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日常身体活动行为与内脏脂肪的关系。

The Association of Daily Physical Activity Behaviors with Visceral Fat.

机构信息

Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.

出版信息

Obes Res Clin Pract. 2020 Nov-Dec;14(6):531-535. doi: 10.1016/j.orcp.2020.10.004. Epub 2020 Nov 7.

Abstract

The association between health benefits and physical activity has received increasing attention among researchers working on the prevention of noncommunicable disease. However, the number of studies on the association between daytime activities and visceral fat is limited. In this study, we evaluated how daily physical activity behaviors impact the visceral adipose tissue (VAT) and body mass index (BMI). A total of 3543 participants (1240 men, 2303 women) were included in this cross-sectional study. The duration of daily physical activities (sedentary time, standing time, and walking time) was classified into the six categories. Multiple regression analysis was carried out to compare continuous variables. VAT and BMI were used as dependent variables, and the daily physical activities were used as independent variables. All results were expressed after adjusting for confounders, including sex, age, Brinkman index, daily alcohol consumption, sleeping time, and medication for hypertension, dyslipidemia, and diabetes. The multiple regression analysis showed that sedentary time was significantly associated with VAT (beta = 1.145, p value = 0.002), whereas standing time was negatively associated with VAT (beta = -0.763, p value = 0.043). Walking time was negatively and robustly associated with all depending variables as follows: BMI (beta = -0.172, p value = 0.001) and VAT (beta = -2.023, p value <0.001). This study showed that a daily behavior time affects the accumulation of VAT and BMI. A shift from sedentary time to standing or walking time might be a key population approach to prevent cardiometabolic diseases.

摘要

日间活动与内脏脂肪的关系研究较少。本研究旨在评估日常体力活动行为对内脏脂肪组织(VAT)和体重指数(BMI)的影响。共有 3543 名参与者(男性 1240 名,女性 2303 名)纳入本横断面研究。每日体力活动(久坐时间、站立时间和步行时间)持续时间分为六类。采用多元回归分析比较连续变量。VAT 和 BMI 作为因变量,日常体力活动作为自变量。所有结果均在调整混杂因素(性别、年龄、Brinkman 指数、每日饮酒量、睡眠时间以及高血压、血脂异常和糖尿病的药物治疗)后表示。多元回归分析显示,久坐时间与 VAT 显著相关(β=1.145,p 值=0.002),而站立时间与 VAT 呈负相关(β=-0.763,p 值=0.043)。步行时间与所有因变量(BMI:β=-0.172,p 值=0.001;VAT:β=-2.023,p 值<0.001)呈负相关且稳健。本研究表明,日常行为时间会影响 VAT 和 BMI 的积累。从久坐时间转换为站立或步行时间可能是预防心血管代谢疾病的关键人群策略。

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