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Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

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Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#71

I changed my primary work goal 2 years ago. Now I try to minimize stress as the most important goal of the work day. I redefined my job; it now is to solve problems in the lowest stressful way. In other words, my employer is not paying me to kill myself. I walk 10 mins every 1 to 2 hours and use that time to review. I try to find ways to solve problems in ways that are more fun, easier, and effective. So to me a 10 m…

I walk 10 mins every 1 to 2 hours and use that time to review. I try to find ways to solve problems in ways that are more fun, easier, and effective. So to me a 10 min break is a work requirement.

Ah, the old Walk-n-Talk meeting style.

http://tvtropes.org/pmwiki/pmwiki.php/Main/WalkAndTalk

If I could get Alan Sorkin's endorsement I'd sell it as a work out routine and make millions.

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#72
post #62

Here's one thing I've done to increase exercise in my life: I keep a jump rope in the trunk of my car, and I have a self-imposed rule that it costs 100 jumps to get into the car. I drive a few times per day, so that adds up to many small workouts!

If that wouldn't result in me embarrassing myself in the Target/Costco/supermarket/work parking lot multiple times per week, I would actually be really interested in that approach.

Why in the world do you care what some rando in a parking lot thinks about you?

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#73
I guess I already kind of knew how bad it was, but I just chose to ignore it. I decided instead of keeping a big thermos of coffee/water with me that lasts hours. I will instead actually get up to get something to drink, every time. It's a good reminder I think, and beats my alternative of setting an alarm for every 30 minutes of the work day.

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#74

The headline result (sedentary behavior leads to increased risk of mortality) is not completely supported by the results shown in the abstract. They break the test subjects into four groups ranked by activity level, and compare the the highest activity group to the rest. But in the results, only the lowest activity group has a hazard ratio where the 95% confidence interval does not contain 1. Translation: the data on…

Also they didn't randomize the activity level of the subjects by putting them on different exercise programs. I would think that people being in an end of life state at the beginning of the study would tend to be more likely to be tired and avoid exercise. It could well be that early undiagnosed terminal illness causes people to be sedentary and not the other way around.

Agreed. We're back in cause vs. correlation territory, no?

The most sedentary people may also be the most obese, the most likely to suffer from diabetes, the most burdened with respiratory and cardiovascular diseases, etc. Their expected lifespans will thus be quite shorter.

I'm willing to believe that appropriate exercise is good for you, almost no matter how robust or frail your health is. But this would be a much better study if it tracked cohorts with roughly parallel starting health. That way, the degree of active-vs.-sedentary living could be a study variable that wasn't tainted by undocumented variations in starting health status.

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#75

I baffled by how many tech guys/girls don't understand this. This is so obvious it hurts. At my company's last year medical checkup the results were just absurd, specially for men above 30 years old. Abdominal fat, high cholesterol, diabetes, etc..Yet, nobody gives a damn, almost no one changed their habits. Guys, just get up and move. 30m-40m a day, you can fit this into your daily schedule, don't come up with excus…

I understand this. It's just that my brain is a bunghole, and has decided that any maintenance task that the body may need is about the most boring thing it can imagine, and it would rather die than be bored. The body retaliates by pumping the brain full of chemicals that make it want to eat.

The perfectly rational part of my brain has set up activity reminders at work for 11AM, 1PM, and 3PM, presuming that walking to/from the parking lot counts as activity. They literally just say "Get up and move." The lazy jerk part of my brain always responds, "...or don't, and just click off the reminder."

And sometimes it wins. It shouldn't ever win, but it does.

Ultimately, the problem must be that part of me doesn't want to live a long and healthy life. It would prefer to die sooner rather than later. Tracing it, it seems linked to the future prediction part of my brain, which seems to believe that the future will be worse than the present.

I can't really fault its reasoning. If I knew civilization was going to collapse next week, I'd quit my job and spend some time partying. If I knew it was going down in a month, I'd probably check out at work and party at a more sedate pace. So I think I can understand one of the reasons for the US opiate epidemic. For those people, the world as they know it is ending, so they're checking out and partying. Their job is probably gone and not coming back, and maybe no one really cares about them anymore, if anyone ever did. So they can face a long, slow, downward spiral of pain and despair, or they can jump off a cliff and make it a quick rush of euphoria, then no more pain.

Sedentary lifestyle is more of a response to a general malaise. I sometimes don't think I'll ever be able to retire. Most of the jobs I have held have absolutely sucked. And many of my ancestors were at least octagenarians. Rather than spend the next 40 years working for The Man, part of me might be whispering, "being dead is a great excuse to stop working so hard for the exclusive benefit of other people."

