Obesity

Associations of objectively measured physical activity, sedentary time and cardiorespiratory fitness with adipose tissue insulin resistance and ectopic fat

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Sedentary time is positively associated with adipose tissue insulin resistance which regulates lipogenesis and lipolysis. CRF is independently related to central fat storage which is a key risk factor for cardiometabolic disease.

Study context

Population
Community volunteers; male 60%, median (IQR) age 37 (19) years, body mass index (BMI) 26.1 (6.3) kg·m-2
Participants
141 community volunteers
Exposure
Associations of sedentary time, MVPA and cardiorespiratory fitness (CRF) with Adipo-IR and ectopic fat
Outcome
Adipose tissue insulin resistance (Adipo-IR) and magnetic resonance imaging (MRI)-measured liver fat, VAT and ScAT
Methodological detailspooled data from two previous experimental studies, accelerometer-measured activity, generalized linear models
  • Pooled data from two previous experimental studies
  • Accelerometer-measured activity
  • Generalized linear models

Main finding

As reported in the abstract

Sedentary time vs Adipo-IR, β (95% CI 0.27 to 1.10), P < 0.001

0.68 AU

Sedentary time vs VAT, β (95% CI 0.01 to 0.08), P = 0.005; stronger in females than males

0.05 L

CRF vs VAT, β (95% CI −0.04 to −0.01), P = 0.003; moderated by sex

−0.02 L

CRF vs ScAT, β (95% CI −0.13 to −0.06), P < 0.001; moderated by BMI

−0.10 L

Observational data: associations, not effects.

Original publication

Associations of objectively measured physical activity, sedentary time and cardiorespiratory fitness with adipose tissue insulin resistance and ectopic fat. Int J Obes (Lond). Published 25 July 2023. doi:10.1038/s41366-023-01350-0

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