High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort
Abstract Background Physical activity (PA) during childhood is important for preventing future metabolic syndrome (MetS). To examine the relationship between PA and MetS in more detail, accurate measures of PA are needed. Previous studies have only utilized a small part of the information available...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
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| Online Access: | https://doi.org/10.1186/s12966-021-01156-1 |
| _version_ | 1818859597209796608 |
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| author | Jonatan Fridolfsson Christoph Buck Monica Hunsberger Joanna Baran Fabio Lauria Denes Molnar Luis A. Moreno Mats Börjesson Lauren Lissner Daniel Arvidsson on behalf of the I.Family consortium |
| author_facet | Jonatan Fridolfsson Christoph Buck Monica Hunsberger Joanna Baran Fabio Lauria Denes Molnar Luis A. Moreno Mats Börjesson Lauren Lissner Daniel Arvidsson on behalf of the I.Family consortium |
| author_sort | Jonatan Fridolfsson |
| collection | DOAJ |
| description | Abstract Background Physical activity (PA) during childhood is important for preventing future metabolic syndrome (MetS). To examine the relationship between PA and MetS in more detail, accurate measures of PA are needed. Previous studies have only utilized a small part of the information available from accelerometer measured PA. This study investigated the association between measured PA and MetS in children with a new method for data processing and analyses that enable more detailed interpretation of PA intensity level. Methods The association between PA pattern and risk factors related to MetS was investigated in a cross- sectional sample of children (n = 2592, mean age 10.9 years, 49.4% male) participating in the European multicenter I. Family study. The risk factors examined include body mass index, blood pressure, high-density lipoprotein cholesterol, insulin resistance and a combined risk factor score (MetS score). PA was measured by triaxial accelerometers and raw data was processed using the 10 Hz frequency extended method (FEM). The PA output was divided into an intensity spectrum and the association with MetS risk factors was analyzed by partial least squares regression. Results PA patterns differed between the European countries investigated, with Swedish children being most active and Italian children least active. Moderate intensity physical activity was associated with lower insulin resistance (R 2 = 2.8%), while vigorous intensity physical activity was associated with lower body mass index (R 2 = 3.6%), MetS score (R 2 = 3.1%) and higher high-density lipoprotein cholesterol (R 2 = 2.3%). PA of all intensities was associated with lower systolic- and diastolic blood pressure, although the associations were weaker than for the other risk factors (R 2 = 1.5% and R 2 = 1.4%). However, the multivariate analysis implies that the entire PA pattern must be considered. The main difference in PA was observed between normal weight and overweight children. Conclusions The present study suggests a greater importance of more PA corresponding to an intensity of at least brisk walking with inclusion of high-intense exercise, rather than a limited time spent sedentary, in the association to metabolic health in children. The methods of data processing and statistical analysis enabled accurate analysis and interpretation of the health benefits of high intensity PA that have not been shown previously. |
| first_indexed | 2024-12-19T09:14:42Z |
| format | Article |
| id | doaj.art-3e7a6a4777b741519e574f93f8e26317 |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-12-19T09:14:42Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-3e7a6a4777b741519e574f93f8e263172022-12-21T20:28:07ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682021-07-0118111310.1186/s12966-021-01156-1High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohortJonatan Fridolfsson0Christoph Buck1Monica Hunsberger2Joanna Baran3Fabio Lauria4Denes Molnar5Luis A. Moreno6Mats Börjesson7Lauren Lissner8Daniel Arvidsson9on behalf of the I.Family consortiumCenter for Health and Performance (CHP), Department of Food and Nutrition and Sport Science, Faculty of Education, University of GothenburgDepartment of Biometry and Data Management, Leibniz Institute for Prevention Research and epidemiology – BIPSSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of GothenburgInstitute of Health Sciences, Medical College, University of RzeszówInstitute of Food Sciences, National Research Council, ISA-CNRDepartment of Pediatrics, Medical School, University of PécsGENUD (Growth, Exercise, Nutrition and Development) research group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS Aragón)Center for Health and Performance (CHP), Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of GothenburgSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of GothenburgCenter for Health and Performance (CHP), Department of Food and Nutrition and Sport Science, Faculty of Education, University of GothenburgAbstract Background Physical activity (PA) during childhood is important for preventing future metabolic syndrome (MetS). To examine the relationship between PA and MetS in more detail, accurate measures of PA are needed. Previous studies have only utilized a small part of the information available from accelerometer measured PA. This study investigated the association between measured PA and MetS in children with a new method for data processing and analyses that enable more detailed interpretation of PA intensity level. Methods The association between PA pattern and risk factors related to MetS was investigated in a cross- sectional sample of children (n = 2592, mean age 10.9 years, 49.4% male) participating in the European multicenter I. Family study. The risk factors examined include body mass index, blood pressure, high-density lipoprotein cholesterol, insulin resistance and a combined risk factor score (MetS score). PA was measured by triaxial accelerometers and raw data was processed using the 10 Hz frequency extended method (FEM). The PA output was divided into an intensity spectrum and the association with MetS risk factors was analyzed by partial least squares regression. Results PA patterns differed between the European countries investigated, with Swedish children being most active and Italian children least active. Moderate intensity physical activity was associated with lower insulin resistance (R 2 = 2.8%), while vigorous intensity physical activity was associated with lower body mass index (R 2 = 3.6%), MetS score (R 2 = 3.1%) and higher high-density lipoprotein cholesterol (R 2 = 2.3%). PA of all intensities was associated with lower systolic- and diastolic blood pressure, although the associations were weaker than for the other risk factors (R 2 = 1.5% and R 2 = 1.4%). However, the multivariate analysis implies that the entire PA pattern must be considered. The main difference in PA was observed between normal weight and overweight children. Conclusions The present study suggests a greater importance of more PA corresponding to an intensity of at least brisk walking with inclusion of high-intense exercise, rather than a limited time spent sedentary, in the association to metabolic health in children. The methods of data processing and statistical analysis enabled accurate analysis and interpretation of the health benefits of high intensity PA that have not been shown previously.https://doi.org/10.1186/s12966-021-01156-1ObesityCardiovascular diseaseMetabolic syndromeFrequency filteringMultivariate pattern analysisMulticollinearity |
| spellingShingle | Jonatan Fridolfsson Christoph Buck Monica Hunsberger Joanna Baran Fabio Lauria Denes Molnar Luis A. Moreno Mats Börjesson Lauren Lissner Daniel Arvidsson on behalf of the I.Family consortium High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort International Journal of Behavioral Nutrition and Physical Activity Obesity Cardiovascular disease Metabolic syndrome Frequency filtering Multivariate pattern analysis Multicollinearity |
| title | High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort |
| title_full | High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort |
| title_fullStr | High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort |
| title_full_unstemmed | High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort |
| title_short | High-intensity activity is more strongly associated with metabolic health in children compared to sedentary time: a cross-sectional study of the I.Family cohort |
| title_sort | high intensity activity is more strongly associated with metabolic health in children compared to sedentary time a cross sectional study of the i family cohort |
| topic | Obesity Cardiovascular disease Metabolic syndrome Frequency filtering Multivariate pattern analysis Multicollinearity |
| url | https://doi.org/10.1186/s12966-021-01156-1 |
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