Halloway Shannon, Wilbur JoEllen, Schoeny Michael E, Semanik Pamela A, Marquez David X
Rush University College of Nursing, Chicago, IL.
J Aging Phys Act. 2016 Apr;24(2):296-304. doi: 10.1123/japa.2015-0096. Epub 2015 Oct 6.
This study examined the combined effects of sedentary behavior and moderate-to-vigorous physical activity (MVPA) on cardiovascular health in older Latinos. In a cross-sectional sample of 147 older, community-dwelling Latinos, time spent in sedentary behavior and MVPA were obtained using accelerometers. Analyses examined the effects of a measure of physical activity that combined levels of sedentary behavior (± 10 daily hours) and MVPA (< 30, 30-150, or > 150 weekly minutes) on cardiovascular health outcomes (blood pressure, BMI, waist circumference, cardiorespiratory fitness). Results suggest that cardiovascular health benefits of MVPA on BMI (p = .005), waist circumference (p = .002), and cardiorespiratory fitness (p = .012) may depend on a participant's level of sedentary behavior. For all three, health benefits of 30-150 weekly minutes of MVPA were found only for those without excessive sedentary behavior (≥ 10 hr). Sedentary behavior may negatively impact cardiovascular health despite moderate participation in MVPA. Health guidelines should suggest reducing sedentary behavior while increasing MVPA.
本研究考察了久坐行为与中等到剧烈身体活动(MVPA)对老年拉丁裔心血管健康的综合影响。在一项对147名居住在社区的老年拉丁裔的横断面样本研究中,使用加速度计获取了久坐行为和MVPA的时长。分析考察了一种身体活动量指标的影响,该指标综合了久坐行为水平(每天±10小时)和MVPA(每周<30、30 - 150或>150分钟)对心血管健康指标(血压、体重指数、腰围、心肺适能)的影响。结果表明,MVPA对体重指数(p = 0.005)、腰围(p = 0.002)和心肺适能(p = 0.012)的心血管健康益处可能取决于参与者的久坐行为水平。对于所有这三项指标,仅在那些没有过多久坐行为(≥10小时)的人群中发现每周30 - 150分钟MVPA的健康益处。尽管适度参与MVPA,但久坐行为可能会对心血管健康产生负面影响。健康指南应建议减少久坐行为,同时增加MVPA。