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

IF 1.4 4区 医学 Q3 PEDIATRICS Pediatric Exercise Science Pub Date : 2024-07-24 DOI:10.1123/pes.2023-0202
Gerfeson Mendonça, Arthur Oliveira Barbosa, Ially Rayssa Dias Moura, Juliana Maria da Penha Freire Silva, Alcides Prazeres Filho, Diego Júnio da Silva, Chrystiane Vasconcelos Andrade Toscano, José Cazuza de Farias Júnior
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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.

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青少年的久坐行为和心脏代谢标志物:一项为期四年的纵向研究
目的:分析通过问卷和加速度计测量的青少年久坐行为(SB)与心脏代谢指标之间的关系:方法: 对巴西若昂佩索阿的青少年进行为期 4 年的纵向研究。通过调查问卷(305 名青少年:54.5% 为女性;年龄 11.7 [SD = 0.7])和加速度计(136 名青少年:54.8% 为女性;年龄 11.5 [SD = 0.7])测量青少年的运动行为。心脏代谢指标包括体重指数、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/高密度脂蛋白比率、甘油三酯/高密度脂蛋白比率和非高密度脂蛋白-C。分析采用了广义估计方程分析法:在研究的所有年份中,加速度计显示的 SB 平均时间(平均 8.3 [SD = 1.5]、8.8 [SD = 1.6] 和 8.4 [SD = 1.9]小时/天/周)均大于问卷调查显示的时间(平均 6.0 [SD = 4.1]、7.2 [SD = 4.9] 和 6.6 [SD = 5.4]小时/天/周),但这两项指标均没有显著的增长趋势(P > .05)。调查问卷测量的 SB 与 SBP 之间存在明显的正相关(β = 0.148;95% CI,0.021-0.274):结论:尽管 SB 与收缩压水平升高有关,但一般而言,SB 似乎不会导致青少年心脏代谢指标发生显著变化。
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来源期刊
Pediatric Exercise Science
Pediatric Exercise Science 医学-生理学
CiteScore
2.80
自引率
0.00%
发文量
33
审稿时长
>12 weeks
期刊介绍: Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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