Leisure-time physical activity and cardiometabolic risk among children and adolescents

Objective: To assess the effect of Leisure-time physical activity (LTPA) on cardiometabolic risk by nutritional status in Mexican children and adolescents. Methods: This was a cross-sectional study conducted with 1,309 participants aged between 5 and 17 years. Nutritional status was classified accor...

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Main Authors: Luz M. Cárdenas-Cárdenas, Ana I. Burguete-Garcia, Barbara I. Estrada-Velasco, Claudia López-Islas, Jesús Peralta-Romero, Miguel Cruz, Marcia Galván-Portillo
Format: Article
Language:English
Published: Elsevier 2015-03-01
Series:Jornal de Pediatria
Online Access:http://www.sciencedirect.com/science/article/pii/S0021755714001429
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author Luz M. Cárdenas-Cárdenas
Ana I. Burguete-Garcia
Barbara I. Estrada-Velasco
Claudia López-Islas
Jesús Peralta-Romero
Miguel Cruz
Marcia Galván-Portillo
author_facet Luz M. Cárdenas-Cárdenas
Ana I. Burguete-Garcia
Barbara I. Estrada-Velasco
Claudia López-Islas
Jesús Peralta-Romero
Miguel Cruz
Marcia Galván-Portillo
author_sort Luz M. Cárdenas-Cárdenas
collection DOAJ
description Objective: To assess the effect of Leisure-time physical activity (LTPA) on cardiometabolic risk by nutritional status in Mexican children and adolescents. Methods: This was a cross-sectional study conducted with 1,309 participants aged between 5 and 17 years. Nutritional status was classified according to the BMI Z-score by age and gender. A previously validated questionnaire was used to evaluate LTPA; a cardiometabolic risk score was calculated. Multiple linear regression analysis was performed to assess the effect of LTPA on cardiometabolic risk. Results: After adjusting for risk factors, mild LTPA were positively associated with cardiometabolic risk score (βMild vs Intense LTPA: 0.68; 95% CI: 0.18 to 1.18; pfor trend = 0.007). This association became stronger when estimated for overweight (β Mild vs Intense LTPA: 1.24; 95% CI: 0.24 to 2.24; pfor trend = 0.015) and obese participants (β Mild vs Intense LTPA: 1.02; 95% CI: 0.07 to 1.97; pfor trend= 0.045). Conclusion: Mild LTPA was positively associated with cardiometabolic risk in overweight and obese children and adolescents. Given the emerging childhood obesity epidemic in Mexico, these results may be useful in the design of strategies and programs to increase physical activity levels in order to achieve better health. Resumo: Objetivo: Avaliar o efeito da prática de AFL sobre o risco cardiometabólico em crianças e adolescentes mexicanos de acordo com sua situação nutricional. Métodos: Estudo transversal realizado com 1309 participantes de 5 a 17 anos de idade. A situação nutricional foi classificada de acordo com o escore z de IMC por idade e sexo. Um questionário validado anteriormente foi utilizado para avaliar a AFL; foi calculado um escore de risco cardiometabólico. A análise de regressão linear múltipla foi realizada para avaliar o efeito de AFL sobre o risco cardiometabólico. Resultados: Após o ajuste de acordo com os fatores de risco, a AFL leve foi positivamente associada ao escore de risco cardiometabólico (βAFL Leve x Intensa: 0,68; IC 95%: 0,18 a 1,18; P para tendência = 0,007). Essa associação foi mais intensa quando estimada para participantes acima do peso (βAFL Leve x Intensa: 1,24; IC 95%: 0,24 a 2,24; P para tendência = 0,015) e obesos (βAFL Leve x Intensa: 1,02; IC 95%: 0,07 a 1,97; P para tendência = 0,045). Conclusão: A AFL leve foi positivamente associada ao escore de risco cardiometabólico em crianças e adolescentes acima do peso e obesos. Considerando a epidemia de obesidade infantil emergente no México, esses resultados poderão ser úteis na elaboração de estratégias e programas para aumentar os níveis de atividade física a fim de obter uma saúde melhor. Keywords: Leisure-time physical activity, Child, Adolescents, Metabolic syndrome, Palavras-chave: Atividade física de lazer, Criança, Adolescentes, Síndrome metabólica
