Laboratory of Biology and Health (LBS), Nutrition, Food and Health Sciences Team, Faculty of Sciences, Ibn Tofail University, Kenitra 14000, Morocco.
Biology and Health UAE/U23FS Team, Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Avenue de Sebta, Mhannech II, Tetouan 93002, Morocco.
Int J Environ Res Public Health. 2023 Jan 18;20(3):1739. doi: 10.3390/ijerph20031739.
This study aimed to examine the association between physical activity (PA), body composition, and metabolic disorders in a population of Moroccan women classified by menopausal status. This cross-sectional study comprised 373 peri- and postmenopausal women aged 45-64 years old. PA levels were assessed using the short version of the International Physical Activity Questionnaire (IPAQ-SF). Body composition and metabolic disorders were assessed by measurements of anthropometric and biological parameters: weight, body mass index (BMI), waist circumference (WC), hip circumference (HC), WC/HC ratio, percent body fat, systolic and diastolic blood pressure, fasting blood glucose, and serum lipids (total cholesterol (TC), triglycerides (TG), HDL-C, and LDL-C). Metabolic syndrome (MetS) was diagnosed according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) criteria. Pearson correlations were used to test for associations. The mean total PA score of perimenopausal women was 1683.51 ± 805.36 MET-min/week, and of postmenopausal women was 1450.81 ± 780.67 MET-min/week. In all participants, peri- and postmenopausal women, PA was significantly and inversely associated with BMI, weight, percent body fat, HC, WC, and number of MetS components ( < 0.01), and with fasting blood glucose, TC, TG, and LDL-C ( < 0.05). The frequencies of metabolic disorders, obesity, abdominal obesity, type 2 diabetes, dyslipidemia, and MetS were significantly lower at moderate and intense levels of PA ( < 0.05), in also all participants. In middle-aged women, particularly those who are peri-menopausal, PA at moderate and intense levels is associated with more favorable body composition and less frequent metabolic disorders. However, in this particular study, PA does not appear to be associated with blood pressure and HDL-C concentrations. Future studies may be needed to further clarify these findings.
本研究旨在探讨摩洛哥女性人群中，根据绝经状态分类，身体活动（PA）、身体成分与代谢紊乱之间的关联。这项横断面研究纳入了 373 名年龄在 45-64 岁之间的绝经前期和绝经后女性。使用国际体力活动问卷（IPAQ-SF）的简短版评估 PA 水平。通过测量人体测量和生物学参数来评估身体成分和代谢紊乱：体重、体重指数（BMI）、腰围（WC）、臀围（HC）、WC/HC 比值、体脂肪百分比、收缩压和舒张压、空腹血糖和血清脂质（总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）和低密度脂蛋白胆固醇（LDL-C））。根据国家胆固醇教育计划成人治疗小组 III（NCEP-ATP III）标准诊断代谢综合征（MetS）。使用 Pearson 相关系数检验关联。绝经前期女性的平均总 PA 评分是 1683.51 ± 805.36 MET-min/周，绝经后女性的平均总 PA 评分是 1450.81 ± 780.67 MET-min/周。在所有参与者中，绝经前期和绝经后女性的 PA 与 BMI、体重、体脂肪百分比、HC、WC 和 MetS 成分数量呈显著负相关（<0.01），与空腹血糖、TC、TG 和 LDL-C 呈显著负相关（<0.05）。在中度和高强度 PA 水平时，代谢紊乱、肥胖、腹部肥胖、2 型糖尿病、血脂异常和 MetS 的发生频率显著降低（<0.05），在所有参与者中也是如此。在中年女性中，尤其是绝经前期女性，中高强度的 PA 与更有利的身体成分和更不频繁的代谢紊乱有关。然而，在这项特定研究中，PA 似乎与血压和 HDL-C 浓度无关。可能需要进一步的研究来进一步阐明这些发现。
