Silva Danilo, Werneck André O, Collings Paul, Tomeleri Crisieli M, Fernandes RôMulo A, Ronque Enio, Venturini Danielle, Barbosa Décio S, Coelho-E-Silva Manuel J, Sardinha Luís B, Cyrino Edilson S
Study and Research Group in Metabolism, Nutrition, and Exercise (GEPEMENE) State University of Londrina (UEL), Londrina, Brazil.
MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Am J Hum Biol. 2016 Jul;28(4):534-8. doi: 10.1002/ajhb.22826. Epub 2016 Jan 13.
Our aim was to determine the relationship between cardiorespiratory fitness (CRF) and metabolic risk in adolescents from Southern Brazil.
We performed a school-based cross-sectional study in 1,037 adolescents (436 boys) aged 10-16 years from Londrina, PR, Brazil. CRF was determined by 20-m shuttle run test. A continuous metabolic risk score was obtained from the mean of fasting glucose, triglycerides, high density lipoprotein, blood pressure, and waist circumference z-scores. Age, physical activity (Baecke questionnaire), body mass index (BMI; weight/stature(2) ), and somatic maturity (Mirwald method) were included as covariates in multiple linear regression analyses.
CRF was related to metabolic risk in boys (β = -0.02, P < 0.01) and girls (β = -0.01, P = 0.02) after adjusting for chronological age, BMI, and somatic maturity. However, when adjusted for physical activity, CRF failed to explain metabolic risk in girls (β = -0.01, P = 0.24).
We conclude that CRF is independently and inversely related to metabolic risk in boys, but physical activity either mediates or confounds the association between CRF and metabolic risk in girls. Am. J. Hum. Biol. 28:534-538, 2016. © 2016 Wiley Periodicals, Inc.
我们的目的是确定巴西南部青少年的心肺适能(CRF)与代谢风险之间的关系。
我们对来自巴西巴拉那州隆德里纳市的1037名10 - 16岁青少年(436名男孩)进行了一项基于学校的横断面研究。通过20米往返跑测试来确定CRF。从空腹血糖、甘油三酯、高密度脂蛋白、血压和腰围z分数的平均值获得连续的代谢风险评分。年龄、身体活动(贝克问卷)、体重指数(BMI;体重/身高²)和身体成熟度(米尔瓦尔德方法)作为协变量纳入多元线性回归分析。
在调整了实际年龄、BMI和身体成熟度后,CRF与男孩(β = -0.02,P < 0.01)和女孩(β = -0.01,P = 0.02)的代谢风险相关。然而,在调整了身体活动后,CRF未能解释女孩的代谢风险(β = -0.01,P = 0.24)。
我们得出结论,CRF与男孩的代谢风险独立且呈负相关,但身体活动要么介导要么混淆了CRF与女孩代谢风险之间的关联。《美国人类生物学杂志》28:534 - 538,2016年。©2016威利期刊公司。