Adherence to 24-h movement guidelines in Spanish schoolchildren and its association with insulin resistance: a cross-sectional study

Frontiers in Public Health

Public Health

Laura M. Bermejo¹  Ana M. López-Sobaler¹  Rosa M. Ortega¹  María Dolores Salas-González²  Liliana G. González-Rodríguez²  María Del Carmen Lozano-Estevan² 

[1] Grupo de Investigación VALORNUT, Departamento de Nutrición y Ciencia de los Alimentos, Facultad de Farmacia, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain;Grupo de Investigación VALORNUT, Departamento de Nutrición y Ciencia de los Alimentos, Facultad de Farmacia, Universidad Complutense de Madrid, Madrid, Spain;

关键词: insulin resistance;    children;    schoolchildren;    lifestyle behaviors;    24-h movement guidelines;   

DOI  :  10.3389/fpubh.2023.1146580

 received in 2023-01-17, accepted in 2023-06-19,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionBeing more active, being less sedentary, and sleeping enough are associated with adequate body weight and adiposity in children. However, few researchers have analyzed these different lifestyle behaviors and the adherence to 24 h movement guidelines with respect to insulin resistance (IR) at school age. Therefore, we aimed to analyse the association between the adherence to 24 h movement guidelines (physical activity, sedentary time, sleep) and IR in Spanish schoolchildren.MethodsA cross-sectional study of 839 children (8–13 years, 51.1% girls) were studied. Anthropometric, biochemical, and lifestyle behavioral data were collected. IR was defined as HOMA-IR>3.16. Compliance with the 24 h movement guidelines were defined as ≥60 min/day of moderate and/or vigorous physical activity, < 120 min/day of screen time, and 9–11 h/day of sleep time. Associations between adherence to the 24 h movement guidelines and IR were performed by multivariate logistic regression analyses.ResultsThe IR in our sample was 5.0%, being higher in girls. Compliance with physical activity or screen time, but not with sleep recommendations, was associated with lower fasting glucose, fasting insulin, and HOMA-IR values. A low adherence to 24 h movement guidelines was associated with a higher risk of IR (odds ratio (95% CI): 2.150 [1.089–4.247]), especially in girls (odds ratio (95% CI): 2.800 [1.180–6.645]).ConclusionHigher physical activity levels and lower screen times were associated with a lower risk of IR in schoolchildren, underlining the importance of adhering to as many healthy lifestyle recommendations as possible.

【 授权许可】

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Copyright © 2023 Salas-González, Bermejo, González-Rodríguez, Lozano-Estevan, Ortega and López-Sobaler.