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spelling doaj.art-9ce52caccae6444bad404243beb8191a2022-12-22T02:55:58ZengElsevierJornal de Pediatria0021-75572015-03-01912136142Leisure-time physical activity and cardiometabolic risk among children and adolescentsLuz M. Cárdenas-Cárdenas0Ana I. Burguete-Garcia1Barbara I. Estrada-Velasco2Claudia López-Islas3Jesús Peralta-Romero4Miguel Cruz5Marcia Galván-Portillo6Centre of Population Health Research, National Institute of Public Health, Cuernavaca, MexicoGenetic Epidemiology, Centre of Infectious Disease, National Institute of Public Health, Cuernavaca, MexicoGenetic Epidemiology, Centre of Infectious Disease, National Institute of Public Health, Cuernavaca, MexicoGenetic Epidemiology, Centre of Infectious Disease, National Institute of Public Health, Cuernavaca, MexicoUnidad de Investigación Médica en Bioquímica, Hospital de Especialidades, CMN Siglo XXI, IMSS, México D.F., MexicoUnidad de Investigación Médica en Bioquímica, Hospital de Especialidades, CMN Siglo XXI, IMSS, México D.F., MexicoCentre of Population Health Research, National Institute of Public Health, Cuernavaca, Mexico; Corresponding author.Objective: To assess the effect of Leisure-time physical activity (LTPA) on cardiometabolic risk by nutritional status in Mexican children and adolescents. Methods: This was a cross-sectional study conducted with 1,309 participants aged between 5 and 17 years. Nutritional status was classified according to the BMI Z-score by age and gender. A previously validated questionnaire was used to evaluate LTPA; a cardiometabolic risk score was calculated. Multiple linear regression analysis was performed to assess the effect of LTPA on cardiometabolic risk. Results: After adjusting for risk factors, mild LTPA were positively associated with cardiometabolic risk score (βMild vs Intense LTPA: 0.68; 95% CI: 0.18 to 1.18; pfor trend = 0.007). This association became stronger when estimated for overweight (β Mild vs Intense LTPA: 1.24; 95% CI: 0.24 to 2.24; pfor trend = 0.015) and obese participants (β Mild vs Intense LTPA: 1.02; 95% CI: 0.07 to 1.97; pfor trend= 0.045). Conclusion: Mild LTPA was positively associated with cardiometabolic risk in overweight and obese children and adolescents. Given the emerging childhood obesity epidemic in Mexico, these results may be useful in the design of strategies and programs to increase physical activity levels in order to achieve better health. Resumo: Objetivo: Avaliar o efeito da prática de AFL sobre o risco cardiometabólico em crianças e adolescentes mexicanos de acordo com sua situação nutricional. Métodos: Estudo transversal realizado com 1309 participantes de 5 a 17 anos de idade. A situação nutricional foi classificada de acordo com o escore z de IMC por idade e sexo. Um questionário validado anteriormente foi utilizado para avaliar a AFL; foi calculado um escore de risco cardiometabólico. A análise de regressão linear múltipla foi realizada para avaliar o efeito de AFL sobre o risco cardiometabólico. Resultados: Após o ajuste de acordo com os fatores de risco, a AFL leve foi positivamente associada ao escore de risco cardiometabólico (βAFL Leve x Intensa: 0,68; IC 95%: 0,18 a 1,18; P para tendência = 0,007). Essa associação foi mais intensa quando estimada para participantes acima do peso (βAFL Leve x Intensa: 1,24; IC 95%: 0,24 a 2,24; P para tendência = 0,015) e obesos (βAFL Leve x Intensa: 1,02; IC 95%: 0,07 a 1,97; P para tendência = 0,045). Conclusão: A AFL leve foi positivamente associada ao escore de risco cardiometabólico em crianças e adolescentes acima do peso e obesos. Considerando a epidemia de obesidade infantil emergente no México, esses resultados poderão ser úteis na elaboração de estratégias e programas para aumentar os níveis de atividade física a fim de obter uma saúde melhor. Keywords: Leisure-time physical activity, Child, Adolescents, Metabolic syndrome, Palavras-chave: Atividade física de lazer, Criança, Adolescentes, Síndrome metabólicahttp://www.sciencedirect.com/science/article/pii/S0021755714001429
spellingShingle Luz M. Cárdenas-Cárdenas
Ana I. Burguete-Garcia
Barbara I. Estrada-Velasco
Claudia López-Islas
Jesús Peralta-Romero
Miguel Cruz
Marcia Galván-Portillo
Leisure-time physical activity and cardiometabolic risk among children and adolescents
Jornal de Pediatria
title Leisure-time physical activity and cardiometabolic risk among children and adolescents
title_full Leisure-time physical activity and cardiometabolic risk among children and adolescents
title_fullStr Leisure-time physical activity and cardiometabolic risk among children and adolescents
title_full_unstemmed Leisure-time physical activity and cardiometabolic risk among children and adolescents
title_short Leisure-time physical activity and cardiometabolic risk among children and adolescents
title_sort leisure time physical activity and cardiometabolic risk among children and adolescents
url http://www.sciencedirect.com/science/article/pii/S0021755714001429
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