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.

Highlights

  • The clustering of metabolic syndrome risk factors is inversely related to the amount of physical activity

  • Metabolic syndrome (MetSynd) is a set of simultaneous pathophysiological changes that increase the risk of chronic diseases [1] and is associated with increased risk of cardiovascular disease [2] and diabetes mellitus [3]

  • Based on the hypothesis that greater amounts of physical activity are associated with better metabolic health indicators, some researchers assume that the maintenance of high levels of physical activity from childhood to adulthood allows for the maintenance of a healthy risk profile with lower rates of morbidity and mortality from cardiovascular disease and diabetes later in life [7,8,9]

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Summary

Introduction

The clustering of metabolic syndrome risk factors is inversely related to the amount of physical activity. 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. Activity for Health [6], which recommends that children and adolescents engage in moderate to vigorous physical activity (MVPA) for at least 60 minutes daily. Based on the hypothesis that greater amounts of physical activity are associated with better metabolic health indicators, some researchers assume that the maintenance of high levels of physical activity from childhood to adulthood allows for the maintenance of a healthy risk profile with lower rates of morbidity and mortality from cardiovascular disease and diabetes later in life [7,8,9].

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