Vaara Jani P, Kyröläinen Heikki, Fogelholm Mikael, Santtila Matti, Häkkinen Arja, Häkkinen Keijo, Vasankari Tommi
Dept of Leadership and Military Pedagogy, National Defence University, Helsinki, Finland.
J Phys Act Health. 2014 Nov;11(8):1482-91. doi: 10.1123/jpah.2012-0504. Epub 2013 Dec 31.
The aim was to study the relationships between different domains of physical activity and cardiovascular risk factors and physical fitness.
781 young men participated. Self-reported leisure-time (LTPA), commuting (CPA) and occupational (OPA) activity were determined. Blood pressure, s-HDL-cholesterol, s-triglycerides and s-LDL-cholesterol, and glucose were measured. The continuous cardiovascular disease (CVD) risk factor score was calculated from the z-score mean of each cardiovascular risk factor. The cutpoint was defined as 1 standard deviation above the mean. Cardiorespiratory and muscular fitness were measured.
The likelihood of CVD risk factor score was higher in moderate [OR 1.99 (95% CI 1.21-3.28)] and low [1.87 (1.16-3.02)] CPA groups compared with the high group, whereas neither low nor moderate LTPA or OPA groups showed similar associations after adjustments. Low OPA combined either with low LTPA [2.01 (1.08-3.74)] or low CPA [1.90 (1.05-3.44)] had a higher likelihood for CVD risk factor compared with combined moderate-high categories after adjustments. LTPA was positively associated with all physical fitness parameters, CPA with cardiorespiratory fitness and muscular endurance, and OPA with grip strength.
The results emphasize the beneficial role of CPA regarding CVD risk factor score and stress the avoidance of low physical activity in its different domains.
目的是研究身体活动的不同领域与心血管危险因素及身体素质之间的关系。
781名年轻男性参与研究。通过自我报告确定休闲时间身体活动(LTPA)、通勤身体活动(CPA)和职业身体活动(OPA)。测量血压、血清高密度脂蛋白胆固醇(s-HDL-胆固醇)、血清甘油三酯、血清低密度脂蛋白胆固醇和血糖。根据每个心血管危险因素的z评分均值计算连续心血管疾病(CVD)危险因素得分。切点定义为高于均值1个标准差。测量心肺功能和肌肉力量。
与高CPA组相比,中[比值比(OR)1.99(95%置信区间1.21 - 3.28)]低[1.87(1.16 - 3.02)]CPA组的CVD危险因素得分可能性更高,而调整后低或中等LTPA组或OPA组均未显示出类似关联。调整后,低OPA与低LTPA[2.01(1.08 - 3.74)]或低CPA[1.90(1.05 - 3.44)]组合相比,与中等 - 高组合相比,CVD危险因素的可能性更高。LTPA与所有身体素质参数呈正相关,CPA与心肺功能和肌肉耐力呈正相关,OPA与握力呈正相关。
结果强调了CPA对CVD危险因素得分的有益作用,并强调在身体活动的不同领域避免低水平身体活动。