Preliminary results of the cross-sectional associations of sedentary behavior and physical activity with serum brain-derived neurotrophic factor in adults with coronary heart disease

Antje Ullrich, Kristin Wenzel, Martin Bahls, Lisa Voigt, Stephanie Könemann, Marcus Dörr, Susanne Wurm, Sabina Ulbricht, Antje Ullrich, Kristin Wenzel, Martin Bahls, Lisa Voigt, Stephanie Könemann, Marcus Dörr, Susanne Wurm, Sabina Ulbricht

Abstract

This is the first study to analyze the association of accelerometer-measured patterns of habitual physical activity (PA) and sedentary behavior (SB) with serum BDNF in individuals with coronary heart disease. A total of 30 individuals (M = 69.5 years; 80% men) participated in this pre-post study that aimed to test a multi-behavioral intervention. All participants underwent standardized measurement of anthropometric variables, blood collection, self-administered survey, and accelerometer-based measurement of PA and SB over seven days. Serum BDNF concentrations were measured using enzyme-linked immunosorbent assay kit. We applied separate multiple linear regression analysis to estimate the associations of baseline SB pattern measures, light and moderate-to-vigorous PA with serum BDNF (n = 29). Participants spent 508.7 ± 76.5 min/d in SB, 258.5 ± 71.2 min/d in light PA, and 21.2 ± 15.2 min/d in moderate-to-vigorous PA. Per day, individuals had 15.5 ± 3.2 numbers of 10-to-30 min bouts of SB (average length: 22.2 ± 2.1 min) and 3.4 ± 1.2 numbers of > 30 min bouts of SB (average length: 43.8 ± 2.4 min). Regression analysis revealed no significant associations between any of the accelerometer-based measures and serum BDNF. The findings of this study did not reveal an association of accelerometer-measured PA and SB pattern variables with serum BDNF in individuals with coronary heart disease. In addition, our data revealed a considerable variation of PA and SB which should be considered in future studies.

Conflict of interest statement

The authors declare no competing interests.

© 2022. The Author(s).

Figures

Figure 1
Figure 1
Total time spent in sedentary behavior, light physical activity, and moderate-to-vigorous physical activity among individuals with coronary heart disease (n = 29). Note. SB = Sedentary behavior, LPA = Light physical activity, MVPA = Moderate-to-vigorous physical activity, BDNF = Brain-derived neurotrophic factor. The dark grey segments represent the time spent in SB, the light grey segments represent the time spent in LPA, and the black segments represent the time spent in MVPA. Individuals are ranked by values of BDNF (ng/ml).

