Evidence mapPaperPMID 39708280Full record

SynthesisSports medicine (Auckland, N.Z.)2025

Reallocating Time Between 24-h Movement Behaviors for Obesity Management Across the Lifespan: A Pooled Data Meta-Analysis of More Than 9800 Participants from Seven Countries.

Aleš Gába, Timothy B Hartwig, Paulína Jašková, Taren Sanders, Jan Dygrýn, Ondřej Vencálek, Devan Antczak, James Conigrave, Phillip Parker, Borja Del Pozo Cruz and 23 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Aleš GábaFaculty of Physical Culture, Palacký University Olomouc, tř. Míru 117, 771 11, Olomouc, Czech Republic. ales.gaba@upol.cz.ORCID 0000-0002-7236-9072
Timothy B HartwigAustralian Catholic University, Strathfield, NSW, Australia.ORCID 0000-0001-8018-4038
Paulína JaškováFaculty of Physical Culture, Palacký University Olomouc, tř. Míru 117, 771 11, Olomouc, Czech Republic.ORCID 0000-0002-3961-753X
Taren SandersAustralian Catholic University, North Sydney, NSW, Australia.ORCID 0000-0002-4504-6008
Jan DygrýnFaculty of Physical Culture, Palacký University Olomouc, tř. Míru 117, 771 11, Olomouc, Czech Republic.ORCID 0000-0003-1026-1784
Ondřej VencálekFaculty of Science, Palacký University Olomouc, 17. listopadu 12, 779 00, Olomouc, Czech Republic.ORCID 0000-0002-8340-1429
Devan AntczakUniversity of Wollongong, Wollongong, NSW, Australia.ORCID 0000-0002-2247-1052
James ConigraveLa Trobe University, Melbourne, VIC, Australia.ORCID 0000-0002-8816-6229
Phillip ParkerAustralian Catholic University, North Sydney, NSW, Australia.ORCID 0000-0002-4604-8566
Borja Del Pozo CruzFaculty of Medicine, Health, and Sports, Department of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain.ORCID 0000-0003-3944-2212
Stuart J FaircloughEdge Hill University, Ormskirk, UK.ORCID 0000-0001-8358-1979
Shona HalsonAustralian Catholic University, Banyo, QLD, Australia.ORCID 0000-0002-1047-3878
Karel HronFaculty of Science, Palacký University Olomouc, 17. listopadu 12, 779 00, Olomouc, Czech Republic.ORCID 0000-0002-1847-6598
Michael NoetelThe University of Queensland, St Lucia, QLD, Australia.ORCID 0000-0002-6563-8203
Manuel Ávila-García"La Inmaculada" Teacher Training Centre, University of Granada, 18013, Granada, Spain.ORCID 0000-0003-1035-3523
Veronica Cabanas-SánchezDepartment of Preventive Medicine and Public Health, School of Medicine, Universidad Autonoma de Madrid, Madrid, Spain.ORCID 0000-0003-1235-3535
Iván Cavero-RedondoUniversidad de Castilla-La Mancha, Cuenca, Spain.ORCID 0000-0003-2617-0430
Rachel G CurtisUniversity of South Australia, Adelaide, SA, Australia.ORCID 0000-0002-1341-7804
Bruno G G da CostaDepartment of Kinesiology and Physical Education, McGill University, Montreal, QC, Canada.ORCID 0000-0002-5132-1512
Jesus Del Pozo-CruzUniversidad de Sevilla, Seville, Spain.ORCID 0000-0002-8553-5818
Antonio García-HermosoNavarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, Navarra, Spain.ORCID 0000-0002-1397-7182
Angus A LeahyThe University of Newcastle, Callaghan, NSW, Australia.ORCID 0000-0003-2147-9420
David R LubansCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, Callaghan, NSW, Australia.ORCID 0000-0002-0204-8257
Carol A MaherUniversity of South Australia, Adelaide, SA, Australia.ORCID 0000-0002-8676-0224
David Martínez-GómezDepartment of Preventive Medicine and Public Health, School of Medicine, Universidad Autonoma de Madrid, Madrid, Spain.ORCID 0000-0002-9598-019X
Kim Meredith-JonesUniversity of Otago, Dunedin, New Zealand.ORCID 0000-0002-5445-4871
Andrés Redondo-TébarUniversidad de Castilla-La Mancha, Cuenca, Spain.ORCID 0000-0001-5920-6159
Séverine SabiaUniversité Paris Cité, Inserm U1153 EpiAgeing, Paris, France.ORCID 0000-0003-3109-9720
Kelly S SilvaUniversidade Federal de Santa Catarina, Florianopolis, Brazil.ORCID 0000-0002-7356-1680
Paula SkidmoreUniversity of Otago, Christchurch, New Zealand.ORCID 0000-0002-6628-4523
Emilio Villa-GonzálezUniversity of Granada, Granada, Spain.ORCID 0000-0002-2815-2060
Manasa S YerramallaUniversité Paris Cité, Inserm, Paris, France.ORCID 0000-0002-9601-2764
Chris LonsdaleAustralian Catholic University, North Sydney, NSW, Australia.ORCID 0000-0002-2523-5565

