adsuar, Jose C., del Pozo-Cruz, Borja and Maynar, Marcos. (2014). Reliability of spirometric tests during the different menstrual cycle phases in healthy women. Iranian Journal of Public Health. 43(7), pp. 1009 - 1010.
Effects of a 12-wk whole-body vibration based intervention to improve type 2 diabetes
del Pozo-Cruz, Borja, Alfonso-Rosa, Rosa M., del Pozo-Cruz, Jesús, Sañudo, Borja and Rogers, Michael E.. (2014). Effects of a 12-wk whole-body vibration based intervention to improve type 2 diabetes. Maturitas. 77(1), pp. 52 - 58. https://doi.org/10.1016/j.maturitas.2013.09.005
Relationship between functional capacity and body mass index with plasma coenzyme Q10 and oxidative damage in community-dwelling elderly-people
del Pozo-Cruz, Jesús, Rodríguez-Bies, Elizabeth, Navas-Enamorado, Ignacio, del Pozo-Cruz, Borja, Navas, Plácido and López-Lluch, Guillermo. (2014). Relationship between functional capacity and body mass index with plasma coenzyme Q10 and oxidative damage in community-dwelling elderly-people. Experimental Gerontology. 52, pp. 46 - 54. https://doi.org/10.1016/j.exger.2014.01.026
Reliability of spirometric tests during the different menstrual cycle phases in healthy women
Timon, Rafael, Ramirez-Balas, Almudena, Adsuar, Jose C., del Pozo-Cruz, Borja and Maynar, Marcos. (2014). Reliability of spirometric tests during the different menstrual cycle phases in healthy women. Iranian Journal of Public Health. 43(7), pp. 1009 - 1010.
On the associations between physical activity and quality of life: Findings from an Australian nationally representative panel survey
Perales, Francisco, del Pozo-Cruz, Jose, del Pozo-Cruz, Jesus and del Pozo Cruz, Borja. (2014). On the associations between physical activity and quality of life: Findings from an Australian nationally representative panel survey. Quality of Life Research. 23(7), pp. 1921 - 1933. https://doi.org/10.1007/s11136-014-0645-4
Fiabilidad de un test isométrico de rodilla en mujeres con fibromialgia mediante test-retest de 12 semanas (Reliability of an isometric knee test in women with fibromialgia using 12-week test-revisit)
Olivares, Pedro R., Perez-Sousa, Miguel A., del Pozo Cruz, Borja, Delgado-Gil, Serafin, Domínguez-Muñoz, Francisco Javier and Parraca, Jose A.. (2014). Fiabilidad de un test isométrico de rodilla en mujeres con fibromialgia mediante test-retest de 12 semanas (Reliability of an isometric knee test in women with fibromialgia using 12-week test-revisit). Revista Colombiana de Reumatologia. 21(2), pp. 70 - 75. https://doi.org/10.1016/S0121-8123(14)70151-3
Test-retest reliability and minimal detectable change scores for fitness assessment in older adults with type 2 diabetes
Alfonso-Rosa, Rosa M., del Pozo Cruz, Borja, Del Pozo-Cruz, Jesús, Corrales, Borja Sañudo and Rogers, Michael E.. (2014). Test-retest reliability and minimal detectable change scores for fitness assessment in older adults with type 2 diabetes. Rehabilitation Nursing. 39(5), pp. 260 - 268. https://doi.org/10.1002/rnj.111
Effects of supervised whole body vibration exercise on fall risk factors, functional dependence and health-related quality of life in nursing home residents aged 80+
Álvarez-Barbosa, Francisco, del Pozo-Cruz, Jesús, del Pozo-Cruz, Borja, Alfonso-Rosa, Rosa M., Rogers, Michael E. and Zhang, Yanxin. (2014). Effects of supervised whole body vibration exercise on fall risk factors, functional dependence and health-related quality of life in nursing home residents aged 80+. Maturitas. 79(4), pp. 456 - 463. https://doi.org/10.1016/j.maturitas.2014.09.010
Impact of physical activity on psychological distress: A prospective analysis of an Australian national sample
Perales, Francisco, del Pozo-Cruz, Jesús and del Pozo-Cruz, Borja. (2014). Impact of physical activity on psychological distress: A prospective analysis of an Australian national sample. American Journal of Public Health. 104(12), pp. e91 - e97. https://doi.org/10.2105/AJPH.2014.302169
