Longitudinal change in physical activity and adiposity in the transition from adolescence to early adulthood: the 1993 Pelotas cohort study.

Longitudinal change in physical activity and adiposity in the transition from adolescence to early adulthood: the 1993 Pelotas cohort study.
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体育活动的纵向变化和从青春期到成年早期的过渡:1993年Pelotas队列研究。

DOI:
10.1186/s12966-022-01321-0
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发表时间:
2022-07-14
影响因子:
8.7
通讯作者:
Janz, Kathleen F.
Janz, Kathleen F.
中科院分区:
医学1区
文献类型:
--
作者:
Kwon, Soyang;Menezes, Ana M. B.;Ekelund, Ulf;Wehrmeister, Fernando C.;Goncalves, Helen;da Silva, Bruna Goncalves C.;Janz, Kathleen F.

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在目前中等强度和高强度体力活动的体力活动指南中,在成年初期从 ≥ 60分钟/天[青少年体力活动组]突然过渡到 ≥ 150分钟/周(平均≥ 22分钟/天)[成人体力活动指南]是不合理的。本研究的目的是根据青春期晚期(18岁)到成年期早期(22岁)是否遇到青春期和成人期的PAG来检测体脂质量的变化。研究样本包括来自1993年佩洛塔斯(巴西)研究的2099名参与者(1113名女性)。在18岁和22岁时,使用腕式加速度计测量MVPA,并使用双能X射线吸收度计测量脂肪质量。18岁的MVPA分为两组:0-59分钟/天或 ≥ 60分钟/天(分别为否[N]或是[Y]以满足青年推荐)。22岁的 ≥ 分为三组:0-21岁,22-59岁,或MVPA 60分钟/天(N,Y22,或Y60分别为不符合成人建议,符合成人建议,或符合青年建议)。这些组的组合形成了六个MVPA组(N&N、N&Y22、N&Y60、Y&N、Y&Y22和Y&Y60)。通过性别多变量线性回归分析,估计了6个MVPA组中18岁至22岁年龄段的脂肪质量指数(FMI)的变化。在男性中,与Y&Y60(体重指数增加 = 1.2 kg/m2[95%CI = 1.0,1.4])相比,Y&Y22和Y&N的体重指数增幅更大(分别为1.9[1.6,2.1]和1.9[1.2,2.5])。在女性中,Y&Y60和Y&Y22的FMI增幅相同(两组均为1.6[1.4,1.9]),而Y&N的FMI增幅更大(2.4[1.8,3.0])。这些发现表明,在那些在青春期后期活跃的人中,成年后每天从事 ≥ 22分钟的MVPA与女性较低的体脂增加有关,但与男性无关。网上版载有补充材料,可在10.1186/s12966-022-01321-0查阅。
In the current Physical Activity Guidelines (PAG) for moderate- and vigorous-intensity physical activity (MVPA), abrupt transition from ≥ 60 min/day [youth PAG] to ≥ 150 min/week (≥ 22 min/day on average) [adult PAG] during emerging adulthood is poorly justified. The aim of this study was to examine body fat mass changes according to whether meeting the youth and adult PAGs in late adolescence (age 18 years) to early adulthood (age 22 years). The study sample included 2,099 participants (1,113 females) from the 1993 Pelotas (Brazil) Study. At ages 18 and 22 years, MVPA was measured using wrist-worn accelerometry and fat mass was measured using dual-energy X-ray absorptiometry. MVPA at age 18 was categorized into two groups: 0–59 or ≥ 60 min/day (no [N] or yes [Y] for meeting the youth recommendation, respectively). MVPA at age 22 was categorized into three groups: 0–21, 22–59, or ≥ 60 min/day (N, Y22, or Y60 for not meeting the adult recommendation, meeting the adult recommendation, or meeting the youth recommendation, respectively). The combination of these groups created six MVPA groups (N&N, N&Y22, N&Y60, Y&N, Y&Y22, and Y&Y60). Sex-specific multivariable linear regression analyses were conducted to estimate change in fat mass index (FMI) from age 18 to 22 years in the six MVPA groups. Among males, compared to Y&Y60 (FMI increase = 1.2 kg/m2 [95% CI = 1.0, 1.4]), Y&Y22 and Y&N had larger FMI increases (1.9 [1.6, 2.1] and 1.9 [1.2, 2.5], respectively). Among females, Y&Y60 and Y&Y22 had an equal FMI increase (1.6 [1.4, 1.9] for both groups), while Y&N had a larger FMI increase (2.4 [1.8, 3.0]). These findings suggest that among those who were active in late adolescence, engaging in ≥ 22 min/day of MVPA in adulthood is associated with lower body fat gain for females, but not for males. The online version contains supplementary material available at 10.1186/s12966-022-01321-0.
DOI: 10.1038/oby.2009.451
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