Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium

doi:10.1161/CIRCULATIONAHA.124.069820

. 2024 Nov 6.

doi: 10.1161/CIRCULATIONAHA.124.069820. Online ahead of print.

Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium

Joanna M Blodgett^{1

2}, Matthew N Ahmadi^{3

4}, Andrew J Atkin⁵, Richard M Pulsford⁶, Vegar Rangul⁷, Sebastien Chastin^{8

9}, Hsiu-Wen Chan¹⁰, Kristin Suorsa^{11

12}, Esmée A Bakker^{13

14}, Nidhi Gupta¹⁵, Pasan Hettiarachchi¹⁶, Peter J Johansson^{16

17}, Lauren B Sherar¹⁸, Borja Del Pozo Cruz^{19

20}, Nicholas Koemel^{3

4}, Gita D Mishra¹⁰, Thijs M H Eijsvogels¹³, Sari Stenholm^{11

12

21}, Alun D Hughes^{22

2

23}, Armando Teixeira-Pinto²⁴, Ulf Ekelund^{25

26}, I-Min Lee^{27

28}, Andreas Holtermann^{15

20}, Annemarie Koster²⁹, Emmanuel Stamatakis^{3

4}, Mark Hamer^{1

2}; ProPASS Collaboration

Collaborators, Affiliations

Collaborators

ProPASS Collaboration:
Hans Savelberg, Bastiaan de Galan, Carla van de Kallen, Dick H J Thijssen

Affiliations

¹ Institute of Sport Exercise and Health, Division of Surgery and Interventional Sciences, University College London, United Kingdom. (J.M.B., M.H.).
² University College London Hospitals, National Institute for Health and Care Research Biomedical Research Centre, United Kingdom (J.M.B., A.D.H., M.H.).
³ Mackenzie Wearables Research Hub, Charles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Australia. (M.N.A., N.K., E.S.).
⁴ School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Australia. (M.N.A., N.K., E.S.).
⁵ School of Health Sciences and Norwich Epidemiology Centre, University of East Anglia, United Kingdom (A.J.A.).
⁶ Faculty of Health and Life Sciences, University of Exeter, United Kingdom (R.M.P.).
⁷ HUNT Research Centre, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Levanger (V.R.).
⁸ School of Health and Life Science, Glasgow Caledonian University, United Kingdom (S.C.).
⁹ Department of Movement and Sport Sciences, Ghent University, Belgium (S.C.).
¹⁰ School of Public Health, University of Queensland, Brisbane, Australia (H.-W.C., G.D.M.).
¹¹ Department of Public Health, University of Turku and Turku University Hospital, Finland. (K.S., S.S.).
¹² Centre for Population Health Research, University of Turku and Turku University Hospital, Finland. (K.S., S.S.).
¹³ Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute, University of Granada, Spain (E.A.B., T.M.H.E.).
¹⁴ Department of Medical BioSciences, Exercise Physiology Research Group, Radboud University Medical Center, Nijmegen, The Netherlands (E.A.B.).
¹⁵ National Research Centre for the Working Environment, Copenhagen, Denmark (N.G., A.H.).
¹⁶ Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Sweden. (P.H., P.J.J.).
¹⁷ Occupational and Environmental Medicine, Uppsala University Hospital, Sweden (P.J.J.).
¹⁸ School of Sport, Exercise and Health Sciences, Loughborough University, United Kingdom (L.B.S.).
¹⁹ Faculty of Sport Sciences, and Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain (B.d.P.C.).
²⁰ Department of Sports Science and Clinical Biomechanics, Faculty of Health, Southern Denmark University, Odense, Denmark (B.d.P.C., A.H.).
²¹ Research Services, University of Turku and Turku University Hospital, Finland. (S.S.).
²² University College London British Heart Foundation Research Accelerator, University College London, United Kingdom. (A.D.H.).
²³ Department of Population Science & Experimental Medicine, UCL Institute of Cardiovascular Science, UCL, United Kingdom (A.D.H.).
²⁴ School of Public Health, Faculty of Medicine and Health, University of Sydney, Australia. (A.T.-P.).
²⁵ Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo (U.E.).
²⁶ Department of Chronic Diseases, Norwegian Public Health Institute, Oslo (U.E.).
²⁷ Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (I.M.L.).
²⁸ Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA (I.M.L.).
²⁹ Maastricht University CAPRHI Care and Public Health Research Institute, Department of Social Medicine Maastricht, The Netherlands (A.K.).

PMID: 39504653
DOI: 10.1161/CIRCULATIONAHA.124.069820

Free article

Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium

Joanna M Blodgett et al. Circulation. 2024.

Free article

. 2024 Nov 6.

doi: 10.1161/CIRCULATIONAHA.124.069820. Online ahead of print.

