加速计测量的农村青少年体育活动、体能和心脏代谢风险指标:MINIMat 群体 15 年随访横断面研究》。

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology and Global Health Pub Date : 2024-09-01 Epub Date: 2024-05-21 DOI:10.1007/s44197-024-00245-1
Mohammad Redwanul Islam, Christine Delisle Nyström, Maria Kippler, Eero Kajantie, Marie Löf, Syed Moshfiqur Rahman, Eva-Charlotte Ekström
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引用次数: 0

摘要

背景:人们对中低收入国家农村青少年的体力活动(PA)和体能与心脏代谢风险之间的关系知之甚少。因此,我们研究了孟加拉国东南部农村青少年出生队列中的体力活动和体能与某些心脏代谢指标的关系以及潜在的性别差异:我们利用了马特拉布母婴营养干预(MINIMat)队列(n = 2253)的 15 年随访数据。腕戴式 ActiGraph wGT3x-BT 加速计用于估算久坐时间(ST)和 PA。体能评估包括:握力、立定跳远和切斯特台阶测试。测量了人体测量参数、收缩压(SBP)、空腹血脂、胰岛素和葡萄糖水平。我们使用稳态模型评估方程(HOMA-IR)计算胰岛素抵抗。我们对线性回归和等时替代模型进行了拟合:结果:青少年每天花费 64 分钟(四分位数间距:50-81)进行中度至剧烈运动(MVPA)。每天增加 10 分钟的剧烈运动(VPA)与以下因素有关:腰围(WC)降低 4.9%(95% 置信区间:2.9-6.8%),SBP 降低 3.2 mmHg(95% 置信区间:1.5-4.8),TG 降低 10.4%(95% 置信区间:2.9-17.3%),HOMA-IR 降低 24.4%(95% 置信区间:11.3-34.9%)。MVPA 也显示出类似的关联,但幅度明显较小。除腹围外,其他关联在男孩中更为明显。用持续时间相同的 VPA 代替 ST 与较低的 WC、SBP、甘油三酯和 HOMA-IR 有关。握力与所有指标都有良好的相关性,显示出相当大的效应大小:我们的研究结果表明,PA(尤其是 VPA)和肌肉健身对塑造中青春期的心血管代谢特征有益。在资源有限的环境中,VPA和握力可能是针对青少年的预防策略的潜在目标。
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Accelerometer-Measured Physical Activity, Fitness and Indicators of Cardiometabolic Risk among Rural Adolescents: A Cross-Sectional Study at 15-Year Follow-up of the MINIMat Cohort.

Background: Little is known about the relationship of physical activity (PA) and fitness with cardiometabolic risk among rural adolescents in low- and middle-income countries. Thus, we examined the associations of PA and fitness with selected cardiometabolic indicators along with potential gender-based differences in a birth cohort of rural adolescents from southeast Bangladesh.

Methods: We utilized data from the 15-year follow-up of Maternal and Infant Nutrition Interventions in Matlab (MINIMat) cohort (n = 2253). Wrist-worn ActiGraph wGT3x-BT accelerometers were used to estimate sedentary time (ST) and PA. Fitness was assessed using: handgrip strength, standing long jump, and Chester Step Test. Anthropometric parameters, systolic blood pressure (SBP), and fasting lipid, insulin and glucose levels were measured. We calculated insulin resistance using the Homeostasis Model Assessment equation (HOMA-IR). Linear regression and isotemporal substitution models were fitted.

Results: The adolescents spent 64 min/day (inter-quartile range: 50-81) in moderate-to-vigorous physical activity (MVPA). A 10-minute-per-day higher vigorous PA (VPA) was associated with: 4.9% (95% confidence interval (CI): 2.9-6.8%) lower waist circumference (WC), 3.2 mmHg (95% CI: 1.5-4.8) lower SBP, 10.4% (95% CI: 2.9-17.3%) lower TG, and 24.4% (95% CI: 11.3-34.9%) lower HOMA-IR. MVPA showed similar associations of notably smaller magnitude. Except for WC, the associations were more pronounced among the boys. Substituting ST with VPA of equal duration was associated with lower WC, SBP, triglyceride and HOMA-IR. Grip strength was favorably associated with all indicators, displaying considerably large effect sizes.

Conclusion: Our findings indicated beneficial roles of PA- particularly VPA- and muscular fitness in shaping cardiometabolic profile in mid-adolescence. VPA and grip strength may represent potential targets for preventive strategies tailored to adolescents in resource-limited settings.

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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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