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            "key": "JRE374B3",
            "version": 1,
            "itemType": "journalArticle",
            "title": "Amount of time spent in sedentary behaviors and cause-specific mortality in US adults",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Charles E.",
                    "lastName": "Matthews"
                },
                {
                    "creatorType": "author",
                    "firstName": "Stephanie M.",
                    "lastName": "George"
                },
                {
                    "creatorType": "author",
                    "firstName": "Steven C.",
                    "lastName": "Moore"
                },
                {
                    "creatorType": "author",
                    "firstName": "Heather R.",
                    "lastName": "Bowles"
                },
                {
                    "creatorType": "author",
                    "firstName": "A.",
                    "lastName": "Blair"
                },
                {
                    "creatorType": "author",
                    "firstName": "Y.",
                    "lastName": "Park"
                },
                {
                    "creatorType": "author",
                    "firstName": "R. P.",
                    "lastName": "Troiano"
                },
                {
                    "creatorType": "author",
                    "firstName": "A.",
                    "lastName": "Hollenbeck"
                },
                {
                    "creatorType": "author",
                    "firstName": "A.",
                    "lastName": "Schatzkin"
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            "abstractNote": "Background: Sedentary behaviors predominate modern life, yet we do not fully understand the adverse effects of these behaviors on mortality after considering the benefits of moderate-vigorous physical activity (MVPA).\nObjective: We tested the hypotheses that higher amounts of overall sitting time and television viewing are positively associated with mortality and described the independent and combined effects of these sedentary behaviors and MVPA on mortality.\nDesign: In the NIH-AARP Diet and Health Study, we examined 240,819 adults (aged 50–71 y) who did not report any cancer, cardiovascular disease, or respiratory disease at baseline. Mortality was ascertained over 8.5 y.\nResults: Sedentary behaviors were positively associated with mortality after adjustment for age, sex, education, smoking, diet, race, and MVPA. Participants who reported the most television viewing (≥7 h compared with <1 h/d) were at greater risk of all-cause (HR: 1.61; 95% CI: 1.47, 1.76), cardiovascular (HR: 1.85; 95% CI: 1.56, 2.20), and cancer (HR: 1.22; 95% CI: 1.06, 1.40) mortality after adjustment for MVPA. Overall sitting was associated with all-cause mortality. Even among adults reporting high levels of MVPA (>7 h/wk), high amounts of television viewing (≥7 h/d) remained associated with increased risk of all-cause (HR: 1.47; 95% CI: 1.20, 1.79) and cardiovascular (HR: 2.00; 95% CI: 1.33, 3.00) mortality compared with those reporting the least television viewing (<1 h/d).\nConclusions: Time spent in sedentary behaviors was positively associated with mortality, and participation in high levels of MVPA did not fully mitigate health risks associated with prolonged time watching television. Adults should be encouraged to reduce time spent in sedentary behaviors, when possible, and to participate in MVPA at recommended levels. The NIH-AARP Diet and Health Study was registered at clinicaltrials.gov as NCT00340015.",
            "publicationTitle": "The American Journal of Clinical Nutrition",
            "publisher": "",
            "place": "",
            "date": "2012-02-01",
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            "itemType": "journalArticle",
            "title": "Television Viewing Time and Mortality The Australian Diabetes, Obesity and Lifestyle Study (AusDiab)",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "D. W.",
                    "lastName": "Dunstan"
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                {
                    "creatorType": "author",
                    "firstName": "E.l.M.",
                    "lastName": "Barr"
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                {
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                    "firstName": "G.N.",
                    "lastName": "Healy"
                },
                {
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                    "firstName": "J.",
                    "lastName": "Salmon"
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                    "firstName": "J. E.",
                    "lastName": "Shaw"
                },
                {
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                    "firstName": "B.",
                    "lastName": "Balkau"
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                {
                    "creatorType": "author",
                    "firstName": "D. J.",
                    "lastName": "Magliano"
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                {
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                    "firstName": "A. J.",
                    "lastName": "Cameron"
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                    "lastName": "Zimmet"
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                    "firstName": "N.",
                    "lastName": "Owen"
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            ],
            "abstractNote": "Background— Television viewing time, the predominant leisure-time sedentary behavior, is associated with biomarkers of cardiometabolic risk, but its relationship with mortality has not been studied. We examined the associations of prolonged television viewing time with all-cause, cardiovascular disease (CVD), cancer, and non-CVD/noncancer mortality in Australian adults.\nMethods and Results— Television viewing time in relation to subsequent all-cause, CVD, and cancer mortality (median follow-up, 6.6 years) was examined among 8800 adults ≥25 years of age in the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). During 58 087 person-years of follow-up, there were 284 deaths (87 CVD deaths, 125 cancer deaths). After adjustment for age, sex, waist circumference, and exercise, the hazard ratios for each 1-hour increment in television viewing time per day were 1.11 (95% confidence interval [CI], 1.03 to 1.20) for all-cause mortality, 1.18 (95% CI, 1.03 to 1.35) for CVD mortality, and 1.09 (95% CI, 0.96 to 1.23) for cancer mortality. Compared with a television viewing time of <2 h/d, the fully adjusted hazard ratios for all-cause mortality were 1.13 (95% CI, 0.87 to 1.36) for ≥2 to <4 h/d and 1.46 (95% CI, 1.04 to 2.05) for ≥4 h/d. For CVD mortality, corresponding hazard ratios were 1.19 (95% CI, 0.72 to 1.99) and 1.80 (95% CI, 1.00 to 3.25). The associations with both cancer mortality and non-CVD/noncancer mortality were not significant.\nConclusions— Television viewing time was associated with increased risk of all-cause and CVD mortality. In addition to the promotion of exercise, chronic disease prevention strategies could focus on reducing sitting time, particularly prolonged television viewing.",
            "publicationTitle": "Circulation",
            "publisher": "",
            "place": "",
            "date": "01/2010",
            "volume": "121",
            "issue": "3",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "384-391",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
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            "shortTitle": "",
            "language": "en",
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            "tags": [
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                    "type": 1
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                {
                    "tag": "exercise",
                    "type": 1
                },
                {
                    "tag": "lifestyle",
                    "type": 1
                },
                {
                    "tag": "mortality",
                    "type": 1
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                {
                    "tag": "obesity",
                    "type": 1
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                {
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                    "type": 1
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                    "firstName": "Tatiana Y.",
                    "lastName": "Warren"
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            "pages": "879-885",
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