代谢综合征与身体功能性健康能力

Metabolic Syndrome and Functional Fitness Abilities.

作者信息

Gallardo-Alfaro Laura, Bibiloni Maria Del Mar, Argelich Emma, Angullo-Martinez Escarlata, Bouzas Cristina, Tur Josep A

机构信息

Research Group on Community Nutrition & Oxidative Stress, Guillem Colom Building, Campus, University of Balearic Islands-IUNICS, IDISBA & CIBEROBN (Physiopathology of Obesity and Nutrition), 07122 Palma de Mallorca, Spain.

Hospital de Manacor, IBSalut, 07500 Manacor, Spain.

出版信息

J Clin Med. 2021 Dec 13;10(24):5840. doi: 10.3390/jcm10245840.

DOI:10.3390/jcm10245840

PMID:34945135

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8709084/

Abstract

BACKGROUND

It has been pointed out that moderate to vigorous exercise improves metabolic syndrome (MetS) criteria; however, studies on functional fitness in subjects with MetS are scarce.

AIM

This study aimed to assess functional fitness abilities in MetS and non-MetS subjects.

METHODS

Cross-sectional study. Participants living in the Balearic Islands ( = 477, 52% men, 55-80 years old) with MetS (n = 333) and without MetS (n = 144). Anthropometric, socioeconomic and lifestyle characteristics were measured, and blood samples were collected. Functional fitness tests included: one leg balance, standing and sitting handgrip, 30-s chair stand, arm curl, chair sit-and-reach, back scratch, 8-foot time up-and-go, 30-m walk, and 6-min walk tests. A Functional Fitness Score was created from tests that measured agility and dynamic balance, static balance, lower-and-upper body strength, lower-and-upper body flexibility, aerobic endurance, and speed.

RESULTS

All functional fitness tests were lower in MetS subjects, except for back scratch and standing handgrip test. After adjusting for possible confounders (sex, age, civil status, education level, leisure-time physical activity) MetS subjects were more likely to be below average for a sex and age specific cut-off value of one leg balance (Odds Ratio, OR: 2.37; 95% Confidence Interval, CI: 1.25-4.48), chair stand (OR: 2.30; 95% CI: 1.26-3.20), arm curl (OR: 3.43; 95% CI:1.90-6.26), back scratch (OR: 3.49; 95% CI: 2.31-5.91), 8-foot up-&-go (OR: 13.03; 95% CI: 6.66-25.55), 30-m walk (OR: 8.10; 95% CI: 4.33-15.57) and 6-min walk test (OR: 3.28; 95% CI: 1.76-6.52), whereas they were more likely to be above average for sitting handgrip test (OR:1.69; 95% CI:1.21-2.95). Functional Fitness Score was lower in MetS subjects (5.44 ± 2.40 vs. 7.04 ± 1.72, < 0.001), independently of sex and age.

CONCLUSION

MetS participants showed lower functional fitness abilities and lower Functional Fitness Score than non-MetS peers, independently of sex, age, body mass index and waist circumference, showing lower ability to perform everyday activities safely and independently.

摘要

背景

已有研究指出，中等强度至剧烈运动可改善代谢综合征（MetS）的各项指标；然而，关于MetS患者功能适应性的研究却很匮乏。

目的

本研究旨在评估MetS患者和非MetS患者的功能适应性能力。

方法

横断面研究。研究对象为居住在巴利阿里群岛的477名参与者（男性占52%，年龄在55 - 80岁之间），其中患有MetS的有333人，未患MetS的有144人。测量了人体测量学、社会经济和生活方式特征，并采集了血样。功能适应性测试包括：单腿平衡、站立和坐姿握力、30秒椅子起立、弯臂举、椅子坐立前屈、背部伸展、8英尺定时起立步行、30米步行和6分钟步行测试。根据测量敏捷性和动态平衡、静态平衡、上下肢力量、上下肢柔韧性、有氧耐力和速度的测试创建了功能适应性评分。

结果

除背部伸展和站立握力测试外，MetS患者的所有功能适应性测试结果均较低。在对可能的混杂因素（性别、年龄婚姻状况、教育水平、休闲时间体力活动）进行调整后，MetS患者在单腿平衡（优势比，OR：2.37；95%置信区间，CI：1.25 - 4.48）、椅子起立（OR：2.30；95%CI：1.26 - 3.20）、弯臂举（OR：3.43；95%CI：1.90 - 6.26）、背部伸展（OR：3.49；95%CI：2.31 - 5.91）、8英尺起立步行（OR：13.03；95%CI：6.66 - 25.55）、30米步行（OR：8.10；95%CI：4.33 - 15.57）和6分钟步行测试（OR：3.28；95%CI：1.76 - 6.52）中低于特定性别和年龄截断值平均水平的可能性更高，而在坐姿握力测试中高于平均水平的可能性更高（OR：1.69；95%CI：1.21 - 2.95）。MetS患者的功能适应性评分较低（5.44±2.40 vs. 7.04±1.72，P<0.001），且不受性别和年龄影响。