Metabolic syndrome risk score and time expended in moderate to vigorous physical activity in adolescents

Abstract

BackgroundThe clustering of metabolic syndrome risk factors is inversely related to the amount of physical activity. However, the question remains as to how much daily physical activity is enough to prevent the onset of metabolic disorders in adolescents? Therefore, the objectives of this study were to associate the metabolic risk score with the moderate to vigorous physical activity (MVPA) and to identify the amount of daily physical activity to prevent the onset of the metabolic risk factors in Brazilian adolescents.MethodsThe study involved 391 participants aged 10 to 18 years. Physical activity was measured by accelerometry. The counts obtained in the different activities were transformed into metabolic equivalents and classified as light (≥ 1.5 but < 3.0 METs), moderate (≥ 3.0 but < 6.0 METs) and vigorous (≥ 6.0 METs) activities. The continuous risk score for metabolic syndrome was calculated using the following risk factors: waist circumference, blood pressure, blood glucose, HDL-C and triglycerides.ResultsTime spent in MVPA was inversely associated with the continuous risk score for metabolic syndrome (p < 0.05). Analysis of the ROC curve suggests that these adolescents must perform at least 88 minutes per day of MVPA.ConclusionsThese findings reinforce previous evidence that physical activity relates to metabolic syndrome in adolescents. This population should be encouraged to gradually replace part of their sedentary time with physical activities.

Overweight, obesity, steps, and moderate to vigorous physical activity in children

“…The results of this study are in accordance with the findings of research studies 6 , 24 performed previously regarding the negative association of steps/day and MVPA with anthropometry in boys. In girls, similar results were not found.…”

“…In girls, similar results were not found. Stabelini Neto et al 24 , using accelerometers, recommend that Brazilian children should do 88 min/day of MVPA to avoid the risk of metabolic syndrome.…”

Lifestyle patterns and endocrine, metabolic, and immunological biomarkers in European adolescents: The HELENA study

“…In addition, the healthy girls group from cluster 3 had the lowest HOMA index level. These findings concur with other authors . Consistently, Hardy et al showed that adolescent boys spending two or more hours per day of screen time on weekdays have twice the risk of abnormal levels of insulin and HOMA index compared with those peers spending less than 2 hours per day of screen time on weekdays.…”

“…These findings concur with other authors. 39,40 Consistently, Hardy et al 41 showed that adolescent boys spending two or more hours per day of screen time on weekdays have twice the risk of abnormal levels of insulin and HOMA index compared with those peers spending less than 2 hours per day of screen time on weekdays. In summary, the present study investigating apparently healthy European adolescents has public health and clinical implications, because adolescence is a period in which many risky behaviors start entailing a major impact on adults health .…”

Penentuan Diagnosis Sindrom Metabolik Berdasarkan Penilaian Skor Sindrom Metabolik Dan Ncep Atp-Iii Pada Remaja [Penelitian Di Beberapa Sma Di Kota Bogor]

“…Pada penelitian ini didapatkan persentase lingkar pinggang lebih tinggi pada remaja laki-laki dibanding remaja perempuan, lingkar pinggang merupakan prediktor resistensi insulin dan hipertensi pada anak dan remaja, dimana resistensi insulin sendiri berperan besar untuk terjadinya sindrom metabolik 19 . Secara keseluruhan faktor risiko sindrom metabolik lebih tinggi pada remaja laki-laki dibandingkan pada remaja perempuan hasil ini sama dengan penelelitian di Semarang tahun 2009 dan 2015 20,21 . Penelitian tentang sindrom metabolik pada remaja di wilayah Mediterania juga menyatakan bahwa prevalensi sindrom metabolik signifikan terutama pada kelompok remaja laki-laki yang mengalami obesitas 22 .…”