Moderate to vigorous physical activity and sedentary time and cardiometabolic risk factors in children and adolescents

Autor: Ulf, Ekelund, Jian'an, Luan, Lauren B, Sherar, Dale W, Esliger, Pippa, Griew, Ashley, Cooper, S, Griffin
Přispěvatelé: International Children's Accelerometry Database (ICAD) Collaborators, Ness, A., Puder, J., Cardon, G., Davey, R., Pate, R., Salmon, J., Anderson, L., Froberg, K., Sardinha, LB., Anderson, S., Janz, K., Kriemler, S., Reilly, J., Cooper, A., Hallal, P., Griffin, S.
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Male
Blood Pressure
sedentary lifestyle
Actigraphy/statistics & numerical data
Adolescent
Biological Markers/blood
Cardiovascular Diseases/epidemiology
Child
Child
Preschool
Cholesterol
HDL/blood
Exercise
Female
Humans
Insulin/blood
Metabolic Diseases/epidemiology
Risk Factors
Sedentary Lifestyle
Triglycerides/blood
Waist Circumference
Medicine
Insulin
risk factors
Cardiometabolic risk
child
Insulin blood
exercise
blood pressure
General Medicine
Sedentary behavior
waist circumference
Cardiovascular Diseases
metabolic diseases/epidemiology
Biological Markers
medicine.medical_specialty
Physical activity
Triglycerides blood
Metabolic Diseases
cholestrol
HDL/blood
triglycerides/blood
Triglycerides
Sedentary lifestyle
Sedentary time
business.industry
Cholesterol
HDL
biological markers/blood
Cholesterol hdl
Actigraphy
cardiovascular diseases/epidemiology
adolescent
Physical therapy
Sedentary Behavior
business
actigraphy/statistics & numerical data
human activities
insulin/blood
Biomarkers
Demography
child
preschool
Zdroj: Ekelund, U, Luan, J, Sherar, L B, Esliger, D W, Griew, P, Cooper, A & International Children's Accelerometry Database (ICAD) Collaborators: Contributors of data to ICAD, among others, Karsten Froberg and Lars Bo Andersen 2012, ' Moderate to vigorous physical activity and sedentary time and cardiometabolic risk factors in children and adolescents ', J A M A: The Journal of the American Medical Association, vol. 307, no. 7, pp. 704-12 . https://doi.org/10.1001/jama.2012.156
JAMA, vol. 307, no. 7, pp. 704-712
DOI: 10.1001/jama.2012.156
Popis: Context Sparse data exist on the combined associations between physical activity and sedentary time with cardiometabolic risk factors in healthy children. Objective To examine the independent and combined associations between objectively measured time in moderate- to vigorous-intensity physical activity (MVPA) and sedentary time with cardiometabolic risk factors. Design, Setting, and Participants Pooled data from 14 studies between 1998 and 2009 comprising 20 871 children (aged 4-18 years) from the International Children's Accelerometry Database. Time spent in MVPA and sedentary time were measured using accelerometry after reanalyzing raw data. The independent associations between time in MVPA and sedentary time, with outcomes, were examined using meta-analysis. Participants were stratified by tertiles of MVPA and sedentary time. Main Outcome Measures Waist circumference, systolic blood pressure, fasting triglycerides, high-density lipoprotein cholesterol, and insulin. Results Times (mean [SD] min/d) accumulated by children in MVPA and being sedentary were 30 (21) and 354 (96), respectively. Time in MVPA was significantly associated with all cardiometabolic outcomes independent of sex, age, monitor wear time, time spent sedentary, and waist circumference (when not the outcome). Sedentary time was not associated with any outcome independent of time in MVPA. In the combined analyses, higher levels of MVPA were associated with better cardiometabolic risk factors across tertiles of sedentary time. The differences in outcomes between higher and lower MVPA were greater with lower sedentary time. Mean differences in waist circumference between the bottom and top tertiles of MVPA were 5.6 cm (95% CI, 4.8-6.4 cm) for high sedentary time and 3.6 cm (95% CI, 2.8-4.3 cm) for low sedentary time. Mean differences in systolic blood pressure for high and low sedentary time were 0.7 mm Hg (95% CI, −0.07 to 1.6) and 2.5 mm Hg (95% CI, 1.7-3.3), and for high-density lipoprotein cholesterol, differences were −2.6 mg/dL (95% CI, −1.4 to −3.9) and −4.5 mg/dL (95% CI, −3.3 to −5.6), respectively. Geometric mean differences for insulin and triglycerides showed similar variation. Those in the top tertile of MVPA accumulated more than 35 minutes per day in this intensity level compared with fewer than 18 minutes per day for those in the bottom tertile. In prospective analyses (N = 6413 at 2.1 years’ follow-up), MVPA and sedentary time were not associated with waist circumference at follow-up, but a higher waist circumference at baseline was associated with higher amounts of sedentary time at follow-up. Conclusion Higher MVPA time by children and adolescents was associated with better cardiometabolic risk factors regardless of the amount of sedentary time.
Databáze: OpenAIRE
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