LIKES Research Center for Sport and Health Sciences, Jyväskylä, Finland.
Int J Obes (Lond). 2009 Nov;33(11):1219-26. doi: 10.1038/ijo.2009.171. Epub 2009 Sep 1.
to explore the effect of organized youth sport on metabolic syndrome (MetS) in adulthood.
Longitudinal study data from the cardiovascular risk in young Finns study.
A total of 1493 males (n=704) and females (n=789) aged 3, 6, 9, 12, 15 and 18 years were randomly selected from five university towns and their rural surroundings in 1980. They were followed up for 21 years. In 2001 they were 24, 27, 30, 33, 36 and 39 years old.
Youth sports participation data (participation in sport-club training and competitions) were assessed in 1980 and 1983 using a self-report questionnaire completed in connection with a medical examination. Participants were divided into athletes and non-athletes at each measurement point, and then classified into four groups: Persistent athlete, Starter, Leaver and Non-athlete. A mean score of youth sport was assessed by calculating the average of four consecutive measurements (1980-1989). MetS risk in 2001 was defined as a categorical variable based on the guidelines of the European Group for the Study of Insulin Resistance (EGIR) and as a continuous MetS-score variable by summing the z-scores of individual metabolic variables.
In males and females, intense participation in youth sports over 3 years was inversely and significantly associated with clustered MetS score and prevalence of MetS defined by EGIR in adulthood (P<0.05). The association remained significant after adjustment for age, baseline clustered MetS score, smoking and total caloric intake and after additional adjustments for adult leisure-time physical activity. Starters during 3 years were less likely to have MetS than non-athletes. Leavers were at a higher risk for MetS than persistent athletes. These associations were attenuated in males by adjustment for all potential confounders. Similar associations were found using EGIR MetS as an outcome.
Sustained participation in organized sport lasting at least 3 years in youth is associated with reduced risk for developing MetS in adulthood.
探讨青少年有组织运动对成年期代谢综合征（MetS）的影响。
来自心血管风险在年轻芬兰人中的研究的纵向研究数据。
1980 年，从五个大学城及其农村周边地区随机抽取了 1493 名男性（n=704）和女性（n=789），年龄为 3、6、9、12、15 和 18 岁。他们随访了 21 年。2001 年，他们分别为 24、27、30、33、36 和 39 岁。
1980 年和 1983 年，通过在体检时完成的自我报告问卷评估青少年体育参与数据（参加运动俱乐部训练和比赛）。在每个测量点，参与者被分为运动员和非运动员，然后分为四组：持续运动员、开始者、离开者和非运动员。通过计算四个连续测量值（1980-1989 年）的平均值来评估青少年运动的平均得分。2001 年 MetS 风险根据欧洲胰岛素抵抗研究组（EGIR）的指南定义为分类变量，并通过对个体代谢变量的 z 分数进行求和来定义为连续 MetS 评分变量。
在男性和女性中，3 年以上的剧烈青少年运动与成年时聚类 MetS 评分和 EGIR 定义的 MetS 患病率呈负相关（P<0.05）。调整年龄、基线聚类 MetS 评分、吸烟和总热量摄入以及进一步调整成人休闲时间体力活动后，这种关联仍然显著。3 年内开始者比非运动员更不可能患有 MetS。离开者比持续运动员患 MetS 的风险更高。这些关联在男性中通过调整所有潜在的混杂因素而减弱。使用 EGIR MetS 作为结局也发现了类似的关联。
青少年期至少持续 3 年的有组织运动参与与成年期代谢综合征风险降低有关。
