The association between different leisure-time physical activity patterns and the non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio in adults: national health and nutrition examination survey 2007-2018.

IF 3.9 2区医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Lipids in Health and Disease Pub Date : 2024-10-15 DOI:10.1186/s12944-024-02278-8

Yanxue Lian, Pincheng Luo

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Abstract

Background: Despite the potential superiority of the non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (NHHR) as a diagnostic and predictive marker, no study has investigated the link between different leisure-time physical activity (LTPA) patterns and the NHHR. This study aims to explore this relationship.

Methods: Data was extracted from the National Health and Nutrition Examination Survey (NHANES) cycles spanning from 2007 to 2008 to 2017-2018. Participants (N = 14,211) were classified into four groups based on their LTPA patterns: (1) inactive (LTPA = 0 min/week); (2) insufficiently active (LTPA < 150 min/week); (3) weekend warrior (LTPA ≥ 150 min/week within 1 or 2 sessions); and (4) regularly active (LTPA ≥ 150 min/week in more than 2 sessions). Weighted multiple linear regression analysis was employed twice, using inactive and regular active groups as reference groups, respectively. Weighted stratification analyses and interaction tests were performed by demographics.

Results: Compared to the inactive group, each additional unit of LTPA time was associated with a significant 0.23-unit greater decrease in the NHHR in the regularly active group [-0.23 (-0.29; -0.16)]. However, no significant decrease was observed in the "Weekend Warrior" [-0.11 (-0.22; 0.008)] or insufficiently active groups [-0.03 (-0.11; 0.04)]. Moreover, compared to the regularly active group, the insufficiently active [0.21 (0.13; 0.29)], "Weekend Warrior" [0.13 (0.004; 0.25)], and inactive [0.26 (0.20; 0.32)] groups had significantly higher NHHR. The associations between the NHHR and various LTPA patterns did not significantly differ by demographic factors, except for race.

Conclusion: The regularly active pattern is significantly associated with a lower NHHR, but no significant difference in the NHHR was detected between the insufficiently active and "Weekend Warriors" patterns. The study suggests that frequency and regularity of PA are crucial for optimal lipid management, supporting clinical recommendations to meet or exceed 150 min of PA in more than two sessions per week.

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不同闲暇时间体育活动模式与成年人非高密度脂蛋白胆固醇与高密度脂蛋白胆固醇比率之间的关系：2007-2018 年全国健康与营养状况调查。

背景：尽管非高密度脂蛋白胆固醇与高密度脂蛋白胆固醇的比值（NHHR）作为诊断和预测指标具有潜在的优越性，但还没有研究调查过不同的闲暇时间体育锻炼（LTPA）模式与NHHR之间的关系。本研究旨在探讨这种关系：数据提取自美国国家健康与营养调查（NHANES）从 2007 年到 2008 年再到 2017-2018 年的周期。参与者（N=14211）根据其LTPA模式被分为四组：（1）不活跃组（LTPA=0分钟/周）；（2）不够活跃组（LTPA结果=0分钟/周）；（3）不活跃组（LTPA结果=0分钟/周）；（4）不活跃组（LTPA结果=0分钟/周）：与不活跃组相比，LTPA 时间每增加一个单位，经常活动组的 NHHR 就会显著下降 0.23 个单位[-0.23 (-0.29; -0.16)]。然而，在 "周末战士 "组[-0.11 (-0.22; 0.008)]或不够活跃组[-0.03 (-0.11; 0.04)]，没有观察到明显的下降。此外，与经常运动组相比，不够运动组[0.21 (0.13; 0.29)]、"周末战士 "组[0.13 (0.004; 0.25)]和不运动组[0.26 (0.20; 0.32)]的 NHHR 明显更高。除种族外，NHHR与各种LTPA模式之间的关系并不因人口因素而有明显差异：结论：经常活动的模式与较低的 NHHR 有明显关联，但未充分活动和 "周末战士 "模式之间的 NHHR 没有明显差异。该研究表明，运动的频率和规律性对最佳血脂管理至关重要，这也支持了每周两次以上达到或超过 150 分钟运动量的临床建议。

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来源期刊

Lipids in Health and Disease 生物-生化与分子生物学

CiteScore

7.70

自引率

2.20%

发文量

122

审稿时长

3-8 weeks

期刊介绍： Lipids in Health and Disease is an open access, peer-reviewed, journal that publishes articles on all aspects of lipids: their biochemistry, pharmacology, toxicology, role in health and disease, and the synthesis of new lipid compounds. Lipids in Health and Disease is aimed at all scientists, health professionals and physicians interested in the area of lipids. Lipids are defined here in their broadest sense, to include: cholesterol, essential fatty acids, saturated fatty acids, phospholipids, inositol lipids, second messenger lipids, enzymes and synthetic machinery that is involved in the metabolism of various lipids in the cells and tissues, and also various aspects of lipid transport, etc. In addition, the journal also publishes research that investigates and defines the role of lipids in various physiological processes, pathology and disease. In particular, the journal aims to bridge the gap between the bench and the clinic by publishing articles that are particularly relevant to human diseases and the role of lipids in the management of various diseases.