体力活动和久坐行为对智利成年人心血管危险因素的联合影响。

Joint effect of physical activity and sedentary behaviour on cardiovascular risk factors in Chilean adults.

机构信息

Grupo IRyS, Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile.

BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK.

出版信息

J Public Health (Oxf). 2018 Sep 1;40(3):485-492. doi: 10.1093/pubmed/fdx134.

DOI:10.1093/pubmed/fdx134

PMID:29045709

Abstract

BACKGROUND

To investigate the associations between combined categories of moderate-to-vigorous physical activity (MVPA) and sedentary behaviour (SB) with markers of adiposity and cardiovascular risk in adults.

METHODS

Overall, 5040 participants (mean age 46.4 years and 59.3% women) from the cross-sectional Chilean National Health Survey 2009-2010 were included in this study. MVPA and SB were measured using the Global Physical Activity questionnaire. Four categories were computed using MVPA- and SB-specific cut-offs ('High-SB & Active', 'Low-SB & Active', 'High-SB & Inactive' and 'Low-SB & Inactive').

RESULTS

Compared to the reference group ('High-SB & Inactive'), those in 'High-SB & Active' and 'Low-SB & Active' were less likely to have an obese BMI (OR: 0.67 [0.54; 0.85], P = 0.0001 and 0.74 [0.59; 0.92] P = 0.0007, respectively) and less likely to have metabolic syndrome (OR: 0.63 [0.49; 0.82], P < 0.0001 and 0.72 [0.57; 0.91], P = 0.007), central obesity (OR: 0.79 [0.65; 0.96], P = 0.016 and 0.71 [0.59; 0.84], P < 0.0001), diabetes (OR: 0.45 [0.35; 0.59], P < 0.0001 and 0.44 [0.34; 0.56], P < 0.0001) and hypertension (OR: 0.52 [0.43; 0.63], P < 0.0001 and 0.60 [0.50; 0.72], P < 0.0001), respectively.

CONCLUSIONS

Being physically active and spending less time in SBs was associated with lower adiposity and improvements in cardiovascular risk factors.

摘要

背景

本研究旨在探讨成年人中中高强度体力活动（MVPA）和久坐行为（SB）的综合类别与肥胖和心血管风险标志物之间的关联。

方法

本研究共纳入了来自 2009-2010 年智利国家健康调查的 5040 名参与者（平均年龄 46.4 岁，59.3%为女性）。MVPA 和 SB 使用全球体力活动问卷进行测量。使用 MVPA 和 SB 特定的截止值计算了四个类别（“高 SB 和活跃”、“低 SB 和活跃”、“高 SB 和不活跃”和“低 SB 和不活跃”）。

结果

与参考组（“高 SB 和不活跃”）相比，“高 SB 和活跃”和“低 SB 和活跃”组的肥胖 BMI 发生率较低（OR：0.67 [0.54；0.85]，P = 0.0001 和 0.74 [0.59；0.92]，P = 0.0007），且代谢综合征（OR：0.63 [0.49；0.82]，P < 0.0001 和 0.72 [0.57；0.91]，P = 0.007）、中心性肥胖（OR：0.79 [0.65；0.96]，P = 0.016 和 0.71 [0.59；0.84]，P < 0.0001）、糖尿病（OR：0.45 [0.35；0.59]，P < 0.0001 和 0.44 [0.34；0.56]，P < 0.0001）和高血压（OR：0.52 [0.43；0.63]，P < 0.0001 和 0.60 [0.50；0.72]，P < 0.0001）的发生率也较低。