Independent relationships of daily life activity and leisure-time exercise with metabolic syndrome and its traits in the general Japanese population
Independent relationships of daily life activity and leisure-time exercise with metabolic syndrome and its traits in the general Japanese population
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DOI：
10.1007/s12020-019-01926-9
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发表时间：
2019-06-01
期刊：
影响因子：
3.7
通讯作者：
Wakai, Kenji
中科院分区：
文献类型：
--
作者：
Uemura, Hirokazu;Katsuura-Kamano, Sakurako;Wakai, Kenji
本研究以日本多机构协作队列(J-MICC)研究的24,625名合格受试者(男性12,709人，女性11,916人)为研究对象，探讨日常非运动生活活动、闲暇时间运动量和强度与代谢综合征患病率及其特征之间的独立关系。有关生活方式特征的信息是从调查问卷中获得的。用Logistic回归分析评价日常生活活动、闲暇运动量和强度与代谢综合征患病率及其特征的性别相关性。日常生活活动和闲暇运动量大的男性受试者代谢综合征患病率较低，且彼此独立。日常生活活动能力较高的女性受试者代谢综合征的患病率也较低。特别是，日常生活活动四分位数最高的男性和女性受试者即使在调整BMI后也比第一四分位数显示出相当低的低高密度脂蛋白胆固醇的优势比分别为0.66(95%CI，0.53-0.81)和0.64(0.52-0.79)。与此同时，休闲时间越多的男性受试者，甘油三酯升高的发生率就越低。在男女中，中等强度的高强度运动与较低的代谢综合征患病率及其某些特征的相关性更强。我们的结果表明，在日本成年人中，较高的日常生活活动和较高的中等强度运动可能独立地与较低的代谢综合征风险相关。
This study aimed to investigate independent relationships of daily non-exercise life activity and leisure-time exercise volume and intensity with the prevalence of metabolic syndrome and its traits in Japanese adults.Data of 24,625 eligible subjects (12,709 men, 11,916 women) who participated in the baseline survey of the Japan Multi-Institutional Collaborative Cohort (J-MICC) Study were analyzed. Information about lifestyle characteristics was obtained from a questionnaire. Logistic regression analyses were performed to evaluate the independent associations of daily life activity as well as leisure-time exercise volume and intensity with the prevalence of metabolic syndrome and its traits by sex.Male subjects with higher daily life activity as well as with higher leisure-time exercise volume had a lower prevalence of metabolic syndrome, independently with each other. Female subjects with higher daily life activity also had a lower prevalence of metabolic syndrome. Particularly, male and female subjects with the highest daily life activity quartile showed considerably low odds ratios of 0.66 (95% CI, 0.53-0.81) and 0.64 (0.52-0.79), respectively, for low HDL-cholesterol even after the adjustment for BMI compared with the first quartile. Meanwhile, male subjects with the higher leisure-time exercise showed a quite lower prevalence of elevated triglycerides. Higher moderate-intensity exercise was more intensely associated with a lower prevalence of metabolic syndrome and some of its traits in both sexes.Our results suggest that higher daily life activity and higher moderate-intensity exercise may be independently associated with a lower risk of metabolic syndrome in Japanese adults.