Longitudinal Mediating Effect of Fat Mass and Lipids on Sedentary Time, Light PA, and Moderate-to-vigorous Physical Activity (MVPA) with Inflammation in Youth

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

ST worsens inflammation, but increased LPA had a 2-fold inflammatory-lowering effect and was more resistant to the attenuating effect of fat mass compared with MVPA, and hence should be targeted in future interventions.

Study context

Population
Children from the Avon Longitudinal Study of Parents and Children, UK, with ≥2 accelerometer-based measures of sedentary time (ST), light physical activity (LPA) and MVPA at ages 11, 15 and 24 years and complete high-sensitivity C-reactive protein (hsCRP) at ages 15, 17 and 24 years; 58% female; mean (SD) baseline age 11.7 (0.2) years
Participants
792 children
Outcome
Mediating role of fat mass, lipids and insulin resistance in associations of cumulative ST, LPA and MVPA with inflammation (hsCRP)
Follow-up
13-year follow-up
Methodological detailslongitudinal, mediation analysis using structural equation models
  • Longitudinal
  • Mediation analysis using structural equation models

Main finding

As reported in the abstract

Mediation of associations of ST, LPA and MVPA with hsCRP

Insulin resistance partly suppressed the positive association of ST with hsCRP among participants with overweight/obesity

23.5% suppression

Fat mass partly mediated the negative association of LPA with hsCRP

30% mediation

Fat mass mediation effect on the negative association of MVPA with hsCRP

77%

Observational data: associations, not effects.

Further findings

Trajectories of movement behaviours and hsCRP · 13-year follow-up

ST increased, LPA decreased, MVPA had a U-shaped increase, and hsCRP increased

Original publication

Longitudinal Mediating Effect of Fat Mass and Lipids on Sedentary Time, Light PA, and MVPA with Inflammation in Youth. J Clin Endocrinol Metab. Published 13 June 2023. doi:10.1210/clinem/dgad354

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