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儿童心肺适能、身体活动及肥胖与动脉僵硬度的关联

Associations of cardiorespiratory fitness, physical activity, and adiposity with arterial stiffness in children.

作者信息

Veijalainen A, Tompuri T, Haapala E A, Viitasalo A, Lintu N, Väistö J, Laitinen T, Lindi V, Lakka T A

机构信息

Institute of Biomedicine/Physiology, School of Medicine, University of Eastern Finland, Kuopio, Finland.

Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Finland.

出版信息

Scand J Med Sci Sports. 2016 Aug;26(8):943-50. doi: 10.1111/sms.12523. Epub 2015 Jul 29.

Abstract

Associations of cardiorespiratory fitness (CRF), physical activity (PA), sedentary behavior, and body fat percentage (BF%) with arterial stiffness and dilation capacity were investigated in 160 prepubertal children (83 girls) 6-8 years of age. We assessed CRF (watts/lean mass) by maximal cycle ergometer exercise test, total PA, structured exercise, unstructured PA, commuting to and from school, recess PA and total and screen-based sedentary behavior by questionnaire, BF% using dual-energy X-ray absorptiometry, and arterial stiffness and dilation capacity using pulse contour analysis. Data were adjusted for sex and age. Poorer CRF (standardized regression coefficient β = -0.297, P < 0.001), lower unstructured PA (β = -0.162, P = 0.042), and higher BF% (β = 0.176, P = 0.044) were related to higher arterial stiffness. When CRF, unstructured PA, and BF% were in the same model, only CRF was associated with arterial stiffness (β = -0.246, P = 0.006). Poorer CRF was also related to lower arterial dilation capacity (β = 0.316, P < 0.001). Children with low CRF (< median) and high BF% (≥ median; P = 0.002), low CRF and low unstructured PA (< median; P = 0.006) or children with low unstructured PA and high BF% (P = 0.005) had higher arterial stiffness than children in the opposite halves of these variables. Poor CRF was independently associated with increased arterial stiffness and impaired arterial dilation capacity among children.

摘要

在160名6至8岁的青春期前儿童(83名女孩)中,研究了心肺适能(CRF)、身体活动(PA)、久坐行为和体脂百分比(BF%)与动脉僵硬度和扩张能力之间的关联。我们通过最大运动负荷蹬车试验评估CRF(瓦特/去脂体重),通过问卷调查评估总PA、结构化运动、非结构化PA、上下学通勤、课间休息PA以及总久坐行为和基于屏幕的久坐行为,使用双能X线吸收法测量BF%,并使用脉搏轮廓分析评估动脉僵硬度和扩张能力。数据针对性别和年龄进行了调整。较差的CRF(标准化回归系数β = -0.297,P < 0.001)、较低的非结构化PA(β = -0.162,P = 0.042)和较高的BF%(β = 0.176,P = 0.044)与较高的动脉僵硬度相关。当CRF、非结构化PA和BF%在同一模型中时,只有CRF与动脉僵硬度相关(β = -0.246,P = 0.006)。较差的CRF也与较低的动脉扩张能力相关(β = 0.316,P < 0.001)。CRF低(<中位数)且BF%高(≥中位数;P = 0.002)、CRF低且非结构化PA低(<中位数;P = 0.006)或非结构化PA低且BF%高的儿童(P = 0.005)的动脉僵硬度高于这些变量相反分组的儿童。在儿童中,较差的CRF与动脉僵硬度增加和动脉扩张能力受损独立相关。

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