ArticleCirculation2025
Device-Measured 24-Hour Movement Behaviors and Blood Pressure: A 6-Part Compositional Individual Participant Data Analysis in the ProPASS Consortium.
Article in Circulation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reallocating 24-hour movement behaviors and cardiometabolic health in adults: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Trial
- Device-measured movement behaviours and cancer incidence in a population sample of UK adults: Dual 24-hour analyses of postural and intensity compositions.BMC medicine · 2026Article
- Compositional analyses of accelerometer-measured 24-h movement behaviors among adults with normoglycemia, pre-diabetes phenotypes, and diabetes: a population-based study.International journal of obesity (2005) · 2026Article
- Development and evaluation of wrist- and thigh-worn accelerometer algorithms using self-training machine learning models for classification of activity type and posture: towards device placement-agnostic methods in the ProPASS consortium.The international journal of behavioral nutrition and physical activity · 2026Article
- Accelerometer-Measured Sedentary Behavior, Future Disease, and Cardiovascular-Kidney-Metabolic Health.JACC. Advances · 2026Article
- Distribution of device-measured 24-h movement behaviors in older adults: cross-sectional findings from the HUNT4 study.Scientific reports · 2026Article
- Movement patterns of youth and their parents: cross-sectional and longitudinal associations.Journal of activity, sedentary and sleep behaviors · 2026Article
- The burden of hypertensive heart disease in China and G20 countries: analysis from 1990 to 2021 and 30-year projections for China.Frontiers in cardiovascular medicine · 2026Article
- The Association Between Sedentary Behavior and Cardiovascular Disease Risk: An Analysis Based on NHANES Data.Cardiovascular therapeutics · 2026Article
- Article
- The association between objectively measured physical activity and home blood pressure: a population-based real-world data analysis.Journal of human hypertension · 2025Article
- Reallocations of Time Between Sleep, Sedentary Behavior, and Physical Activity and Their Associations With 24-Hour Blood Pressure.American journal of hypertension · 2025Article
- Cancer Diagnosis, Physical Activity, and Heart Disease Risk.JACC. CardioOncology · 2024Article
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Authors and funding
27 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBlood pressure (BP)-lowering effects of structured exercise are well-established. Effects of 24-hour movement behaviors captured in free-living settings have received less attention. This cross-sectional study investigated associations between a 24-hour behavior composition comprising 6 parts (sleeping, sedentary behavior, standing, slow walking, fast walking, and combined exercise-like activity [eg, running and cycling]) and systolic BP (SBP) and diastolic BP (DBP).
methodsData from thigh-worn accelerometers and BP measurements were collected from 6 cohorts in the Prospective Physical Activity, Sitting and Sleep consortium (ProPASS) (n=14 761; mean±SD, 54.2±9.6 years). Individual participant analysis using compositional data analysis was conducted with adjustments for relevant harmonized covariates. Based on the average sample composition, reallocation plots examined estimated BP reductions through behavioral replacement; the theoretical benefits of optimal (ie, clinically meaningful improvement in SBP [2 mm Hg] or DBP [1 mm Hg]) and minimal (ie, 5-minute reallocation) behavioral replacements were identified.
resultsThe average 24-hour composition consisted of sleeping (7.13±1.19 hours), sedentary behavior (10.7±1.9 hours), standing (3.2±1.1 hours), slow walking (1.6±0.6 hours), fast walking (1.1±0.5 hours), and exercise-like activity (16.0±16.3 minutes). More time spent exercising or sleeping, relative to other behaviors, was associated with lower BP. An additional 5 minutes of exercise-like activity was associated with estimated reductions of -0.68 mm Hg (95% CI, -0.15, -1.21) SBP and -0.54 mm Hg (95% CI, -0.19, 0.89) DBP. Clinically meaningful improvements in SBP and DBP were estimated after 20 to 27 minutes and 10 to 15 minutes of reallocation of time in other behaviors into additional exercise. Although more time spent being sedentary was adversely associated with SBP and DBP, there was minimal impact of standing or walking.
conclusionsStudy findings reiterate the importance of exercise for BP control, suggesting that small additional amounts of exercise are associated with lower BP in a free-living setting.
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