Physical activity, cardiorespiratory fitness, and metabolic syndrome in adolescents: a cross-sectional study.

Physical activity, cardiorespiratory fitness, and metabolic syndrome in adolescents: a cross-sectional study.
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DOI:
10.1186/1471-2458-11-674
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发表时间:
2011-08-30
期刊:
影响因子:
4.5
通讯作者:
de Campos W
de Campos W
中科院分区:
医学2区
文献类型:
--
作者:
Stabelini Neto A;Sasaki JE;Mascarenhas LP;Boguszewski MC;Bozza R;Ulbrich AZ;da Silva SG;de Campos W

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在成年人中,有大量证据表明,缺乏身体活动或心肺健康水平较低与代谢综合征的发生密切相关。尽管这种关联已在成人中进行了广泛的研究,但对于青少年中的这种关联却知之甚少。本研究的目的是分析巴西青少年体力活动和心肺健康水平与代谢综合征之间的关系。随机抽取了 223 名女孩(平均年龄,14.4 ± 1.6 岁)和 233 名男孩(平均年龄,14.6 ± 1.6 岁)作为研究对象。体力活动水平由布沙尔三天体力活动记录确定。心肺健康通过 Leger 20 米往返跑测试进行评估。评估的代谢综合征成分包括腰围、血压、高密度脂蛋白胆固醇、甘油三酯和空腹血糖水平。独立学生 t 检验用于评估性别差异。使用根据年龄和性别进行调整的逻辑回归模型计算体力活动和心肺健康与代谢综合征之间的关联。在不活跃的青少年(男性,11.4%;女性,7.2%)和心肺健康水平较低的青少年(男性,13.9%;女性,8.6%)中观察到代谢综合征的患病率较高。代谢综合征与低心肺健康之间存在显着关系(OR,3.0 [1.13-7.94])。在缺乏运动和心肺健康水平较低的青少年中,代谢综合征的患病率很高。代谢综合征的预防策略应集中于提高生命早期的健康水平。
In adults, there is a substantial body of evidence that physical inactivity or low cardiorespiratory fitness levels are strongly associated with the development of metabolic syndrome. Although this association has been studied extensively in adults, little is known regarding this association in adolescents. The aim of this study was to analyze the association between physical activity and cardiorespiratory fitness levels with metabolic syndrome in Brazilian adolescents. A random sample of 223 girls (mean age, 14.4 ± 1.6 years) and 233 boys (mean age, 14.6 ± 1.6 years) was selected for the study. The level of physical activity was determined by the Bouchard three-day physical activity record. Cardiorespiratory fitness was estimated by the Leger 20-meter shuttle run test. The metabolic syndrome components assessed included waist circumference, blood pressure, HDL-cholesterol, triglycerides, and fasting plasma glucose levels. Independent Student t-tests were used to assess gender differences. The associations between physical activity and cardiorespiratory fitness with the presence of metabolic syndrome were calculated using logistic regression models adjusted for age and gender. A high prevalence of metabolic syndrome was observed in inactive adolescents (males, 11.4%; females, 7.2%) and adolescents with low cardiorespiratory fitness levels (males, 13.9%; females, 8.6%). A significant relationship existed between metabolic syndrome and low cardiorespiratory fitness (OR, 3.0 [1.13-7.94]). The prevalence of metabolic syndrome is high among adolescents who are inactive and those with low cardiorespiratory fitness. Prevention strategies for metabolic syndrome should concentrate on enhancing fitness levels early in life.
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