Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany

Abstract We examined the longitudinal association between physical activity (PA) and the risk of incident metabolic syndrome (MetS) among middle-aged, community-dwelling adults, including 591 individuals (314 females; mean (SD) age, 43.8 (8.5) years) who were free of MetS at baseline. Habitual and s...

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Main Authors: Laura Cleven, Janina Krell-Roesch, Steffen C. E. Schmidt, Anna Dziuba, Klaus Bös, Darko Jekauc, Alexander Woll
Format: Article
Language:English
Published: Nature Portfolio 2022-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-24052-5
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author Laura Cleven
Janina Krell-Roesch
Steffen C. E. Schmidt
Anna Dziuba
Klaus Bös
Darko Jekauc
Alexander Woll
author_facet Laura Cleven
Janina Krell-Roesch
Steffen C. E. Schmidt
Anna Dziuba
Klaus Bös
Darko Jekauc
Alexander Woll
author_sort Laura Cleven
collection DOAJ
description Abstract We examined the longitudinal association between physical activity (PA) and the risk of incident metabolic syndrome (MetS) among middle-aged, community-dwelling adults, including 591 individuals (314 females; mean (SD) age, 43.8 (8.5) years) who were free of MetS at baseline. Habitual and sports-related PA was assessed by a self-reported questionnaire. MetS was defined based on HDL-cholesterols, triglycerides, glucose or HbA1c, blood pressure, and waist circumference. We calculated Cox proportional hazard ratios (HR) and 95% confidence intervals (CI) using regression analyses. Over a mean follow-up of 12.5 years, 205 participants developed incident MetS. Four different sports-related PA measures were associated with a decreased risk of incident MetS: (1) Engaging in ≥ 75 min/week (HR 0.71, 95% CI 0.53–0.94), (2) maintaining a continuously high amount from baseline to follow-up of ≥ 75 min/week (HR 0.66, 95% CI 0.46–0.94), (3) starting from < 150 min/week at baseline to ≥ 150 min/week at follow-up (HR 0.65, 95% CI 0.45–0.94), and (4) increasing from < 16.6 MET-hours/week at baseline to ≥ 16.6 MET-hours/week at follow-up (HR 0.47, 95% CI 0.31–0.71). Thus, maintaining, starting or increasing sports-related PA is associated with a lower risk of incident MetS.
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spelling doaj.art-a965b6c2111445b884c1ec76046650532022-12-22T04:14:17ZengNature PortfolioScientific Reports2045-23222022-11-011211910.1038/s41598-022-24052-5Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in GermanyLaura Cleven0Janina Krell-Roesch1Steffen C. E. Schmidt2Anna Dziuba3Klaus Bös4Darko Jekauc5Alexander Woll6Institute of Sports and Sports Science, Karlsruhe Institute of TechnologyInstitute of Sports and Sports Science, Karlsruhe Institute of TechnologyInstitute of Sports and Sports Science, Karlsruhe Institute of TechnologyInstitute of Sports and Sports Science, Karlsruhe Institute of TechnologyInstitute of Sports and Sports Science, Karlsruhe Institute of TechnologyInstitute of Sports and Sports Science, Karlsruhe Institute of TechnologyInstitute of Sports and Sports Science, Karlsruhe Institute of TechnologyAbstract We examined the longitudinal association between physical activity (PA) and the risk of incident metabolic syndrome (MetS) among middle-aged, community-dwelling adults, including 591 individuals (314 females; mean (SD) age, 43.8 (8.5) years) who were free of MetS at baseline. Habitual and sports-related PA was assessed by a self-reported questionnaire. MetS was defined based on HDL-cholesterols, triglycerides, glucose or HbA1c, blood pressure, and waist circumference. We calculated Cox proportional hazard ratios (HR) and 95% confidence intervals (CI) using regression analyses. Over a mean follow-up of 12.5 years, 205 participants developed incident MetS. Four different sports-related PA measures were associated with a decreased risk of incident MetS: (1) Engaging in ≥ 75 min/week (HR 0.71, 95% CI 0.53–0.94), (2) maintaining a continuously high amount from baseline to follow-up of ≥ 75 min/week (HR 0.66, 95% CI 0.46–0.94), (3) starting from < 150 min/week at baseline to ≥ 150 min/week at follow-up (HR 0.65, 95% CI 0.45–0.94), and (4) increasing from < 16.6 MET-hours/week at baseline to ≥ 16.6 MET-hours/week at follow-up (HR 0.47, 95% CI 0.31–0.71). Thus, maintaining, starting or increasing sports-related PA is associated with a lower risk of incident MetS.https://doi.org/10.1038/s41598-022-24052-5
spellingShingle Laura Cleven
Janina Krell-Roesch
Steffen C. E. Schmidt
Anna Dziuba
Klaus Bös
Darko Jekauc
Alexander Woll
Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany
Scientific Reports
title Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany
title_full Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany
title_fullStr Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany
title_full_unstemmed Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany
title_short Longitudinal association between physical activity and the risk of incident metabolic syndrome in middle-aged adults in Germany
title_sort longitudinal association between physical activity and the risk of incident metabolic syndrome in middle aged adults in germany
url https://doi.org/10.1038/s41598-022-24052-5
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