Su Liqiang, Wu Shouzhi, Fu Jinmei, Sun Shunli
Physical Education of College, Jiangxi Normal University, Nanchang City, Jiangxi Province, People's Republic of China.
School of Physical Education and Sport Science, Fujian Normal University, Fuzhou City, Fujian Province, People's Republic of China.
Diabetes Metab Syndr Obes. 2024 Nov 26;17:4489-4500. doi: 10.2147/DMSO.S473266. eCollection 2024.
This study aims to explore the relationship between BMI and chronic inflammation and to investigate the interaction and mediation of physical activity (PA), cardiopulmonary function, and visfatin.
A total of 119 participants were included in the study, 60 in the obesity group, 30 in the normal weight group, and 29 in the overweight group. PA, VO, visfatin, high-sensitivity C-reactive protein (hs-CRP), and four blood lipid indices (TC, TG, HDLC, LDLC) were analyzed. Regression analysis was used to understand the effect of BMI on chronic inflammation. Covariate analysis was conducted to screen effective covariates affecting BMI to predict chronic inflammation and test the interaction and intermediary role of effective covariates.
The increase in BMI could aggravate chronic inflammation. PA, VO, and visfatin had interactive effects on BMI affecting chronic inflammation, and visfatin played an intermediary role in BMI affecting chronic inflammation. The effect value of BMI on chronic inflammation in terms of low PA was 3.5 times higher than that of high PA, that of low VO was 2.8 times higher than that of high VO, and that of high visfatin was 3.65 times higher than that of low visfatin. Approximately 19.35% of the effect was mediated by visfatin.
An increase in BMI can aggravate chronic inflammation. Increases in PA and VO can alleviate chronic inflammation, and visfatin plays a positive mediating role.
本研究旨在探讨体重指数(BMI)与慢性炎症之间的关系,并研究身体活动(PA)、心肺功能和内脂素的相互作用及中介作用。
本研究共纳入119名参与者,其中肥胖组60人,正常体重组30人,超重组29人。分析了PA、VO、内脂素、高敏C反应蛋白(hs-CRP)和四项血脂指标(总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇)。采用回归分析了解BMI对慢性炎症的影响。进行协变量分析以筛选影响BMI预测慢性炎症的有效协变量,并检验有效协变量的相互作用和中介作用。
BMI升高可加重慢性炎症。PA、VO和内脂素在BMI影响慢性炎症方面具有交互作用,且内脂素在BMI影响慢性炎症中起中介作用。低PA时BMI对慢性炎症的效应值比高PA时高3.5倍,低VO时比高VO时高2.8倍,高内脂素时比低内脂素时高3.65倍。约19.35%的效应由内脂素介导。
BMI升高可加重慢性炎症。PA和VO增加可减轻慢性炎症,内脂素起正向中介作用。