期刊
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
卷 29, 期 1, 页码 113-123出版社
WILEY
DOI: 10.1111/sms.13315
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资金
- Finnish Innovation Fund Sitra
- Social Insurance Institution of Finland
- Ministry of Education and Culture of Finland
- Olvi Foundation
- Finnish Cultural Foundation
- Paulo Foundation
- Program for Clinical Research
- Program for Health Sciences of the Doctoral School of University of Eastern Finland
- city of Kuopio
- Aarne and Aili Turunen Foundation
- Research Committee of the Kuopio University Hospital Catchment Area
- Finnish Medical Foundation
- Jenny and Antti Wihuri Foundation
- Paavo Nurmi Foundation
- Finnish Foundation for Cardiovascular Research
- Yrjo Jahnsson Foundation
- Ministry of Social Affairs and Health of Finland
- Foundation for Paediatric Research
- Jalmari and Rauha Ahokas Foundation
- Juho Vainio Foundation
- Diabetes Research Foundation in Finland
- Paivikki and Sakari Sohlberg Foundation
- Finnish Doctoral Programs in Public Health
- MRC [MC_UU_12015/3] Funding Source: UKRI
Background There are few prospective studies on the associations of changes in objectively measured vigorous physical activity (VPA (increment) ), moderate-to-vigorous physical activity (MVPA (increment) ), light physical activity (LPA (increment) ), and sedentary time (ST (increment) ) with changes in cardiometabolic risk factors ( (increment) ) in children. We therefore investigated these relationships among children. Methods The participants were a population sample of 258 children aged 6-8 years followed for 2 years. We assessed PA and ST by a combined heart rate and movement sensor; computed continuous age- and sex-adjusted z-scores for waist circumference, blood pressure, and fasting insulin, glucose, triglycerides, and high-density lipoprotein (HDL) cholesterol; and constructed a cardiometabolic risk score (CRS) of these risk factors. Data were analyzed using linear regression models adjusted for age, sex, the explanatory and outcome variables at baseline, and puberty. Results VPA (increment) associated inversely with CRS (increment) (beta = -0.209, P = 0.001), body fat percentage (BF%) (increment) (beta = -0.244, P = 0.001), insulin (increment) (beta = -0.220, P = 0.001), and triglycerides (increment) (beta = -0.164, P = 0.012) and directly with HDL cholesterol (increment) (beta = 0.159, P = 0.023). MVPA (increment) associated inversely with CRS (increment) (beta = -0.178, P = 0.012), BF% (increment) (beta = -0.298, P = <0.001), and insulin (increment) (beta = -0.213, P = 0.006) and directly with HDL cholesterol (increment) (beta = 0.184, P = 0.022). LPA (increment) only associated negatively with CRS (increment) (beta = -0.163, P = 0.032). ST (increment) associated directly with CRS (increment) (beta = 0.218, P = 0.003), BF% (increment) (beta = 0.212, P = 0.016), and insulin (increment) (beta = 0.159, P = 0.049). Conclusions Increased VPA and MVPA and decreased ST were associated with reduced overall cardiometabolic risk and major individual risk factors. Change in LPA had weaker associations with changes in these cardiometabolic risk factors. Our findings suggest that increasing at least moderate-intensity PA and decreasing ST decrease cardiometabolic risk in children.
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