Table 5

Associations of study characteristics with intervention effects on cardiometabolic biomarkers (meta-regression)

UnadjustedAge adjusted
k, nb (95% CI)P valueI2, p valuek, nb (95% CI)P valueI2, p value
Waist circumference, cm 19, 2076 45.8%, p=0.016 19, 2076 45.8%, p=0.016
Mean baseline age, per 10 y18, 2050−0.50 (−1.18 to 0.17)0.14451.6%, p=0.007
Mean baseline BMI, kg/m2 19, 2076−0.04 (−0.25 to 0.16)0.67248.6%, p=0.01118, 2050−0.01 (−0.24 to 0.22)0.91054.5%, p=0.005
Mean baseline level19, 20760.01 (−0.08 to 0.09)0.85644.9%, p=0.02118, 20500.07 (−0.03 to 0.18)0.18245.9%, p=0.023
Sedentary effectiveness, h/day*19, 2076−0.62 (−1.42 to 0.18)0.12738.7%, p=0.04818, 2050−1.05 (−1.96 to −0.14)0.02340.3%, p=0.049
Duration (vs ≤3 months)19, 2076 0.896 51.8%, p=0.00718, 2050 0.307 57.7%, p=0.003
 3–6 months0.15 (−1.08 to 1.37)0.8160.92 (−0.69 to 2.52)0.262
 >6 months−0.36 (−2.28 to 1.57)0.717−0.25 (−2.28 to 1.78)0.809
Risk of bias (vs high risk)19, 2076 0.098 22.6%, p=0.19218, 2050 0.109 25.4%, p=0.174
 Some concerns−0.70 (−2.50 to 1.09)0.441−0.52 (−2.39 to 1.34)0.582
 Low risk−1.47 (−3.10 to 0.16)0.077−1.36 (−3.03 to 0.31)0.110
Fat-free mass, kg 7, 1011 72.7%, p=0.001 7, 1011 72.7%, p=0.001
Mean baseline age, per 10 years7, 10110.14 (−0.60 to 0.88)0.71474.5%, p=0.001
Mean baseline BMI, kg/m2 7, 10110.07 (−0.18 to 0.32)0.57576.8%, p<0.0017, 10110.07 (−0.24 to 0.38)0.66079.6%, p=<0.001
Mean baseline level7, 10110.04 (−0.10 to 0.18)0.54075.0%, p=0.0017, 10110.06 (−0.16 to 0.27)0.61879.4%, p=<0.001
Sedentary effectiveness, hour/day*7, 10110.23 (−0.98 to 1.44)0.71177.1%, p<0.0017, 10110.21 (−1.02 to 1.44)0.73879.4%, p=<0.001
Duration (>6 vs ≤3 months)†7, 10110.06 (1.23 to 1.36)0.92277.1%, p<0.0017, 1011−0.14 (−1.86 to 1.58)0.87577.6%, p=0.001
Risk of bias (vs high risk)7, 1011 0.490 69.9%, p=0.0107, 1011 0.619 74.5%, p=0.008
 Some concerns0.72 (−0.53 to 1.98)0.2581.23 (−0.73 to 3.20)0.219
 Low risk0.12 (−1.10 to 1.34)0.8470.37 (−1.07 to 1.81)0.615
Glucose, mM 19, 1518 45.5%, p=0.017 19, 1518 45.5%, p=0.017
Mean baseline age, per 10 years19, 1518−0.01 (−0.08 to 0.07)0.89147.9%, p=0.012
Mean baseline BMI, kg/m2 19, 15180.01 (−0.01 to 0.03)0.39146.0%, p=0.01719, 15180.01 (−0.01 to 0.04)0.33048.8%, p=0.012
Mean baseline level18, 1497−0.01 (−0.23 to 0.20)0.90845.8%, p=0.02118, 14970.03 (−0.23 to 0.29)0.81946.0%, p=0.023
Sedentary effectiveness, h/day*18, 1497−0.02 (−0.21 to 0.16)0.80445.6%, p=0.02118, 1497−0.05 (−0.25 to 0.15)0.63246.0%, p=0.023
Duration (vs ≤3 months)19, 1518 0.611 51.5%, p=0.00719, 1518 0.732 54.0%, p=0.005
 3–6 months−0.00 (−0.19 to 0.19)0.9800.04 (−0.24 to 0.32)0.769
 >6 months−0.12 (−0.37 to 0.13)0.345−0.14 (−0.43 to 0.15)0.355
Risk of bias (vs high risk)19, 1518 0.424 48.3%, p=0.01419, 1518 0.543 49.7%, p=0.013
