Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational study

Background Sedentary behaviour (SB) is detrimental to cardiometabolic disease (CMD) risk, which can begin in young adulthood. To devise effective SB-CMD interventions in young adults, it is important to understand which context-specific SB (CS-SB) are most detrimental for CMD risk, the lifestyle beh...

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Main Authors: Justin B Moore, Lee Stoner, Craig Paterson, Feng-Chang Lin, Emma Cowley, Michelle L Meyer, Jake Christopher Diana, Aiden James Chauntry, Jeb F Struder, Patricia Pagan-Lassalle, Erik D Hanson
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e096116.full
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author Justin B Moore
Lee Stoner
Craig Paterson
Feng-Chang Lin
Emma Cowley
Michelle L Meyer
Jake Christopher Diana
Aiden James Chauntry
Jeb F Struder
Patricia Pagan-Lassalle
Erik D Hanson
author_facet Justin B Moore
Lee Stoner
Craig Paterson
Feng-Chang Lin
Emma Cowley
Michelle L Meyer
Jake Christopher Diana
Aiden James Chauntry
Jeb F Struder
Patricia Pagan-Lassalle
Erik D Hanson
author_sort Justin B Moore
collection DOAJ
description Background Sedentary behaviour (SB) is detrimental to cardiometabolic disease (CMD) risk, which can begin in young adulthood. To devise effective SB-CMD interventions in young adults, it is important to understand which context-specific SB (CS-SB) are most detrimental for CMD risk, the lifestyle behaviours that cluster with CS-SBs and the socioecological predictors of CS-SB.Methods and analysis This longitudinal observational study will recruit 500 college-aged (18–24 years) individuals. Two laboratory visits will occur, spaced 12 months apart, where a novel composite CMD risk score (eg, arterial stiffness, metabolic and inflammatory biomarkers, heart rate variability and body fat distribution) will be calculated, and questionnaires to measure lifestyle behaviours and levels of the socioecological model will be administered. After each laboratory visit, total SB (activPAL) and CS-SB (television, transportation, academic/occupational, leisure computer, ‘other’; ecological momentary assessment) will be measured across 7 days.Ethics and dissemination This study has received full ethical approval, and participants provide written informed consent. Our hypothesis is that certain CS-SB will show stronger associations with CMD risk, compared with total sedentary behaviour (T-SB), even after accounting for coexisting lifestyle behaviours. We also expect a range of intra-individual, inter-individual and physical environmental socioecological factors will predict CS-SB. Findings addressing both the primary and any secondary research aims will be submitted for publication in a high-impact peer-reviewed journal.
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spelling doaj-art-3d01d09179e64a4cba57bb00523c83e72025-01-01T06:35:14ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-096116Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational studyJustin B Moore0Lee Stoner1Craig Paterson2Feng-Chang Lin3Emma Cowley4Michelle L Meyer5Jake Christopher Diana6Aiden James Chauntry7Jeb F Struder8Patricia Pagan-Lassalle9Erik D Hanson10Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Biostatistics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Emergency Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADepartment of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USABackground Sedentary behaviour (SB) is detrimental to cardiometabolic disease (CMD) risk, which can begin in young adulthood. To devise effective SB-CMD interventions in young adults, it is important to understand which context-specific SB (CS-SB) are most detrimental for CMD risk, the lifestyle behaviours that cluster with CS-SBs and the socioecological predictors of CS-SB.Methods and analysis This longitudinal observational study will recruit 500 college-aged (18–24 years) individuals. Two laboratory visits will occur, spaced 12 months apart, where a novel composite CMD risk score (eg, arterial stiffness, metabolic and inflammatory biomarkers, heart rate variability and body fat distribution) will be calculated, and questionnaires to measure lifestyle behaviours and levels of the socioecological model will be administered. After each laboratory visit, total SB (activPAL) and CS-SB (television, transportation, academic/occupational, leisure computer, ‘other’; ecological momentary assessment) will be measured across 7 days.Ethics and dissemination This study has received full ethical approval, and participants provide written informed consent. Our hypothesis is that certain CS-SB will show stronger associations with CMD risk, compared with total sedentary behaviour (T-SB), even after accounting for coexisting lifestyle behaviours. We also expect a range of intra-individual, inter-individual and physical environmental socioecological factors will predict CS-SB. Findings addressing both the primary and any secondary research aims will be submitted for publication in a high-impact peer-reviewed journal.https://bmjopen.bmj.com/content/14/12/e096116.full
spellingShingle Justin B Moore
Lee Stoner
Craig Paterson
Feng-Chang Lin
Emma Cowley
Michelle L Meyer
Jake Christopher Diana
Aiden James Chauntry
Jeb F Struder
Patricia Pagan-Lassalle
Erik D Hanson
Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational study
BMJ Open
title Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational study
title_full Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational study
title_fullStr Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational study
title_full_unstemmed Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational study
title_short Investigating context-specific sedentary behaviours and cardiometabolic health in college-based young adults (CONTEXT-SB): a protocol for a longitudinal observational study
title_sort investigating context specific sedentary behaviours and cardiometabolic health in college based young adults context sb a protocol for a longitudinal observational study
url https://bmjopen.bmj.com/content/14/12/e096116.full
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