Pooled intervention effects on biomarkers: controlled trials of 34 adult sedentary behaviour interventions ≥7 days
Outcome | Main findings | Publication-bias corrected | Leave-one-out sensitivity analysis | |||||
k | n | All studies | Most benefit | Least benefit | ||||
I2, P value | Pooled effect (95% CI) | P value | Pooled (95% CI) | Pooled effect (95% CI) | Pooled effect (95% CI) | |||
Weight, kg | 25 | 1839 | 23.6%, p=0.142 | −0.56 (−0.94 to −0.17) | 0.005 | n/a | −0.63 (−1.03 to −0.23)* | −0.47 (−0.75 to −0.18)† |
Body mass index, kg/m2 | 24 | 1843 | 0.0%, p=0.804 | −0.07 (−0.16 to 0.03) | 0.167 | −0.08 (−0.17 to 0.02) | −0.10 (−0.20 to 0.01)‡ | −0.04 (−0.14 to 0.06)§ |
Waist circumference, cm | 19 | 2076 | 45.8%, p=0.016 | −0.72 (−1.21 to −0.22) | 0.004 | −1.00 (−1.51 to −0.49) | −0.95 (−1.38 to −0.51)¶** | −0.61 (−1.20 to −0.01)¶†† |
Body fat, % | 16 | 1618 | 5.5%, p=0.390 | −0.26 (−0.50 to −0.02) | 0.034 | −0.37 (−0.65 to −0.10) | −0.37 (−0.61 to −0.12)‡ | −0.17 (−0.43 to 0.09)** |
Fat mass, kg | 6 | 724 | 26.6%, p=0.235 | −0.33 (−0.74 to 0.08) | 0.116 | n/a | −0.42 (−0.73 to −0.10)‡‡ | −0.23 (−0.63 to 0.16)§§ |
Fat-free mass, kg | 7 | 1011 | 72.7%, p=0.001 | 0.00 (−0.52 to 0.53) | 0.992 | 0.48 (−0.02 to 0.98) | 0.12 (−0.40 to 0.65)‡ | −0.25 (−0.57 to 0.06)¶** |
Blood pressure, mm Hg | ||||||||
Systolic | 25 | 1932 | 8.6%, p=0.341 | −1.05 (−2.08 to −0.02) | 0.045 | n/a | −1.42 (−2.38 to −0.45)‡ | −0.75 (−1.81 to 0.31)¶¶ |
Diastolic | 25 | 1932 | 52.6%, p=0.001 | −0.69 (−1.69 to 0.32) | 0.180 | n/a | −0.92 (−1.86 to 0.02)*** | −0.36 (−1.28 to 0.56)††† |
Glucose, mM | 19 | 1518 | 45.5%, p=0.017 | −0.03 (−0.11 to 0.05) | 0.526 | −0.04 (−0.13 to 0.05) | −0.05 (−0.11 to 0.02)¶‡‡‡ | −0.01 (−0.11 to 0.09)¶¶ |
Insulin, pM | 10 | 1102 | 64.0%, p=0.003 | −1.42 (−2.82 to -0.02) | 0.047 | −1.03 (−2.48 to 0.42) | −4.13 (−7.48 to -0.78)§§§ | −0.45 (−1.60 to 0.69)¶* |
HbA1c, % | 9 | 892 | 72.9%, p=0.000 | −0.10 (−0.22 to 0.03) | 0.129 | −0.03 (−0.16 to 0.09) | −0.14 (−0.29 to 0.01)¶¶¶ | −0.05 (−0.17 to 0.07)§§ |
Cholesterol, mM | ||||||||
Total | 23 | 1798 | 54.1%, p=0.001 | −0.06 (−0.16 to 0.04) | 0.213 | −0.10 (−0.20 to −0.00) | −0.08 (−0.18 to 0.02)‡‡‡ | −0.03 (−0.11 to 0.05)¶**** |
High-density lipoprotein | 22 | 1760 | 22.5%, p=0.168 | 0.04 (0.02 to 0.07) | <0.001 | 0.05 (0.02 to 0.07) | 0.05 (0.03 to 0.07)§ | 0.03 (0.01 to 0.06)¶¶ |
Low-density lipoprotein | 20 | 1660 | 0.0%, p=0.690 | −0.02 (−0.07 to 0.04) | 0.562 | −0.01 (−0.07 to 0.05) | −0.03 (−0.09 to 0.03)‡‡‡ | −0.00 (−0.06 to 0.06)†††† |
Triglycerides, mM | 23 | 1742 | 49.0%, p=0.005 | −0.02 (−0.09 to 0.04) | 0.496 | −0.06 (−0.13 to 0.01) | −0.04 (−0.10 to 0.03)‡‡ | −0.01 (−0.07 to 0.06)§§ |
k, n = number of interventions, number of individuals (sum of n analysed in each included study).
Boldface indicates pooled effect is p<0.05.
*Omitted Healy et al (2017).
†Omitted Ashe et al (2015).
‡Omitted Maylor et al (2018).
§Omitted Pesola et al (2017).
¶Heterogeneity no longer p<0.05 in leave-one-out sensitivity analysis.
**Omitted Danquah et al (2017).
††Omitted Puig-Ribera et al (2015).
‡‡Omitted Healy et al (2013).
§§Omitted Kallings et al (2017).
¶¶Omitted Butler et al (2018).
***Omitted Mantzari et al (2018).
†††Omitted Lin et al (2017).
‡‡‡Omitted Taylor et al (2016) (Computer intervention).
§§§Omitted Balducci (2019).
¶¶¶Omitted Biddle (2015).
****Omitted Thomsen et al (2017).
††††Omitted Aadahl et al (2014).
n/a, not applicable.