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年轻成年女性的青少年及青年期身体活动与身体组成:儿童饮食干预研究的结果

Youth and young adult physical activity and body composition of young adult women: findings from the dietary intervention study in children.

作者信息

Hodge Melissa G, Hovinga Mary, Shepherd John A, Egleston Brian, Gabriel Kelley, Van Horn Linda, Robson Alan, Snetselaar Linda, Stevens Victor K, Jung Seungyoun, Dorgan Joanne

机构信息

Dept. of Epidemiology and Biostatistics, Drexel University, Philadelphia, PA.

出版信息

Pediatr Exerc Sci. 2015 Feb;27(1):140-50. doi: 10.1123/pes.2014-0001. Epub 2014 Nov 10.

Abstract

This study prospectively investigates associations between youth moderate-to-vigorous-intensity physical activity (MVPA) and body composition in young adult women using data from the Dietary Intervention Study in Children (DISC) and the DISC06 Follow-Up Study. MVPA was assessed by questionnaire on 5 occasions between the ages 8 and 18 years and at age 25-29 years in 215 DISC female participants. Using whole body dual-energy x-ray absorptiometry (DXA), overall adiposity and body fat distribution were assessed at age 25-29 years by percent body fat (%fat) and android-to-gynoid (A:G) fat ratio, respectively. Linear mixed effects models and generalized linear latent and mixed models were used to assess associations of youth MVPA with both outcomes. Young adult MVPA, adjusted for other young adult characteristics, was significantly inversely associated with young adult %fat (%fat decreased from 37.4% in the lowest MVPA quartile to 32.8% in the highest (p-trend = 0.02)). Adjusted for youth and young adult characteristics including young adult MVPA, youth MVPA also was significantly inversely associated with young adult %fat (β=-0.40 per 10 MET-hrs/wk, p = .02) . No significant associations between MVPA and A:G fat ratio were observed. Results suggest that youth and young adult MVPA are important independent predictors of adiposity in young women.

摘要

本研究利用儿童饮食干预研究(DISC)和DISC06随访研究的数据,前瞻性地调查了年轻成年女性中青少年中等到高强度身体活动(MVPA)与身体成分之间的关联。通过问卷调查对215名DISC女性参与者在8至18岁之间的5个时间点以及25至29岁时的MVPA进行了评估。使用全身双能X线吸收法(DXA),分别在25至29岁时通过体脂百分比(%fat)和男性化与女性化脂肪比例(A:G)评估总体肥胖程度和体脂分布。使用线性混合效应模型以及广义线性潜在和混合模型来评估青少年MVPA与这两个结果之间的关联。在调整了其他年轻成年特征后,年轻成年MVPA与年轻成年%fat显著负相关(%fat从最低MVPA四分位数的37.4%降至最高四分位数的32.8%,p趋势=0.02)。在调整了包括年轻成年MVPA在内的青少年和年轻成年特征后,青少年MVPA也与年轻成年%fat显著负相关(每10 MET-小时/周β=-0.40,p = 0.02)。未观察到MVPA与A:G脂肪比例之间存在显著关联。结果表明,青少年和年轻成年MVPA是年轻女性肥胖的重要独立预测因素。

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