Korean J Sports Med.  2024 Sep;42(3):193-201. 10.5763/kjsm.2024.42.3.193.

Association between Change in Sitting Time and Risk of Developing Hypertension: An 8-Year Longitudinal Follow-up Study with Cohort Data Analysis in Korea

• Park D

• KMID: 2558667
• DOI: http://doi.org/10.5763/kjsm.2024.42.3.193

Abstract

Purpose
This study aims to investigate the association between changes in sitting time based on sex and levels of physical activity participation and the risk of hypertension.
Methods
Conducted as a follow-up to the 2011–2012 baseline survey in the Korean Genome and Epidemiology Study community-based cohort study, the 4th tracking took place from 2019 to 2020 in Korea, involving adults aged 49 to 79 years. Hypertension status was determined based on systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg, self-reported diagnosis, or medication usage. Change in sitting time was measured using a physical activity questionnaire. The study utilized multivariate extended Cox regression models to calculate independent risk ratios and 95% confidence intervals (CIs) for risk of developing hypertension based on change in sitting time, with a significance level set at p＜ 0.05.
Results
Despite adjusting for various factors affecting sitting time and hypertension, total sitting time (hazard ratio [HR], 1.37; 95% CI, 1.05–1.78) and weekday sitting time (HR, 1.34; 95% CI, 1.03–1.76) in the newly ST group showed increased risk of developing hypertension. It was observed that increased total and weekday sitting time in males could elevate hypertension risk (total newly ST: HR, 1.52; 95% CI, 1.05–2.21; weekday newly ST: HR, 1.57; 95% CI, 1.08–2.28). Additionally, the association between changes in sitting time and risk of developing hypertension varied based on leisure-related physical activity levels.
Conclusion
The study confirms that increased sitting time raises the risk of hypertension and that reducing sitting time in physically inactive adults can lower the risk of developing hypertension.

Keyword

Sedentary behavior; Hypertension; Epidemiology; Longitudinal studies; Aging; Aged

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