So essentially, I probably don't change my habits because I believe that living longer would just allow other people to use me as their pack mule for more years. I don't really want to die, but I haven't really been living for the last 20 years, either. I earn like a software pro, spend like a stingy hobo, and have nothing to show for it, not even social capital.

Why would I invest in myself without even the possibility of getting equity in return? And that's just a really difficult argument to counter. What could I do to get more enjoyment out of life, that would make me want more of it? If America has epidemics of drug addictions and obesity, what does that say about its opinion of the future? Are we all a Rat Park Experiment writ large, pushing our levers in our Skinnerboxes just because there is nothing better to do?

The world needs something new to believe in and spend money on, but I'm not charismatic enough to give it my dreams.

I may be overthinking this.

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#76

The headline result (sedentary behavior leads to increased risk of mortality) is not completely supported by the results shown in the abstract. They break the test subjects into four groups ranked by activity level, and compare the the highest activity group to the rest. But in the results, only the lowest activity group has a hazard ratio where the 95% confidence interval does not contain 1. Translation: the data on…

Also they didn't randomize the activity level of the subjects by putting them on different exercise programs. I would think that people being in an end of life state at the beginning of the study would tend to be more likely to be tired and avoid exercise. It could well be that early undiagnosed terminal illness causes people to be sedentary and not the other way around.

i imagine its a negative feedback loop. unhealthy people move less and become even more unhealthy.

that being said, obesity correlates positively with inactivity. being less sedentary is a huge goal of mine to improve my health, pvalues or not

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#77

I changed my primary work goal 2 years ago. Now I try to minimize stress as the most important goal of the work day. I redefined my job; it now is to solve problems in the lowest stressful way. In other words, my employer is not paying me to kill myself. I walk 10 mins every 1 to 2 hours and use that time to review. I try to find ways to solve problems in ways that are more fun, easier, and effective. So to me a 10 m…

> Sometimes stress can peak and when that happens I just take a nap until it dissipates. Usually just 30 mins but there are times when it can take an hour or more. Again, I view the nap as doing work because often I wake up with a simpler solution that also has much less stress.

Here I thought I was the only one. Thanks for sharing. I find work to be pretty stress-inducing for some obscure psychological reasons; taking an occasional nap to reboot the stress meter is a solution my body arrived at.

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#78
post #62

Earlier quoted context omitted.

If that wouldn't result in me embarrassing myself in the Target/Costco/supermarket/work parking lot multiple times per week, I would actually be really interested in that approach.

Why in the world do you care what some rando in a parking lot thinks about you?

Because I've been socially and culturally conditioned to, and no matter how much I can rationally justify that what other people think doesn't matter (which isn't entirely true), that doesn't mean I can emotionally accept that without angst.

Put another way, it's not rational to ignore how you think you will respond to social pressure just because you think you shouldn't respond that way to the pressure. The human mind is not so simple as that.

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#79

I baffled by how many tech guys/girls don't understand this. This is so obvious it hurts. At my company's last year medical checkup the results were just absurd, specially for men above 30 years old. Abdominal fat, high cholesterol, diabetes, etc..Yet, nobody gives a damn, almost no one changed their habits. Guys, just get up and move. 30m-40m a day, you can fit this into your daily schedule, don't come up with excus…

You forgot lawyer up.

Re: Sedentary Behavior and Mortality in U.S. Middle-Aged and Older Adults

#80

The headline result (sedentary behavior leads to increased risk of mortality) is not completely supported by the results shown in the abstract. They break the test subjects into four groups ranked by activity level, and compare the the highest activity group to the rest. But in the results, only the lowest activity group has a hazard ratio where the 95% confidence interval does not contain 1. Translation: the data on…

Also they didn't randomize the activity level of the subjects by putting them on different exercise programs. I would think that people being in an end of life state at the beginning of the study would tend to be more likely to be tired and avoid exercise. It could well be that early undiagnosed terminal illness causes people to be sedentary and not the other way around.

This stood out to me also. I understand why they didn't do so - randomizing exercise for 8,000 people is all but impossible. (Unreliable for "do more", potentially unethical for "do less"). But it's pretty worrying because there are a stack of possible shared causes between mortality and activity.

Everything from obesity (cause of inactivity and shared causes with inactivity) to rarer mortality risks like cancer would simultaneously act to create this result even with no causative linkage.

It seems like a new version of that infamous NEJM study showing that low and healthy weights have especially high mortality - because terminally ill patients tend to lose a lot of weight.

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