RT Journal Article T1 Isotemporal substitution of inactive time with physical activity and time in bed: cross-sectional associations with cardiometabolic health in the PREDIMED-Plus study. A1 Galmes-Panades, Aina M A1 Varela-Mato, Veronica A1 Konieczna, Jadwiga A1 Wärnberg, Julia A1 Martínez-González, Miguel Ángel A1 Salas-Salvadó, Jordi A1 Corella, Dolores A1 Schröder, Helmut A1 Vioque, Jesús A1 Alonso-Gómez, Ángel M A1 Martínez, J Alfredo A1 Serra-Majem, Luís A1 Estruch, Ramon A1 Tinahones, Francisco J A1 Lapetra, José A1 Pintó, Xavier A1 Tur, Josep A A1 Garcia-Rios, Antonio A1 Riquelme-Gallego, Blanca A1 Gaforio, José Juan A1 Matía-Martín, Pilar A1 Daimiel, Lidia A1 Micó Pérez, Rafael Manuel A1 Vidal, Josep A1 Vázquez, Clotilde A1 Ros, Emilio A1 Garcia-Arellano, Ana A1 Díaz-López, Andrés A1 Asensio, Eva M A1 Castañer, Olga A1 Fiol, Francisca A1 Mira-Castejón, Luis Alfredo A1 Moreno Rodríguez, Anai A1 Benavente-Marín, Juan Carlos A1 Abete, Itziar A1 Tomaino, Laura A1 Casas, Rosa A1 Barón López, F Javier A1 Fernández-García, José Carlos A1 Santos-Lozano, José Manuel A1 Galera, Ana A1 Mascaró, Catalina M A1 Razquin, Cristina A1 Papandreou, Christopher A1 Portoles, Olga A1 Pérez-Vega, Karla Alejandra A1 Fiol, Miguel A1 Compañ-Gabucio, Laura A1 Vaquero-Luna, Jessica A1 Ruiz-Canela, Miguel A1 Becerra-Tomás, Nerea A1 Fitó, Montserrat A1 Romaguera, Dora K1 Cardiometabolic risk K1 Inactive time K1 Isotemporal substitution K1 Light physical activity K1 Moderate to vigorous physical activity K1 Time in bed AB This study explored the association between inactive time and measures of adiposity, clinical parameters, obesity, type 2 diabetes and metabolic syndrome components. It further examined the impact of reallocating inactive time to time in bed, light physical activity (LPA) or moderate-to-vigorous physical activity (MVPA) on cardio-metabolic risk factors, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. This is a cross-sectional analysis of baseline data from 2189 Caucasian men and women (age 55-75 years, BMI 27-40 Kg/m2) from the PREDIMED-Plus study (http://www.predimedplus.com/). All participants had ≥3 components of the metabolic syndrome. Inactive time, physical activity and time in bed were objectively determined using triaxial accelerometers GENEActiv during 7 days (ActivInsights Ltd., Kimbolton, United Kingdom). Multiple adjusted linear and logistic regression models were used. Isotemporal substitution regression modelling was performed to assess the relationship of replacing the amount of time spent in one activity for another, on each outcome, including measures of adiposity and body composition, biochemical parameters and blood pressure in older adults. Inactive time was associated with indicators of obesity and the metabolic syndrome. Reallocating 30 min per day of inactive time to 30 min per day of time in bed was associated with lower BMI, waist circumference and glycated hemoglobin (HbA1c) (all p-values Inactive time was associated with a poor cardio-metabolic profile. Isotemporal substitution of inactive time with MVPA and LPA or time in bed could have beneficial impact on cardio-metabolic health. The trial was registered at the International Standard Randomized Controlled Trial (ISRCTN: http://www.isrctn.com/ISRCTN89898870) with number 89898870 and registration date of 24 July 2014, retrospectively registered. YR 2019 FD 2019-12-23 LK http://hdl.handle.net/10668/14872 UL http://hdl.handle.net/10668/14872 LA en DS RISalud RD Apr 7, 2025