Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Brazil.
School of Population Health, The University of Auckland, New Zealand.
Ann Hum Biol. 2022 Feb;49(1):18-26. doi: 10.1080/03014460.2022.2049873. Epub 2022 Mar 24.
A healthy lifestyle should be adopted by young people to maintain cardiometabolic health.
To verify the prevalence and the integrated role of lifestyle habits in cardiometabolic risk factors according to sex in adolescents.
Cross-sectional study developed with 1502 adolescents, aged 10-17 years. Lifestyle habits included physical activity, screen time and sleep duration evaluated through a questionnaire. Cardiometabolic risk score (CMRS) was calculated by summing -scores, divided by 6. For statistical analyses, multivariable binary and multinomial logistic regression models were used.
80.7% of the boys classified with adverse CMRS presented physical inactivity, compared to normal CMRS. In girls, 42.6% showed inadequate sleep compared to normal CMRS. Boys classified as inactive showed higher odds for obesity, as well as altered triglycerides (TGs), and systolic blood pressure, risk for cardiorespiratory fitness (CRF), high waist circumference, and CMRS, compared to the active. A prolonged screen time increased the odds for altered glucose and decreased the odds for altered TGs. In girls, inadequate sleep duration presented higher odds for overweight, obesity, risk for CRF, and high CMRS, compared to adequate sleep.
Physical activity for boys and sleep duration for girls are important to maintain healthy metabolic health amongst youth.
年轻人应养成健康的生活方式，以维持心血代谢健康。
根据性别验证青少年心血代谢风险因素中生活习惯的流行情况及其综合作用。
这是一项横断面研究，共纳入 1502 名 10-17 岁的青少年。生活习惯包括通过问卷评估的身体活动、屏幕时间和睡眠时间。心血代谢风险评分（CMRS）通过评分相加，除以 6 得出。统计分析采用多变量二项和多项逻辑回归模型。
与正常 CMRS 相比，80.7%的不良 CMRS 男孩表现出体力活动不足。相比之下，42.6%的女孩表现出睡眠不足。与活跃的男孩相比，不活跃的男孩肥胖、甘油三酯（TGs）和收缩压异常、心肺适能（CRF）风险、腰围增大和 CMRS 风险更高。屏幕时间延长会增加血糖异常和 TG 异常的几率。对于女孩来说，与充足的睡眠时间相比，睡眠时间不足会增加超重、肥胖、CRF 风险和高 CMRS 的几率。
对于男孩来说，身体活动，对于女孩来说，睡眠时长，对于维持年轻人的健康代谢健康都很重要。
