Accepted for/Published in: JMIR Public Health and Surveillance
Date Submitted: Mar 22, 2023
Open Peer Review Period: Mar 22, 2023 - Apr 5, 2023
Date Accepted: Nov 28, 2023
(closed for review but you can still tweet)
Adherence to 24-hour movement guidelines and non-communicable disease risk in Chinese adults: a prospective cohort study
ABSTRACT
Background:
Adherence to adequate physical activity, screen time, and sleep for adults is associated with lower risks of non-communicable diseases (NCDs). Nevertheless, there are few prospective assessments on adherence to 24-hour movement guidelines (24HGs) to develop healthy recommendations on daily movements.
Objective:
We aimed to explore prospective associations between adherence to 24HGs recommendations and NCDs risks.
Methods:
This decadal study included 9227 adults aged 35 years and above without any major NCDs at enrollment from the China Health and Nutrition Survey (2004-2011), and followed up until 2015. Adherence to 24HGs was measured by participant reports, providing one point for compliance to each component, resulting in an aggregated score ranging from 0-3. The outcome variable was first detection of major NCDs. Logistic regression models were used to evaluate the associations.
Results:
Among the overweight and obesity groups, compared with participants not adhering to any of the activity guidelines, those adhering to one (OR=0.37, 95%CI: 0.19-0.74, p<0.01), two (OR=0.36, 95%CI: 0.19-0.71, p<0.01), and all (OR=0.33, 95%CI: 0.14-0.74, p<0.01) 24HGs recommendations had a significantly lower NCD risk. Among the normal or underweight groups, compared with participants not adhering to any of the activity guidelines, only those adhering to overall (OR=0.37, 95%CI: 0.16-0.88, p<0.05) components had a significantly lower NCD risk.
Conclusions:
In this prospective study, active adherence to the 24HGs recommendations was associated with lower risks of NCDs, especially in the groups with overweight or obesity. Our findings highlight the potential for modifying healthy daily movement behaviors to reduce occurrences of NCDs.
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