Association between movement behavior patterns and cardiovascular risk among Chinese adults aged 40-75: a...

Area of Science:

• Public Health
• Epidemiology
• Lifestyle Medicine

Background:

• Cardiovascular disease (CVD) is a leading cause of death globally, particularly in China.
• Lifestyle factors like sleep, physical activity (PA), and sedentary behavior (SB) are known CVD risk factors.
• Limited understanding exists regarding specific movement behavior patterns and their sex-specific associations with CVD risk.

Purpose of the Study:

• To identify distinct movement behavior patterns among Chinese adults aged 40-75.
• To investigate the association between these patterns and cardiovascular disease (CVD) risk.
• To explore potential sex-specific differences in movement patterns and CVD risk.

Main Methods:

• Latent class analysis used to identify movement patterns in 13,465 males and 15,613 females.
• Multinomial logistic regression models assessed CVD risk.
• China-PAR model calculated 10-year CVD risk.

Main Results:

• Three male and four female movement patterns were identified.
• Active Movers showed the lowest CVD risk.
• In males, Moderate Achievers and Sedentary Sleepers had higher CVD risk compared to Active Movers; no significant associations were found in females.

Conclusions:

• Sex-specific movement patterns are linked to CVD risk in middle-aged Chinese adults.
• An active movement pattern, emphasizing vigorous physical activity and reduced sedentary behavior, is beneficial for mitigating CVD risk, particularly in males.
• A holistic approach integrating sleep, PA, and SB is crucial for CVD risk management.