 Some concerns0.18 (−0.13 to 0.48)0.2560.21 (−0.12 to 0.54)0.212
 Low risk0.12 (−0.09 to 0.33)0.2670.17 (−0.09 to 0.42)0.202
Insulin, pM 10, 1102 64.0%, p=0.003 10, 1102 64.0%, p=0.003
Mean baseline age, per 10 years10, 11020.76 (−2.63 to 4.15)0.66068.0%, p=0.002
Mean baseline BMI, kg/m2 10, 11020.20 (−1.09 to 1.48)0.76467.8%, p=0.00210, 11020.02 (−1.60 to 1.65)0.98068.8%, p=0.002
Mean baseline level10, 11020.15 (0.03 to 0.27)0.01861.1%, p=0.00810, 11020.21 (0.12 to 0.31)<0.0010.0%, p=0.641
Sedentary effectiveness, hour/day*10, 11021.65 (−6.15 to 9.45)0.67866.5%, p=0.00210, 11023.51 (−6.34 to 13.35)0.48545.4%, p=0.077
Duration (vs ≤3 months)10, 1102 0.014 50.8%, p=0.04710, 1102 0.268 57.8%, p=0.027
 3–6 months2.14 (−7.20 to 11.48)0.6541.87 (−8.64 to 12.38)0.728
 >6 months7.87 (−0.21 to 15.95)0.0566.84 (−2.33 to 16.01)0.144
Risk of bias (vs high risk)10, 1102 <0.001 11.9%, p=0.33810, 1102 0.211 22.8%, p=0.255
 Some concerns−0.24 (−1.42 to 0.94)0.692−3.10 (−11.81 to 5.62)0.486
 Low risk−4.64 (−6.95 to −2.32)<0.001−5.60 (−11.33 to 0.14)0.056
HbA1c, % 9, 892 72.9%, p=0.000 9, 892 72.9%, p=0.000
Mean baseline age, per 10 years9, 892−0.10 (−0.18 to −0.02)0.01149.5%, p=0.054
Mean baseline BMI, kg/m2 9, 892−0.01 (−0.05 to 0.03)0.59976.3%, p<0.0019, 892−0.03 (0.05 to –0.01)0.0040.0%, p=0.454
Mean baseline level9, 892−0.15 (−0.34 to 0.04)0.12776.3%, p<0.0019, 892−0.16 (−0.32 to 0.00)0.05549.1%, p=0.067
Sedentary effectiveness, hour/day*9, 8920.08 (−0.10 to 0.26)0.37969.5%, p=0.0029, 892−0.02 (−0.20 to 0.17)0.86256.4%, p=0.032
Duration (vs ≤3 months)9, 892 0.994 78.0%, p<0.0019, 892 0.002 24.7%, p=0.249
 3–6 months−0.02 (−0.35 to 0.32)0.9190.04 (−0.14 to 0.23)0.641
 >6 months−0.02 (−0.38 to 0.35)0.932−0.24 (−0.50 to 0.02)0.069
Risk of bias (vs high risk)9, 892 0.090 75.4%, p<0.0019, 892 0.037 59.4%, p=0.031
 Some concerns0.30 (−0.25 to 0.85)0.2870.28 (−0.23 to 0.79)0.286
 Low risk0.50 (−0.02 to 1.02)0.0580.40 (−0.09 to 0.89)0.113
Diastolic blood pressure, mm Hg 25, 1932 52.6%, p=0.001 25, 1932 52.6%, p=0.001
Mean baseline age, per 10 years25, 1932−0.38 (–1.30 to 0.54)0.42154.4%, p<0.001
Mean baseline BMI, kg/m2 24, 1903−0.01 (−0.32 to 0.30)0.94653.2%, p=0.00124, 19030.03 (–0.31 to 0.36)0.88555.2%, p =<0.001
Mean baseline level24, 1911−0.16 (−0.44 to 0.12)0.25052.0%, p=0.00224, 1911−0.11 (−0.42 to 0.20)0.49252.5%, p=0.002
Sedentary effectiveness, hour/day*23, 1882−1.07 (−2.83 to 0.69)0.23252.9%, p=0.00223, 1882−1.69 (−3.40 to 0.02)0.05343.2%, p=0.019
Duration (vs ≤3 months)25, 1932 0.655 56.2%, p<0.00125, 1932 0.712 57.9%, p =<0.001
 3–6 months0.22 (−2.50 to 2.94)0.8740.40 (−2.64 to 3.43)0.798
 >6 months−1.20 (−3.97 to 1.57)0.397−1.14 (−4.19 to 1.92)0.465
