Daily movement patterns and predicted 10-yr risk for a first atherosclerotic cardiovascular disease (ASCVD) event using the pooled cohort risk equations among US adults

Objective. Examine the association between movement patterns and predicted risk of a first atherosclerotic cardiovascular disease (ASCVD) event. Methods. Data from the 2003-2006 National Health and Nutrition Examination Survey (NHANES) were used (40-79 yrs; N = 2421). Participants wore an ActiGraph 7164 accelerometer to create four movement pattern groups; Group 1: = 150 min/wk of moderate-to-vigorous physical activity (MVPA) and light-intensity physical activity (LIPA) = sedentary behavior (SB); Group 2: >= 150 min/wk of MVPA and LIPA < SB; Group 3: <150 min/wk of MVPA and LIPA >= SED; and Group 4: <150 min/wk of MVPA and LIPA < SB. 10-yr risk for a first ASCVD event was estimated using the pooled cohort equations. Results. After adjusting for age, gender, race-ethnicity and obesity, Group 2 (beta = -0.28; p = 0.44) was not significantly different than Group 1, but Groups 3 (beta = 1.09; p = 0.01) and 4 (beta = 1.44; p < 0.001) had a higher pooled risk score. Conclusions. Those in the least desirable movement pattern (Group 4) had the highest pooled risk score. Given the similar risk scores for Groups 1 and 2, future research is needed to determine if sufficient MVPA can counteract the potential consequences associated with an imbalanced LIPA: SB ratio (i.e., LIPA b SB). (C) 2015 Elsevier Inc. All rights reserved.