Physical Activity and Cardiovascular Risk Factors in Children from 4 to 9 Years of Age

被引:2
作者
Delisle Nystrom, Christine [1 ]
Migueles, Jairo H. [1 ,2 ]
Henriksson, Pontus [3 ]
Lof, Marie [1 ,3 ]
机构
[1] Karolinska Inst, Dept Biosci & Nutr, Grp MLO, NEO, S-14183 Huddinge, Sweden
[2] Univ Granada, Fac Sport Sci, Dept Phys Educ & Sports, PROFITH PROmoting FITness & Hlth Phys Act Res Grp, Granada, Spain
[3] Linkoping Univ, Dept Hlth Med & Caring Sci, S-58183 Linkoping, Sweden
基金
瑞典研究理事会;
关键词
Accelerometry; Cardiometabolic; Children; Vigorous physical activity; CARDIOMETABOLIC RISK; INSULIN-RESISTANCE; SEDENTARY TIME; FITNESS; INFANTS; OBESITY;
D O I
10.1186/s40798-023-00647-8
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Background Physical activity guidelines for children encourage moderate-to-vigorous intensity activities (MVPA); however, some studies have found that only vigorous intensity activities (VPA) might promote health benefits in young children. Thus, the aim of this study is to investigate cross-sectional and 5-year longitudinal associations of VPA and MVPA with cardiovascular disease (CVD) risk factors in childhood using compositional data analysis.Results This study utilized data from the SPINACH study (n = 411). Physical activity was measured with accelerometers at 4- and 9-years of age. CVD risk factors were measured at 9-years of age, and included blood pressure (BP), lipid metabolism, and glucose metabolism biomarkers, as well as a continuous metabolic syndrome risk score (MetS). Cross-sectional and longitudinal linear regression models were built using compositional data analysis standards. Cross-sectionally, reallocating time to VPA from lower-intensity behaviours at 9-years was associated with lower waist circumference (B = - 3.219, P = 0.002), diastolic BP (B = - 1.836, P = 0.036), triglycerides (B = - 0.214, P < 0.001), glucose (B = - 0.189, P = 0.033), insulin (B = - 2.997, P < 0.001), and HOMA-IR (B = - 0.778, P < 0.001). Similarly, reallocating time to VPA at 4-years was associated with lower MetS (B = - 0.831, P = 0.049), waist circumference (B = - 4.211, P = 0.015), systolic BP (B = - 5.572, P = 0.015), diastolic BP (B = - 2.931, P = 0.044), triglycerides (B = - 0.229, P = 0.034), glucose (B = - 0.325, P = 0.032), insulin (B = - 5.114, P = 0.001), and HOMA-IR (B = - 0.673, P = 0.001) at 9-years. Reallocations of time to MVPA at 4- or 9-years were not associated with CVD risk factors at 9-years.Conclusions VPA was associated with CVD risk factors in children both cross-sectionally (9-years) and longitudinally (at 4- and 9-years). MVPA seemed not to be a stimulus of enough intensity to trigger these potential cardiometabolic benefits in healthy children. Thus, these findings suggest the importance of higher intensity activities, i.e., VPA already in early childhood for cardiometabolic health.
引用
收藏
页数:11
相关论文
共 34 条
[11]   Parental fat-free mass is related to the fat-free mass of infants and maternal fat mass is related to the fat mass of infant girls [J].
Henriksson, Pontus ;
Lof, Marie ;
Forsum, Elisabet .
ACTA PAEDIATRICA, 2015, 104 (05) :491-497
[12]   Evaluation of raw acceleration sedentary thresholds in children and adults [J].
Hildebrand, Maria ;
Hansen, Bjorge H. ;
van Hees, Vincent T. ;
Ekelund, Ulf .
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2017, 27 (12) :1814-1823
[13]   Age Group Comparability of Raw Accelerometer Output from Wrist- and Hip-Worn Monitors [J].
Hildebrand, Maria ;
Van Hees, Vincent T. ;
Hansen, Bjorge Hermann ;
Ekelund, Ulf .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2014, 46 (09) :1816-1824
[14]   HOMEOSTASIS MODEL ASSESSMENT - INSULIN RESISTANCE AND BETA-CELL FUNCTION FROM FASTING PLASMA-GLUCOSE AND INSULIN CONCENTRATIONS IN MAN [J].
MATTHEWS, DR ;
HOSKER, JP ;
RUDENSKI, AS ;
NAYLOR, BA ;
TREACHER, DF ;
TURNER, RC .
DIABETOLOGIA, 1985, 28 (07) :412-419
[15]   Revisiting the cross-sectional and prospective association of physical activity with body composition and physical fitness in preschoolers: A compositional data approach [J].
Migueles, Jairo H. ;
Nystrom, Christine Delisle ;
Leppanen, Marja H. ;
Henriksson, Pontus ;
Lof, Marie .
PEDIATRIC OBESITY, 2022, 17 (08)
[16]   GRANADA consensus on analytical approaches to assess associations with accelerometer-determined physical behaviours (physical activity, sedentary behaviour and sleep) in epidemiological studies [J].
Migueles, Jairo H. ;
Aadland, Eivind ;
Andersen, Lars Bo ;
Brond, Jan Christian ;
Chastin, Sebastien F. ;
Hansen, Bjorge H. ;
Konstabel, Kenn ;
Kvalheim, Olav Martin ;
McGregor, Duncan E. ;
Rowlands, Alex, V ;
Sabia, Severine ;
van Hees, Vincent T. ;
Walmsley, Rosemary ;
Ortega, Francisco B. .
BRITISH JOURNAL OF SPORTS MEDICINE, 2022, 56 (07) :376-384
[17]   Comparability of accelerometer signal aggregation metrics across placements and dominant wrist cut points for the assessment of physical activity in adults [J].
Migueles, Jairo H. ;
Cadenas-Sanchez, Cristina ;
Rowlands, Alex V. ;
Henriksson, Pontus ;
Shiroma, Eric J. ;
Acosta, Francisco M. ;
Rodriguez-Ayllon, Maria ;
Esteban-Cornejo, Irene ;
Plaza-Florido, Abel ;
Gil-Cosano, Jose J. ;
Ekelund, Ulf ;
van Hees, Vincent T. ;
Ortega, Francisco B. .
SCIENTIFIC REPORTS, 2019, 9 (1)
[18]   Accelerometer Data Collection and Processing Criteria to Assess Physical Activity and Other Outcomes: A Systematic Review and Practical Considerations [J].
Migueles, Jairo H. ;
Cadenas-Sanchez, Cristina ;
Ekelund, Ulf ;
Nystrom, Christine Delisle ;
Mora-Gonzalez, Jose ;
Lof, Marie ;
Labayen, Idoia ;
Ruiz, Jonatan R. ;
Ortega, Francisco B. .
SPORTS MEDICINE, 2017, 47 (09) :1821-1845
[19]  
Migueles JH., 2019, J Meas Phys Behav, V2, P9
[20]   A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial [J].
Nystrom, Christine Delisle ;
Sandin, Sven ;
Henriksson, Pontus ;
Henriksson, Hanna ;
Maddison, Ralph ;
Lof, Marie .
BMC PUBLIC HEALTH, 2018, 18