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健康成年人的累积体力活动与肥胖、健康水平和心血管代谢风险因素的关系。

Accumulated physical activity and the association with obesity, fitness, and cardiometabolic risk factors in healthy adults.

机构信息

University of Illinois Chicago, Chicago, Illinois, USA.

Department of Aging Medicine and Center on Aging and Mobility, University Hospital Zurich and University of Zurich, Zurich, Switzerland.

出版信息

Obesity (Silver Spring). 2024 Jan;32(1):23-31. doi: 10.1002/oby.23890. Epub 2023 Oct 3.

Abstract

OBJECTIVE

This study examined the prevalence of ≥150 min/wk of moderate-to-vigorous physical activity (MVPA) using different criteria for bout length and to examine associations with measures of obesity, cardiorespiratory fitness, and cardiometabolic risk factors in healthy adults with overweight or obesity.

METHODS

Baseline data from healthy adults (N = 375; age [mean ± SD] = 45.2 ± 7.7 years; BMI = 32.3 ± 3.8 kg/m ) enrolled in a behavioral weight-loss intervention were examined cross-sectionally. Categorization was by objectively measured MVPA as follows: 1) LOW-MVPA: <150 min/wk (n = 122, 32.5%); 2) MVPA-NON-BOUTED: ≥150 min/wk in bouts < 10 min (n = 72, 19.2%); 3) MVPA-COMBINED: ≥150 min/wk with a combination of bouts < 10 and ≥10 min (n = 50, 13.3%); and 4) MVPA-BOUTED: ≥150 min/wk with bouts ≥ 10 min (n = 131, 34.9%).

RESULTS

Weight, BMI, and waist circumference were higher in the LOW-MVPA category versus the other categories. Body fatness was significantly lower in the MVPA-BOUTED category compared with the LOW-MVPA category (p < 0.05). Differences by category for cardiorespiratory fitness and cardiometabolic risk factors were limited.

CONCLUSIONS

Some adults with overweight or obesity may be more active than they perceived themselves to be, and accumulation of ≥150 min/wk of MVPA may have favorable effects on weight and adiposity status. Findings may influence physical activity recommendations, and confirmation with prospective and randomized studies is needed.

摘要

目的

本研究使用不同的时间长度标准来检查≥150 分钟/周的中等到剧烈体力活动(MVPA)的流行率,并探讨其与超重或肥胖的健康成年人肥胖、心肺功能适应性和心血管代谢风险因素的相关性。

方法

对参加行为减肥干预的健康成年人(N=375;年龄[平均值±标准差] = 45.2±7.7 岁;BMI=32.3±3.8 kg/m )的基线数据进行了横断面研究。分类方法为:1)低 MVPA:<150 分钟/周(n=122,32.5%);2)非 MVPA 非爆发:≥150 分钟/周,爆发持续时间<10 分钟(n=72,19.2%);3)MVPA 组合:≥150 分钟/周,爆发持续时间<10 分钟和≥10 分钟的组合(n=50,13.3%);4)MVPA 爆发:≥150 分钟/周,爆发持续时间≥10 分钟(n=131,34.9%)。

结果

与其他类别相比,低 MVPA 类别的体重、BMI 和腰围更高。与低 MVPA 类别的身体脂肪含量显著较低(p<0.05)。不同类别的心肺功能适应性和心血管代谢风险因素的差异有限。

结论

一些超重或肥胖的成年人可能比他们认为的更活跃,积累≥150 分钟/周的 MVPA 可能对体重和肥胖状态有有益的影响。研究结果可能会影响体力活动建议,需要进行前瞻性和随机研究加以证实。

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