Veijalainen A, Tompuri T, Haapala E A, Viitasalo A, Lintu N, Väistö J, Laitinen T, Lindi V, Lakka T A
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.
Scand J Med Sci Sports. 2016 Aug;26(8):943-50. doi: 10.1111/sms.12523. Epub 2015 Jul 29.
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.
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。