Díaz-Martínez Ximena, Petermann Fanny, Leiva Ana María, Garrido-Méndez Alex, Salas-Bravo Carlos, Martínez María Adela, Labraña Ana María, Duran Eliana, Valdivia-Moral Pedro, Zagalaz María Luisa, Poblete-Valderrama Felipe, Alvarez Cristian, Celis-Morales Carlos
Grupo de Investigación Calidad de Vida, Departamento Ciencias de la Educación, Universidad del Biobío, Chillán, Chile.
BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom.
Rev Med Chil. 2018 May;146(5):585-595. doi: 10.4067/s0034-98872018000500585.
Physical inactivity is an important cardiovascular risk factor.
To investigate the association of physical inactivity with obesity, metabolic markers, type 2 diabetes mellitus, hypertension and metabolic syndrome in Chilean adults.
Participants from the National Health Survey 2009-10 (n = 5,157) were included in this study. Body mass index, waist circumference, metabolic markers (blood glucose, glycosylated hemoglobin and lipid profile) were the outcomes. Type 2 diabetes, hypertension and metabolic syndrome were determined using international criteria. Physical activity levels were determined using the Global Physical Activity Questionnaire and physical inactivity was defined as < 600 METs/minutes/week.
Compared to their physically active peers, inactive men and women had a higher odds ratio (OR) for obesity (OR: 1.77 [95% confidence intervals (CI): 1.29-2.42], p < 0.01 and 1.25 [95% CI: 102-1.54], p < 0.035, respectively), diabetes (OR: 2.47 [1.80-3.38], p < 0.01 and 1.72 [1.35-2.19], p = 0.002, respectively) and hypertension (OR: 1.66 [1.31-2.09], p < 0.01 and 1.83 [1.54-2.18] respectively. An association of physical inactivity with central obesity and metabolic syndrome was observed only in men (OR: 1.92 [1.42- 2.58], p < 0.01 and 1.74 [1.23-2.47], p < 0.01, respectively).
Not meeting the physical activity recommendations is associated with obesity, diabetes, hypertension and metabolic syndrome, which are important cardiovascular risk factors.
身体活动不足是一个重要的心血管危险因素。
调查智利成年人身体活动不足与肥胖、代谢指标、2型糖尿病、高血压及代谢综合征之间的关联。
本研究纳入了2009 - 2010年全国健康调查的参与者（n = 5157）。体重指数、腰围、代谢指标（血糖、糖化血红蛋白和血脂谱）为研究结果。2型糖尿病、高血压和代谢综合征根据国际标准确定。身体活动水平通过全球身体活动问卷确定，身体活动不足定义为每周<600梅脱·分钟。
与身体活动活跃的同龄人相比，身体活动不足的男性和女性肥胖的优势比（OR）更高（分别为OR：1.77 [95%置信区间（CI）：1.29 - 2.42]，p < 0.01和1.25 [95%CI：1.02 - 1.54]，p < 0.035）、糖尿病（分别为OR：2.47 [1.80 - 3.38]，p < 0.01和1.72 [1.35 - 2.19]，p = 0.002）和高血压（分别为OR：1.66 [1.31 - 2.09]，p < 0.01和1.83 [1.54 - 2.18]）。仅在男性中观察到身体活动不足与中心性肥胖和代谢综合征有关（分别为OR：1.92 [1.42 - 2.58]，p < 0.01和1.74 [1.23 - 2.47]，p < 0.01）。
未达到身体活动建议与肥胖、糖尿病、高血压和代谢综合征相关，而这些都是重要的心血管危险因素。
