Agostinis-Sobrinho C, Abreu S, Moreira C, Lopes L, García-Hermoso A, Ramírez-Vélez R, Correa-Bautista J E, Mota J, Santos R
Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal.
Research Centre in Physical Activity, Health and Leisure, Faculty of Sport, University of Porto, Portugal.
Nutr Metab Cardiovasc Dis. 2017 Aug;27(8):695-702. doi: 10.1016/j.numecd.2017.04.008. Epub 2017 May 11.
Muscular fitness and an adherence to the Southern European Atlantic Diet (SEADiet) have been inversely associated with cardiometabolic risk. Our aim was to assess the independent and combined associations of muscular fitness and adherence to the SEADiet on cardiometabolic risk in adolescents.
A total of 467 Portuguese adolescents (275 girls) participated in this cross-sectional study. Sum of the Z-Scores of Curl-Up and Push-Up tests was used to create a muscular fitness score. Adherence to SEADiet was obtained using a food frequency questionnaire. A cardiometabolic risk score was computed from sum of Z-score of triglycerides, systolic blood pressure, total cholesterol/HDL ratio, HOMA-IR and waist circumference. Adolescents with low muscular fitness and low adherence to the SEADiet had the poorest cardiovascular profile F = 5.074 (p < 0.001) and the highest odds of having a high cardiometabolic risk score (OR = 4.5; 95% CI: 2.1-14) when compared to those with High muscular fitness/High adherence to the SEADiet after adjustments for age, sex, pubertal stage, socioeconomic status, total energy intake, low-energy reporter and cardiorespiratory fitness.
Our findings seem suggest that improving muscular fitness as well as an adherence to the SEADiet could be an important strategy to reduce clustered cardiometabolic risk in youth.
肌肉适能与坚持南欧大西洋饮食（SEADiet）与心血管代谢风险呈负相关。我们的目的是评估青少年肌肉适能和坚持SEADiet对心血管代谢风险的独立及联合关联。
共有467名葡萄牙青少年（275名女孩）参与了这项横断面研究。使用仰卧起坐和俯卧撑测试的Z分数总和来创建肌肉适能得分。通过食物频率问卷来评估对SEADiet的坚持情况。根据甘油三酯、收缩压、总胆固醇/高密度脂蛋白比值、HOMA-IR和腰围的Z分数总和计算心血管代谢风险得分。与年龄、性别、青春期阶段、社会经济地位、总能量摄入、低能量报告者和心肺适能调整后具有高肌肉适能/高坚持SEADiet的青少年相比，肌肉适能低且对SEADiet坚持程度低的青少年心血管状况最差（F = 5.074，p < 0.001），且具有高心血管代谢风险得分的几率最高（OR = 4.5；95% CI：2.1 - 14）。
我们的研究结果似乎表明，改善肌肉适能以及坚持SEADiet可能是降低青少年心血管代谢风险聚集的重要策略。
