共同设计的运动和体育干预措施对希腊难民营居民心肺功能和代谢综合征成分的影响：随机对照试验

IF 3.9 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Migration and Health Pub Date : 2024-01-01 DOI:10.1016/j.jmh.2024.100227

Florian Knappe , Konstantinia Filippou , Antonis Hatzigeorgiadis , Ioannis D. Morres , Emmanouil Tzormpatzakis , Elsa Havas , Harald Seelig , Sebastian Ludyga , Flora Colledge , Marianne Meier , Yannis Theodorakis , Roland von Känel , Uwe Pühse , Markus Gerber

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引用次数: 0

摘要

背景代谢综合征的流行，包括被迫流离失所者的代谢综合征，需要具有成本效益的预防和治疗策略。然而，被迫流离失所者的健康需求往往得不到满足。我们的研究评估了共同设计的运动和体育干预措施对希腊难民营中的人的心肺功能和代谢综合征成分的影响，并研究了心肺功能对代谢综合征成分的间接影响。方法我们进行了一项随机对照试验，包括干预组和等待名单对照组，共有 142 名被迫流离失所的西南亚洲人和撒哈拉以南非洲人参加（52.8% 为女性）。干预组参加了为期 10 周的锻炼和体育活动。研究结果为心肺功能和单一代谢综合征成分。结果共有 62.7% 的参与者心肺功能水平较低（第 40 百分位数），24.6% 的参与者符合代谢综合征的标准。在干预组中，73.5%的参与者每周至少参加一次锻炼和运动课程。有证据表明，干预对心肺功能有直接影响（ßdirect = 0.12，p = 0.022），但对代谢综合征的任何组成部分都没有影响（p ≥ 0.192）。心肺功能显著促进了干预措施对腹部肥胖（ß直接 = -0.03，p = 0.012）、舒张压过高（ß直接 = -0.04，p = 0.011）和甘油三酯升高（ß直接 = -0.03，p = 0.025）的间接影响。干预措施通过改善心肺功能间接地减少了腹部肥胖、舒张压过高和甘油三酯升高。

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Effects of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals living in a refugee camp in Greece: A randomized controlled trial

Background

The metabolic syndrome epidemic, including in forcibly displaced individuals, requires cost-effective prevention and treatment strategies. Yet, the health needs of forcibly displaced individuals often remain underserved. Our study evaluated the effect of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals in a refugee camp in Greece and examined the indirect effect through cardiorespiratory fitness on metabolic syndrome components.

Methods

We conducted a randomized controlled trial involving an intervention and a wait-list control group with n = 142 (52.8 % women) forcibly displaced Southwest Asians and Sub-Saharan Africans. The intervention group participated for 10 weeks in exercise and sport activities. Outcomes were cardiorespiratory fitness and single metabolic syndrome components. Effects were analyzed with structural equation modeling.

Results

In total, 62.7 % of participants presented with low cardiorespiratory fitness levels (<40th percentile), and 24.6 % met the criteria for metabolic syndrome. In the intervention group, 73.5 % attended the exercise and sport sessions at least once a week. There was evidence for a direct intervention effect on cardiorespiratory fitness, ß_direct = 0.12, p = 0.022, but not for any of the metabolic syndrome components (p ≥ 0.192). Cardiorespiratory fitness significantly facilitated the intervention's indirect effect on abdominal obesity, ß_indirect = −0.03, p = 0.012, high diastolic blood pressure, ß_indirect = −0.04, p = 0.011, and elevated triglycerides, ß_indirect = −0.03, p = 0.025.

Conclusion

Implementing exercise and sport activities in a refugee camp in Greece effectively reaches a wider target population and improves cardiorespiratory fitness among forcibly displaced individuals. The intervention contributes to a decrease in abdominal obesity, high diastolic blood pressure and elevated triglycerides indirectly via improved cardiorespiratory fitness.

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