TitleMetabolically healthy obesity: what is the role of sedentary behaviour?
Publication TypeJournal Article
Year of Publication2014
AuthorsBell, JA, Kivimäki, M, Batty, GD, Hamer, M
JournalPrev Med
Date Published2014 May
KeywordsActivities of Daily Living, Aged, Aging, Body Mass Index, Case-Control Studies, Cohort Studies, Cross-Sectional Studies, Depression, England, Female, Health Status, Humans, Linear Models, Longitudinal Studies, Male, Obesity, Prospective Studies, Sedentary behavior, Sex Factors, Socioeconomic Factors, Surveys and Questionnaires, Television

OBJECTIVE: The role of sedentary behaviour in metabolically healthy obesity is unknown. We examined cross-sectional differences in television viewing time across metabolic and obesity phenotypes, hypothesizing that healthy obese individuals spend less time viewing television than their unhealthy counterparts.

METHODS: A nationally representative sample of 4931 older adults in England (mean age 65.1; SD=8.9 years) was drawn from the 2008/9 wave of the English Longitudinal Study of Ageing. Average weekly television viewing time was derived from two questions about weekday and weekend viewing. Obesity was defined as body mass index ≥ 30 kg/m(2), and metabolically healthy as having <2 metabolic abnormalities (low HDL-cholesterol, high triglycerides, high blood pressure, hyperglycaemia, high inflammation).

RESULTS: After adjusting for covariates including chronic illness, functional limitations and physical activity, mean weekly viewing times were 4.7 (95% confidence interval 2.9, 6.5), 5.8 (2.5, 9.0) and 7.8 (5.7, 9.8) h higher in unhealthy non-obese, healthy obese, and unhealthy obese groups respectively, compared to the healthy non-obese group (p for heterogeneity <0.001).

CONCLUSIONS: A common type of leisure-time sedentary behaviour varies across metabolic and obesity phenotypes. However, healthy obesity is not explained through differences in leisure-time sedentary behaviour.

Alternate JournalPrev Med
PubMed ID24513171
PubMed Central IDPMC3995089
Grant ListRE/10/005/28296 / / British Heart Foundation / United Kingdom
R01 HL036310 / HL / NHLBI NIH HHS / United States
K013351 / / Medical Research Council / United Kingdom
R01 AG034454 / AG / NIA NIH HHS / United States
HL36310 / HL / NHLBI NIH HHS / United States
R01 AG017644 / AG / NIA NIH HHS / United States
MR/K013351/1 / / Medical Research Council / United Kingdom
AG034454 / AG / NIA NIH HHS / United States