References

    1. Ekelund U, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: Systematic review and harmonised meta-analysis. BMJ. 2019;366:l4570. doi: 10.1136/bmj.l4570.
    1. Young DR, et al. Sedentary behavior and cardiovascular morbidity and mortality: A science advisory from the american heart association. Circulation. 2016;134:e262–e279. doi: 10.1161/cir.0000000000000440.
    1. Di Liegro CM, Schiera G, Proia P, Di Liegro I. Physical activity and brain health. Genes. 2019;10:720. doi: 10.3390/genes10090720.
    1. Umegaki H, Sakurai T, Arai H. Active life for brain health: A narrative review of the mechanism underlying the protective effects of physical activity on the brain. Front. Aging Neurosci. 2021;13:761674. doi: 10.3389/fnagi.2021.761674.
    1. Wheeler MJ, et al. Sedentary behavior as a risk factor for cognitive decline? A focus on the influence of glycemic control in brain health. Alzheimers Dement. 2017;3:291–300. doi: 10.1016/j.trci.2017.04.001.
    1. Swardfager W, et al. Brain derived neurotrophic factor, cardiopulmonary fitness and cognition in patients with coronary artery disease. Brain Behav. Immun. 2011;25:1264–1271. doi: 10.1016/j.bbi.2011.04.017.
    1. Szuhany KL, Bugatti M, Otto MW. A meta-analytic review of the effects of exercise on brain-derived neurotrophic factor. J. Psychiatr. Res. 2015;60:56–64. doi: 10.1016/j.jpsychires.2014.10.003.
    1. Walsh EI, Smith L, Northey J, Rattray B, Cherbuin N. Towards an understanding of the physical activity-BDNF-cognition triumvirate: A review of associations and dosage. Ageing Res. Rev. 2020;60:101044. doi: 10.1016/j.arr.2020.101044.
    1. Huang T, Larsen KT, Ried-Larsen M, Møller NC, Andersen LB. The effects of physical activity and exercise on brain-derived neurotrophic factor in healthy humans: A review. Scand J. Med. Sci. Sports. 2014;24:1–10. doi: 10.1111/sms.12069.
    1. Dinoff A, et al. The effect of exercise training on resting concentrations of peripheral brain-derived neurotrophic factor (BDNF): A meta-analysis. PLoS ONE. 2016;11:e0163037–e0163037. doi: 10.1371/journal.pone.0163037.
    1. Rasmussen P, et al. Evidence for a release of brain-derived neurotrophic factor from the brain during exercise. Exp. Physiol. 2009;94:1062–1069. doi: 10.1113/expphysiol.2009.048512.
    1. Harvey JA, Chastin SF, Skelton DA. Prevalence of sedentary behavior in older adults: A systematic review. Int. J. Environ. Res. Public Health. 2013;10:6645–6661. doi: 10.3390/ijerph10126645.
    1. Hajduk AM, Chaudhry SI. Sedentary behavior and cardiovascular risk in older adults: A scoping review. Curr. Cardiovasc. Risk. Rep. 2016 doi: 10.1007/s12170-016-0485-6.
    1. Bakker EA, et al. Sedentary behaviour in cardiovascular disease patients: Risk group identification and the impact of cardiac rehabilitation. Int. J. Cardiol. 2021;326:194–201. doi: 10.1016/j.ijcard.2020.11.014.
    1. Barker J, et al. Physical activity of UK adults with chronic disease: cross-sectional analysis of accelerometer-measured physical activity in 96 706 UK Biobank participants. Int. J. Epidemiol. 2019;48:1167–1174. doi: 10.1093/ije/dyy294.
    1. Bellettiere J, et al. Sedentary behavior and cardiovascular disease in older women: The objective physical activity and cardiovascular health (OPACH) Study. Circulation. 2019;139:1036–1046. doi: 10.1161/circulationaha.118.035312.
    1. Jeong SW, et al. Mortality reduction with physical activity in patients with and without cardiovascular disease. Eur. Heart J. 2019;40:3547–3555. doi: 10.1093/eurheartj/ehz564.
    1. Moholdt T, Wisløff U, Nilsen TI, Slørdahl SA. Physical activity and mortality in men and women with coronary heart disease: A prospective population-based cohort study in Norway (the HUNT study) Eur. J. Cardiovasc. Prev. Rehabil. 2008;15:639–645. doi: 10.1097/HJR.0b013e3283101671.
    1. Boerema ST, van Velsen L, Vollenbroek MM, Hermens HJ. Pattern measures of sedentary behaviour in adults: A literature review. Digit. Health. 2020;6:2055207620905418. doi: 10.1177/2055207620905418.
    1. Kim Y, Welk GJ, Braun SI, Kang M. Extracting objective estimates of sedentary behavior from accelerometer data: Measurement considerations for surveillance and research applications. PLoS ONE. 2015;10:e0118078. doi: 10.1371/journal.pone.0118078.
    1. Carter S, Hartman Y, Holder S, Thijssen DH, Hopkins ND. Sedentary behavior and cardiovascular disease risk: Mediating mechanisms. Exerc. Sport Sci. Rev. 2017;45:80–86. doi: 10.1249/jes.0000000000000106.
    1. Amadio P, et al. Patho- physiological role of BDNF in fibrin clotting. Sci. Rep. 2019;9:389. doi: 10.1038/s41598-018-37117-1.
    1. Jin H, et al. Association between brain-derived neurotrophic factor and von Willebrand factor levels in patients with stable coronary artery disease. BMC Cardiovasc. Disord. 2018;18:23. doi: 10.1186/s12872-018-0762-z.
    1. Pius-Sadowska E, Machaliński B. BDNF—A key player in cardiovascular system. J. Mol. Cell Cardiol. 2017;110:54–60. doi: 10.1016/j.yjmcc.2017.07.007.
    1. Kaess BM, et al. Circulating brain-derived neurotrophic factor concentrations and the risk of cardiovascular disease in the community. J. Am. Heart Assoc. 2015;4:e001544. doi: 10.1161/jaha.114.001544.
    1. Rahman F, et al. Serum brain-derived neurotrophic factor and risk of atrial fibrillation. Am. Heart J. 2017;183:69–73. doi: 10.1016/j.ahj.2016.07.027.
