التفاصيل البيبلوغرافية
| العنوان: |
Sedentary time has a stronger impact on metabolic health than moderate to vigorous physical activity in adolescents with obesity: a cross‐sectional analysis of the Beta‐JUDO study. |
| المؤلفون: |
Julian, Valérie, Bergsten, Peter, Forslund, Anders, Ahlstrom, Hakan, Ciba, Iris, Dahlbom, Marie, Furthner, Dieter, Gomahr, Julian, Kullberg, Joel, Maruszczak, Katharina, Morwald, Katharina, Olsson, Roger, Pixner, Thomas, Schneider, Anna, Pereira, Bruno, Thivel, David, Weghuber, Daniel |
| المصدر: |
Pediatric Obesity; Jul2022, Vol. 17 Issue 7, p1-14, 14p |
| مصطلحات موضوعية: |
SEDENTARY lifestyles, CHILDHOOD obesity, CROSS-sectional method, PHYSICAL activity, METABOLIC disorders, DESCRIPTIVE statistics, INSULIN resistance, ADOLESCENCE |
| مستخلص: |
Summary: Background: Relationships between movement‐related behaviours and metabolic health remain underexplored in adolescents with obesity. Objectives: To compare profiles of sedentary time (more sedentary, SED+ vs. less sedentary, SED−), moderate to vigorous physical activity (MVPA) time (more active, MVPA+ vs. less active, MVPA−) and combinations of behaviours (SED−/MVPA+, SED−/MVPA−, SED+/MVPA+, SED+/MVPA−) in regard to metabolic health. Methods: One hundred and thirty‐four subjects (mean age 13.4 ± 2.2 yrs, mean body mass index [BMI] 98.9 ± 0.7 percentile, 48.5% females) underwent 24 h/7 day accelerometry, anthropometric, body composition, blood pressure (BP), lipid profile and insulin resistance (IR) assessments. Results: Metabolic health was better in SED− [lower fat mass (FM) percentage (p < 0.05), blood pressure (BP) (p < 0.05), homeostasis model assessment of insulin resistance (HOMA‐IR) (p < 0.001) and metabolic syndrome risk score (MetScore) (p < 0.001), higher high‐density lipoprotein‐cholesterol (HDL‐c) (p = 0.001)] vs. SED+ group and in MVPA+ [lower triglyceridemia (TG), (p < 0.05), HOMA‐IR (p < 0.01) and MetScore (p < 0.001), higher HDL‐c (p < 0.01)] vs. MVPA− group after adjustment with age, gender, maturation and BMI. SED−/MVPA+ group had the best metabolic health. While sedentary (p < 0.001) but also MVPA times (p < 0.001) were lower in SED−/MVPA− vs. SED+/MVPA+, SED−/MVPA− had lower FM percentage (p < 0.05), HOMA‐IR (p < 0.01) and MetScore (p < 0.05) and higher HDL‐c (p < 0.05), independently of BMI. Sedentary time was positively correlated with HOMA‐IR and Metscore and negatively correlated with HDL‐c after adjustment with MVPA (p < 0.05). MVPA was negatively correlated with HOMA‐IR, BP and MetScore and positively correlated with HDL‐c after adjustment with sedentary time (p < 0.05). Conclusion: Lower sedentary time is associated with a better metabolic health independently of MVPA and might be a first step in the management of pediatric obesity when increasing MVPA is not possible. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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