Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina

Autores
García-Witulski, Christian
Año de publicación
2024
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Fil: García Witulski, Christian M. Pontificia Universidad Católica Argentina. Facultad de Ciencias Económicas. Centro de Desarrollo Humano Sostenible; Argentina
Fil: Universidad Espíritu Santo; Ecuador
Background: Although there is evidence that sitting time (ST) and insufficient physical activity (PA) are associated with premature mortality, the burden of cardiovascular disease (CVD) and all-cause mortality (ACM) attributable to the combined effects of ST and PA in counterfactual scenarios is limited. Methods: Potential impact fractions (PIFs) were used to calculate premature deaths (PDs) and disability-adjusted life years (DALYs). Cause-eliminated life tables were utilized to estimate health-adjusted life expectancy (HALE) gains. Monte Carlo simulations were performed for uncertainty analysis. Results: The theoretical minimum risk exposure level (ST < 4 ⁠, PA > 65 ⁠) could prevent 16.7% of CVD deaths and 12.3% of all-cause deaths annually. This would save 669 to 2,630 DALYs per 100,000 and increase healthy life years by 0.57 to 2.94. Increasing PA to > 65 while maintaining ST could yield gains in HALE from 0.49 (CVD) to 2.60 (ACM) years. Reducing ST to < 4 while keeping PA constant could lead to gains in HALE from 0.07 (CVD) to 0.34 (ACM) years. A 50% reduction in suboptimal ST (≥ 4⁠) doubled HALE gains, ranging from 0.11 to 0.63 years. Conclusions: Public health decision-makers should prioritize vulnerable populations, including older adults and individuals with inadequate PA levels.
Fuente
Journal of Public Health. 47(1), 2024.
Materia
MORTALIDAD
ENFERMEDADES CARDIOVASCULARES
SEDENTARISMO
ACTIVIDAD FISICA
EXPECTATIVA DE VIDA
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/4.0/
Repositorio
Repositorio Institucional (UCA)
Institución
Pontificia Universidad Católica Argentina
OAI Identificador
oai:ucacris:123456789/19906

id RIUCA_74e63ef6e13479f2517ea57b3b7022ab
oai_identifier_str oai:ucacris:123456789/19906
network_acronym_str RIUCA
repository_id_str 2585
network_name_str Repositorio Institucional (UCA)
spelling Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from ArgentinaGarcía-Witulski, ChristianMORTALIDADENFERMEDADES CARDIOVASCULARESSEDENTARISMOACTIVIDAD FISICAEXPECTATIVA DE VIDAFil: García Witulski, Christian M. Pontificia Universidad Católica Argentina. Facultad de Ciencias Económicas. Centro de Desarrollo Humano Sostenible; ArgentinaFil: Universidad Espíritu Santo; EcuadorBackground: Although there is evidence that sitting time (ST) and insufficient physical activity (PA) are associated with premature mortality, the burden of cardiovascular disease (CVD) and all-cause mortality (ACM) attributable to the combined effects of ST and PA in counterfactual scenarios is limited. Methods: Potential impact fractions (PIFs) were used to calculate premature deaths (PDs) and disability-adjusted life years (DALYs). Cause-eliminated life tables were utilized to estimate health-adjusted life expectancy (HALE) gains. Monte Carlo simulations were performed for uncertainty analysis. Results: The theoretical minimum risk exposure level (ST < 4 ⁠, PA > 65 ⁠) could prevent 16.7% of CVD deaths and 12.3% of all-cause deaths annually. This would save 669 to 2,630 DALYs per 100,000 and increase healthy life years by 0.57 to 2.94. Increasing PA to > 65 while maintaining ST could yield gains in HALE from 0.49 (CVD) to 2.60 (ACM) years. Reducing ST to < 4 while keeping PA constant could lead to gains in HALE from 0.07 (CVD) to 0.34 (ACM) years. A 50% reduction in suboptimal ST (≥ 4⁠) doubled HALE gains, ranging from 0.11 to 0.63 years. Conclusions: Public health decision-makers should prioritize vulnerable populations, including older adults and individuals with inadequate PA levels.Oxford Academic2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfhttps://repositorio.uca.edu.ar/handle/123456789/199061741-38501741-384210.1093/pubmed/fdae291Journal of Public Health. 47(1), 2024.reponame:Repositorio Institucional (UCA)instname:Pontificia Universidad Católica Argentinaenginfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/4.0/2025-07-03T11:00:14Zoai:ucacris:123456789/19906instacron:UCAInstitucionalhttps://repositorio.uca.edu.ar/Universidad privadaNo correspondehttps://repositorio.uca.edu.ar/oaiclaudia_fernandez@uca.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:25852025-07-03 11:00:15.063Repositorio Institucional (UCA) - Pontificia Universidad Católica Argentinafalse
