High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort

International Journal of Behavioral Nutrition and Physical Activity

Daniel Arvidsson¹  Jonatan Fridolfsson¹  Mats Börjesson²  Christoph Buck³  Denes Molnar⁴  Luis A. Moreno⁵  Fabio Lauria⁶  Joanna Baran⁷  Monica Hunsberger⁸  Lauren Lissner⁸ 

[1]Center for Health and Performance (CHP), Department of Food and Nutrition and Sport Science, Faculty of Education, University of Gothenburg, Box 300, SE-405 30, Gothenburg, Sweden

[2]Center for Health and Performance (CHP), Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

[3]Sahlgrenska University Hospital/Östra, Region of Western Sweden, Gothenburg, Sweden

[4]Department of Biometry and Data Management, Leibniz Institute for Prevention Research and epidemiology – BIPS, Bremen, Germany

[5]Department of Pediatrics, Medical School, University of Pécs, Pécs, Hungary

[6]GENUD (Growth, Exercise, Nutrition and Development) research group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, Spain

[7]Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain

[8]Institute of Food Sciences, National Research Council, ISA-CNR, Avellino, Italy

[9]Institute of Health Sciences, Medical College, University of Rzeszów, Rzeszów, Poland

[10]School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

关键词: Obesity;    Cardiovascular disease;    Metabolic syndrome;    Frequency filtering;    Multivariate pattern analysis;    Multicollinearity;   

DOI  :  10.1186/s12966-021-01156-1

来源: Springer

【 摘 要 】

BackgroundPhysical activity (PA) during childhood is important for preventing future metabolic syndrome (MetS). To examine the relationship between PA and MetS in more detail, accurate measures of PA are needed. Previous studies have only utilized a small part of the information available from accelerometer measured PA. This study investigated the association between measured PA and MetS in children with a new method for data processing and analyses that enable more detailed interpretation of PA intensity level.MethodsThe association between PA pattern and risk factors related to MetS was investigated in a cross- sectional sample of children (n = 2592, mean age 10.9 years, 49.4% male) participating in the European multicenter I. Family study. The risk factors examined include body mass index, blood pressure, high-density lipoprotein cholesterol, insulin resistance and a combined risk factor score (MetS score). PA was measured by triaxial accelerometers and raw data was processed using the 10 Hz frequency extended method (FEM). The PA output was divided into an intensity spectrum and the association with MetS risk factors was analyzed by partial least squares regression.ResultsPA patterns differed between the European countries investigated, with Swedish children being most active and Italian children least active. Moderate intensity physical activity was associated with lower insulin resistance (R2 = 2.8%), while vigorous intensity physical activity was associated with lower body mass index (R2 = 3.6%), MetS score (R2 = 3.1%) and higher high-density lipoprotein cholesterol (R2 = 2.3%). PA of all intensities was associated with lower systolic- and diastolic blood pressure, although the associations were weaker than for the other risk factors (R2 = 1.5% and R2 = 1.4%). However, the multivariate analysis implies that the entire PA pattern must be considered. The main difference in PA was observed between normal weight and overweight children.ConclusionsThe present study suggests a greater importance of more PA corresponding to an intensity of at least brisk walking with inclusion of high-intense exercise, rather than a limited time spent sedentary, in the association to metabolic health in children. The methods of data processing and statistical analysis enabled accurate analysis and interpretation of the health benefits of high intensity PA that have not been shown previously.

【 授权许可】

CC BY