Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study

Cristi-Montero, C. ; Chillón, P. ; Labayen, I. ; Casajus, J.A. (Universidad de Zaragoza) ; Gonzalez-Gross, M. ; Vanhelst, J. ; Manios, Y. ; Moreno, L.A. (Universidad de Zaragoza) ; Ortega, F.B. ; Ruiz, J.R.

Resumen: Purpose: This study aims to compare adolescents’ cardiometabolic risk score through an integrative classification of physical activity (PA), which involves the combination of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB).
Methods: A cross-sectional study derived from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study database (2006–2008) was conducted in adolescents (n = 548; boys, 47.3%; 14.7 ± 1.2 years) from 10 European cities. MVPA and SB were objectively measured using accelerometry. Adolescents were divided into 4 categories according to MVPA (meeting or not meeting the international recommendations) and the median of SB time (above or below sex- and age-specific median) as follows: High-SB & Inactive, Low-SB & Inactive, High-SB & Active, and Low-SB & Active. A clustered cardiometabolic risk score was computed using the homeostatic model assessment, systolic blood pressure, triglycerides, total cholesterol/high-density lipoprotein cholesterol, sum 4 skinfolds, and cardiorespiratory fitness (CRF). Analyses of covariance were performed to discern differences on cardiometabolic risk scores among PA categories and each health component.
Results: The cardiometabolic risk score was lower in adolescents meeting the MVPA recommendation and with less time spent in SB in comparison to the high-SB & inactive group (p < 0.05). However, no difference in cardiometabolic risk score was established between high-SB or low-SB groups in inactive adolescents. It is important to note that CRF was the only variable that showed a significant modification (higher) when children were compared from the category of physically inactive with “active” but not from high-to low-SB.
Conclusion: Being physically active is the most significant and protective outcome in adolescents to reduce cardiometabolic risk. Lower SB does not exhibit a significant and extra beneficial difference.

Idioma: Inglés

DOI: 10.1016/j.jshs.2018.03.004

Año: 2018

Publicado en: Journal of Sport and Health Science 8, 1 (2018), 55 - 62
ISSN: 2095-2546

Factor impacto JCR: 3.644 (2018)

Categ. JCR: SPORT SCIENCES rank: 10 / 83 = 0.12 (2018) - Q1 - T1
Categ. JCR: HOSPITALITY, LEISURE, SPORT & TOURISM rank: 8 / 52 = 0.154 (2018) - Q1 - T1

Factor impacto SCIMAGO: 0.98 - Physical Therapy, Sports Therapy and Rehabilitation (Q1) - Orthopedics and Sports Medicine (Q1)

Financiación: info:eu-repo/grantAgreement/EUR/FP6/FOOD-CT-2005-007034
Financiación: info:eu-repo/grantAgreement/ES/MINECO/RYC-2010-05957
Financiación: info:eu-repo/grantAgreement/ES/MINECO/RYC-2011-09011
Financiación: info:eu-repo/grantAgreement/ES/Spanish Ministry of Health/RD08-0072
Financiación: info:eu-repo/grantAgreement/ES/Spanish Ministry of Health/RD16-0022

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Educación Física y Depor. (Dpto. Fisiatría y Enfermería)