Funding

British Heart Foundation RG/16/11/32334European Commission 101043884European Commission PLEC2022-009352European Commission PMPTA22/00107European Commission RHYTHM IN DEMENTIAFrench National Research Agency ANR-19-CE36-0004-01Government of Andalusia EMERGIA 2020/00158Government of Andalusia PAIDI P20_1181Grantová Agentura České Republiky 18-09188SGrantová Agentura České Republiky 22-02392SInstituto de Salud Carlos III FIS 22/01111Instituto de Salud Carlos III FIS PI19/01919Instituto de Salud Carlos III PI23/00663Instituto de Salud Carlos III PMP22/00002Medical Research Council K013351Medical Research Council R024227Medical Research Council S011676Ministerio de Economía y Competitividad DEP2015-63988-RNational Health and Medical Research Council APP1080186National Health and Medical Research Council APP1120518National Heart Foundation of New Zealand 1618NIA NIH HHS R01AG056477NIA NIH HHS RF1 AG062553NIA NIH HHS RF1AG062553State Secretary of R+D+I, and the Pluri-regional program Spain MCIN/AEI/10.13039/501100011033University of Otago ORG 0114-1015Wellcome TrustWellcome Trust 221854/Z/20/Z
6 · The paper itself

Abstract

backgroundThe distribution of time across physical activity, sedentary behaviors, and sleep appears to be essential for the management of obesity. However, the impact of reallocating time among these behaviors, collectively known as 24-h movement behaviors, remains underexplored.

objectiveThis study examines the theoretical effects of reallocating time between 24-h movement behaviors on obesity indicators across different age groups.

methodsWe performed a pooled data meta-analysis of 9818 participants from 11 observational and experimental studies. To estimate the time spent in movement behaviors, we reprocessed and harmonized individual-level raw accelerometer-derived data. Isotemporal substitution models estimated theoretical changes in body mass index (BMI) and waist circumference (WC) associated with time reallocation between movement behaviors. We performed the analysis separately for children, adolescents, adults, and older adults.

resultsEven minor reallocations of 10 min led to significant changes in obesity indicators, with pronounced effects observed when 30 min were reallocated. The most substantial adverse effects on BMI and WC occurred when moderate-to-vigorous physical activity (MVPA) was reallocated to other movement behaviors. For 30-min reallocations, the largest increase in BMI (or BMI z-score for children) occurred when MVPA was reallocated to light-intensity physical activity (LPA) in children (0.26 units, 95% confidence interval [CI] 0.15, 0.37) and to sedentary behavior (SB) in adults (0.72 kg/m

conclusionsThis investigation emphasizes the crucial role of MVPA in mitigating obesity risk across the lifespan, and the benefit of substituting SB with low-intensity movement behaviors. The distinct patterns observed in adolescents suggest a need for age-specific lifestyle interventions to effectively address obesity. Emphasizing manageable shifts, such as 10-min reallocations, could have significant public health implications, promoting sustainable lifestyle changes that accommodate individuals with diverse needs, including those with severe obesity.

Indexed as

ExerciseObesityObesity ManagementSedentary BehaviorAccelerometryAdolescentAdultAgedBody Mass IndexChildHumansMaleMiddle AgedSleepTime FactorsWaist Circumference

Identifiers

PMID39708280
PMCPMC11985689

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.