Navarrabiomed, Navarra Hospital Complex (CHN), Public University of Navarra (UPNA), IdiSNA, Pamplona 31008, Spain; University of Santiago of Chile (USACH), Sciences of Physical Activity, Sports and Health School, Santiago 71783-5, Chile.
Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, Universitat de València, Valencia 46010, Spain.
J Sport Health Sci. 2021 May;10(3):296-307. doi: 10.1016/j.jshs.2020.12.001. Epub 2020 Dec 5.
This study sought to analyze the prospective association between vigorous-intensity physical activity (VPA) and health-related outcomes in children and adolescents.
Studies reporting associations between device-measured VPA and health-related factors in children and adolescents aged 3-18 years were identified through database searches (MEDLINE, EMBASE, and SPORTDiscus). Correlation coefficients were pooled if outcomes were reported by at least 3 studies, using DerSimonian-Laird random effects models.
Data from 23 studies including 13,674 participants were pooled using random effects models. Significant associations were found between VPA at baseline and overall adiposity (r = -0.09, 95% confidence interval (95%CI): -0.15 to -0.03; p = 0.002; I = 89.8%), cardiometabolic risk score (r = -0.13, 95%CI: -0.24 to -0.02, p = 0.020; I = 69.6%), cardiorespiratory fitness (r = 0.25, 95%CI: 0.15-0.35; p < 0.001; I = 57.2%), and total body bone mineral density (r = 0.16, 95%CI: 0.06 to 0.25; p = 0.001; I = 0%).
VPA seems to be negatively related to adiposity and cardiometabolic risk score and positively related to cardiorespiratory fitness and total body bone mineral density among children and adolescents at follow-up. Therefore, our findings support the need to strengthen physical activity recommendations regarding VPA due to its health benefits in children and adolescents.
本研究旨在分析儿童和青少年剧烈身体活动（VPA）与健康相关结局之间的前瞻性关联。
通过数据库检索（MEDLINE、EMBASE 和 SPORTDiscus），确定了报告儿童和青少年（3-18 岁）中设备测量的 VPA 与健康相关因素之间关联的研究。如果至少有 3 项研究报告了结果，则使用 DerSimonian-Laird 随机效应模型对相关系数进行汇总。
使用随机效应模型对 23 项研究（共纳入 13674 名参与者）的数据进行了汇总。在基线时，VPA 与总体肥胖（r= -0.09，95%置信区间（95%CI）：-0.15 至 -0.03；p=0.002；I=89.8%）、心血管代谢风险评分（r= -0.13，95%CI：-0.24 至 -0.02，p=0.020；I=69.6%）、心肺功能适应性（r=0.25，95%CI：0.15-0.35；p<0.001；I=57.2%）和全身骨矿物质密度（r=0.16，95%CI：0.06 至 0.25；p=0.001；I=0%）之间存在显著关联。
在随访中，VPA 似乎与肥胖和心血管代谢风险评分呈负相关，与心肺功能适应性和全身骨矿物质密度呈正相关。因此，我们的研究结果支持加强关于 VPA 的身体活动建议的必要性，因为它对儿童和青少年的健康有益。
