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Journal of Diabetes Research
Volume 2018, Article ID 7496768, 8 pages
Research Article

Physical Activity and Sedentary Patterns among Metabolically Healthy Individuals Living with Obesity

1Cardio-metabolic Exercise & Lifestyle Lab, 2 Peter Kelly Drive, P.O. Box 4400, Fredericton, NB, Canada
2University of New Brunswick, Faculty of Kinesiology, 2 Peter Kelly Drive, P.O. Box 4400, Fredericton, NB, Canada
3New Brunswick Institute for Research, Data & Training, University of New Brunswick, 38 Dineen Drive, 304F Keirstead Hall, Fredericton, NB, Canada

Correspondence should be addressed to Martin Sénéchal; ac.bnu@lahcenes.nitram

Received 28 August 2017; Revised 21 November 2017; Accepted 8 December 2017; Published 8 March 2018

Academic Editor: Ulrike Rothe

Copyright © 2018 Marika de Winter et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Some individuals living with obesity are free from typical cardiometabolic risk factors and are termed metabolically healthy obese (MHO). The patterns of physical activity and sedentary behaviors among MHO are currently unknown. Methods. This study includes 414 youth (12–18 years old), 802 adults (19–44 years old), and 1230 older adults (45–85 years old) living with obesity from the 2003-2004 or 2005-2006 NHANES cycles. Time spent in bouts of 1, 5, 10, 30, and 60 minutes for moderate-to-vigorous physical activity (MVPA) and sedentary time was measured objectively using accelerometers. Participants were categorized as MHO if they had no cardiometabolic risk factors above the identified thresholds (triglycerides, high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, and glucose). Results. The proportion of MHO was 19%, 14%, and 12% in youth, adults, and older adults, respectively. MHO adults displayed a higher 1-minute bout of MVPA per day compared to non-MHO (), but no difference was observed for MVPA and sedentary behavior patterns for youth and older adults. When adjusted for confounders, all bouts of sedentary behavior patterns in youth were significantly associated with being classified as MHO. Conclusion. This study suggests that greater sedentary time is associated with cardiometabolic risk factors in youth even if they are physically active.