AUTHOR=Guo Lei , Liu Yixuan , Xue Tingting , Liang Liang , Nima Yongcuo , Yang Yang , Li Qun , Zhang Qiushi TITLE=Association between sedentary time and metabolic syndrome: A cross-sectional study among Chinese Garze Tibetans JOURNAL=Frontiers in Public Health VOLUME=10 YEAR=2022 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.1009764 DOI=10.3389/fpubh.2022.1009764 ISSN=2296-2565 ABSTRACT=Background

Chinese Tibetans have long hours of sitting without much physical activity given their religious behavior, raising potential harmful health hazards. However, the relationship between sedentary time and metabolic syndrome (MetS) has not been investigated in Chinese Tibetans.

Methods

From Jan 2021 to Jun 2022, residents in Garze Tibetan Autonomous Prefecture in Southwest China's Sichuan province were recruited using a multi-stage, stratified, random-cluster sampling strategy. MetS were ascertained using definition proposed by the International Diabetes Federation. Associations between sedentary time and the prevalence of MetS in the total sample and by age and sex were estimated using logistic regression models.

Results

Among 971 Chinese Tibetan participants (mean age 41.1 years and 73.8% female), 319 (32.9%) were diagnosed as having MetS. We found positive associations of sedentary time over 11 h per day with the prevalence of MetS in crude (OR: 1.23; 95% CI: 1.12–1.36, p < 0.001), age and sex adjusted (OR: 1.18; 95% CI: 1.08–1.29, p < 0.001), and fully adjusted (OR: 1.17; 95% CI: 1.08–1.29, p < 0.001) models, compared to those who had <8 h of sedentary time per day. Sensitivity analyses suggest consistent positive association between sedentary time and each metric of MetS.

Conclusions

Sedentary time longer than 11 h per day is significantly associated with increased risk of MetS, suggesting that polices to advocate health education may alleviate the health burden of MetS among Tibetans in China.