Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study

Autor: Carlos Cristi-Montero, Palma Chillón, Idoia Labayen, José A. Casajus, Marcela Gonzalez-Gross, Jérémy Vanhelst, Yannis Manios, Luis A . Moreno, Francisco B. Ortega, Jonatan R. Ruiz
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Sport and Health Science, Vol 8, Iss 1, Pp 55-62 (2019)
Druh dokumentu: article
ISSN: 2095-2546
DOI: 10.1016/j.jshs.2018.03.004
Popis: Purpose: This study aims to compare adolescents’ cardiometabolic risk score through an integrative classification of physical activity (PA), which involves the combination of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB). Methods: A cross-sectional study derived from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study database (2006–2008) was conducted in adolescents (n = 548; boys, 47.3%; 14.7 ± 1.2 years) from 10 European cities. MVPA and SB were objectively measured using accelerometry. Adolescents were divided into 4 categories according to MVPA (meeting or not meeting the international recommendations) and the median of SB time (above or below sex- and age-specific median) as follows: High-SB & Inactive, Low-SB & Inactive, High-SB & Active, and Low-SB & Active. A clustered cardiometabolic risk score was computed using the homeostatic model assessment, systolic blood pressure, triglycerides, total cholesterol/high-density lipoprotein cholesterol, sum 4 skinfolds, and cardiorespiratory fitness (CRF). Analyses of covariance were performed to discern differences on cardiometabolic risk scores among PA categories and each health component. Results: The cardiometabolic risk score was lower in adolescents meeting the MVPA recommendation and with less time spent in SB in comparison to the high-SB & Inactive group (p < 0.05). However, no difference in cardiometabolic risk score was established between High-SB or Low-SB groups in inactive adolescents. It is important to note that CRF was the only variable that showed a significant modification (higher) when children were compared from the category of physically inactive with “active” but not from high- to low-SB. Conclusion: Being physically active is the most significant and protective outcome in adolescents to reduce cardiometabolic risk. Lower SB does not exhibit a significant and extra beneficial difference. Keywords: Accelerometry, Cardiovascular disease, Exercise, Metabolic disease, Sedentary lifestyles
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