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                                             Journal of Sport and Health Science 13 (2024) 127129

                                                         Commentary

            TaggedAPTARAH1Commentary on “Association of daily sitting time and leisure-time physical

                                   activity with body fat among U.S. adults”TaggedAPTARAEnd

                                                    TaggedAPTARAPBarbara E. AinsworthTaggedAPTARAEnd
                                   TaggedAPTARAPSchool of Exercise and Health, Shanghai University of Sport, Shanghai 200438, China
           TaggedAPTARAEnd                   Received 1 September 2023; accepted 5 September 2023
                                                   Available online 10 September 2023

              2095-2546/Ó 2024 Published by Elsevier B.V. on behalf of Shanghai University of Sport. This is an open access article under the CC BY-NC-ND license.
                                              (http://creativecommons.org/licenses/by-nc-nd/4.0/)


             TaggedAPTARAPIn their study, association of daily sitting time and  physical inactivity on mortality, morbidity, and health-related
           leisure-time physical activity (LTPA) with body fat among U.S.  conditions. For example, in an analysis of National Health and
                         1
           Adults, Liao et al. analyzed data from the 20112018 National  Examination Survey data from 2007 to 2015, Cao et al. 9
           Health and Examination Survey to examine associations between  showed that inactive and insufficiently active cancer survivors
           h/day sitting, meeting (or not meeting) the U.S. Physical Activity  who sat for 6 h/day were 3.92 times (odds ratio (OR) = 3.92,
           Guidelines of 150 min/week of moderate- and vigorous-inten-  95% confidence interval (95%CI): 2.157.16) more likely to
           sity LTPA, and combinations of sitting time and LTPA on total  die from all-causes and 4.71 times (OR = 4.71, 95%CI:
           and trunk percent body fat (BF%). LTPA and total sitting time  1.6013.9) more likely to die from cancer as compared to
                                                             2
           were measured with the Global Physical Activity Questionnaire.  sufficiently active cancer survivors who sat for 6 h/day. Park
           For LTPA, respondents recalled the minutes spent in moderate-  et al. 10  analyzed data from the 2014 and 2015 Korea National
           and vigorous-intensity LTPA in the past week. For total sitting  Health and Nutrition Examination Survey showing joint
           time, respondents recalled the h/day sitting at school, at home,  effects of sitting and LTPA on chronic low back pain.
           getting to and from places, and with friends. BF% was measured  Respondents with low LTPA (inactive and insufficiently
           using dual-energy X-ray absorptiometry scans to identify total  active) and sitting more than 7 h/day had a 46% increased
           body fat (head, limbs, and trunk area) and trunk body fat,  odds (OR = 1.46, 95%CI: 1.131.88) of chronic low back pain
                                                                 compared to sufficiently active respondents who sat more than
           reflecting abdominal body fat (herein referred to as BF%).TaggedAPTARAEnd
             TaggedAPTARAPResults showed a positive association between total sitting  7 h/day (OR = 1.18; 95%CI: 0.871.60). In a subsequent anal-
           time and a negative association between LTPA and BF% in  ysis of the Korea National Health and Nutrition Examination
                                                                                12
           10,808 males and females aged 20 years to 59 years. LTPA  Survey, Choi et al. examined the associations between sitting
           had a moderating effect on BF% for combinations of sitting  time, LTPA, and health-related quality of life measured with
           time (<4 h/day, 4<6 h/day, 68 h/day, and >8 h/day) and  the EuroQol 5 Dimension 5 Level scale 14  in older adults ages
           LTPA categories (0 min/week (inactive), <150 min/week  65. Compared with sufficiently active respondents who sat
           (insufficiently active), and 150 min/week (sufficiently  for <8 h/day, ORs (OR and 95%CI) for adverse health-related
           active)). Inactive and insufficiently active respondents had a  quality of life among inactive and insufficiently active (<150
           graded increase in BF% at all levels of sitting time. Suffi-  min/week) respondents sitting 8 h/day were: poor mobility
           ciently active respondents had increases in BF% only when  (OR = 1.90,  95%CI:  1.472.46),  low  self-care  ability
           sitting 6 h/week. These results show the deleterious effects  (OR = 2.14,  95%CI:  1.413.27),  low  usual  activity
           of prolonged sitting time on BF%, especially in persons who  (OR = 3.38,  95%CI:  2.374.82),  pain  and  discomfort
           are physically inactive or insufficiently active. They also show  (OR = 1.79, 95%CI: 1.382.31), and high anxiety and depres-
           the moderating effects of sufficient LTPA on sitting time in  sion (OR = 1.69, 95%CI: 1.192.41). Alternatively, in suffi-
                                                                 ciently active respondents sitting 8 h/day, 3 (of 5) items on
           protecting against increased BF%.TaggedAPTARAEnd
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             TaggedAPTARAPLiao et al.’s results are consistent with studies showing  the health-related quality of life questionnaire (mobility, self-
           independent 38  and joint effects 913  of prolonged sitting and  care, anxiety, and depression) were not statistically different
                                                                 from sufficiently active respondents sitting <8 h/day. Results
                                                                 from these studies and others show a consistent pattern that
            TaggedAPTARAEndTaggedAPTARAEnd Peer review under responsibility of Shanghai University of Sport.
             E-mail address: Barbara.ainsworth@asu.edu (B.E. Ainsworth).  sitting for prolonged periods and engaging in <150 m/week in
           https://doi.org/10.1016/j.jshs.2023.09.002
           Cite this article: Ainsworth BE. Commentary on “Association of daily sitting time and leisure-time physical activity with body fat among U.S. adults”.
           J Sport Health Sci 2024;13:1279.
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