Personal Activity Intelligence (PAI), Sedentary Behavior and Cardiovascular Risk Factor Clustering - the HUNT Study

Nina Zisko; Kjerstin Næss Skjerve; Atefe R Tari; Silvana Bucher Sandbakk; Ulrik Wisløff; Bjarne M Nes; Javaid Nauman

doi:10.1016/j.pcad.2017.02.007

Personal Activity Intelligence (PAI), Sedentary Behavior and Cardiovascular Risk Factor Clustering - the HUNT Study

Prog Cardiovasc Dis. 2017 Jun-Jul;60(1):89-95. doi: 10.1016/j.pcad.2017.02.007. Epub 2017 Mar 6.

Authors

Nina Zisko¹, Kjerstin Næss Skjerve¹, Atefe R Tari¹, Silvana Bucher Sandbakk¹, Ulrik Wisløff², Bjarne M Nes³, Javaid Nauman⁴

Affiliations

¹ K.G. Jebsen Center of Exercise in Medicine at the Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Faculty of Medicine, Trondheim, Norway.
² K.G. Jebsen Center of Exercise in Medicine at the Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Faculty of Medicine, Trondheim, Norway; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.
³ K.G. Jebsen Center of Exercise in Medicine at the Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Faculty of Medicine, Trondheim, Norway; Department of Cardiology, St. Olavs Hospital, Norway. Electronic address: bjarne.nes@ntnu.no.
⁴ K.G. Jebsen Center of Exercise in Medicine at the Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Faculty of Medicine, Trondheim, Norway; Department of Cardiology, St. Olavs Hospital, Norway.

PMID: 28274818
DOI: 10.1016/j.pcad.2017.02.007

Abstract

Prolonged sedentary behavior (SB) positively associates with clustering of risk factors for cardiovascular disease (CVD). The recently developed metric for physical activity (PA) tracking called Personal Activity Intelligence (PAI) takes into account age, sex, resting and maximum heart rate, and a score of ≥100 weekly PAI has been shown to reduce the risk of premature CVD death in healthy as well as individuals with known CVD risk factors, regardless of whether or not the current PA recommendations were met. The aim of the present study was to examine if PAI modifies the associations between SB and CVD risk factor (CV-RF) clustering in a large apparently healthy general population cohort (n=29,950, aged ≥20 years). Logistic regression revealed that in those with ≥100 weekly PAI, the likelihood of CV-RF clustering prevalence associated with prolonged SB was attenuated across age groups. Monitoring weekly PAI-level could be useful to ensure that people perform enough PA to combat SB's deleterious association with CV-RF.

Keywords: Cardiovascular disease; Cardiovascular disease risk factors; Exercise; Exercise intensity; Physical activity; Sedentary behavior.

Publication types

Review