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中年人群日常久坐行为与代谢综合征的关系:来自韩国泰安郡健康调查的结果。

Relationship Between Daily Sedentary Behaviors and Metabolic Syndrome in Middle-Aged Adults: Results from a Health Survey in Taean-Gun, Republic of Korea.

机构信息

Department of Family Medicine and Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Metab Syndr Relat Disord. 2021 Feb;19(1):48-55. doi: 10.1089/met.2020.0021. Epub 2020 Oct 29.

Abstract

It is unclear whether sedentary behavior is associated with metabolic risk, being independent of physical activity and other possible confounders. This study aimed to evaluate an association between sedentary behaviors and metabolic syndrome (MetS). A community-based cross-sectional study was conducted in a total of 987 Korean adults aged 40 years or older. Information on study variables, including physical activity, awake and sitting time, and components of MetS, was collected by a self-administered questionnaire, physical measurement, and laboratory test. MetS was defined according to the modified National Cholesterol Education Program's Adult Treatment Panel III and Korean Society for the Study of Obesity. Multiple logistic regression analysis was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for MetS associated with absolute sitting time, high sedentary ratio (>0.5), and other selected covariates, including age, sex, smoking, alcohol intake, educational attainment, daily meal times, regular exercise, intensity of physical activities, and sleep and nap duration. After considering other selected variables, the risk of MetS was found to be higher by about 54% among subjects who had a higher sedentary ratio (OR: 1.54, 95% CI: 1.04-2.28). Every hour increase in sitting time was associated with increased risk of MetS (OR: 1.05, 95% CI: 0.99-1.11) with borderline significance ( = 0.119). Sedentary behavior was independently associated with an increased risk of MetS, suggesting that efforts to reduce the sedentary time might be also important for metabolic health in addition to encouraging adequate physical exercise. Clinical trial number is not applicable to this study.

摘要

目前尚不清楚久坐行为是否与代谢风险相关,其是否独立于身体活动和其他可能的混杂因素。本研究旨在评估久坐行为与代谢综合征(MetS)之间的关联。

一项基于社区的横断面研究共纳入了 987 名年龄在 40 岁及以上的韩国成年人。通过自填问卷、体格测量和实验室检查收集了研究变量的信息,包括身体活动、清醒和坐姿时间以及 MetS 的组成部分。MetS 根据改良的美国国家胆固醇教育计划成人治疗专家组 III 和韩国肥胖学会的标准进行定义。采用多因素 logistic 回归分析来估计与绝对坐姿时间、高久坐比(>0.5)和其他选定协变量(包括年龄、性别、吸烟、饮酒、教育程度、每日进餐次数、规律运动、身体活动强度以及睡眠和午睡时长)相关的 MetS 的比值比(OR)和 95%置信区间(CI)。

在考虑其他选定变量后,发现具有较高久坐比的受试者患 MetS 的风险增加约 54%(OR:1.54,95% CI:1.04-2.28)。坐姿时间每增加 1 小时,MetS 的风险就会增加(OR:1.05,95% CI:0.99-1.11),但差异无统计学意义( = 0.119)。久坐行为与 MetS 的发生风险独立相关,提示除了鼓励进行充分的身体活动外,减少久坐时间可能对代谢健康也很重要。本研究无临床试验注册号。

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