Muscular and cardiorespiratory fitness are independently associated with metabolic risk in adolescents: the HELENA study

被引:196
作者
Artero, Enrique G. [1 ,2 ]
Ruiz, Jonatan R. [3 ,4 ]
Ortega, Francisco B. [1 ,4 ]
Espana-Romero, Vanesa [1 ,2 ,5 ]
Vicente-Rodriguez, German [6 ,7 ]
Molnar, Denes [8 ]
Gottrand, Frederic [9 ]
Gonzalez-Gross, Marcela [10 ]
Breidenassel, Christina [11 ]
Moreno, Luis A. [6 ,12 ]
Gutierrez, Angel [1 ]
机构
[1] Univ Granada, Sch Med, Dept Med Physiol, EFFECTS Res Grp 262, Granada 18012, Spain
[2] Univ S Carolina, Dept Exercise Sci, Columbia, SC 29208 USA
[3] Univ Granada, Sch Phys Act & Sport Sci, Dept Phys Educ & Sport, Granada 18011, Spain
[4] Karolinska Inst, Dept Biosci & Nutr NOVUM, Unit Prevent Nutr, S-14183 Stockholm, Sweden
[5] No Michigan Univ, Exercise Sci Lab, Marquette, MI 49855 USA
[6] Univ Zaragoza, GENUD Res Grp, E-50009 Zaragoza, Spain
[7] Univ Zaragoza, Dept Physiotherapy & Nursing, Fac Hlth & Sport Sci FCSD, Huesca 22002, Spain
[8] Univ Pecs, Dept Pediat, H-7623 Pecs, Hungary
[9] Univ Lille 2, INSERM, U995, IFR 114, F-59037 Lille, France
[10] Univ Politecn Madrid, Fac Ciencias Actividad Fis & Deporte, E-28040 Madrid, Spain
[11] Univ Bonn, Res Inst Child Nutr, D-44225 Dortmund, Germany
[12] Univ Zaragoza, Dept Physiotherapy & Nursing, Sch Hlth Sci EUCS, E-50009 Zaragoza, Spain
关键词
adolescence; cardiorespiratory fitness; metabolic risk; muscular fitness; HEALTHY LIFE-STYLE; PHYSICAL-ACTIVITY; MUSCLE STRENGTH; CARDIOVASCULAR RISK; AEROBIC FITNESS; CHILDREN; RELIABILITY; MULTICENTER; CHILDHOOD; NUTRITION;
D O I
10.1111/j.1399-5448.2011.00769.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To examine the independent associations of muscular and cardiorespiratory fitness with clustered metabolic risk in adolescents. Methods: Participants were 709 adolescents (346 boys) from 10 European centers, aged 12.5-17.5 yr, evaluated as a part of the Healthy Lifestyle in Europe by Nutrition in Adolescents cross-sectional study (HELENA-CSS). A muscular fitness score was computed using handgrip strength and standing long jump. Cardiorespiratory fitness was measured using the 20-m shuttle run test. Age- and gender-specific z-scores of waist circumference, systolic blood pressure, triglycerides, ratio total cholesterol/high-density lipoprotein cholesterol, and insulin resistance (homeostasis model assessment) were summed to create a metabolic risk score. Results: Muscular fitness was negatively associated with clustered metabolic risk independent of cardiorespiratory fitness (beta = -0.249, p < 0.001). Independent of muscular fitness, an inverse association was also found between cardiorespiratory fitness and clustered metabolic risk (beta = 0.264, p < 0.001). The odds ratios for having a high clustered risk (above or equal 1 standard deviation) were 5.3 [95% confidence interval (CI) = 2.6-10.6] and 4.3 (95% CI = 2.0-9.3) in the least fit quartile compared with the most fit quartile for muscular and cardiorespiratory fitness, respectively. Significant differences in metabolic risk between muscular fitness levels persisted among non-overweight (p = 0.012) and overweight participants (p = 0.011). Conclusion: Muscular and cardiorespiratory fitness are independently associated with metabolic risk in adolescents. These results support current physical activity recommendations for youth, which include muscle strengthening activities in addition to aerobic exercise.
引用
收藏
页码:704 / 712
页数:9
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