Lauer E Earlynn, Jackson Allen W, Martin Scott B, Morrow James R
Department of Kinesiology, Recreation, and Sport Studies, University of Tennessee, Knoxville, TN, USA.
Department of Kinesiology, Health Promotion, and Recreation, University of North Texas, Denton, TX, USA.
Int J Exerc Sci. 2017 Jan 1;10(1):121-127. doi: 10.70252/AZKZ3147. eCollection 2017.
Current public health physical activity (PA) guidelines suggest ≥500 METmin/week of PA, with additional benefits beyond 1000 METmin/week (i.e., a dose response). Revised U.S. PA guidelines are scheduled for 2018. The purpose was to relate health markers (blood pressure, percent fat, BMI, blood glucose, cholesterol, and cardiorespiratory fitness) to verify the dose response for PA guidelines revision. 505 non-smoking participants self-reported PA behaviors and completed medical screening. MANCOVA controlling for age and gender determined the relation between health markers and PA. MANCOVA indicated significantly (P<.001) different health markers of percent fat, BMI, glucose, and treadmill time as a function of PA. Post-hoc Helmert contrasts (1] <500 METmin/week vs. ≥500 METmin/week and 2] 500 to <1000 METmin/week vs. ≥1000 METmin/week) indicated that meeting the PA guidelines was associated with better health markers and higher cardiorespiratory fitness. Effect sizes were greater for contrast 1 than for contrast 2, suggesting a plateauing effect. Revised public health guidelines should consider achievement of ≥500 METmin/week to be most important, with additional modest gain thereafter. Revised PA guidelines should stress the importance of achieving 500-1000 METmin/week.
当前的公共卫生身体活动(PA)指南建议每周进行≥500代谢当量分钟的身体活动,每周超过1000代谢当量分钟会有额外益处(即剂量反应)。美国修订后的PA指南计划于2018年发布。目的是将健康指标(血压、体脂百分比、体重指数、血糖、胆固醇和心肺适能)与PA指南修订的剂量反应进行关联验证。505名不吸烟参与者自行报告了PA行为并完成了医学筛查。控制年龄和性别的多变量协方差分析确定了健康指标与PA之间的关系。多变量协方差分析表明,作为PA的函数,体脂百分比、体重指数、血糖和跑步机运动时间等健康指标存在显著差异(P<.001)。事后赫尔默特对比(1]<500代谢当量分钟/周与≥500代谢当量分钟/周,以及2]500至<1000代谢当量分钟/周与≥1000代谢当量分钟/周)表明,达到PA指南与更好的健康指标和更高的心肺适能相关。对比1的效应量大于对比2,表明存在平台效应。修订后的公共卫生指南应将每周达到≥500代谢当量分钟视为最重要的,此后会有额外的适度收益。修订后的PA指南应强调达到500 - 1000代谢当量分钟/周的重要性。