Abstract

This study aimed to determine whether higher levels of physical activity (PA) and less sedentary behavior (SB) are associated with less inflammation, indicated by inflammatory and hemostatic biomarkers, in older men. A cross-sectional study of 1139 men, from the British Regional Heart Study (mean ± SD age = 78 ± 5 yr), and longitudinal analyses of 490 men with two PA measures 1 yr apart were used in this study. Single fasting venous blood samples were analyzed for several biomarkers. PA and SB were measured using ActiGraph GT3X accelerometers. Total time and time spent in bouts of moderate to vigorous PA (MVPA), light PA, and SB were derived. Linear regression analyses were used to investigate associations. Cross-sectionally, higher total PA, daily steps, and MVPA were all associated with lower levels of interleukin 6 (IL-6), C-reactive protein (CRP), tissue plasminogen activator (tPA), von Willebrand factor (vWF), and D-dimer, whereas higher levels of SB were associated with higher levels of IL-6, CRP, and tPA. Each additional 10 min of MVPA was associated with a 3.2% lower IL-6 (95% confidence interval [CI] = -4.5% to -1.8%), 5.6% lower CRP (95% CI = -7.8 to -3.3), 2.2% lower tPA (95% CI = -3.0 to -1.4), 1.2% lower vWF (95% CI = -2.1 to -0.3), and 1.8% lower D-dimer (95% CI = -2.9 to -0.7), and for CRP, vWF, and D-dimer independently of SB. Associations between SB and IL-6 or tPA were independent of MVPA. Longer bouts of PA or SB were not more strongly associated with outcomes than shorter bouts. Longitudinal analyses were inconsistent with these findings, possibly because of power limitations. Although PA (particularly MVPA) was generally associated with inflammatory and hemostatic biomarkers, we found no evidence that longer bouts were more important than shorter bouts.

Highlights

  • 0195-9131/17/4903-0459/0 MEDICINE & SCIENCE IN SPORTS & EXERCISEÒ Copyright Ó 2016 the Author(s)

  • Relationships with sedentary behavior (SB) were in the opposite direction such that men who spent more time in SB were older, had a higher BMI, and were more likely to live alone, smoke, take statins or antihypertensives, or have diabetes

  • We found some evidence that associations between biomarkers and PA were independent of SB and vice versa, this was not entirely consistent across inflammatory or hemostatic markers; associations between moderate to vigorous PA (MVPA) and C-reactive protein (CRP), von Willebrand factor (vWF), or D-dimer were independent of SB or light PA (LPA), whereas for Interleukin 6 (IL-6) and tissue plasminogen activator (tPA), the association with SB was independent of MVPA, and associations with MVPA and LPA were independent of each other

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Summary

Introduction

0195-9131/17/4903-0459/0 MEDICINE & SCIENCE IN SPORTS & EXERCISEÒ Copyright Ó 2016 the Author(s). Observational studies of how PA relates to inflammatory and hemostatic markers have been mostly based on selfreported PA data, and on middle-age rather than older adults [14,19,23,28] This literature is consistent in that lower levels of PA are related to an adverse inflammatory profile and increased levels of hemostatic markers, but self-report data are limited in detecting light activities and sedentary behavior (SB), which predominate in older age [16,18]. They cannot accurately quantify the patterns of activity, e.g., whether activity is sustained in bouts of a particular duration. We examined longitudinal relationships between changes in PA and SB for 1 yr and the previously mentioned biomarkers in a subset of men

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