A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Longitudinal physical activity patterns and the development of cardiometabolic risk factors during adolescence
Tekijät: Aira Tuula, Kokko Sami Petteri, Heinonen Olli Juhani, Korpelainen Raija, Kotkajuuri Jimi, Parkkari Jari, Savonen Kai, Toivo Kerttu, Uusitalo Arja, Valtonen Maarit, Villberg Jari, Niemelä Onni, Vähä-Ypyä Henri, Vasankari Tommi
Kustantaja: WILEY
Julkaisuvuosi: 2023
Journal: Scandinavian Journal of Medicine and Science in Sports
Tietokannassa oleva lehden nimi: SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
Lehden akronyymi: SCAND J MED SCI SPOR
Vuosikerta: 33
Numero: 9
Aloitussivu: 1807
Lopetussivu: 1820
Sivujen määrä: 14
ISSN: 0905-7188
eISSN: 1600-0838
DOI: https://doi.org/10.1111/sms.14415(external)
Verkko-osoite: https://onlinelibrary.wiley.com/doi/10.1111/sms.14415(external)
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/180417292(external)
Purpose:
To examine the associations between longitudinal physical activity (PA) patterns and the development of cardiometabolic risk factors from adolescence to young adulthood.
Methods:
This cohort study encompassed 250 participants recruited from sports clubs and schools, and examined at mean age 15 and 19. Device-measured moderate-to-vigorous PA was grouped into five patterns (via a data-driven method, using inactivity maintainers as a reference). The outcomes were: glucose, insulin, homeostasis model assessment for insulin resistance (HOMA-IR), total cholesterol, HDL and LDL cholesterol, triglycerides, blood pressure, and body mass index (BMI). Linear growth curve models were applied with adjustment for sex, age, fruit/vegetable consumption, cigarette/snuff use, and change in the device wear-time.
Results:
Insulin and BMI increased among decreasers from moderate to low PA (beta for insulin 0.23, 95% CI 0.03-0.46; beta for BMI 0.90; CI 0.02-1.78). The concentration of HDL cholesterol decreased (beta -0.18, CI -0.31 to -0.05) and that of glucose increased (beta 0.18, CI 0.02-0.35) among decreasers from high to moderate PA. By contrast, among increasers, blood pressure declined (systolic beta -6.43, CI -12.16 to -0.70; diastolic beta -6.72, CI -11.03 to -2.41).
Conclusions;
Already during the transition to young adulthood, changes in PA are associated with changes in cardiometabolic risk factors. Favorable blood pressure changes were found among PA increasers. Unfavorable changes in BMI, insulin, glucose, and HDL cholesterol were found in groups with decreasing PA. The changes were dependent on the baseline PA and the magnitude of the PA decline.
Ladattava julkaisu This is an electronic reprint of the original article. |