Authors

Collaborators

ProPASS Collaboration:
Hans Savelberg, Bastiaan de Galan, Carla van de Kallen, Dick H J Thijssen

Affiliations

¹ Institute of Sport Exercise and Health, Division of Surgery and Interventional Sciences, University College London, United Kingdom. (J.M.B., M.H.).
² University College London Hospitals, National Institute for Health and Care Research Biomedical Research Centre, United Kingdom (J.M.B., A.D.H., M.H.).
³ Mackenzie Wearables Research Hub, Charles Perkins Centre, Faculty of Medicine and Health, University of Sydney, Australia. (M.N.A., N.K., E.S.).
⁴ School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Australia. (M.N.A., N.K., E.S.).
⁵ School of Health Sciences and Norwich Epidemiology Centre, University of East Anglia, United Kingdom (A.J.A.).
⁶ Faculty of Health and Life Sciences, University of Exeter, United Kingdom (R.M.P.).
⁷ HUNT Research Centre, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Levanger (V.R.).
⁸ School of Health and Life Science, Glasgow Caledonian University, United Kingdom (S.C.).
⁹ Department of Movement and Sport Sciences, Ghent University, Belgium (S.C.).
¹⁰ School of Public Health, University of Queensland, Brisbane, Australia (H.-W.C., G.D.M.).
¹¹ Department of Public Health, University of Turku and Turku University Hospital, Finland. (K.S., S.S.).
¹² Centre for Population Health Research, University of Turku and Turku University Hospital, Finland. (K.S., S.S.).
¹³ Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute, University of Granada, Spain (E.A.B., T.M.H.E.).
¹⁴ Department of Medical BioSciences, Exercise Physiology Research Group, Radboud University Medical Center, Nijmegen, The Netherlands (E.A.B.).
¹⁵ National Research Centre for the Working Environment, Copenhagen, Denmark (N.G., A.H.).
¹⁶ Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Sweden. (P.H., P.J.J.).
¹⁷ Occupational and Environmental Medicine, Uppsala University Hospital, Sweden (P.J.J.).
¹⁸ School of Sport, Exercise and Health Sciences, Loughborough University, United Kingdom (L.B.S.).
¹⁹ Faculty of Sport Sciences, and Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain (B.d.P.C.).
²⁰ Department of Sports Science and Clinical Biomechanics, Faculty of Health, Southern Denmark University, Odense, Denmark (B.d.P.C., A.H.).
²¹ Research Services, University of Turku and Turku University Hospital, Finland. (S.S.).
²² University College London British Heart Foundation Research Accelerator, University College London, United Kingdom. (A.D.H.).
²³ Department of Population Science & Experimental Medicine, UCL Institute of Cardiovascular Science, UCL, United Kingdom (A.D.H.).
²⁴ School of Public Health, Faculty of Medicine and Health, University of Sydney, Australia. (A.T.-P.).
²⁵ Department of Sport Medicine, Norwegian School of Sport Sciences, Oslo (U.E.).
²⁶ Department of Chronic Diseases, Norwegian Public Health Institute, Oslo (U.E.).
²⁷ Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (I.M.L.).
²⁸ Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA (I.M.L.).
²⁹ Maastricht University CAPRHI Care and Public Health Research Institute, Department of Social Medicine Maastricht, The Netherlands (A.K.).

PMID: 39504653
DOI: 10.1161/CIRCULATIONAHA.124.069820

Abstract

Background: Blood pressure (BP)-lowering effects of structured exercise are well-established. Effects of 24-hour movement behaviors captured in free-living settings have received less attention. This cross-sectional study investigated associations between a 24-hour behavior composition comprising 6 parts (sleeping, sedentary behavior, standing, slow walking, fast walking, and combined exercise-like activity [eg, running and cycling]) and systolic BP (SBP) and diastolic BP (DBP).

Methods: Data from thigh-worn accelerometers and BP measurements were collected from 6 cohorts in the Prospective Physical Activity, Sitting and Sleep consortium (ProPASS) (n=14 761; mean±SD, 54.2±9.6 years). Individual participant analysis using compositional data analysis was conducted with adjustments for relevant harmonized covariates. Based on the average sample composition, reallocation plots examined estimated BP reductions through behavioral replacement; the theoretical benefits of optimal (ie, clinically meaningful improvement in SBP [2 mm Hg] or DBP [1 mm Hg]) and minimal (ie, 5-minute reallocation) behavioral replacements were identified.

Results: The average 24-hour composition consisted of sleeping (7.13±1.19 hours), sedentary behavior (10.7±1.9 hours), standing (3.2±1.1 hours), slow walking (1.6±0.6 hours), fast walking (1.1±0.5 hours), and exercise-like activity (16.0±16.3 minutes). More time spent exercising or sleeping, relative to other behaviors, was associated with lower BP. An additional 5 minutes of exercise-like activity was associated with estimated reductions of -0.68 mm Hg (95% CI, -0.15, -1.21) SBP and -0.54 mm Hg (95% CI, -0.19, 0.89) DBP. Clinically meaningful improvements in SBP and DBP were estimated after 20 to 27 minutes and 10 to 15 minutes of reallocation of time in other behaviors into additional exercise. Although more time spent being sedentary was adversely associated with SBP and DBP, there was minimal impact of standing or walking.

Conclusions: Study findings reiterate the importance of exercise for BP control, suggesting that small additional amounts of exercise are associated with lower BP in a free-living setting.

Keywords: cardiometabolic risk factors; epidemiology; exercise; observational study; sedentary behavior; sleep; walking.

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Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium

Collaborators

Affiliations

Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium

Authors

Collaborators

Affiliations

Abstract

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