['While the lack of muscular activity is a proposed trigger for metabolic alterations, this association has not been directly measured. We examined the associations between EMG-derived muscle inactivity and activity patterns and cardiometabolic biomarkers in healthy, physically active adults.', 'Data for this cross-sectional study were pooled from two studies (EMG24 and InPact), resulting in a sample of 150 individuals without known chronic diseases and with high-quality EMG data (female n = 85, male n = 65, age = 38.8 ± 10.6 yr, body mass index = 23.8 ± 3.1 kg·m⁻²). EMG was measured during one to three typical weekdays using EMG shorts, measuring quadriceps and hamstring muscle EMG. Muscle inactivity time and moderate- to vigorous-intensity muscle activity were defined as EMG amplitude below that of standing still and above that of walking 5 km·h⁻¹, respectively. Blood pressure index, waist circumference, fasting plasma glucose, HDL cholesterol, and triglycerides were measured, and long-term exercise behaviors were assessed by questionnaire.', "In a group of physically active participants, muscles were inactive for 65.2% ± 12.9% of the measurement time in an average of 24.1 ± 9.8-s periods. Compared to those in the lowest muscle inactivity quartile (<55.5% of measurement time), those in the highest quartile (≥74.8% of measurement time) had 0.32 mmol·L⁻¹ lower HDL cholesterol (P < 0.05) and 0.30 mM higher triglycerides (P < 0.05) independent of muscle's moderate- to vigorous-intensity activity."] Is muscle inactivity adversely associated with biomarkers in physically active adults?