2019, Number 2
<< Back Next >>
salud publica mex 2019; 61 (2)
Relationship between levels of physical activity and sedentarism with metabolic syndrome. ENS Chile 2009-2010
Cristi-Montero C, Sadarangani KP, Garrido-Méndez A, Poblete-Valderrama F, Díaz-Martínez X, Celis-Morales C
Language: Spanish
References: 33
Page: 166-173
PDF size: 0. Kb.
ABSTRACT
Objective. To use a new methodology to classify the level
of physical activity (PA) by combining the levels of PA and
sedentary time (SED) in order to establish its association
with metabolic syndrome (MS).
Materials and methods.
A representative sample of Chilean adults (≥18 years old)
who participated in the National Health Survey (ENS 2009-
2010) was included in this study (n=5 040). Four categories
were created using a combination of PA and SED levels
through the GPAQ questionnaire. MS was defined according
to the norms established by NCEP ATP-III.
Results. A
lower probability of MS was observed only in the categories
that comply with the international recommendations of PA,
“active and low-SED” (OR=0.72 [0.57 to 0.91]) and “active
and high-SED” (OR=0.63 [0.49 to 0.81]). While the level of
SED (high/low) was not associated with a significant reduction
of MS in any of the groups.
Conclusions. This type of
classification demonstrates that the main strategy to reduce
the risk of MS should be associated with compliance with
the recommendations of PA.
REFERENCES
Lozano R, Gómez-Dantés H, Garrido-Latorre F, Jiménez-Corona A, Campuzano- Rincón JC, Franco-Marina F, et al. La carga de enfermedad, lesiones, factores de riesgo y desafíos para el sistema de salud en México. Salud Publica Mex. 2013;55(6):580-94. https://doi.org/10.21149/spm.v55i6.7304
Fiuza-Luces C, Garatachea N, Berger NA, Lucia A. Exercise is the real polypill. Physiology (Bethesda). 2013;28(5):330-58. https://doi. org/10.1152/physiol.00019.2013
Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25(supl 3):1-72. https://doi.org/10.1111/sms.12581
Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388(10051):1302-10. https://doi.org/10.1016/S0140-6736(16)30370-1
Koster A, Caserotti P, Patel KV, Matthews CE, Berrigan D, Van Domelen DR, et al. Association of sedentary time with mortality independent of moderate to vigorous physical activity. PLoS One. 2012;7(6):e37696. https://doi.org/10.1371/journal.pone.0037696
Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2(2):1143-211. https://doi. org/10.1002/cphy.c110025
Celis-Morales CA, Perez-Bravo F, Ibañez L, Salas C, Bailey ME, Gill JM. Objective vs. self-reported physical activity and sedentary time: effects of measurement method on relationships with risk biomarkers. PLoS One. 2012;7(5):e36345. https://doi.org/10.1371/journal.pone.0036345
Gómez LM, Hernández-Prado B, Morales M del C, Shamah-Levy T. Physical activity and overweight/obesity in adult Mexican population: the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex. 2009;51(supl 4):S621-9. https://doi.org/10.1590/S0036- 36342009001000017
Hamilton MT, Healy GN, Dunstan DW, Zderic TW, Owen N. Too little exercise and too much sitting: inactivity physiology and the need for new recommendations on sedentary behavior. Curr Cardiovasc Risk Rep. 2008;2(4):292-8. https://doi.org/10.1007/s12170-008-0054-8
Cristi-Montero C, Rodriguez FR. Paradoja: “activo físicamente pero sedentario, sedentario pero activo físicamente”. Nuevos antecedentes, implicaciones en la salud y recomendaciones. Rev Med Chil. 2014;142(1):72- 8. https://doi.org/10.4067/S0034-98872014000100011
Kulinski JP, Khera A, Ayers CR, Das SR, de Lemos JA, Blair SN, et al. Association between cardiorespiratory fitness and accelerometer-derived physical activity and sedentary time in the general population. Mayo Clin Proc. 2014;89(8):1063-71. https://doi.org/10.1016/j.mayocp.2014.04.019
Latimer-Cheung AE, Copeland JL, Fowles J, Zehr L, Duggan M, Tremblay MS. The Canadian 24-hour movement guidelines for children and youth: implications for practitioners, professionals, and organizations. Appl Physiol Nutr Metab. 2016;41(6 supl 3):S328-35. https://doi.org/10.1139/ apnm-2016-0086
World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. Ginebra: WHO Document Production Services, 2014.
