美国成年人体力活动、久坐行为和心脏代谢生物标志物的成分等时替代分析:一项具有全国代表性的研究。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2023-11-01 Epub Date: 2023-03-01 DOI:10.1080/17461391.2023.2177198
Jinqun Cheng, Yanhong Huang, Zhiqiang Ren, Peng Xu, Jianyi Tan, Baoying Huang, Yue Chen, Ziqiang Lin, Yanhui Gao
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引用次数: 0

摘要

大量证据表明,体育活动和久坐行为(SB)与心血管健康有关。然而,研究通常独立研究时间使用行为,而不是将日常活动视为24小时时间使用的组成部分。本研究旨在使用成分数据模型来研究从SB到中等到剧烈体力活动(MVPA)/轻度体力活动(LPA)的时间重新分配如何与心脏代谢生物标志物的变化相关。使用来自20岁或20岁以上成年人(n = 5213个全样本;n = 2221个禁食子样本)。对与心脏代谢结果相关的行为之间的时间重新分配进行了总体以及性别和年龄的估计。用MVPA代替SB与C反应蛋白(CRP)、白细胞(WBCs)、红细胞分布宽度(RDW)、胰岛素、胰岛素抵抗稳态模型评估(HOMA-IR)和2小时血糖水平降低以及高密度脂蛋白胆固醇(HDL-C)升高有关,但老年人的WBCs、女性和老年人的胰岛素和HOMA-IR除外,年轻人和老年人的2小时葡萄糖以及老年人的HDL-C。用LPA代替SB导致老年人的CRP较低,男性和老年人的RDW较低,中青年人的胰岛素较低,女性和中年人的HOMA-IR较低,以及男性和年轻人的HDL-C较高。我们的研究结果为LPA和MVPA对心血管健康的潜在益处提供了新的证据,并有助于为特定人群的体育活动提出建议。强调久坐行为(SB)时间越短,活动行为时间越长,心血管疾病风险越低。虽然用MVPA代替SB具有更强的积极健康作用,但LPA作为一种更简单、更可行的活动,在促进心血管健康方面可能具有更大的潜力。从SB到MVPA/LPA的时间重新分配引起的心脏代谢生物标志物的预期变化因性别和年龄而异,应将具有具体建议的体育活动指南细化到亚群。
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Compositional isotemporal substitution analysis of physical activity, sedentary behaviour and cardiometabolic biomarkers in US adults: A nationally representative study.

Substantial evidence links physical activity and sedentary behaviour (SB) with cardiovascular health. However, studies usually examine time-use behaviours independently, rather than considering daily activities as a 24-hour time-use composition. This study aimed to use compositional data models to investigate how time reallocations from SB to moderate-to-vigorous physical activity (MVPA)/ light physical activity (LPA) were associated with changes in cardiometabolic biomarkers. Compositional isotemporal substitution analysis was conducted using data from a representative cross-sectional sample of adults aged 20 years or older (n = 5213 full sample; n = 2221 fasting subsample) from the 2003-2004 and 2005-2006 cycles of the National Health and Nutrition Examination Survey. Overall as well as gender- and age-specific estimates were obtained for reallocating time between the behaviours associated with cardiometabolic outcomes. Replacing SB with MVPA was associated with decreased levels of C-reactive protein (CRP), white blood cells (WBCs), red blood cell distribution width (RDW), insulin, insulin resistance homeostasis model assessment (HOMA-IR) and 2-hour glucose, and increased high-density lipoprotein cholesterol (HDL-C), except for WBCs in older adults, insulin and HOMA-IR in females and older adults, 2-hour glucose in young and older adults, and HDL-C in older adults. Substituting LPA for SB resulted in lower CRP in older adults, lower RDW in males and older adults, lower insulin in young and middle-aged adults, lower HOMA-IR in females and middle-aged adults, and higher HDL-C in males and young adults. Our findings provide new evidence for the potential benefits of LPA and MVPA in cardiovascular health and help make population-specific recommendations for physical activity.HighlightsShorter sedentary behaviour (SB) time and longer active behaviours time are associated with a lower cardiovascular disease risk profile.Although replacing SB with MVPA has stronger positive health effects, LPA, as a simpler and more feasible activity, may has greater potential in promoting cardiovascular health.The expected changes in cardiometabolic biomarkers caused by time reallocations from SB to MVPA/LPA vary with gender and age, and physical activity guidelines with specific recommendations should be tailed to the subpopulations.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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