The association among three aspects of physical fitness and metabolic syndrome in a Korean elderly population

Diabetology & Metabolic Syndrome

Sang-Hwan Kim¹  Hee-Jin Hwang² 

[1] Yonsei Woori Geriatric Hospital, Goyang, Gyeonggi-do, Republic of Korea;Institution for Translational and Clinical Research, International St. Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Republic of Korea

关键词: Elderly;    Muscular endurance;    Cardiopulmonary fitness;    Metabolic syndrome;    Physical fitness;   

Others  :  1235048
DOI  :  10.1186/s13098-015-0106-4

 received in 2015-07-23, accepted in 2015-11-18,  发布年份 2015

【 摘 要 】

Background

The purpose of current study is to evaluate the association between physical fitness level and the prevalence of metabolic syndrome (MS) in a Korean elderly population.

Methods

A cross-sectional study measuring physical fitness and components of MS in a health promotion center of a general hospital for routine health check-ups. A total of 227 subjects >60 years old agreed to participate. A lifestyle questionnaire that included cigarette smoking, alcohol consumption, and physical activity was checked. Body weight, height, blood pressure, fasting glucose, total cholesterol, triglycerides, high density lipoprotein-cholesterol, low density lipoprotein-cholesterol, C-reactive protein, and glycated hemoglobin were measured. Muscular strength was assessed by measuring grasping power. Muscular endurance was evaluated using a sit-up test. Cardiopulmonary fitness was assessed via the Tecumseh step test (measuring hear rates at 1 min post-exercise).

Results

The highest tertile muscular endurance group (sit-ups >15 in men, >10 in women) was 0.37 times less likely to have MS [95 % confidence interval (CI) 0.17–0.84; p = 0.036] compared to that in the lowest tertile group (<11 in men, 0 in women), and the highest tertile in the cardiopulmonary fitness group (heart rate at rest >91/min in men, >92/min in women) was 2.81 times more likely to have MS (95 % CI 1.27–6.18; p = 0.038) compared to that in the lowest tertile group (<81/min in men, <80/min in women).

Conclusions

Cardiopulmonary fitness and muscular endurance were related to MS in a Korean elderly population after adjusting for age, sex, current smoker, current alcohol drinking, and physical activity. Older adults should be encouraged to increase their cardiopulmonary fitness and muscular endurance.

【 授权许可】

   
2015 Hwang and Kim.

【 参考文献 】

• [1]Grundy SM, Brewer HB Jr, Cleeman JI, et al.: Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Circulation 2004, 109:433-438.
• [2]Hanson RL, Imperatore G, Bennett PH, et al.: Components of the metabolic syndrome and incidence of type 2 diabetes. Diabetes 2002, 51:3120-3127.
• [3]Kim MH, Kim MK, Choi BY, et al.: Prevalence of the metabolic syndrome and its association with cardiovascular disease in Korea. J Korean Med Sci 2004, 19:195-201.
• [4]Ferreira I, Twisk JW, van Mechelen W, et al.: Development of fatness, fitness, and lifestyle from adolescence to the age of 36 years: determinants of the metabolic syndrome in young adults: the amsterdam growth and health longitudinal study. Arch Intern Med 2005, 165:42-48.
• [5]LaMonte MJ, Barlow CE, Jurca R, et al.: Cardiorespiratory fitness is inversely associated with the incidence of metabolic syndrome: a prospective study of men and women. Circulation 2005, 112:505-512.
• [6]Bouchard C, Shephard RJ, Stephens TH. Physical activity, fitness and health. A consensus of current knowledge. Champaign, IL: Human Kinetics. 1993.
• [7]Caspersen CJ, Powell KE, Christenson GM: Physical activity, exercise and physical fitness: definitions and distinctions for health-related research. Public Health Rep 1985, 100:126-131.
• [8]Espana-Romero V, Ortega FB, Vicente-Rodriguez G, et al.: Elbow position affects handgrip strength in adolescents: validity and reliability of Jamar, DynEx, and TKK dynamometers. J Strength Cond Res 2010, 24:272-277.
• [9]Santo AS, Golding LA: Predicting maximum oxygen uptake from a modified 3-minute step test. Res Q Exerc Sport 2003, 74:110-115.
• [10]Craig CL, Marshall AL, Sjostrom M, et al.: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003, 35(8):1381-1395.
• [11]Oh JY, Yang YJ, Kim BS, et al.: Validity and reliability of Korean version of international Physical Activity Questionnaire (IPAQ) short form. J Korean Acad Fam Med 2007, 28:532-541.
• [12]National Cholesterol Education Program/National Heart, Lung and Blood Institute/National Institute of Health. Third report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III). Bethesda: National Heart, Lung and Blood Institute/National Institute of Health. 2002.
• [13]Tan CE, Ma S, Wai D, et al.: Can we apply the national cholesterol education program adult treatment panel definition of the metabolic syndrome to Asians? Diabetes Care 2004, 27:1182-1186.
• [14]Carnethon MR, Gidding SS, Nehgme R, et al.: Cardiorespiratory fitness in young adulthood and the development of cardiovascular disease risk factors. JAMA 2003, 290:3092-3100.
• [15]Boule NG, Bouchard C, Tremblay A: Physical fitness and the metabolic syndrome in adults from the Quebec Family Study. Can J Appl Physiol 2005, 30:140-156.
• [16]Farrell SW, Cheng YJ, Blair SN: Prevalence of the metabolic syndrome across cardiorespiratory fitness levels in women. Obes Res 2004, 12:824-830.
• [17]Wong CY, O’Moore-Sullivan T, Fang ZY, et al.: Myocardial and vascular dysfunction and exercise capacity in the metabolic syndrome. Am J Cardiol. 2005, 96:1686-1691.
• [18]Orakzai RH, Orakzai SH, Nasir K, et al.: Association of increased cardiorespiratory fitness with low risk for clustering of metabolic syndrome components in asymptomatic men. Arch Med Res 2006, 37:522-528.
• [19]Blair SN, Kohl HW 3rd, Paffenbarger RS Jr, et al.: Physical fitness and all-cause mortality: a prospective study of healthy men and women. JAMA 1989, 262:2395-2401.
• [20]Sandvik L, Erikssen J, Thaulow E, et al.: Physical fitness as a predictor of mortality among healthy, middle-aged Norwegian men. N Engl J Med 1993, 328:533-537.
• [21]Blair SN, Kohl HW 3rd, Barlow CE, et al.: Changes in physical fitness and all cause mortality: a prospective study of healthy and unhealthy men. JAMA 1995, 273:1093-1098.
• [22]Erikssen G, Liestol K, Bjornholt J, et al.: Changes in physical fitness and changes in mortality. Lancet 1998, 352:759-762.
• [23]Duncan GE: Exercise, fitness, and cardiovascular disease risk in type 2 diabetes and the metabolic syndrome. Curr Diab Rep 2006, 6:29-35.
• [24]Armstrong K, Rakhit D, Jeffriess L, et al.: Cardiorespiratory fitness is related to physical inactivity, metabolic risk factors, and atherosclerotic burden in glucose-intolerant renal transplant recipients. Clin J Am Soc Nephrol 2006, 1:1275-1283.
• [25]Sayer AA, Syddall HE, Dennison EM, et al.: Grip strength and the metabolic syndrome: findings from the Hertfordshire Cohort Study. QJM 2007, 100:707-713.
• [26]Ferrannini E, Haffner SM, Mitchell BD, et al.: Hyperinsulinemia: the key feature of a cardiovascular and metabolic syndrome. Diabetologia 1991, 34:416-422.