OBJECTIVES
24-Hour Movement Guidelines provide recommendations for physical activity, sedentary behavior, and sleep by all age groups, and have been reported to be associated with a reduced risk of metabolic disease. Nevertheless, most of studies regarding the 24-Hour Movement Guidelines have focused on children and adolescents, there is a dearth of research examining the association between adherence to the 24-hour Movement Guidelines and cardiovascular disease in adults. This study aimed to determine the associations between meeting 24-hour Movement Guidelines and cardiometabolic syndrome in the general adult population, utilizing Korea National Health and Nutrition Examination Survey (KNHANES) data.
METHODS
This study used data from KNHANES 2014-2017 and included 2,151 adults. Physical activity and sedentary behavior were measured using a 3-axis accelerometer. Sleep time was measured using a self-reported questionnaire. The adverse cardiometabolic risk factors were defined as abdominal obesity, high blood pressure, high fasting glucose, high total cholesterol, high hemoglobin A1c, and low high-density lipoprotein cholesterol. We also defined cardiometabolic syndrome as having ≥3 of these risk factors. A logistic regression analysis was used to determine the associations between meeting the 24-hour Movement Guidelines and cardiometabolic syndrome, adjusted for potential confounding factors.
RESULTS
While analyzing the independent associations, the odds ratios (ORs) for cardiometabolic syndrome were 0.44 (95% CI, 0.28 to 0.68) in the participants who met physical activity guideline and 0.78 (95% CI, 0.45 to 0.98) in the those who met sleep guideline, respectively. Compared with meeting none of the guidelines, the OR for cardiometabolic syndrome was 0.67 (95% CI, 0.45 to 0.98) in the participants met two out of three guidelines, and 0.24 (95% CI, 0.10 to 0.59) in those met all three guidelines. Moreover, in the analysis of specific combinations, the group that met the physical activity and sleep time guidelines showed a significantly lower risk of cardiometabolic syndrome (OR, 0.44; 95% CI, 0.21 to 0.89).
CONCLUSIONS
Adhering to two or more guidelines, including the physical activity guidelines, may contribute to reducing the risk of cardiometabolic syndrome. Furthermore, the findings of this study suggest that meeting all three guidelines is more closely associated with the reduced risk of cardiometabolic health.