    1. Jiang H, Liu Y, Zhang Y, Chen ZY. Association of plasma brain-derived neurotrophic factor and cardiovascular risk factors and prognosis in angina pectoris. Biochem. Biophys. Res. Commun. 2011;415:99–103. doi: 10.1016/j.bbrc.2011.10.020.
    1. Takashio S, et al. Significance of low plasma levels of brain-derived neurotrophic factor in patients with heart failure. Am. J. Cardiol. 2015;116:243–249. doi: 10.1016/j.amjcard.2015.04.018.
    1. Arvidsson D, et al. A longitudinal analysis of the relationships of physical activity and body fat with nerve growth factor and brain-derived neural factor in children. J. Phys. Act. Health. 2018;15:620–625. doi: 10.1123/jpah.2017-0483.
    1. Beltran-Valls MR, Adelantado-Renau M, Moliner-Urdiales D. Association between objectively measured physical activity and plasma BDNF in adolescents: DADOS study. J. Mol. Neurosci. 2018;65:467–471. doi: 10.1007/s12031-018-1122-2.
    1. Engeroff T, et al. Is objectively assessed sedentary behavior, physical activity and cardiorespiratory fitness linked to brain plasticity outcomes in old age? Neuroscience. 2018;388:384–392. doi: 10.1016/j.neuroscience.2018.07.050.
    1. Huang T, et al. Cross-sectional associations of objectively measured physical activity with brain-derived neurotrophic factor in adolescents. Physiol. Behav. 2017;171:87–91. doi: 10.1016/j.physbeh.2016.12.026.
    1. Júdice PB, Magalhães JP, Hetherington-Rauth M, Correia IR, Sardinha LB. Sedentary patterns are associated with BDNF in patients with type 2 diabetes mellitus. Eur. J. Appl. Physiol. 2021;121:871–879. doi: 10.1007/s00421-020-04568-2.
    1. Mora-Gonzalez J, et al. Sedentarism, physical activity, steps, and neurotrophic factors in obese children. Med. Sci. Sports Exerc. 2019;51:2325–2333. doi: 10.1249/mss.0000000000002064.
    1. Wurm S, Diehl M, Kornadt AE, Westerhof GJ, Wahl HW. How do views on aging affect health outcomes in adulthood and late life? Explanations for an established connection. Dev. Rev. 2017;46:27–43. doi: 10.1016/j.dr.2017.08.002.
    1. Migueles JH, et al. Accelerometer data collection and processing criteria to assess physical activity and other outcomes: A systematic review and practical considerations. Sports Med. 2017;47:1821–1845. doi: 10.1007/s40279-017-0716-0.
    1. Freedson PS, Melanson E, Sirard J. Calibration of the computer science and applications Inc. accelerometer. Med. Sci. Sports Exerc. 1998;30:777–781. doi: 10.1097/00005768-199805000-00021.
    1. Baumann S, et al. Pitfalls in accelerometer-based measurement of physical activity: The presence of reactivity in an adult population. Scand J. Med. Sci. Sports. 2018;28:1056–1063. doi: 10.1111/sms.12977.
    1. Lommatzsch M, et al. The impact of age, weight and gender on BDNF levels in human platelets and plasma. Neurobiol. Aging. 2005;26:115–123. doi: 10.1016/j.neurobiolaging.2004.03.002.
    1. Herrmann SD, Barreira TV, Kang M, Ainsworth BE. Impact of accelerometer wear time on physical activity data: A NHANES semisimulation data approach. Br. J. Sports Med. 2014;48:278–282. doi: 10.1136/bjsports-2012-091410.
    1. Bellettiere J, et al. Sedentary behavior and prevalent diabetes in 6166 older women: The objective physical activity and cardiovascular health study. J. Gerontol. A Biol. Sci. Med. Sci. 2019;74:387–395. doi: 10.1093/gerona/gly101.
    1. Walsh JJ, et al. Neurotrophic growth factor responses to lower body resistance training in older adults. Appl. Physiol. Nutr. Metab. 2016;41:315–323. doi: 10.1139/apnm-2015-0410.
    1. Walsh JJ, Tschakovsky ME. Exercise and circulating BDNF: Mechanisms of release and implications for the design of exercise interventions. Appl. Physiol. Nutr. Metab. 2018;43:1095–1104. doi: 10.1139/apnm-2018-0192.
    1. Naegelin Y, et al. Measuring and validating the levels of brain-derived neurotrophic factor in human serum. eNeuro. 2018 doi: 10.1523/eneuro.0419-17.2018.
    1. Serra-Millàs M. Are the changes in the peripheral brain-derived neurotrophic factor levels due to platelet activation? World J. Psychiatry. 2016;6:84–101. doi: 10.5498/wjp.v6.i1.84.
    1. Migueles JH, et al. GRANADA consensus on analytical approaches to assess associations with accelerometer-determined physical behaviours (physical activity, sedentary behaviour and sleep) in epidemiological studies. Br. J. Sports Med. 2021 doi: 10.1136/bjsports-2020-103604.
    1. Heesch KC, Hill RL, Aguilar-Farias N, van Uffelen JGZ, Pavey T. Validity of objective methods for measuring sedentary behaviour in older adults: A systematic review. Int. J. Behav. Nutr. Phys. Act. 2018;15:119. doi: 10.1186/s12966-018-0749-2.
    1. Vetrovsky T, et al. Advances in accelerometry for cardiovascular patients: A systematic review with practical recommendations. ESC Heart Fail. 2020;7:2021–2031. doi: 10.1002/ehf2.12781.
    1. Marzolini S, Oh PI, Brooks D. Effect of combined aerobic and resistance training versus aerobic training alone in individuals with coronary artery disease: A meta-analysis. Eur. J. Prev. Cardiol. 2012;19:81–94. doi: 10.1177/1741826710393197.
    1. Yang X, et al. Muscle-generated BDNF is a sexually dimorphic myokine that controls metabolic flexibility. Sci. Signal. 2019 doi: 10.1126/scisignal.aau1468.
    1. Schmalhofer M-L, et al. Sex-specific associations of brain-derived neurotrophic factor and cardiorespiratory fitness in the general population. Biomolecules. 2019;9:630. doi: 10.3390/biom9100630.

Source: PubMed

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