Risk of bias (vs high risk)25, 1932 0.699 55.1%, p<0.00125, 1932 0.629 57.1%, p =<0.001
 Some concerns1.20 −2.05 to 4.45)0.4681.82 (1.90 to 5.53)0.338
 Low risk1.03 (−1.58 to 3.64)0.4391.35 (1.56 to 4.25)0.363
Total cholesterol, mM 23, 1798 54.1%, p=0.001 23, 1798 54.1%, p=0.001
Mean baseline age, per 10 years23, 1798−0.14 (−0.22 to -0.07)<0.00117.1%, p=0.233
Mean baseline BMI, kg/m2 23, 17980.01 (−0.02 to 0.04)0.66454.6%, p=0.00123, 17980.01 (−0.01 to 0.03)0.39817.4%, p=0.233
Mean baseline level23, 1798−0.24 (−0.50 to 0.02)0.06645.7%, p=0.01123, 1798−0.05 (−0.30 to 0.21)0.71320.6%, p=0.195
Sedentary effectiveness, hour/day*23, 17980.08 (−0.04 to 0.20)0.20640.3%, p=0.02723, 17980.01 (−0.10 to 0.12)0.81219.5%, p=0.208
Duration (vs ≤3 months)23, 1798 0.573 54.6%, p=0.00123, 1798 0.003 20.4%, p=0.202
 3–6 months0.07 (−0.17 to 0.31)0.5770.06 (−0.12 to 0.24)0.493
 >6 months0.13 (−0.12 to 0.39)0.3060.11 (−0.08 to 0.30)0.259
Risk of bias (vs high risk)23, 1798 0.044 47.2%, p=0.00923, 1798 <0.001 13.7%, p=0.284
 Some concerns−0.34 (−0.65 to –0.04)0.028−0.21 (−0.48 to 0.06)0.134
 Low risk−0.11 (−0.39 to 0.16)0.419−0.05 (−0.29 to 0.19)0.689
Triglycerides, mM 23, 1742 49.0%, p=0.005 23, 1742 49.0%, p=0.005
Mean baseline age, per 10 y23, 1742−0.05 (−0.11 to 0.02)0.14951.3%, p=0.003
Mean baseline BMI, kg/m2 23, 17420.00 (−0.02 to 0.02)0.96250.3%, p=0.00423, 17420.01 (−0.02 to 0.03)0.66752.4%, p=0.003
Mean baseline level22, 1721−0.20 (−0.63 to 0.22)0.35045.1%, p=0.01422, 1721−0.13 (−0.53 to 0.26)0.50831.7%, p=0.087
Sedentary effectiveness, h/day*22, 1721−0.06 (−0.17 to 0.05)0.27945.9%, p=0.01222, 1721−0.13 (−0.21 to –0.05)0.0010.0%, p=0.507
Duration (vs ≤3 months)23, 1742 0.645 53.4%, p=0.00223, 1742 0.447 55.7%, p=0.001
 3–6 months−0.07 (−0.24 to 0.10)0.402−0.05 (−0.24 to 0.14)0.639
 >6 months−0.06 (−0.25 to 0.13)0.516−0.07 (−0.28 to 0.13)0.481
Risk of bias (vs high risk)23, 1742 0.396 53.6%, p=0.00223, 1742 0.485 55.7%, p=0.001
 Some concerns−0.13 (−0.33 to 0.07)0.218−0.07 (−0.34 to 0.19)0.587
 Low risk−0.10 (−0.28 to 0.07)0.245−0.06 (−0.28 to 0.16)0.573
  • Table presents unstandardised regression coefficient (b) and 95% CI and p value from meta-regression of controlled trials of adult sedentary behaviour interventions ≥7 days. Italics indicates overall p value (omnibus test).

  • k=total number of interventions included and n=total number of individuals analysed in the included interventions, in the meta-regressions or main meta-analysis (boldface).

  • Residual heterogeneity (I2 and p from Cochrane’s Q test) with overall heterogeneity in the main meta-analysis shown in boldface.

  • *Estimated effectiveness of intervention on overall sedentary time (net of control).

  • †No studies in the 3–6 months duration category.

  • BMI, body mass index.