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Replacing sedentary time with physically active behaviour predicts improved body composition and metabolic health outcomes

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Authors:
Summary:

This study of New Zealand women showed that sedentary time must be replaced with at least moderate intensity physical activity to reap health benefits, and that Māori women would receive the most benefit. The study included 175 women (Māori n = 37, Pacific n = 54, and New Zealand European n = 84) aged 16-45 years with high body mass index (≥25 kg/m2) and high body fat percentage (≥30%). Isotemporal substitution paradigms reallocated 30 min/day of sedentary behaviour to varying intensities of physical activity. At moderate intensity, Māori women were predicted to show a 14.83% reduction in body fat, a 10.74% reduction in android fat and a 55.27% reduction in insulin levels. At the same intensity, Pacific women were predicted to show 6.40% and 19.48% improvements in waist-to-hip and android-to-gynoid ratios, respectively. At moderate- vigorous intensity, Māori women were predicted to show reductions of 15.33% in body mass index, 9.98% in waist circumference, 16.16% in body fat, 12.54% in android fat, 10.04% in gynoid fat, 55.58% in insulin levels and 43.86% in leptin levels. For Pacific women, a 5.30% improvement in waist-to-hip-ratio was predicted.

Comment:
The potential for this study to be ‘victim-blaming’ is significant, yet it did make me think of ways my workplaces, particularly those with mostly wahine Māori workers, could support us to ‘move more’. I may have to accept the invitation to leave my ‘lunch-at-the-desk doing paperwork’ and to join the high intensity interval training we have at the marae. But I’d also appreciate ideas to reduce the paperwork burden in our roles.
Reference: Int J Environ Res Public Health. 2022;19:8760.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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