Obesity

Substituting sedentary time with sleep or physical activity and subsequent weight‐loss maintenance

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

Sedentary behavior had little or no influence on subsequent weight-loss maintenance, but during the early stages of a weight-loss maintenance program, substituting sedentary behavior with moderate-to-vigorous physical activity may prevent a gain in body fat percentage.

Study context

Population
Adults from the NoHoW trial with successful weight loss of ≥5% during the 12 months prior to baseline and BMI ≥25 kg/m² before losing weight
Participants
1,152 adults
Exposure
Substitution of sedentary time with sleep or physical activity at different intensities
Outcome
Change in body weight
Methodological detailsisotemporal substitution models, objectively measured physical activity and sleep, Physical activity and sleep objectively measured during a 14-day period at baseline
  • Isotemporal substitution models
  • Objectively measured physical activity and sleep
  • Physical activity and sleep objectively measured during a 14-day period at baseline

Main finding

As reported in the abstract

  • No associations between activity substitutions and changes in body weight
  • Isotemporal substitution models

Observational data: associations, not effects.

Secondary outcomes

Change in waist circumference

No associations between activity substitutions and changes in waist circumference

Change in body fat percentage, substituting sedentary behavior with moderate-to-vigorous physical activity · first 6 months of the trial

Change in body fat % per 30 minutes higher moderate-to-vigorous physical activity
−0.33% (95% CI: −0.60% to −0.07%; p = 0.013)

Original publication

Substituting sedentary time with sleep or physical activity and subsequent weight‐loss maintenance. Obesity (Silver Spring). Published 27 December 2022. doi:10.1002/oby.23631

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