Causal Association Between Sedentary Behaviors and Health Outcomes: A Systematic Review and Meta-Analysis of Mendelian Randomization Studies.

IF 9.3 1区 医学 Q1 SPORT SCIENCES Sports Medicine Pub Date : 2024-09-02 DOI:10.1007/s40279-024-02090-5
Ying Gao, Qingyang Li, Luyao Yang, Hanhua Zhao, Di Wang, Arto J Pesola
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Abstract

Background: Different types of sedentary behavior are associated with several health outcomes, but the causality of these associations remains unclear.

Objectives: To conduct a systematic review and meta-analysis of Mendelian randomization (MR) studies investigating the associations between sedentary behaviors and health outcomes.

Methods: A systematic search on PubMed, Embase, Web of Science, Scopus, and PsycINFO up to August 2023 was conducted to identify eligible MR studies. We selected studies that assessed associations of genetically determined sedentary behaviors and health outcomes. A meta-analysis was conducted to examine the causal associations when two or more MR studies were available. We graded the evidence level of each MR association based on the results of the main method and sensitivity analyses in MR studies.

Results: A total of 31 studies with 168 MR associations between six types of sedentary behavior and 47 health outcomes were included. Results from meta-analyses suggested a total of 47 significant causal associations between sedentary behaviors and health outcomes. Notably, more leisure TV watching is robustly correlated with increased risks of myocardial infarction, coronary artery disease, all-cause ischemic stroke, and type 2 diabetes. Conversely, robust inverse associations were observed between leisure computer use and risks of rheumatoid arthritis, Alzheimer's disease, and gastroesophageal reflux disease.

Conclusion: These findings suggest that different types of sedentary behavior have distinct causal effects on health outcomes. Therefore, interventions should focus not only on reducing sedentary time but also on promoting healthier types of sedentary behavior.

Prospero registration: CRD42023453828.

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久坐行为与健康结果之间的因果关系:孟德尔随机研究的系统回顾和元分析》。
背景:不同类型的久坐行为与多种健康结果有关,但这些关联的因果关系仍不清楚:不同类型的久坐行为与多种健康结果有关,但这些关联的因果关系仍不清楚:对调查久坐行为与健康结果之间关系的孟德尔随机化(MR)研究进行系统回顾和荟萃分析:方法: 我们在 PubMed、Embase、Web of Science、Scopus 和 PsycINFO 上进行了系统检索,以确定符合条件的 MR 研究,检索时间截至 2023 年 8 月。我们选择了评估由基因决定的久坐行为与健康结果之间关系的研究。当有两项或更多的 MR 研究时,我们会进行荟萃分析以检查因果关系。我们根据MR研究的主要方法和敏感性分析结果对每种MR关联的证据等级进行了分级:结果:共纳入了 31 项研究,其中 168 项研究涉及六种久坐行为与 47 种健康结果之间的 MR 关联。荟萃分析结果表明,久坐行为与健康结果之间共有 47 项显著的因果关系。值得注意的是,更多的闲暇时间看电视与心肌梗死、冠心病、全因缺血性中风和 2 型糖尿病风险的增加密切相关。相反,在闲暇使用电脑与类风湿性关节炎、老年痴呆症和胃食管反流病的风险之间却存在着密切的反向关系:这些研究结果表明,不同类型的久坐行为对健康结果有不同的因果影响。因此,干预措施不仅应侧重于减少久坐时间,还应侧重于促进更健康类型的久坐行为:CRD42023453828。
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来源期刊
Sports Medicine
Sports Medicine 医学-运动科学
CiteScore
18.40
自引率
5.10%
发文量
165
审稿时长
6-12 weeks
期刊介绍: Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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