青少年久坐行为与心脏代谢指标：一项为期4年的纵向研究。

Sedentary Behavior and Cardiometabolic Markers in Adolescents: A 4-Year Longitudinal Study.

作者信息

Mendonça Gerfeson, Barbosa Arthur Oliveira, Moura Ially Rayssa Dias, Silva Juliana Maria da Penha Freire, Prazeres Filho Alcides, Silva Diego Júnio da, Toscano Chrystiane Vasconcelos Andrade, Farias Júnior José Cazuza de

机构信息

Epidemiology Studies and Research Group-GEPEAF, Federal University of Paraíba, João Pessoa, PB,Brazil.

Physical Education Course, Cesmac University Center, Maceió, AL,Brazil.

出版信息

Pediatr Exerc Sci. 2024 Jul 24;37(2):154-163. doi: 10.1123/pes.2023-0202. Print 2025 May 1.

DOI:10.1123/pes.2023-0202

PMID:39048096

Abstract

PURPOSE

Analyzed the associations of sedentary behavior (SB) measured by questionnaire and accelerometer, with cardiometabolic markers in adolescents.

METHODS

Longitudinal study with 4 years of follow-up with adolescents from João Pessoa, Brazil. SB was measured using a questionnaire (305 adolescents: 54.5% females; age 11.7 [SD = 0.7]) and use of accelerometer (136 adolescents: 54.8% females; age 11.5 [SD = 0.7]). The cardiometabolic markers were body mass index, waist circumference, systolic and diastolic blood pressure, fasting glucose, total cholesterol, triglycerides, low-density lipoproteins and high-density lipoproteins (HDL-C), total cholesterol/HDL ratio, triglycerides/HDL ratio, and non-HDL-C. Generalized Estimating Equation analysis was used to for analyses.

RESULTS

The average time in SB by the accelerometer was greater (average 8.3 [SD = 1.5], 8.8 [SD = 1.6], and 8.4 [SD = 1.9] h/d/wk) than observed in the questionnaire (on average 6.0 [SD = 4.1], 7.2 [SD = 4.9], and 6.6 [SD = 5.4] h/d/wk), in all years of the study, but without a significant increasing trend (P > .05) over time for both measures. There was a significant and positive association between SB measured by the questionnaire and SBP (β = 0.148; 95% CI, 0.021-0.274).

CONCLUSIONS

The SB generally does not seem to contribute to significant changes in cardiometabolic markers in adolescents, despite it being associated with increased systolic blood pressure levels.

摘要

目的

分析通过问卷和加速度计测量的青少年久坐行为（SB）与心脏代谢标志物之间的关联。

方法

对来自巴西若昂佩索阿的青少年进行了为期4年的纵向研究。使用问卷（305名青少年：54.5%为女性；年龄11.7[标准差=0.7]）和加速度计（136名青少年：54.8%为女性；年龄11.5[标准差=0.7]）测量SB。心脏代谢标志物包括体重指数、腰围、收缩压和舒张压、空腹血糖、总胆固醇、甘油三酯、低密度脂蛋白和高密度脂蛋白（HDL-C）、总胆固醇/HDL比值、甘油三酯/HDL比值和非HDL-C。采用广义估计方程分析进行分析。

结果

在研究的所有年份中，加速度计测量的SB平均时间（平均8.3[标准差=1.5]、8.8[标准差=1.6]和8.4[标准差=1.9]小时/天/周）均高于问卷测量的时间（平均6.0[标准差=4.1]、7.2[标准差=4.9]和6.6[标准差=5.4]小时/天/周），但两种测量方法随时间均无显著增加趋势（P>.05）。问卷测量的SB与收缩压之间存在显著正相关（β=0.148；95%置信区间，0.021 - 0.274）。