dc.title.none.fl_str_mv Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
title Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
spellingShingle Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
García-Witulski, Christian
MORTALIDAD
ENFERMEDADES CARDIOVASCULARES
SEDENTARISMO
ACTIVIDAD FISICA
EXPECTATIVA DE VIDA
title_short Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
title_full Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
title_fullStr Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
title_full_unstemmed Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
title_sort Comparative risk assessment modeling of cardiovascular and all-cause burden attributable to sitting time and physical inactivity: evidence from Argentina
dc.creator.none.fl_str_mv García-Witulski, Christian
author García-Witulski, Christian
author_facet García-Witulski, Christian
author_role author
dc.subject.none.fl_str_mv MORTALIDAD
ENFERMEDADES CARDIOVASCULARES
SEDENTARISMO
ACTIVIDAD FISICA
EXPECTATIVA DE VIDA
topic MORTALIDAD
ENFERMEDADES CARDIOVASCULARES
SEDENTARISMO
ACTIVIDAD FISICA
EXPECTATIVA DE VIDA
dc.description.none.fl_txt_mv Fil: García Witulski, Christian M. Pontificia Universidad Católica Argentina. Facultad de Ciencias Económicas. Centro de Desarrollo Humano Sostenible; Argentina
Fil: Universidad Espíritu Santo; Ecuador
Background: Although there is evidence that sitting time (ST) and insufficient physical activity (PA) are associated with premature mortality, the burden of cardiovascular disease (CVD) and all-cause mortality (ACM) attributable to the combined effects of ST and PA in counterfactual scenarios is limited. Methods: Potential impact fractions (PIFs) were used to calculate premature deaths (PDs) and disability-adjusted life years (DALYs). Cause-eliminated life tables were utilized to estimate health-adjusted life expectancy (HALE) gains. Monte Carlo simulations were performed for uncertainty analysis. Results: The theoretical minimum risk exposure level (ST < 4 ⁠, PA > 65 ⁠) could prevent 16.7% of CVD deaths and 12.3% of all-cause deaths annually. This would save 669 to 2,630 DALYs per 100,000 and increase healthy life years by 0.57 to 2.94. Increasing PA to > 65 while maintaining ST could yield gains in HALE from 0.49 (CVD) to 2.60 (ACM) years. Reducing ST to < 4 while keeping PA constant could lead to gains in HALE from 0.07 (CVD) to 0.34 (ACM) years. A 50% reduction in suboptimal ST (≥ 4⁠) doubled HALE gains, ranging from 0.11 to 0.63 years. Conclusions: Public health decision-makers should prioritize vulnerable populations, including older adults and individuals with inadequate PA levels.
description Fil: García Witulski, Christian M. Pontificia Universidad Católica Argentina. Facultad de Ciencias Económicas. Centro de Desarrollo Humano Sostenible; Argentina
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://repositorio.uca.edu.ar/handle/123456789/19906
1741-3850
1741-3842
10.1093/pubmed/fdae291
url https://repositorio.uca.edu.ar/handle/123456789/19906
identifier_str_mv 1741-3850
1741-3842
10.1093/pubmed/fdae291
dc.language.none.fl_str_mv eng
language eng
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford Academic
publisher.none.fl_str_mv Oxford Academic
dc.source.none.fl_str_mv Journal of Public Health. 47(1), 2024.
reponame:Repositorio Institucional (UCA)
instname:Pontificia Universidad Católica Argentina
reponame_str Repositorio Institucional (UCA)
collection Repositorio Institucional (UCA)
instname_str Pontificia Universidad Católica Argentina
repository.name.fl_str_mv Repositorio Institucional (UCA) - Pontificia Universidad Católica Argentina
repository.mail.fl_str_mv claudia_fernandez@uca.edu.ar
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score 13.070432