Sedentary Behaviour and Its Relationship with Early Vascular Ageing in the General Spanish Population: A Cross-Sectional Study

Int J Environ Res Public Health. 2022 Apr 29;19(9):5450. doi: 10.3390/ijerph19095450.

Abstract

Sedentary behaviour is associated with a greater predisposition to developing cardiovascular diseases. The aim of the study was to analyse the relationship between sedentary time and early vascular ageing. A total of 501 participants (49.70% men) were recruited through random sampling stratified by age group and sex. Vascular ageing was evaluated considering three criteria: (1) the vascular ageing index (VAI); (2) the carotid−femoral pulse wave velocity (cfPWV) 10th and 90th percentiles of the reference values in the European population by age; and (3) the Framingham’s heart age. The carotid intima−media thickness was measured using a Sonosite Micromaxx ultrasound, the presence of peripheral artery disease was assessed by calculating the ankle−brachial index using a VaSera VS-1500, and the cfPWV was measured with a SphygmoCor® device. Weekly sedentary hours were evaluated through a sitting time questionnaire. The average age of the population was 55.90 ± 14.24 years. The men spent more hours sitting per week (47.6 ± 16.6 vs. 36.8 ± 17.3 h/W), at work (16.7 ± 16.2 vs. 9.73 ± 14.9 h/W), and watching TV (21.6 ± 12.5 vs. 18.7 ± 11.9 h/W). In the logistic regression analysis, the individuals with early vascular aging (EVA), with respect to those with healthy vascular aging (HVA), spent more hours sitting per week (OR = 1.03 vs. OR = 1.02; p < 0.05) and watching TV (OR = 1.03 vs. OR = 1.03; p < 0.05), using the criteria of the European guideline and VAI, and more hours sitting when commuting (OR = 1.04; p < 0.05), using Framingham’s heart age to define EVA. The results of this study indicate that sedentary time is associated with early vascular ageing. Therefore, reducing sedentary time would improve vascular health.

Keywords: early vascular ageing; general population; healthy vascular ageing; normal vascular ageing; sedentary behaviour.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aging
  • Carotid Intima-Media Thickness
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Peripheral Arterial Disease*
  • Pulse Wave Analysis / methods
  • Sedentary Behavior
  • Vascular Stiffness*

Grants and funding

This research was funded by the Spanish Ministry of Science and Innovation, Instituto de Salud Carlos III and co-funded by the European Union (ERDF/ESF, “Investing in your future” and “Recovery, Transformation and Resilience Plan”) Research groups (RICAPPS): RD21/0016/0010 and the Government of Castilla y León (GRS 1193/B/15, GRS 1821/B/18) and intensification program (INT/M/08/9 INT/M/9/19/INT/M/14/19). They played no role in the study design, data analysis, reporting of results, or the decision to submit the manuscript for publication.