Sedentary patterns and cardiometabolic risk factors in Mexican children and adolescents: analysis of longitudinal data

International Journal of Behavioral Nutrition and Physical Activity

Research

Hyungjin Myra Kim¹  Martha M. Tellez-Rojo²  Margaret Banker³  Abeer A. Aljahdali⁴  Alejandra Cantoral⁵  Edward A. Ruiz-Narvaez⁶  Karen E. Peterson⁷  Ana Baylin⁸ 

[1] Center for Computing, Analytics and Research, University of Michigan, Ann Arbor, MI, USA;Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico;Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA;Department of Clinical Nutrition, King Abdulaziz University, Jeddah, Saudi Arabia;Department of Nutritional Sciences, University of Michigan, Ann Arbor, MI, USA;Department of Health, Iberoamerican University, Mexico City, Mexico;Department of Nutritional Sciences, University of Michigan, Ann Arbor, MI, USA;Department of Nutritional Sciences, University of Michigan, Ann Arbor, MI, USA;Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA;University of Michigan, School of Public Health, 48109-2029, Ann Arbor, MI, USA;Department of Nutritional Sciences, University of Michigan, Ann Arbor, MI, USA;Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA;

关键词: Physical activity;    Sedentary behavior;    Screen time;    Bouts;    Accelerometer;    Cardiometabolic health;    Children and adolescents;    Longitudinal data;    Repeated measures study design;   

DOI  :  10.1186/s12966-022-01375-0

 received in 2022-06-05, accepted in 2022-10-28,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundSedentary behavior is a modifiable risk factor for cardiometabolic health; however, the assessment of total sedentary time may not capture youth’s highly active and interrupted activity patterns. This study examined the associations between sedentary activity patterns and cardiometabolic risk factors among Mexican youth, who have a disproportionate burden of metabolic diseases, using a repeated measure design out of a longitudinal data.Methods570 subjects in the Early Life Exposure in Mexico to ENvironmental Toxicants (ELEMENT) birth cohort, who were followed up to three-time points during adolescence, were included. Bout duration, and frequency and percentages of waking time spent in specific intensities of activity, were quantified using ActiGraph wGT3X-BT wrist accelerometers. Self-reported questionnaires were used to query the usual duration of different sedentary behaviors. Outcomes were fasting lipid profile, markers for glucose homeostasis, anthropometry, and blood pressure. Associations were modeled using linear mixed-effects models, and isotemporal substitution approach was additionally used to assess the effect of replacing objectively assessed sedentary activity with other activity intensities, adjusting for potential confounders.ResultsEach hour of self-reported screen-based time was positively associated with diastolic blood pressure (mm Hg) [β = 0.30, 95% confidence interval (95% CI) = 0.10, 0.51], and an hour of other sedentary time was associated with log serum glucose (mg/dL) [β = 0.01, 95% CI = 0.004, 0.017]. Substitution models showed that replacing 5% of sedentary time with moderate to vigorous physical activity (MVPA) was associated with lower waist circumference (cm) [β = − 1.35, 95% CI = − 1.91, − 0.79] and log serum triglycerides (mg/dL) [β = − 0.11, 95% CI = − 0.18, − 0.03]. Substituting one uninterrupted sedentary bout with light activity was associated with lower insulin (μIU/mL) [β = − 0.06, 95% CI = − 0.10, − 0.02].ConclusionsSedentary time was associated with cardiometabolic risk factors in Mexican youth in a context-specific manner. Replacing sedentary time with higher intensities was associated with improvements in some cardiometabolic markers.

【 授权许可】

CC BY   
© The Author(s) 2022

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