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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

The combined effect of physical activity and sedentary behaviors on a clustered cardio-metabolic risk score: The Helena study

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Author(s):
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Rendo-Urteaga, Tara [1, 2] ; Cesar Ferreira de Moraes, Augusto [1, 2] ; Sadalla Collese, Tatiana [1, 2] ; Manios, Yannis [3] ; Hagstromer, Maria [4] ; Sjostrom, Michael [5] ; Kafatos, Anthony [6] ; Widhalm, Kurt [7] ; Vanhelst, Jeremy [8, 9] ; Marcos, Ascension [10] ; Gonzalez-Gross, Marcela [11, 12] ; De Henauw, Stefaan [13, 14] ; Ciarapica, Donatella [15] ; Ruiz, Jonatan R. [5, 16] ; Espana-Romero, Vanesa [17] ; Molnar, Denes [18] ; Carvalho, Heraclito B. [1] ; Moreno, Luis A. [2, 19] ; Grp, HELENA Study
Total Authors: 19
Affiliation:
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[1] Univ Sao Paulo, Sch Med, Res Grp, Youth Child & cARdiovasc Risk & Environm YCARE, Sao Paulo, SP - Brazil
[2] Univ Zaragoza, Sch Hlth Sci EUCS, Res Grp, Growth Exercise NUtr & Dev GENUD, Zaragoza - Spain
[3] Harokopio Univ, Sch Hlth Sci & Educ, Dept Nutr & Dietet, Athens - Greece
[4] Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, Huddinge - Sweden
[5] Karolinska Inst, Dept Biosci & Nutr, Unit Prevent Nutr, Huddinge - Sweden
[6] Univ Crete, Prevent Med & Nutr Clin, Sch Med, Dept Social Med, Iraklion - Greece
[7] Private Med Univ, Dept Pediat, Salzburg - Austria
[8] Univ Lille Nord France, INSERM, U995, Lille - France
[9] Univ Hosp, INSERM, CH&U, CIC PT 1403, Lille - France
[10] CSIC, Inst Frio, Inst Food Sci & Technol Nutr ICTAN, Inmunonutr Res Grp, Dept Metab & Nutr, Spanish Natl, E-28040 Madrid - Spain
[11] Tech Univ Madrid, Fac Phys Act & Sport INEF, Dept Hlth & Human Performance, ImFINE Res Grp, Madrid - Spain
[12] Univ Bonn, Inst Ernahrungs & Lebensmittelwissensch Ernahrung, Bonn - Germany
[13] Univ Ghent, Dept Publ Hlth, B-9000 Ghent - Belgium
[14] Univ Coll Ghent Vesalius, Ghent - Belgium
[15] Res Ctr Food & Nutr CRA NUT, Agr Res Council, Rome - Italy
[16] Univ Granada, Fac Sport Sci, Dept Phys Educ & Sports, PROFITH PROmoting FITness & Hlth Phys Act Res Grp, Granada - Spain
[17] Univ Cadiz, Sch Educ, Dept Phys Educ, Cadiz - Spain
[18] Univ Pecs, Fac Med, Dept Pediat, Pecs - Hungary
[19] Univ Sao Paulo, Sch Med, Dept Prevent Med, Sao Paulo, SP - Brazil
Total Affiliations: 19
Document type: Journal article
Source: INTERNATIONAL JOURNAL OF CARDIOLOGY; v. 186, p. 186-195, MAY 1 2015.
Web of Science Citations: 31
Abstract

Background/objective: Increased physical activity (PA) and decreased sedentary behaviors (SBs) may have beneficial effects on cardio-metabolic risk in adolescents. The aim of this study was to examine the associations between independent/combined effects of PA and SB with individual/clustered cardio-metabolic risk factors. Methods: A sample of 769 adolescents (12.5-17.5 years) from the HELENA cross-sectional study (Healthy Lifestyle in Europe by Nutrition in Adolescence) and with valid data on metabolic risk factors were included. Results: Concerning moderate-to-vigorous-PA (MVPA) and vigorous-PA (VPA), measured with accelerometers, girls tended to domoreMVPA (36%) and VPA (114%) than boys. Unadjusted analyses show a positive association between ``PA >= 60 min/d; SB >= 2 h{''} and the ratio TC/HDL-c (beta = 0.27; 95% CI 0.01 to 0.52; p < 0.05), and a negative association between ``MVPA = 60 min/d; SB < 2 h{''} with the Sigma 4Skinfolds (beta = -0.32; 95% CI - 0.61 to -0.02; p < 0.05). Moreover, ``SB >= 2 h/d{''} was associated with increased cardio-metabolic risk (PR 1.59; 95% CI 1.05 to 2.39; p < 0.05), while ``PA >= 60 min/d; SB < 2 h{''} had a protective effect against cardio-metabolic risk (PR 0.48; 95% CI 0.25 to 0.91; p < 0.05). After adjustment for potential confounders, a positive association between SB and Sigma 4Skinfolds was shown (beta = 0.28; 95% CI 0.04 to 0.53; p < 0.05). Furthermore, VO(2)max (mL/kg/min) tends to increase in those participants who do higher VPA and less SB (p = 0.042), and there was a protective effect of ``VPA >= 30 min/d; SB < 2 h{''} against cardio-metabolic risk (PR 0.24; 95% CI 0.07 to 0.85; p < 0.05). Conclusion: The current study suggests that adolescents should be encouraged to decrease sedentary lifestyle and increase physical activity, especially vigorous physical activity, in order to reduce cardio-metabolic risk. (C) 2015 Elsevier Ireland Ltd. All rights reserved. (AU)

FAPESP's process: 11/11137-1 - High blood pressure and aggregation of risk factors in adolescents: a multicenter study
Grantee:Augusto César Ferreira de Moraes
Support type: Scholarships in Brazil - Doctorate
FAPESP's process: 11/20662-2 - High blood pressure and aggregation of risk factors in adolescents: a multicenter study
Grantee:Augusto César Ferreira de Moraes
Support type: Scholarships abroad - Research Internship - Doctorate