Department of Sport and Exercise Medicine, Faculty of Kinesiology, University of Zagreb, Croatia.
Croatian Defence Academy 'Petar Zrinski', Zagreb, Croatia.
Obesity (Silver Spring). 2016 Jan;24(1):238-44. doi: 10.1002/oby.21264. Epub 2015 Dec 6.
To examine combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with metabolic syndrome (MetSy) in a sample of young men.
Participants were 557 men aged 19-47 years. CRF was quantified as peak oxygen uptake measured during an incremental treadmill test by a metabolic cart, while a composite MF score was calculated as the sum of z-scores from a push-ups and sit-ups test. The presence of MetSy was defined according to the updated NCEP-ATP III criteria.
We found a graded inverse relationship between CRF and MetSy presence. The most aerobically fit individuals had 90% lower odds of having MetSy compared to their least fit counterparts, independent of MF (odds ratio [OR] = 0.10, 95% CI = 0.04-0.21). Conversely, an increment in MF across the first three quartiles was not associated with lower odds of MetSy; only the most muscularly fit men were 2.5 times less likely to have MetSy (OR = 0.41, 95% CI = 0.21-0.78). Finally, participants with high CRF but low MF exhibited a 50% decrease in odds of having MetSy (OR = 0.49, 95% CI = 0.26-0.91), while no protective effect was found for having high MF but low CRF (OR = 0.95, 95% CI = 0.55-1.62).
CRF exhibited a strong protective effect against having MetSy, while the effect of MF was less pronounced.
在年轻男性样本中研究心肺功能（CRF）和肌肉力量（MF）与代谢综合征（MetSy）的联合关联。
参与者为 19-47 岁的 557 名男性。CRF 通过代谢车在递增跑步机测试中测量的峰值耗氧量来量化，而复合 MF 评分则计算为俯卧撑和仰卧起坐测试的 z 分数之和。MetSy 的存在根据最新的 NCEP-ATP III 标准定义。
我们发现 CRF 与 MetSy 存在之间存在分级反比关系。与最不适应的人相比，有氧能力最强的个体发生 MetSy 的几率降低了 90%，独立于 MF（比值比[OR] = 0.10，95%CI = 0.04-0.21）。相反，MF 在前三四分位数的增加与 MetSy 发生的几率降低无关；只有最强壮的男性患 MetSy 的几率降低了 2.5 倍（OR = 0.41，95%CI = 0.21-0.78）。最后，CRF 高但 MF 低的参与者发生 MetSy 的几率降低了 50%（OR = 0.49，95%CI = 0.26-0.91），而 CRF 低但 MF 高则没有保护作用（OR = 0.95，95%CI = 0.55-1.62）。
CRF 对发生 MetSy 具有很强的保护作用，而 MF 的作用则不那么明显。