Reliability and validity of lumbar and abdominal trunk muscle endurance tests in office workers with nonspecific subacute low back pain
del Pozo-Cruz, Borja, Hernandez-Mocholi, Miguel H., del Pozo-Cruz, Jesús, Parraca, Jose A., Adsuar, Jose C. and Gusi, Narcis. (2014). Reliability and validity of lumbar and abdominal trunk muscle endurance tests in office workers with nonspecific subacute low back pain. Journal of Back and Musculoskeletal Rehabilitation. 27(4), pp. 399 - 408. https://doi.org/10.3233/BMR-140460
Validation and comparison of 15-D and EQ-5D-5L instruments in a Spanish Parkinson's disease population sample
García-Gordillo, Miguel Ángel, del Pozo-Cruz, Borja, Adsuar, José Carmelo, Sánchez-Martínez, Fernando Ignacio and Abellán-Perpiñán, Jose María. (2014). Validation and comparison of 15-D and EQ-5D-5L instruments in a Spanish Parkinson's disease population sample. Quality of Life Research. 23(4), pp. 1315 - 1326. https://doi.org/10.1007/s11136-013-0569-4
The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study
Alfonso-Rosa, Rosa M., del Pozo Cruz, Borja, del Pozo-Cruz, Jesús, del Pozo-Cruz, Jose and Sañudo, Borja. (2013). The relationship between nutritional status, functional capacity, and health-related quality of life in older adults with type 2 diabetes: A pilot explanatory study. Journal of Nutrition, Health and Aging. 17(4), pp. 315 - 321. https://doi.org/10.1007/s12603-013-0028-5
Clinical effects of a nine-month web-based intervention in subacute non-specific low back pain patients: A randomized controlled trial
del Pozo-Cruz, Borja, Gusi, Narcis, del Pozo-Cruz, Jesús, Adsuar, Jose C., Hernandez-Mocholí, Miguel and Parraca, Jose A.. (2013). Clinical effects of a nine-month web-based intervention in subacute non-specific low back pain patients: A randomized controlled trial. Clinical Rehabilitation. 27(1), pp. 28 - 39. https://doi.org/10.1177/0269215512444632
Reanalysis of a tailored web-based exercise programme for office workers with sub-acute low back pain: Assessing the stage of change in behaviour
del Pozo Cruz, Borja, del Pozo-Cruz, Jesús, Adsuar, Jose C., Parraca, Jose A. and Gusi, Narcis. (2013). Reanalysis of a tailored web-based exercise programme for office workers with sub-acute low back pain: Assessing the stage of change in behaviour. Psychology, Health & Medicine. 18(6), pp. 687 - 697. https://doi.org/10.1080/13548506.2013.765019
A primary care–based randomized controlled trial of 12-week whole-body vibration for balance improvement in type 2 diabetes mellitus
del Pozo-Cruz, Jesús, Alfonso-Rosa, Rosa M., Ugia, José L., McVeigh, Joseph G., del Pozo-Cruz, Borja and Sañudo, Borja. (2013). A primary care–based randomized controlled trial of 12-week whole-body vibration for balance improvement in type 2 diabetes mellitus. Archives of Physical Medicine and Rehabilitation. 94(11), pp. 2112 - 2118. https://doi.org/10.1016/j.apmr.2013.05.030
Whole body vibration training improves leg blood flow and adiposity in patients with type 2 diabetes mellitus
Sañudo, Borja, Alfonso-Rosa, Rosa M., del Pozo-Cruz, Borja, del Pozo-Cruz, Jesús, Galiano, Delfín and Figueroa, Arturo. (2013). Whole body vibration training improves leg blood flow and adiposity in patients with type 2 diabetes mellitus. European Journal of Applied Physiology. 113(9), pp. 2245 - 2252. https://doi.org/10.1007/s00421-013-2654-3
Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: A cross-sectional study
del Pozo Cruz, Borja, Gusi, Narcis, Adsuar, Jose C., del Pozo-Cruz, Jesús, Parraca, Jose A. and Hernandez-Mocholí, M.. (2013). Musculoskeletal fitness and health-related quality of life characteristics among sedentary office workers affected by sub-acute, non-specific low back pain: A cross-sectional study. Physiotherapy. 99(3), pp. 194 - 200. https://doi.org/10.1016/j.physio.2012.06.006
Using whole-body vibration training in patients affected with common neurological diseases: A systematic literature review
