Sallis J F, Patterson T L, Buono M J, Nader P R
Department of Pediatrics, University of California, San Diego, La Jolla.
Am J Epidemiol. 1988 May;127(5):933-41. doi: 10.1093/oxfordjournals.aje.a114896.
The associations of physical activity and cardiovascular fitness with cardiovascular disease risk factors were studied in 88 male adults, 180 female adults, 148 male children, and 142 female children. Subjects were families recruited from elementary schools in San Diego, California. Fitness (VO2 max) was measured by a submaximal cycle ergometer test. Physical activity was assessed by seven-day recall interview, yielding caloric expenditure, and by a simple self-rating of activity level. Risk factors included blood pressure, high density lipoprotein (HDL) cholesterol, the ratio of high density lipoproteins to low density lipoproteins (LDL), and body mass index. For all subgroups, fitness was strongly and significantly correlated with virtually all risk factors. After adjustment for body mass index, most fitness-risk factor associations were no longer significant. Seven-day caloric expenditure was significantly correlated with HDL/LDL only in female adults and children. The activity rating was significantly correlated with body mass index in all subgroups and with HDL/LDL in female adults and male adults. The simple activity rating tended to be correlated with fitness. The pattern of association was similar for adults and children.
在88名成年男性、180名成年女性、148名男童和142名女童中研究了身体活动和心血管健康与心血管疾病风险因素之间的关联。研究对象是从加利福尼亚州圣地亚哥的小学招募的家庭。通过次极量蹬车测力试验测量健康状况（最大摄氧量）。通过为期七天的回忆访谈评估身体活动情况，得出热量消耗，并通过简单的活动水平自我评分进行评估。风险因素包括血压、高密度脂蛋白（HDL）胆固醇、高密度脂蛋白与低密度脂蛋白（LDL）的比率以及体重指数。对于所有亚组，健康状况与几乎所有风险因素都存在强烈且显著的相关性。在对体重指数进行调整后，大多数健康状况与风险因素之间的关联不再显著。仅在成年女性和儿童中，七天热量消耗与HDL/LDL显著相关。在所有亚组中，活动评分与体重指数显著相关，在成年女性和成年男性中与HDL/LDL显著相关。简单的活动评分往往与健康状况相关。成年人和儿童的关联模式相似。
