TY - JOUR
T1 - Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents
T2 - HELENA study
AU - HELENA study group
AU - Cristi-Montero, Carlos
AU - Chillón, Palma
AU - Labayen, Idoia
AU - Casajus, José A.
AU - Gonzalez-Gross, Marcela
AU - Vanhelst, Jérémy
AU - Manios, Yannis
AU - Moreno, Luis A.
AU - Ortega, Francisco B.
AU - Ruiz, Jonatan R.
N1 - Funding Information:
We thank the adolescents who participated in the study and their parents and teachers for their collaboration. The HELENA project was supported by the European Community Sixth RTD Framework Programme (contract FOOD-CT- 2005-007034 ). The data for this study were gathered under the auspices of the HELENA project, and further analysis was additionally supported by the Spanish Ministry of Economy and Competitiveness (Grants RYC- 2010-05957 and RYC- 2011-09011 ), the Spanish Ministry of Health: Maternal, Child Health and Development Network (Grants RD 08/0072 and RD 16/0022 ), the Fondo Europeo de Desarrollo Regional (MICINN-FEDER), and the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES). The content of this article reflects the authors’ views alone, and the European Community is not liable for any use that may be made of the information contained herein.
Funding Information:
We thank the adolescents who participated in the study and their parents and teachers for their collaboration. The HELENA project was supported by the European Community Sixth RTD Framework Programme (contract FOOD-CT-2005-007034). The data for this study were gathered under the auspices of the HELENA project, and further analysis was additionally supported by the Spanish Ministry of Economy and Competitiveness (Grants RYC-2010-05957 and RYC-2011-09011), the Spanish Ministry of Health: Maternal, Child Health and Development Network (Grants RD08/0072 and RD16/0022), the Fondo Europeo de Desarrollo Regional (MICINN-FEDER), and the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES). The content of this article reflects the authors’ views alone, and the European Community is not liable for any use that may be made of the information contained herein.
Publisher Copyright:
© 2018
PY - 2019/1
Y1 - 2019/1
N2 - Purpose: This study aims to compare adolescents’ cardiometabolic risk score through an integrative classification of physical activity (PA), which involves the combination of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB). Methods: A cross-sectional study derived from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study database (2006–2008) was conducted in adolescents (n = 548; boys, 47.3%; 14.7 ± 1.2 years) from 10 European cities. MVPA and SB were objectively measured using accelerometry. Adolescents were divided into 4 categories according to MVPA (meeting or not meeting the international recommendations) and the median of SB time (above or below sex- and age-specific median) as follows: High-SB & Inactive, Low-SB & Inactive, High-SB & Active, and Low-SB & Active. A clustered cardiometabolic risk score was computed using the homeostatic model assessment, systolic blood pressure, triglycerides, total cholesterol/high-density lipoprotein cholesterol, sum 4 skinfolds, and cardiorespiratory fitness (CRF). Analyses of covariance were performed to discern differences on cardiometabolic risk scores among PA categories and each health component. Results: The cardiometabolic risk score was lower in adolescents meeting the MVPA recommendation and with less time spent in SB in comparison to the high-SB & Inactive group (p < 0.05). However, no difference in cardiometabolic risk score was established between High-SB or Low-SB groups in inactive adolescents. It is important to note that CRF was the only variable that showed a significant modification (higher) when children were compared from the category of physically inactive with “active” but not from high- to low-SB. Conclusion: Being physically active is the most significant and protective outcome in adolescents to reduce cardiometabolic risk. Lower SB does not exhibit a significant and extra beneficial difference.
AB - Purpose: This study aims to compare adolescents’ cardiometabolic risk score through an integrative classification of physical activity (PA), which involves the combination of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB). Methods: A cross-sectional study derived from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study database (2006–2008) was conducted in adolescents (n = 548; boys, 47.3%; 14.7 ± 1.2 years) from 10 European cities. MVPA and SB were objectively measured using accelerometry. Adolescents were divided into 4 categories according to MVPA (meeting or not meeting the international recommendations) and the median of SB time (above or below sex- and age-specific median) as follows: High-SB & Inactive, Low-SB & Inactive, High-SB & Active, and Low-SB & Active. A clustered cardiometabolic risk score was computed using the homeostatic model assessment, systolic blood pressure, triglycerides, total cholesterol/high-density lipoprotein cholesterol, sum 4 skinfolds, and cardiorespiratory fitness (CRF). Analyses of covariance were performed to discern differences on cardiometabolic risk scores among PA categories and each health component. Results: The cardiometabolic risk score was lower in adolescents meeting the MVPA recommendation and with less time spent in SB in comparison to the high-SB & Inactive group (p < 0.05). However, no difference in cardiometabolic risk score was established between High-SB or Low-SB groups in inactive adolescents. It is important to note that CRF was the only variable that showed a significant modification (higher) when children were compared from the category of physically inactive with “active” but not from high- to low-SB. Conclusion: Being physically active is the most significant and protective outcome in adolescents to reduce cardiometabolic risk. Lower SB does not exhibit a significant and extra beneficial difference.
KW - Accelerometry
KW - Cardiovascular disease
KW - Exercise
KW - Metabolic disease
KW - Sedentary lifestyles
UR - http://www.scopus.com/inward/record.url?scp=85050944281&partnerID=8YFLogxK
U2 - 10.1016/j.jshs.2018.03.004
DO - 10.1016/j.jshs.2018.03.004
M3 - Article
AN - SCOPUS:85050944281
VL - 8
SP - 55
EP - 62
JO - Journal of Sport and Health Science
JF - Journal of Sport and Health Science
SN - 2095-2546
IS - 1
ER -