Department of Prevention of Alimentary Tract Diseases, The Institute of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
Department of Developmental Age Research, Institute of Public Health, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.
Med Sci Monit. 2018 Oct 26;24:7633-7645. doi: 10.12659/MSM.907582.
BACKGROUND The aim of this study was to assess the possible relationship between sitting time and physical activity and the risk of occurrence of metabolic syndrome and its components. Analyses were conducted in the whole sample, and with stratification according to BMI. We have formulated a hypothesis that individuals with different BMIs have different responses to metabolic health modifiers such as physical activity and sitting time. MATERIAL AND METHODS Altogether, the data from 10 367 participants from urban and rural areas, aged 37-66 years were used in the study (7479 of whom were overweight or obese). The definition of metabolic syndrome devised by the IDF Joint Interim Statement criteria using an ethnic-specific cut-off point for waist circumference as the central obesity criterion was used. RESULTS In all analyzed BMI groups, longer sitting time was only associated with abdominal obesity (all p for trend <0.05). In participants declaring low physical activity levels, the risk of metabolic syndrome and abnormal triglycerides concentration was higher compared to those declaring high physical activity, regardless of BMI (all p for trend <0.05). In the group with overweight or obesity, low physical activity was associated with a higher risk of abdominal obesity (p for trend <0.05), increased glucose concentration (p for trend <0.05), and elevated blood pressure (p for trend <0.05). In participants with a normal BMI, these associations did not occur. CONCLUSIONS Our data suggest that physical activity helps preventive metabolic syndrome and its abnormal components, especially in participants who are overweight or obese.
本研究旨在评估久坐时间与体力活动与代谢综合征及其组份发生风险之间的可能关系。分析在全样本中进行，并根据 BMI 进行分层。我们提出了一个假设，即具有不同 BMI 的个体对代谢健康调节剂（如体力活动和久坐时间）有不同的反应。
共使用了来自城乡地区、年龄在 37-66 岁的 10367 名参与者（其中 7479 名超重或肥胖）的数据进行了研究。使用 IDF 联合临时声明标准定义的代谢综合征，使用特定种族的腰围截断值作为中心肥胖标准。
在所有分析的 BMI 组中，久坐时间仅与腹型肥胖相关（所有趋势 p 值<0.05）。在低体力活动水平的参与者中，与高体力活动水平的参与者相比，代谢综合征和异常甘油三酯浓度的风险更高，无论 BMI 如何（所有趋势 p 值<0.05）。在超重或肥胖组中，低体力活动与腹型肥胖（趋势 p 值<0.05）、血糖浓度升高（趋势 p 值<0.05）和血压升高（趋势 p 值<0.05）的风险增加相关。在 BMI 正常的参与者中，没有发生这些关联。
我们的数据表明，体力活动有助于预防代谢综合征及其异常组份，特别是在超重或肥胖的参与者中。
