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体脂百分比能否预测非肥胖儿童和青少年运动后的心率反应?

Does body fat percentage predict post-exercise heart rate response in non-obese children and adolescents?

作者信息

Jezdimirovic Tatjana, Stajer Valdemar, Semeredi Sasa, Calleja-Gonzalez Julio, Ostojic Sergej M

机构信息

.

出版信息

J Pediatr Endocrinol Metab. 2017 May 24;30(6):629-633. doi: 10.1515/jpem-2016-0468.

Abstract

BACKGROUND

A correlation between adiposity and post-exercise autonomic regulation has been established in overweight and obese children. However, little information exists about this link in non-obese youth. The main purpose of this cross-sectional study was to describe the relationship between body fat percentage (BFP) and heart rate recovery after exercise [post-exercise heart rate (PEHR)], a marker of autonomic regulation, in normal-weight children and adolescents.

METHODS

We evaluated the body composition of 183 children and adolescents (age 15.0±2.3 years; 132 boys and 51 girls) who performed a maximal graded exercise test on a treadmill, with the heart rate monitored during and immediately after exercise.

RESULTS

A strong positive trend was observed in the association between BFP and PEHR (r=0.14; p=0.06). Hierarchical multiple regression revealed that our model explained 18.3% of the variance in PEHR (p=0.00), yet BFP accounted for only 0.9% of the variability in PEHR (p=0.16). The evaluation of the contribution of each independent variable revealed that only two variables made a unique statistically significant contribution to our model (p<0.01), with age contributing 38.7% to our model (p=0.00) while gender accounted for an additional 25.5% (p=0.01). Neither BFP (14.4%; p=0.16) nor cardiorespiratory endurance (5.0%, p=0.60) made a significant unique contribution to the model.

CONCLUSIONS

Body fatness seems to poorly predict PEHR in our sample of non-obese children and adolescents, while non-modifiable variables (age and gender) were demonstrated as strong predictors of heart rate recovery. The low amount of body fat reported in non-obese young participants was perhaps too small to cause disturbances in autonomic nervous system regulation.

摘要

背景

超重和肥胖儿童中已证实肥胖与运动后自主调节之间存在关联。然而,关于非肥胖青少年中这种联系的信息却很少。这项横断面研究的主要目的是描述正常体重儿童和青少年的体脂百分比(BFP)与运动后心率恢复[运动后心率(PEHR)]之间的关系,运动后心率恢复是自主调节的一个指标。

方法

我们评估了183名儿童和青少年(年龄15.0±2.3岁;132名男孩和51名女孩)的身体组成,他们在跑步机上进行了最大分级运动测试,运动期间和运动后立即监测心率。

结果

观察到BFP与PEHR之间存在强烈的正相关趋势(r = 0.14;p = 0.06)。分层多元回归显示,我们的模型解释了PEHR方差的18.3%(p = 0.00),但BFP仅占PEHR变异性的0.9%(p = 0.16)。对每个自变量贡献的评估表明,只有两个变量对我们的模型做出了独特的统计学显著贡献(p < 0.۰۱),年龄对我们的模型贡献了38.7%(p = 0.00),而性别又占了25.5%(p = 0.01)。BFP(14.4%;p = 0.16)和心肺耐力(5.0%,p = 0.60)对模型均未做出显著的独特贡献。

结论

在我们的非肥胖儿童和青少年样本中,身体脂肪似乎很难预测PEHR,而非可改变的变量(年龄和性别)被证明是心率恢复的强预测因素。非肥胖年轻参与者报告的低体脂量可能太小,不足以引起自主神经系统调节的紊乱。

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