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前瞻性研究职业和休闲时间体力活动与成年早期心血管危险因素的关系:来自佩洛塔斯(巴西)1982 年出生队列的研究结果。

Prospective Association of Occupational and Leisure-Time Physical Activity With Cardiovascular Risk Factors in Early Adulthood: Findings From Pelotas (Brazil) 1982 Birth Cohort.

机构信息

Graduate Program in Epidemiology, Federal University of Pelotas (UFPel), Pelotas, RS,Brazil.

Postgraduate Program in Physical Education, Federal University of Pelotas (UFPel), Pelotas, RS,Brazil.

出版信息

J Phys Act Health. 2023 Jul 25;20(9):832-839. doi: 10.1123/jpah.2022-0610. Print 2023 Sep 1.

Abstract

BACKGROUND

The benefits of physical activity in health outcomes are well established. However, recent evidence suggests that benefits may differ by domain and population. Thus, we aimed to investigate the prospective association of occupational (OPA) and leisure-time physical activity (LTPA) with cardiovascular risk factors.

METHODS

In 1982, the maternity hospitals of Pelotas were visited daily; those live births whose families lived in urban areas were evaluated, and their mothers were later interviewed (n = 5914). In the 2004/5 follow-up (23 y old), both OPA and LTPA were measured in 4295 participants using their respective sections of the International Physical Activity Questionnaire. In the 2012 follow-up (30 y old), the following cardiovascular risk factors were collected: high-density lipoprotein (in milligrams per deciliter), low-density lipoprotein (in milligrams per deciliter), triglycerides (in milligrams per deciliter), glucose (in milligrams per deciliter), and blood pressure (in millimeters of mercury). Multivariable linear regressions were performed to evaluate associations between OPA and LTPA with these specific cardiovascular risk factors.

RESULTS

In total, 3241 participants were analyzed. Our main findings suggest that there was no association between OPA and LTPA with high- and low-density lipoprotein. There were inverse associations between OPA and lower levels of triglycerides among males (β = -0.002; 95% confidence interval, -0.003 to -0.000) and positive associations between LTPA and higher levels of diastolic blood pressure among females (β = 0.111; 95% confidence interval, 0.005-0.216).

CONCLUSION

In conclusion, our findings suggest that there was no association, or association with limited clinical relevance, of OPA and LTPA with cardiovascular risk factors in early adulthood.

摘要

背景

身体活动对健康结果的益处已得到充分证实。然而,最近的证据表明,这些益处可能因领域和人群而异。因此,我们旨在研究职业体力活动(OPA)和休闲时间体力活动(LTPA)与心血管风险因素的前瞻性关联。

方法

1982 年,我们每天访问佩洛塔斯的妇产医院;评估那些居住在城市地区的活产婴儿,随后对他们的母亲进行访谈(n=5914)。在 2004/5 年的随访(23 岁)中,我们使用国际体力活动问卷的相应部分,在 4295 名参与者中测量了 OPA 和 LTPA。在 2012 年的随访(30 岁)中,收集了以下心血管风险因素:高密度脂蛋白(毫克/分升)、低密度脂蛋白(毫克/分升)、甘油三酯(毫克/分升)、葡萄糖(毫克/分升)和血压(毫米汞柱)。我们进行了多变量线性回归分析,以评估 OPA 和 LTPA 与这些特定心血管风险因素之间的关联。

结果

总共分析了 3241 名参与者。我们的主要发现表明,OPA 和 LTPA 与高低密度脂蛋白之间没有关联。在男性中,OPA 与甘油三酯水平降低之间存在负相关(β=-0.002;95%置信区间,-0.003 至-0.000),而在女性中,LTPA 与舒张压水平升高之间存在正相关(β=0.111;95%置信区间,0.005 至 0.216)。

结论

总之,我们的研究结果表明,在成年早期,OPA 和 LTPA 与心血管风险因素之间没有关联,或者关联的临床意义有限。

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