Sports and Exercise Medicine Laboratory, Korea Maritime & Ocean University, Busan, Republic of Korea.
Research Institute of Ocean Science and Technology, Korea Maritime & Ocean University, Busan, Republic of Korea.
Public Health. 2024 Feb;227:187-193. doi: 10.1016/j.puhe.2023.12.020. Epub 2024 Jan 17.
This study aimed to investigate the association between adherence to 24-h movement guidelines and metabolic syndrome (MetS) before and during the COVID-19 pandemic.
Repeated cross-sectional design.
We selected 10,882 adults (2019: n = 5710; 2020: n = 5172) aged ≥20 years from the Korea National Health and Nutrition Examination Survey. Domain-specific physical activity and sedentary behavior were assessed using a global physical activity questionnaire. We also measured the typical sleep duration (h/day) on weekdays and weekends. MetS was defined as the presence of more than three risk factors.
During the COVID-19 pandemic, transportation-related physical activity decreased, while the prevalence of abdominal obesity (+3.3 %) and low HDL-C levels (+3.1 %) increased significantly. An elevated risk of MetS was observed in the lower aerobic (odds ratio [OR], 1.28; 95% confidence interval [CI], 1.04-1.58; P = 0.019) and muscular exercise (OR, 1.31; 95% CI, 1.04-1.66; P = 0.023) groups and in the high sedentary behavior (OR, 1.23; 95% CI, 1.00-1.51; P = 0.049) during the pandemic. Sensitivity analysis stratified by sex showed similar patterns with more pronounced changes in MetS components in males. The models also showed significant associations between aerobic physical activity, strength exercises, and sedentary behavior with MetS in males and females.
Although sedentary behavior and sleep time remained unchanged, a significant decrease in transportation-related physical activity was observed during the pandemic. Moreover, our findings revealed that aerobic physical activity, strength exercise, and sedentary time during the pandemic were associated with an increased MetS risk. These results highlight the importance of promoting physical activity, particularly during periods of social restriction, to mitigate the pandemic's negative effects on metabolic health.
本研究旨在探讨新冠肺炎大流行前后，24 小时运动指南的遵循情况与代谢综合征（MetS）之间的关联。
重复横断面设计。
我们从韩国国家健康和营养检查调查中选择了 10882 名年龄≥20 岁的成年人（2019 年：n=5710；2020 年：n=5172）。使用全球体力活动问卷评估特定领域的体力活动和久坐行为。我们还测量了工作日和周末的典型睡眠时间（小时/天）。MetS 的定义是存在超过三个危险因素。
在新冠肺炎大流行期间，与交通相关的体力活动减少，而腹型肥胖（+3.3%）和低 HDL-C 水平（+3.1%）的患病率显著增加。在低有氧（优势比 [OR]，1.28；95%置信区间 [CI]，1.04-1.58；P=0.019）和肌肉锻炼（OR，1.31；95%CI，1.04-1.66；P=0.023）组以及高久坐行为（OR，1.23；95%CI，1.00-1.51；P=0.049）期间，MetS 的风险增加。按性别分层的敏感性分析显示出类似的模式，男性的 MetS 成分变化更为明显。这些模型还表明，男性和女性的有氧体力活动、力量锻炼和久坐行为与 MetS 之间存在显著关联。
尽管久坐行为和睡眠时间保持不变，但在大流行期间观察到与交通相关的体力活动显著减少。此外，我们的研究结果表明，大流行期间的有氧体力活动、力量锻炼和久坐时间与 MetS 风险增加有关。这些结果强调了在社交限制期间促进体力活动的重要性，以减轻大流行对代谢健康的负面影响。
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