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美国成年人的肌肉强化活动模式与代谢健康风险。

Muscular strengthening activity patterns and metabolic health risk among US adults.

机构信息

Department of Clinical and Applied Movement Sciences, University of North Florida, Brooks College of Health, Jacksonville, Florida 32224, USA.

出版信息

J Diabetes. 2012 Mar;4(1):77-84. doi: 10.1111/j.1753-0407.2011.00172.x.

Abstract

BACKGROUND

Many studies have examined the relationship between physical activity and metabolic disorders. However, few have focused on specific associations between these disorders and muscular strengthening activity (MSA) patterns. The aim of the present study was to examine the association(s) for each metabolic syndrome criterion and MSA patterns.

METHODS

The study sample (n = 5618) consisted of adults ≥20 years of age who participated in the 1999-2004 National Health and Nutrition Examination Survey. Cut-off points for metabolic syndrome criteria were derived from the American Heart Association/National Heart, Lung, and Blood Institute definition. The aggregate of data on weight lifting, push-ups, and sit-ups was used to establish patterns of MSA. Participants reporting ≥2 days/week MSA were coded as meeting current US MSA guidelines.

RESULTS

Following adjustments, participants reporting ≥2 days/week MSA were found to be 28% (OR 0.72; 95% CI 0.62, 0.83) less likely to have dyslipidemia, 29% (OR 0.71; 95% CI 0.54, 0.93) less likely to have impaired fasting glucose, 19% (OR 0.81; 95% CI 0.65, 0.99) less likely to have prehypertension, and 43% (OR 0.57; 95% CI 0.46, 0.72) less likely to have augmented waist circumference compared with those reporting engaging in no MSA. No association was found for hypertension and MSA.

CONCLUSION

Engaging in ≥2 days/week MSA as part of an overall physical activity regimen may be prudent in preserving metabolic health. These findings strengthen the relationship between MSA and metabolic health; thus, clinicians should include MSA when discussing lifestyle approaches to better health.

摘要

背景

许多研究已经考察了身体活动与代谢紊乱之间的关系。然而,很少有研究关注这些疾病与肌肉强化活动(MSA)模式之间的具体关联。本研究旨在考察每一个代谢综合征标准与 MSA 模式之间的关联。

方法

研究样本(n=5618)由年龄≥20 岁的成年人组成,他们参加了 1999-2004 年全国健康和营养调查。代谢综合征标准的切点值来源于美国心脏协会/美国国立心肺血液研究所的定义。利用举重、俯卧撑和仰卧起坐的数据总和来建立 MSA 模式。报告每周≥2 天进行 MSA 的参与者被编码为符合当前美国 MSA 指南。

结果

经过调整,报告每周≥2 天进行 MSA 的参与者发生血脂异常的可能性降低 28%(OR 0.72;95% CI 0.62,0.83),空腹血糖受损的可能性降低 29%(OR 0.71;95% CI 0.54,0.93),高血压前期的可能性降低 19%(OR 0.81;95% CI 0.65,0.99),腰围增大的可能性降低 43%(OR 0.57;95% CI 0.46,0.72),与不进行 MSA 的参与者相比。MSA 与高血压之间没有关联。

结论

作为整体身体活动方案的一部分,每周进行≥2 天的 MSA 可能有助于保持代谢健康。这些发现强化了 MSA 与代谢健康之间的关系;因此,临床医生在讨论改善健康的生活方式方法时,应该包括 MSA。

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