Tadiotto Maiara Cristina, Corazza Patricia Ribeiro Paes, Menezes Junior Francisco Jose de, Moraes Junior Frederico Bento de, Lopes Maria de Fátima Aguiar, Tozo Tatiana Aparecida Affornali, Purim Kátia Sheylla Malta, Mota Jorge, Leite Neiva
Departamento de Educação Física, Universidade Federal do Paraná, Curitiba, Brasil.
Departamento de Medicina, Universidade Positivo, Curitiba, Brazil.
Int J Sports Med. 2023 Nov;44(12):889-895. doi: 10.1055/a-2108-6594. Epub 2023 Aug 9.
The aims of the study were to examine the moderating role of physical activity in the relationship between cardiometabolic risk factors and adiponectin concentration in adolescents. This is a cross-sectional study conducted with 96 adolescents of both sexes, between 11 and 17 years old. Body mass, height, fat mass (FM), fat-free mass, systolic blood pressure, diastolic blood pressure, high density lipoprotein, low density lipoprotein (LDL-c), triglycerides, insulin, adiponectin, C-reactive protein, and level of physical activity (energy expenditure questionnaire) were measured. Body mass index (BMI), triponderal mass index (TMI), homeostasis model to assessment insulin resistance (HOMA-IR), and quantitative insulin sensitivity check index (QUICKI) were calculated. Macro-PROCESS for SPSS was used for moderation analyses. Direct interactions were found for BMI, TMI, FM, insulin, and HOMA-IR and inverse for LDL-c, and QUICKI. Protection against cardiometabolic risk was found when the PA-coeff was completed above 1.57 coeff (BMI), 1.62 coeff (TMI), 1.55 coeff (FM), 1.41 coeff (LDL-c)1.60 coeff (insulin), 1.59 coeff (HOMA-IR) and 1.35 coeff (QUICKI). We conclude that physical activity was a moderator in the relationship with adiposity, insulin resistance and sensitivity, LDL-c, and adiponectin. In this context, we evidenced a relevant clinical impact on the health of adolescents, demonstrating the interaction between anthropometrics variables and physical activity.
该研究的目的是检验身体活动在青少年心脏代谢风险因素与脂联素浓度之间关系中的调节作用。这是一项横断面研究,对96名年龄在11至17岁之间的青少年(男女均有)进行。测量了体重、身高、脂肪量(FM)、去脂体重、收缩压、舒张压、高密度脂蛋白、低密度脂蛋白(LDL-c)、甘油三酯、胰岛素、脂联素、C反应蛋白以及身体活动水平(能量消耗问卷)。计算了体重指数(BMI)、三头肌质量指数(TMI)、评估胰岛素抵抗的稳态模型(HOMA-IR)和定量胰岛素敏感性检查指数(QUICKI)。使用SPSS的Macro-PROCESS进行调节分析。发现BMI、TMI、FM、胰岛素和HOMA-IR存在直接相互作用,而LDL-c和QUICKI存在反向相互作用。当PA系数在1.57系数(BMI)、1.62系数(TMI)、1.55系数(FM)、1.41系数(LDL-c)、1.60系数(胰岛素)、1.59系数(HOMA-IR)和1.35系数(QUICKI)以上完成时,发现对心脏代谢风险有保护作用。我们得出结论,身体活动在与肥胖、胰岛素抵抗和敏感性、LDL-c以及脂联素的关系中起调节作用。在此背景下,我们证明了对青少年健康有相关临床影响,表明人体测量学变量与身体活动之间存在相互作用。