Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Med Sci Sports Exerc. 2010 Mar;42(3):478-84. doi: 10.1249/MSS.0b013e3181b9c45b.
The objectives of this study were to examine 1) whether changes in total physical activity (PA; counts per minute, cpm) and time spent in moderate to vigorous PA (MVPA) are associated with changes in adiposity and 2) whether energy intake influences the relationship between changes in PA and changes in adiposity in overweight Hispanic adolescents.
Analysis included 38 overweight (body mass index, >85th percentile) Hispanic adolescents with complete pretest and posttest data on relevant variables after participating in a 16-wk intervention. The intervention treatment did not influence PA, so the sample was combined and the randomization group was adjusted for in the analysis. Body composition by dual-energy x-ray absorptiometry, 7-d PA by accelerometry, and dietary intake by 3-d diet records were assessed before and after intervention.
Within individuals, the mean increase of PA (n = 19) and mean decrease of PA (n = 19) was approximately 105 cpm. A 100-cpm increase in total PA was associated with a decrease of 1.3 kg of fat mass and 0.8% body fat after adjusting for pretest adiposity, PA, age, sex, and treatment (P < 0.05). Controlling for energy intake modestly strengthened the relationships between total PA and fat mass and percent body fat. Changes in MVPA were not related to changes in adiposity after controlling for total PA (P > 0.05).
Increasing total PA by 28% (100 cpm) was associated with a decrease of 1.4 kg of fat mass and 1% body fat for 16 wk in overweight Hispanic adolescents independent of intervention group assignment. Increases in total PA, compared with MVPA, may be sufficient to improve body composition in overweight Hispanic adolescents.
本研究旨在检验 1)总身体活动(PA;每分钟计数,cpm)和中高强度 PA(MVPA)时间的变化是否与肥胖变化有关,2)能量摄入是否影响 PA 变化与超重西班牙裔青少年体脂变化之间的关系。
分析包括 38 名超重(身体质量指数>第 85 百分位)西班牙裔青少年,他们在参与 16 周干预后完成了相关变量的预测试和后测试。干预对 PA 没有影响,因此对样本进行了组合,并在分析中对随机分组进行了调整。在干预前后通过双能 X 射线吸收法评估身体成分,通过加速度计评估 7 天 PA,通过 3 天饮食记录评估膳食摄入量。
在个体内,PA 的平均增加(n=19)和 PA 的平均减少(n=19)约为 105 cpm。在调整预试肥胖、PA、年龄、性别和治疗后,总 PA 增加 100 cpm 与脂肪质量减少 1.3 公斤和体脂肪减少 0.8%相关(P<0.05)。控制能量摄入适度增强了总 PA 与脂肪质量和体脂肪百分比之间的关系。在控制总 PA 后,MVPA 的变化与体脂变化无关(P>0.05)。
在超重的西班牙裔青少年中,16 周内总 PA 增加 28%(100 cpm)与脂肪质量减少 1.4 公斤和体脂肪减少 1%相关,独立于干预组分配。与 MVPA 相比,总 PA 的增加可能足以改善超重西班牙裔青少年的身体成分。