Abstract
OBJECTIVESThe study aimed to examine whether simultaneously meeting the combined guidelines of accelerometer-assessed moderate to vigorous physical activity (MVPA) and self-reported muscle-strengthening activity (MSA) was associated with lower odds of metabolic syndrome (MetS) than meeting neither or 1 of the guidelines among the Koreans.METHODSThis cross-sectional analysis included 1,355 participants from the Korea National Health and Nutrition Examination Survey (2014-2015). Logistic regression was used to analyze the associations across groups of MVPA-MSA guideline adherence (meeting neither [reference]; meeting MVPA only; meeting MSA only; meeting both MVPS and MSA) with MetS components (abdominal obesity, hypertriglyceridemia, low high-density lipoprotein cholesterol [HDL-C], hypertension, and hyperglycemia). The odds ratios (ORs) were adjusted for covariates (e.g., sex, age, body mass index, and accelerometer wearing time).RESULTSMSA only significantly reduced the OR for abdominal obesity (OR, 0.34; 95% confidence interval [CI], 0.13 to 0.91). Meeting both MVPA and MSA reduced the OR for hypertriglyceridemia (OR, 0.59; 95% CI, 0.39 to 0.88) and low HDL-C (OR, 0.46; 95% CI, 0.31 to 0.68). Compared to meeting neither, MVPA only (OR, 0.63; 95% CI, 0.44 to 0.89) and both MVPA and MSA (OR, 0.46; 95% CI, 0.28 to 0.76) significantly reduced the OR for MetS.CONCLUSIONSCombined MVPA-MSA was more beneficially associated with MetS prevalence than MVPA only and MSA only. Considering that more than 85% of Korean adults do not meet both the MVPA and MSA guidelines, public health actions to promote adherence should be supported.
Highlights
Metabolic syndrome (MetS) is a collection of risk factors generally associated with cardiovascular disease and type-2 diabetes mellitus, which includes high blood pressure (BP), high cholesterol, elevated abdominal adiposity, and abnormal fasting plasma glucose [1, 2].Increased MetS risk factors are closely associated with mortality [3] and morbidity [4], as well as complications such as stroke, myocardial infarction, and angina [5]
moderate-tovigorous physical activity (MVPA) only and both MVPA-muscle-strengthening activity (MSA) significantly reduced the Odds ratios (OR) for MetS
Ep ah e ad of pr this study aimed to investigate whether meeting the combined guidelines of accelerometer-assessed MVPA and self-reported MSA simultaneously are associated with reduced odds of MetS than meeting neither or one of the guidelines among Koreans
Summary
Metabolic syndrome (MetS) is a collection of risk factors generally associated with cardiovascular disease and type-2 diabetes mellitus, which includes high blood pressure (BP), high cholesterol, elevated abdominal adiposity, and abnormal fasting plasma glucose [1, 2]. Increased MetS risk factors are closely associated with mortality [3] and morbidity [4], as well as complications such as stroke, myocardial infarction, and angina [5]. The worldwide prevalence of MetS is estimated to be 20%–25% among adults [6, 7]. The prevalence of MetS in Korea has steadily increased from 22.6% in 2013 to 30.4% in [8], and the high prevalence of MetS is considered a significant public health concern. For the prevention and treatment of MetS, the World Health
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