Association between physical activity and metabolic syndrome: a cross sectional survey in adolescents in Ho Chi Minh City, Vietnam
Association between physical activity and metabolic syndrome: a cross sectional survey in adolescents in Ho Chi Minh City, Vietnam
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DOI：
10.1186/1471-2458-10-141
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发表时间：
2010-03-17
影响因子：
4.5
通讯作者：
Dibley, Michael J.
中科院分区：
文献类型：
--
作者：
Nguyen, Trang H. H. D.;Tang, Hong K.;Dibley, Michael J.
背景资料：越南胡志明市青少年超重/肥胖的流行强调了研究越南青少年代谢综合征的重要性，这些青少年正变得越来越不活跃。在越南，还没有研究调查代谢综合征与青少年中到剧烈体力活动（PA）水平的关系。我们的目的是研究这个协会在城市青少年样本从胡志明City.Methods：一个横截面的评估进行了2007年的一个代表性样本693高中学生从城市地区在胡志明市。代谢综合征的定义是根据国际糖尿病联盟的标准和体力活动进行了测量与Activograph加速度计。体力活动和代谢综合征之间的关联进行了评估，通过使用多元Logistic回归models.Results：总体上4.6%的青少年和11.8%的超重/肥胖青少年有代谢综合征。血压升高是代谢综合征最常见的个体成分（21.5%），其次是高甘油三酯血症（11.1%）。在调整其他研究因素后，最低体力活动组（< 43分钟体力活动/天）的年轻人患代谢综合征的几率是最高体力活动组（> 103分钟/天）的5倍（AOR = 5.3，95%CI：1.5，19.1）。代谢综合征也与社会经济地位呈正相关（AOR = 9.4，95%CI：2.1，42.4）。结论：越南青少年中，更多的身体活动的生活方式似乎与代谢综合征的低风险相关。在计划预防青少年代谢综合征的干预措施时，应考虑社会经济状况。
Background: The emerging epidemic of overweight/obesity in adolescents in Ho Chi Minh City, Vietnam underlines the importance of studying the metabolic syndrome in Vietnamese adolescents who are becoming progressively more inactive. No study in Vietnam has examined the association of metabolic syndrome with moderate to vigorous physical activity (PA) levels among adolescents. We aimed to examine this association in a sample of urban adolescents from Ho Chi Minh City.Methods: A cross-sectional assessment was conducted in 2007 on a representative sample of 693 high-school students from urban districts in Ho Chi Minh City. Metabolic syndrome was defined according to the International Diabetes Federation criteria and physical activity was measured with Actigraph accelerometers. The association between physical activity and metabolic syndrome was assessed by using multiple logistic regression models.Results: Overall 4.6% of the adolescents and 11.8% of the overweight/obese adolescents had metabolic syndrome. Elevated BP was the most common individual component of the metabolic syndrome (21.5%), followed by hypertriglyceridemia (11.1%). After adjusting for other study factors, the odds of metabolic syndrome among youth in the lowest physical activity group (< 43 minutes of physical activity/day) were five times higher than those in the highest physical activity group (> 103 minutes/day) (AOR = 5.3, 95% CI: 1.5, 19.1). Metabolic syndrome was also positively associated with socioeconomic status (AOR = 9.4, 95% CI: 2.1, 42.4).Conclusions: A more physically active lifestyle appears to be associated with a lower odds of metabolic syndrome in Vietnamese adolescents. Socio-economic status should be taken into account when planning interventions to prevent adolescent metabolic syndrome.