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) - Terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75. https://doi.org/10.1186/s12966-017-0525-8
Thorp AA, Healy GN, Owen N, Salmon J, Ball K, Shaw JE, et al. Deleterious associations of sitting time and television viewing time with cardiometabolic risk biomarkers: Australian Diabetes, Obesity and Lifestyle (AusDiab) study 2004-2005. Diabetes Care. 2010;33(2):327-34. https://doi. org/10.2337/dc09-0493
Celis-Morales C, Salas C, Álvarez C, Aguilar Farías N, Ramírez Campillos R, Leppe J, et al. Un mayor nivel de actividad física se asocia a una menor prevalencia de factores de riesgo cardiovascular en Chile: resultados de la Encuesta Nacional de Salud 2009-2010. Rev Med Chil. 2015;143(11):1435-43. https://doi.org/10.4067/S0034- 98872015001100009
Bakrania K, Edwardson CL, Bodicoat DH, Esliger DW, Gill JM, Kazi A, et al. Associations of mutually exclusive categories of physical activity and sedentary time with markers of cardiometabolic health in English adults: a cross-sectional analysis of the Health Survey for England. BMC Public Health. 2016;16:25. https://doi.org/10.1186/s12889-016-2694-9
Loprinzi PD, Davis RE. Daily movement patterns and predicted 10-yr risk for a first atherosclerotic cardiovascular disease (ASCVD) event using the pooled cohort risk equations among US adults. Prev Med. 2015;81:78- 81. https://doi.org/10.1016/j.ypmed.2015.08.008
Loprinzi PD, Lee H, Cardinal BJ. Daily movement patterns and biological markers among adults in the United States. Prev Med. 2014;60:128-30. https://doi.org/10.1016/j.ypmed.2013.12.017
Maher CA, Mire E, Harrington DM, Staiano AE, Katzmarzyk PT. The independent and combined associations of physical activity and sedentary behavior with obesity in adults: NHANES 2003-06. Obesity (Silver Spring). 2013;21(12):E730-7. https://doi.org/10.1002/oby.20430
Ministerio de Salud de Chile. Encuesta Nacional de Salud ENS Chile 2009-2010. Chile: Minsal, 2010 [citado 2017, febrero 13]. Disponible en: http://web.minsal.cl/portal/url/item/bcb03d7bc28b- 64dfe040010165012d23.pdf
World Health Organization. Global Physical Activity Questionnaire: GPAQ version 2.0. Ginebra: WHO, 2009 [citado 2017, febrero 13]. Disponible en: http://www.who.int/chp/steps/resources/GPAQ_Analysis_Guide.pdf
Lee LW, Griffith J, Zenick H, Hulka BS. Human tissue monitoring and specimen banking: opportunities for exposure assessment, risk assessment, and epidemiologic research. Environ Health Perspect. 1995;103(supl 3):3-8.
Pappas G, Hyder AA. Exploring ethical considerations for the use of biological and physiological markers in population-based surveys in less developed countries. Global Health. 2005;1:16. https://doi. org/10.1186/1744-8603-1-16
World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Ginebra: WHO, 2000 [citado 2017, febrero 13]. Disponible en: http://apps.who.int/iris/bitstream/ 10665/42330/1/WHO_TRS_894.pdf
Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society, and International Association for the Study of Obesity. Circulation. 2009;120(16):1640-5. https://doi.org/10.1161/CIRCULATIONAHA. 109.192644
Hoos T, Espinoza N, Marshall S, Arredondo EM. Validity of the Global Physical Activity Questionnaire (GPAQ) in adult Latinas. J Phys Act Health. 2012;9(5):698-705. https://doi.org/10.1123/jpah.9.5.698
Bull FC, Maslin TS, Armstrong T. Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Act Health. 2009;6(6):790-804. https://doi.org/10.1123/jpah.6.6.790
Celis-Morales C, Salas C, Alduhishy A, Sanzana R, Martínez MA, Leiva A, et al. Socio-demographic patterns of physical activity and sedentary behaviour in Chile: results from the National Health Survey 2009-2010. J Public Health (Oxf). 2016;38(2):e98-e105. https://doi.org/10.1093/pubmed/ fdv079
Yoon JH, So WY. Association between leisure-time physical activity and hypertension status in Korean adults. Salud Publica Mex. 2013;55(5):492-7. https://doi.org/10.21149/spm.v55i5.7249
Porter AK, Matthews KJ, Salvo D, Kohl HW. Associations of physical activity, sedentary time, and screen time with cardiovascular fitness in United States adolescents: results from the NHANES National Youth Fitness Survey. J Phys Act Health. 2017;14(7):506-12. https://doi.org/10.1123/ jpah.2016-0165
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334- 59. https://doi.org/10.1249/MSS.0b013e318213fefb
Saunders TJ, Prince SA, Tremblay MS. Clustering of children’s activity behaviour: the use of self-report versus direct measures. Int J Behav Nutr Phys Act. 2011;8:48. https://doi.org/10.1186/1479-5868-8-48