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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

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

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Autor(es):
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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
Número total de Autores: 19
Afiliação do(s) autor(es):
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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
Número total de Afiliações: 19
Tipo de documento: Artigo Científico
Fonte: INTERNATIONAL JOURNAL OF CARDIOLOGY; v. 186, p. 186-195, MAY 1 2015.
Citações Web of Science: 32
Resumo

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)

Processo FAPESP: 11/11137-1 - Pressão arterial elevada e agregação de fatores de risco em adolescentes: um estudo multicêntrico
Beneficiário:Augusto César Ferreira de Moraes
Linha de fomento: Bolsas no Brasil - Doutorado
Processo FAPESP: 11/20662-2 - Pressão arterial elevada e agregação de fatores de risco em adolescentes: um estudo multicêntrico
Beneficiário:Augusto César Ferreira de Moraes
Linha de fomento: Bolsas no Exterior - Estágio de Pesquisa - Doutorado