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青少年中中等至剧烈体力活动与血脂指标的纵向关联。

Longitudinal association between moderate to vigorous physical activity and lipid profile indicators in adolescents.

机构信息

Study and Research Group in the Epidemiology of Physical Activity, João Pessoa, Brazil.

Associate Post-Graduation Program in Physical Education UPE/UFPB, João Pessoa, Brazil.

出版信息

Eur J Sport Sci. 2023 Jul;23(7):1405-1414. doi: 10.1080/17461391.2022.2098057. Epub 2022 Jul 30.

DOI:10.1080/17461391.2022.2098057
PMID:35786394
Abstract

The objective of this study was to examine the association between time engaged in moderate (MPA), vigorous (VPA), and moderate-to-vigorous (MVPA) physical activity (PA) and indicators of lipid profile in adolescents. This longitudinal study with a four-year follow-up, and three collection points (2014, 2015 and 2017) analyzed the data of 136 adolescents (10-13 years old; 53.7% girls), in João Pessoa, Brazil. The time in MPA, VPA and MVPA times was measured by accelerometers. The lipid profile indicators analyzed were total cholesterol (TC), low-density (LDL-C) and high-density lipoproteins cholesterol (HDL-C), triglycerides (TG), non-HDL-C, TC/HDL-C and TG/HDL-c ratios. There was an inverse association between MPA time and TC values (ß = -0.560; 95%CI: -1.116; -0.004); VPA and LDL-C (ß = -0.962; 95%CI: -1.678; -0.246) and non-HDL-C (ß = -0.955; 95%CI: -1.708; -0.201); and MVPA and TC (ß = -0.436; 95%CI: -0.816; -0.055), TG (ß = -0.415; 95%CI: -0.712; -0.118), LDL-C (ß = -0.460; 95%CI: -0.823; -0.096), non-HDL-C (ß = -0.522; 95%CI: -0.908; -0.136) and TC/HDL-C (ß = -0.472; 95%CI: -0.889; -0.055). Adolescents more engaged in PA, especially in MVPA, exhibited better levels of TC, TG, LDL-C, non-HDL-C and TC/HDL-C; and AFV exerted a greater influence on LDL-c and non-HDL-c levels.This study is one of the first observational longitudinal studies to analyze the association between different PA intensities, measured by accelerometer, and lipid profile indicators, with a 4-year follow-up and 3 collection points in adolescents from a low-to-middle income country;Adolescents engaged in PA, especially MVPA intensity, obtained better TC, TG, LDL-c, non-HDL-C and TC/HDL-C levels;VPA was more strongly associated with LDL-C and non-HDL-C levels compared to MVPA.

摘要

本研究旨在探讨青少年中进行中度(MPA)、剧烈(VPA)和中等至剧烈(MVPA)体育活动(PA)的时间与血脂指标之间的关系。这项具有四年随访和三个采集点(2014 年、2015 年和 2017 年)的纵向研究分析了来自巴西若昂佩索阿的 136 名青少年(10-13 岁;53.7%为女孩)的数据。通过加速度计测量 MPA、VPA 和 MVPA 时间。分析的血脂指标包括总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)、非高密度脂蛋白胆固醇(non-HDL-C)、TC/HDL-C 和 TG/HDL-c 比值。MPA 时间与 TC 值呈负相关(β=-0.560;95%CI:-1.116;-0.004);VPA 与 LDL-C(β=-0.962;95%CI:-1.678;-0.246)和 non-HDL-C(β=-0.955;95%CI:-1.708;-0.201);MVPA 与 TC(β=-0.436;95%CI:-0.816;-0.055)、TG(β=-0.415;95%CI:-0.712;-0.118)、LDL-C(β=-0.460;95%CI:-0.823;-0.096)、non-HDL-C(β=-0.522;95%CI:-0.908;-0.136)和 TC/HDL-C(β=-0.472;95%CI:-0.889;-0.055)。参与 PA 时间较多的青少年,特别是进行 MVPA 的青少年,TC、TG、LDL-C、non-HDL-C 和 TC/HDL-C 水平更好;而 AFV 对 LDL-c 和 non-HDL-c 水平的影响更大。这项研究是为数不多的观察性纵向研究之一,分析了在一个中低收入国家的青少年中,通过加速度计测量的不同 PA 强度与血脂指标之间的关系,具有 4 年的随访和 3 个采集点;青少年参与 PA,尤其是 MVPA 强度,可获得更好的 TC、TG、LDL-c、non-HDL-C 和 TC/HDL-C 水平;VPA 与 LDL-C 和 non-HDL-C 水平的相关性强于 MVPA。

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