a Department of Physical Therapy, Faculty of Medical Sciences , Anton de Kom University of Suriname , Paramaribo , Suriname.
b Department of Rehabilitation Sciences, Research Center for Cardiovascular Rehabilitation, Faculty of Kinesiology and Rehabilitation Sciences , KULeuven , Leuven , Belgium.
Ethn Health. 2019 May;24(4):365-377. doi: 10.1080/13557858.2017.1346187. Epub 2017 Jul 1.
The role of different physical activity (PA) characteristics, i.e. domain, duration and intensity in obesity prevention still requires investigation. Furthermore, ethnicity can modify the effect of PA on body composition. Therefore, we aim to describe the association between obesity and PA characteristics across the Asian- and African-Surinamese population, living in the capital of Suriname.
Between February 2013 and July 2015, we included 1157 healthy subjects, 18-70 years, from the Healthy Life in Suriname (HELISUR) study. We measured height, weight, hip and waist circumference and defined general and central obesity according to World Health Organization (WHO) recommendations. The International Physical Activity Questionnaire was used to assess PA and to calculate the duration (minutes/week) and the total volume (METs-minutes/week) of activity. Ethnicity was self-reported.
Out of 1157 participants we included 1079 (42.6% Asian-Surinamese, 40.1% African-Surinamese and 17.3% of other ethnicity), mean age 42.6 ± 13.6 years for analysis. Obesity prevalence ratio (PR) was significantly lower in participants meeting WHO PA recommendations [PR= 0.81 (0.68-0.97)], especially within the commuting [PR= 0.66 (0.47-0.91)] and leisure time domains [PR= 0.67 (0.47-0.94)], compared to participants that did not meet the recommendations. Active minutes/week and total volume of activity were inversely associated with obesity and waist circumference, in the overall (p < 0.05) and in the African-Surinamese population (p < 0.05), but not in the Asian-Surinamese population.
Meeting PA recommendations, particularly within the commuting and leisure time domains, is associated with lower obesity prevalence in the total population. Among the African-Surinamese population, PA within the leisure time domain, more active minutes/week and higher levels of total volume are associated with a lower obesity prevalence. This is not found in the Asian-Surinamese population.
不同身体活动（PA）特征（即领域、持续时间和强度）在肥胖预防中的作用仍需研究。此外，种族会影响 PA 对身体成分的影响。因此，我们旨在描述在生活在苏里南首都的亚洲裔和非裔苏里南人中，肥胖与 PA 特征之间的关联。
在 2013 年 2 月至 2015 年 7 月期间，我们纳入了来自苏里南健康生活（HELISUR）研究的 1157 名 18-70 岁的健康受试者。我们测量了身高、体重、臀围和腰围，并根据世界卫生组织（WHO）的建议定义了一般和中心性肥胖。使用国际体力活动问卷评估 PA，并计算活动的持续时间（分钟/周）和总运动量（METs-分钟/周）。种族由自我报告确定。
在纳入的 1157 名参与者中，我们分析了 1079 名参与者（42.6%为亚洲裔苏里南人，40.1%为非洲裔苏里南人，17.3%为其他种族），平均年龄为 42.6±13.6 岁。与不符合 PA 建议的参与者相比，符合 WHO PA 建议的参与者肥胖患病率比值（PR）显著降低[PR=0.81（0.68-0.97）]，尤其是在通勤[PR=0.66（0.47-0.91）]和休闲时间领域[PR=0.67（0.47-0.94）]。每周活跃分钟数和总运动量与肥胖和腰围呈负相关，在整体人群（p<0.05）和非洲裔苏里南人群（p<0.05）中均如此，但在亚洲裔苏里南人群中则不然。
符合 PA 建议，特别是在通勤和休闲时间领域，与总人群肥胖患病率降低相关。在非洲裔苏里南人中，休闲时间领域内的 PA、更多的活跃分钟数和更高的总运动量与肥胖患病率降低相关。在亚洲裔苏里南人中则没有发现这种情况。
