Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries

BMC Public Health

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[1] 0000 0000 9008 4711, grid.412251.1, Colégio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito, Ecuador;0000 0001 0514 7202, grid.411249.b, Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil;0000 0001 0514 7202, grid.411249.b, Disciplina de Alergia, Imunologia Clínica e Reumatologia do Departamento de Pediatria, da Universidade Federal de São Paulo, São Paulo, Brazil;0000 0001 1033 6040, grid.41312.35, Departamento de Nutrición y Bioquímica, Pontificia Universidad Javeriana, Bogotá, Colombia;0000 0001 2107 4242, grid.266100.3, Institute for Public Health, University of California San Diego, La Jolla, CA, USA;0000 0001 2157 0406, grid.7870.8, Centro de Nutrición Molecular y Enfermedades Crónicas, Departamento de Nutrición, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Católica, Santiago, Chile;0000 0001 2236 6140, grid.419080.4, Instituto de Investigación Nutricional, La Molina, Lima, Peru;0000 0004 0487 8785, grid.412199.6, Centro de Investigación en Fisiologia del Ejercicio-CIFE, Universidad Mayor, José Toribio Medina, 29. Estacion Central, Santiago, Chile;0000 0001 0514 7202, grid.411249.b, Disciplina de Alergia, Imunologia Clínica e Reumatologia do Departamento de Pediatria, da Universidade Federal de São Paulo, São Paulo, Brazil;0000 0004 1937 0706, grid.412889.e, Departamento de Bioquímica, Escuela de Medicina, Universidad de Costa Rica, San José, Costa Rica;Centre for Mathematics of the University of Trás-os-Montes e Alto Douro (CM-UTAD), Vila Real, Portugal;Centro de Estudios del Desarrollo, Universidad Central de Venezuela/Fundación Bengoa, Caracas, Venezuela;Commitee of Nutrition and WellbeingInternational Life Science Institute, Buenos Aires, Argentina;Instituto Pensi, Fundação José Luiz Egydio Setubal, Hospital Infantil Sabará, São Paulo, Brazil;0000 0001 0514 7202, grid.411249.b, Departamento de Pediatria, da Universidade Federal de São Paulo, São Paulo, Brazil;

关键词: Physical activity;    Accelerometer;    Neck circumference;    Obesity;    Body composition;    Anthropometric;   

DOI  :  10.1186/s12889-019-7153-y

来源: publisher

【 摘 要 】

BackgroundPhysical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countries. The present study investigated the association of accelerometer-determined MVPA with NC in adolescents and adults from eight Latin American countries, which are mostly upper-middle income countries.MethodsThe sample consisted of 2370 participants (47.8% male) from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Times (min/day) in MVPA (defined as time accumulated at ≥1952 activity counts/min) was assessed by ActiGraph GT3X+ accelerometer over 7 days. NC for adolescent was categorized as abnormal if circumference was > 34.5 cm for boys and > 31.25 for girls, whereas for adults the cut-off points for abnormal were > 39 cm for men and > 35 cm women. Multilevel logistic models, including country and region as random effects and adjusted for sex, age, socioeconomic level, and educational level, were used to study the association between MVPA and NC.ResultsThe average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990–0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country.ConclusionsThe present study provided evidence of significant associations between MVPA and NC in adolescents and adults from Latin America, independent of sex, age, socioeconomic level, and educational level. This analysis of accelerometry data and NC represents the first examination of these associations in eight Latin America countries. Further research is required to understand the differences between countries in the observed associations.Trial registrationClinicalTrials.Gov NCT02226627. Retrospectively registered on August 27, 2014.

【 授权许可】

CC BY