Department of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA.
Department of Preventive Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA.
Hisp Health Care Int. 2022 Mar;20(1):15-24. doi: 10.1177/1540415320985581. Epub 2021 Mar 9.
Evidence regarding the associations between accelerometer-measured moderate-vigorous physical activity (MVPA) and cardiovascular health (CVH) indicators among Hispanic/Latino adults are unavailable.
Examined cross-sectional data from 12,008 Hispanic/Latino adults aged 18-74 years participating in the Hispanic Community Health Study/Study of Latinos. Accelerometer-measured MVPA was assessed categorically and dichotomously per 2008 PA guidelines. Adverse and ideal CVH indicators were determined by standard cut-points for blood glucose, total cholesterol, blood pressure, body mass index (BMI), and smoking. A composite of low CV risk, defined as achieving all ideal CVH indicators, was included. Adjusted Poisson regression models and complex survey design methods were used for all analyses.
Compared to high MVPA, lower MVPA categories were associated with higher prevalence of all adverse CVH indicators, except hypertension, and with lower prevalence of low CV risk and ideal blood glucose, blood pressure, and BMI. Similarly, non-adherence to PA guidelines was associated with a higher prevalence of diabetes (16%), hypercholesterolemia (9%), obesity (28%), and smoking (9%); and lower prevalence of low CV risk (24%), ideal blood glucose (6%), ideal blood pressure (6%), and ideal BMI (22%).
Overall, high accelerometer-measured MVPA and meeting PA guidelines were associated with favorable CVH in Hispanic/Latino adults.
关于西班牙裔/拉丁裔成年人的计步器测量的中高强度体力活动 (MVPA) 和心血管健康 (CVH) 指标之间的关联，目前尚无相关证据。
本研究分析了参与西班牙裔社区健康研究/拉丁裔研究的 12008 名年龄在 18-74 岁的西班牙裔/拉丁裔成年人的横断面数据。MVPA 是根据 2008 年 PA 指南进行分类和二分法评估的。通过血糖、总胆固醇、血压、体重指数 (BMI) 和吸烟的标准切点来确定不良和理想的 CVH 指标。采用低 CV 风险的综合指标，定义为实现所有理想的 CVH 指标。所有分析均采用调整后的泊松回归模型和复杂调查设计方法。
与高 MVPA 相比，较低的 MVPA 类别与所有不良 CVH 指标（除高血压外）的更高流行率相关，且与低 CV 风险和理想的血糖、血压和 BMI 的更低流行率相关。同样，PA 指南的不遵守与糖尿病（16%）、高胆固醇血症（9%）、肥胖症（28%）和吸烟（9%）的更高流行率相关；而与低 CV 风险（24%）、理想的血糖（6%）、理想的血压（6%）和理想的 BMI（22%）的更低流行率相关。
总体而言，西班牙裔/拉丁裔成年人中，高计步器测量的 MVPA 和满足 PA 指南与有利的 CVH 相关。