del Pozo-Cruz, Borja, Adsuar, Jose C., Parraca, Jose A., del Pozo-Cruz, Jesús, Olivares, Pedro R. and Gusi, Narcis. (2012). Using whole-body vibration training in patients affected with common neurological diseases: A systematic literature review. Journal of Alternative & Complementary Medicine. 18(1), pp. 29 - 41. https://doi.org/10.1089/acm.2010.0691
An occupational, internet-based intervention to prevent chronicity in subacute lower back pain: A randomized controlled trial
del Pozo Cruz, Borja, Parraca, Jose A., del Pozo-Cruz, Jesús, Adsuar, Jose C., Hill, Jonathan C. and Gusi, Narcis. (2012). An occupational, internet-based intervention to prevent chronicity in subacute lower back pain: A randomized controlled trial. Journal of Rehabilitation Medicine. 44(7), pp. 581 - 587. https://doi.org/10.2340/16501977-0988
A Web-Based Intervention to Improve and Prevent low back pain among office workers: A randomized controlled trial
del Pozo Cruz, Borja, Adsuar, Jose C., Parraca, Jose A., del Pozo-Cruz, Jesus, Moreno, Antonio and Gusi, Narcis. (2012). A Web-Based Intervention to Improve and Prevent low back pain among office workers: A randomized controlled trial. Journal of Orthopaedic and Sports Physical Therapy. 42(10), pp. 831 - 841. https://doi.org/10.2519/jospt.2012.3980
Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial
Gusi, Narcis, Adsuar, Jose Carmelo, Corzo, Héctor, del Pozo Cruz, Borja, Olivares, Pedro R. and Parraca, Jose A.. (2012). Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial. Journal of Physiotherapy. 58(2), pp. 97 - 104. https://doi.org/10.1016/S1836-9553(12)70089-9
Whole body vibration improves the single-leg stance static balance in women with fibromyalgia: a randomized controlled trial
Adsuar, Jose C., del Pozo Cruz, Borja, Parraca, Jose A., Olivares, Pedro R. and Gusi, Narcis. (2012). Whole body vibration improves the single-leg stance static balance in women with fibromyalgia: a randomized controlled trial. The Journal of Sports Medicine and Physical Fitness. 52(1), pp. 85 - 91.
Test-retest reliability of isometric and isokinetic knee extension and flexion in patients with fibromyalgia: Evaluation of the smallest real difference
Adsuar, Jose C., Olivares, Pedro R., del Pozo-Cruz, Borja, Parraca, Jose A. and Gusi, Narcis. (2011). Test-retest reliability of isometric and isokinetic knee extension and flexion in patients with fibromyalgia: Evaluation of the smallest real difference. Archives of Physical Medicine and Rehabilitation. 92(10), pp. 1646 - 1651. https://doi.org/10.1016/j.apmr.2011.04.017
Tilting whole body vibration improves quality of life in women with fibromyalgia: A randomized controlled trial
Olivares, Pedro R., Gusi, Narcis, Parraca, Jose A., Adsuar, Jose C. and del Pozo-Cruz, Borja. (2011). Tilting whole body vibration improves quality of life in women with fibromyalgia: A randomized controlled trial. Journal of Alternative & Complementary Medicine. 17(8), pp. 723 - 728. https://doi.org/10.1089/acm.2010.0296
The Spanish version of the "STarT Back Screening Tool" (SBST) in different subgroups
Gusi, Narcís, del Pozo-Cruz, Borja, Olivares, Pedro R., Hernández-Mocholi, Miguel and Hill, Jonathan C.. (2011). The Spanish version of the "STarT Back Screening Tool" (SBST) in different subgroups. Atención Primaria. 43(7), pp. 356 - 361. https://doi.org/10.1016/j.aprim.2010.05.019
Effects of whole body vibration therapy on main outcome measures for chronic non-specific low back pain: A single-blind randomized controlled trial
del Pozo-Cruz, Borja, Hernández Mocholí, Miguel A., Adsuar, Jose C., Parraca, Jose A., Muro, Inmaculada and Gusi, Narcis. (2011). Effects of whole body vibration therapy on main outcome measures for chronic non-specific low back pain: A single-blind randomized controlled trial. Journal of Rehabilitation Medicine. 43(8), pp. 689 - 694. https://doi.org/10.2340/16501977-0830