Maranhao Neto Geraldo A, Pavlovska Iuliia, Polcrova Anna, Mechanick Jeffrey I, Infante-Garcia Maria M, Medina-Inojosa Jose, Nieto-Martinez Ramfis, Lopez-Jimenez Francisco, Gonzalez-Rivas Juan P
International Clinical Research Center (ICRC), St Anne's University Hospital (FNUSA) Brno, 656 91 Brno, Czech Republic.
Department of Public Health, Faculty of Medicine, Masaryk University, 601 77 Brno, Czech Republic.
J Clin Med. 2022 Jan 22;11(3):545. doi: 10.3390/jcm11030545.
The aim of the present study was to evaluate the association between television viewing/physical activity (TVV/PA) interactions and cardiometabolic risk in an adult European population. A total of 2155 subjects (25-64 years) (45.2% males), a random population-based sample were evaluated in Brno, Czechia. TVV was classified as low (<2 h/day), moderate (2-4), and high (≥4). PA was classified as insufficient, moderate, and high. To assess the independent association of TVV/PA categories with cardiometabolic variables, multiple linear regression was used. After adjustments, significant associations were: High TVV/insufficient PA with body mass index (BMI) (β = 2.61, SE = 0.63), waist circumference (WC) (β = 7.52, SE = 1.58), body fat percent (%BF) (β = 6.24, SE = 1.02), glucose (β = 0.25, SE = 0.12), triglycerides (β = 0.18, SE = 0.05), and high density lipoprotein (HDL-c) (β = -0.10, SE = 0.04); high TVV/moderate PA with BMI (β = 1.98, SE = 0.45), WC (β = 5.43, SE = 1.12), %BF (β = 5.15, SE = 0.72), triglycerides (β = 0.08, SE = 0.04), total cholesterol (β = 0.21, SE = 0.10), low density protein (LDL-c) (β = 0.19, SE = 0.08), and HDL-c (β = -0.07, SE = 0.03); and moderate TVV/insufficient PA with WC (β = 2.68, SE = 1.25), %BF (β = 3.80, SE = 0.81), LDL-c (β = 0.18, SE = 0.09), and HDL-c (β = -0.07, SE = 0.03). Independent of PA levels, a higher TVV was associated with higher amounts of adipose tissue. Higher blood glucose and triglycerides were present in subjects with high TVV and insufficient PA, but not in those with high PA alone. These results affirm the independent cardiometabolic risk of sedentary routines even in subjects with high-levels of PA.
本研究的目的是评估成年欧洲人群中看电视/身体活动（TVV/PA）交互作用与心血管代谢风险之间的关联。在捷克布尔诺，对总共2155名受试者（25 - 64岁）（45.2%为男性）进行了基于随机人群的样本评估。TVV被分类为低（<2小时/天）、中（2 - 4小时）和高（≥4小时）。PA被分类为不足、中等和高。为了评估TVV/PA类别与心血管代谢变量的独立关联，使用了多元线性回归。调整后，显著关联如下：高TVV/不足PA与体重指数（BMI）（β = 2.61，标准误 = 0.63）、腰围（WC）（β = 7.52，标准误 = 1.58）、体脂百分比（%BF）（β = 6.24，标准误 = 1.02）、血糖（β = 0.25，标准误 = 0.12）、甘油三酯（β = 0.18，标准误 = 0.05）和高密度脂蛋白（HDL - c）（β = -0.10，标准误 = 0.04）相关；高TVV/中等PA与BMI（β = 1.98，标准误 = 0.45）、WC（β = 5.43，标准误 = 1.12）、%BF（β = 5.15，标准误 = 0.72）、甘油三酯（β = 0.08，标准误 = 0.04）、总胆固醇（β = 0.21，标准误 = 0.10）、低密度脂蛋白（LDL - c）（β = 0.19，标准误 = 0.08）和HDL - c（β = -0.07，标准误 = 0.03）相关；以及中TVV/不足PA与WC（β = 2.68，标准误 = 1.25）、%BF（β = 3.80，标准误 = 0.81）、LDL - c（β = 0.18，标准误 = 0.09）和HDL - c（β = -0.07，标准误 = 0.03）相关。独立于PA水平，较高的TVV与较多的脂肪组织相关。高TVV和不足PA的受试者血糖和甘油三酯较高，但仅高PA的受试者则不然。这些结果证实了即使在PA水平较高的受试者中，久坐不动的日常习惯也存在独立的心血管代谢风险。
