Relationship between metabolic syndrome and moderate-to-vigorous physical activity in youth

Associations of metabolic syndrome (MetS) with lifestyle behaviors in youth is potentially important for identifying subgroups at risk and encourage interventions. This study evaluates the associations among the clustering of metabolic risk factors and moderate-to-vigorous physical activity (MVPA) i...

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Bibliographic Details
Published in:Journal of physical activity & health 2015-01, Vol.12 (1), p.13-19
Main Authors: Machado-Rodrigues, Aristides M, Leite, Neiva, Coelho e Silva, Manuel J, Valente-dos-Santos, João, Martins, Raul A, Mascarenhas, Luis P G, Boguszewski, Margaret C S, Padez, Cristina, Malina, Robert M
Format: Article
Language:English
Subjects:
Adolescent
Blood Glucose
Blood Pressure
Body Size
Brazil
Children & youth
Cholesterol, HDL - blood
Cross-Sectional Studies
Exercise
Exercise - physiology
Exercise Test
Female
Humans
Life Style
Male
Metabolic syndrome
Metabolic Syndrome - physiopathology
Motor Activity - physiology
Physical Examination
Physical Fitness - physiology
Risk
Risk Factors
Triglycerides - blood
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Summary:Associations of metabolic syndrome (MetS) with lifestyle behaviors in youth is potentially important for identifying subgroups at risk and encourage interventions. This study evaluates the associations among the clustering of metabolic risk factors and moderate-to-vigorous physical activity (MVPA) in youth. The sample comprised 522 girls and 402 boys (N = 924) aged 11 to 17 years. Height, weight, waist circumference (WC), fasting glucose, high-density lipoprotein cholesterol, triglycerides, and blood pressures were measured. Cardiorespiratory fitness (CRF) was assessed using the 20-m shuttle run test. MVPA was estimated with a 3-day diary. Outcome variables were statistically normalized and expressed as z scores. A clustered metabolic risk score was computed as the mean of z scores. Multiple linear regression was used to test associations between metabolic risk and MVPA by sex, adjusted for age, WC, and CRF. After adjustment for potential confounders, MVPA was inversely associated with the clustering of metabolic risk factors in girls, but not in boys; in addition, after adjusting for WC, the statistical model of that relationship was substantially improved in girls. MVPA was independently associated with increased risk of MetS in girls. Additional efforts are needed to encourage research with different analytical approach and standardization of criteria for MetS in youth.
ISSN:1543-3080
1543-5474
DOI:10.1123/jpah.2013-0053