Physical Activity, Cardiorespiratory Fitness and Clustered Cardiovascular Risk in South African Primary Schoolchildren from Disadvantaged Communities: A Cross-Sectional Study

被引:8
作者
Nqweniso, Siphesihle [1 ]
Walter, Cheryl [1 ]
du Randt, Rosa [1 ]
Adams, Larissa [1 ]
Beckmann, Johanna [2 ]
Degen, Jan [2 ]
Gall, Stefanie [2 ]
Joubert, Nandi [3 ,4 ]
Lang, Christin [2 ]
Long, Kurt Z. [3 ,4 ]
Mueller, Ivan [2 ]
Nienaber, Madeleine [1 ]
Puhse, Uwe [2 ]
Seelig, Harald [2 ]
Smith, Danielle [1 ]
Steinmann, Peter [3 ,4 ]
Utzinger, Jurg [3 ,4 ]
Gerber, Markus [2 ]
机构
[1] Nelson Mandela Univ, Dept Human Movement Sci, Univ Way, ZA-6019 Port Elizabeth, South Africa
[2] Univ Basel, Dept Sport Exercise & Hlth, Birsstr 320 B, CH-4052 Basel, Switzerland
[3] Swiss Trop & Publ Hlth Inst, CH-4051 Basel, Switzerland
[4] Univ Basel, CH-4001 Basel, Switzerland
基金
新加坡国家研究基金会;
关键词
blood lipids; blood pressure; body fat; cholesterol; cardiovascular risk factors; HbA1c; primary schoolchildren; physical activity; triglycerides;
D O I
10.3390/ijerph18042080
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The coexistence of multiple cardiovascular risk factors has been reported in school-aged children from the age of nine years, but most evidence stems from high-income countries. This cross-sectional study aimed at describing the cardiovascular health risk, physical activity (PA) behavior and cardiorespiratory fitness (CRF) levels of South African primary schoolchildren, and at examining the associations between PA/CRF and a composite measure of cardiovascular risk. Cross-sectional data from 832 primary schoolchildren (grade 1-4) were analyzed. Total cholesterol/HDL ratio, triglycerides, systolic/diastolic blood pressure, body fat, and glycated hemoglobin were assessed as cardiovascular risk markers. Data were analyzed via mixed linear regressions and analyses of covariance. Overall, 24.2% of the participants did not meet current PA standards. Higher CRF/PA were associated with lower body fat and lower clustered cardiovascular risk (p < 0.05). When categorizing children into CRF/PA quartiles, a lower clustered cardiovascular risk gradient was found in children with higher CRF (p < 0.05) or PA (p < 0.05). Our data shows that higher CRF/PA is associated with lower clustered cardiovascular risk already from a young age. Given that clustered cardiovascular risk present during childhood can track into adulthood, we advocate for PA participation and a healthy weight from a young age onwards.
引用
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页码:1 / 12
页数:13
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