Associations between accelerometry measured physical activity and sedentary time and the metabolic syndrome: A meta-analysis of more than 6000 children and adolescents

On behalf of the International Children's Accelerometry Database (ICAD) Collaborators

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Resumé

Background: Metabolic syndrome is increasingly prevalent in the pediatric population. To prevent an early onset, knowledge about its association with modifiable lifestyle factors is needed. Objectives: To estimate the prevalence of the metabolic syndrome and examine its cross-sectional associations with physical activity and sedentary time. Methods: Participants were 6009 children and adolescents from 8 studies of the International Children's Accelerometry Database. Physical activity and sedentary time were measured by accelerometer. Metabolic syndrome was defined based on International Diabetes Federation criteria. Logistic regression models adjusted for sex, age and monitor wear time were used to examine the associations between physical activity, sedentary time and the metabolic syndrome in each study and effect estimates were combined using random-effects meta-analysis. Results: The overall prevalence of the metabolic syndrome was 2.9%. In crude models, a 10 min increase in moderate-to-vigorous intensity physical activity and vigorous-intensity physical activity were inversely associated with the metabolic syndrome [OR 0.88, 95% CI 0.82-0.94, OR 0.80, 95% CI 0.70-0.92]. One hour increase in sedentary time was positively associated with the metabolic syndrome [OR 1.28, 95% CI 1.13-1.45]. After adjustment for sedentary time, the association between moderate-to-vigorous-intensity physical activity and the metabolic syndrome remained significant [OR 0.91, 95% CI 0.84-0.99]. Sedentary time was not associated with the metabolic syndrome after adjustment for moderate-to-vigorous intensity physical activity [OR 1.14 95% CI 0.96-1.36]. Conclusions: Physical activity of at least moderate intensity but not sedentary time is independently associated with the metabolic syndrome.

OriginalsprogEngelsk
Artikelnummere12578
TidsskriftPediatric Obesity
Vol/bind15
Udgave nummer1
Antal sider9
ISSN2047-6302
DOI
StatusUdgivet - jan. 2020

Fingeraftryk

Meta-Analysis
Exercise
Logistic Models
Databases
Pediatrics
Population

Citer dette

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title = "Associations between accelerometry measured physical activity and sedentary time and the metabolic syndrome: A meta-analysis of more than 6000 children and adolescents",
abstract = "Background: Metabolic syndrome is increasingly prevalent in the pediatric population. To prevent an early onset, knowledge about its association with modifiable lifestyle factors is needed. Objectives: To estimate the prevalence of the metabolic syndrome and examine its cross-sectional associations with physical activity and sedentary time. Methods: Participants were 6009 children and adolescents from 8 studies of the International Children's Accelerometry Database. Physical activity and sedentary time were measured by accelerometer. Metabolic syndrome was defined based on International Diabetes Federation criteria. Logistic regression models adjusted for sex, age and monitor wear time were used to examine the associations between physical activity, sedentary time and the metabolic syndrome in each study and effect estimates were combined using random-effects meta-analysis. Results: The overall prevalence of the metabolic syndrome was 2.9{\%}. In crude models, a 10 min increase in moderate-to-vigorous intensity physical activity and vigorous-intensity physical activity were inversely associated with the metabolic syndrome [OR 0.88, 95{\%} CI 0.82-0.94, OR 0.80, 95{\%} CI 0.70-0.92]. One hour increase in sedentary time was positively associated with the metabolic syndrome [OR 1.28, 95{\%} CI 1.13-1.45]. After adjustment for sedentary time, the association between moderate-to-vigorous-intensity physical activity and the metabolic syndrome remained significant [OR 0.91, 95{\%} CI 0.84-0.99]. Sedentary time was not associated with the metabolic syndrome after adjustment for moderate-to-vigorous intensity physical activity [OR 1.14 95{\%} CI 0.96-1.36]. Conclusions: Physical activity of at least moderate intensity but not sedentary time is independently associated with the metabolic syndrome.",
keywords = "Metabolic syndrome, obesity, physical activity, sedentary behaviour",
author = "Markus Renninger and Hansen, {Bj{\o}rge H.} and Jostein Steene-Johannessen and Susi Kriemler and Karsten Froberg and Kate Northstone and Luis Sardinha and Anderssen, {Sigmund A.} and Andersen, {Lars B.} and Ulf Ekelund and {On behalf of the International Children's Accelerometry Database (ICAD) Collaborators}",
year = "2020",
month = "1",
doi = "10.1111/ijpo.12578",
language = "English",
volume = "15",
journal = "Pediatric Obesity",
issn = "2047-6302",
publisher = "Wiley-Blackwell",
number = "1",

}

Associations between accelerometry measured physical activity and sedentary time and the metabolic syndrome : A meta-analysis of more than 6000 children and adolescents. / On behalf of the International Children's Accelerometry Database (ICAD) Collaborators.

I: Pediatric Obesity, Bind 15, Nr. 1, e12578, 01.2020.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Associations between accelerometry measured physical activity and sedentary time and the metabolic syndrome

T2 - A meta-analysis of more than 6000 children and adolescents

AU - Renninger, Markus

AU - Hansen, Bjørge H.

AU - Steene-Johannessen, Jostein

AU - Kriemler, Susi

AU - Froberg, Karsten

AU - Northstone, Kate

AU - Sardinha, Luis

AU - Anderssen, Sigmund A.

AU - Andersen, Lars B.

AU - Ekelund, Ulf

AU - On behalf of the International Children's Accelerometry Database (ICAD) Collaborators

PY - 2020/1

Y1 - 2020/1

N2 - Background: Metabolic syndrome is increasingly prevalent in the pediatric population. To prevent an early onset, knowledge about its association with modifiable lifestyle factors is needed. Objectives: To estimate the prevalence of the metabolic syndrome and examine its cross-sectional associations with physical activity and sedentary time. Methods: Participants were 6009 children and adolescents from 8 studies of the International Children's Accelerometry Database. Physical activity and sedentary time were measured by accelerometer. Metabolic syndrome was defined based on International Diabetes Federation criteria. Logistic regression models adjusted for sex, age and monitor wear time were used to examine the associations between physical activity, sedentary time and the metabolic syndrome in each study and effect estimates were combined using random-effects meta-analysis. Results: The overall prevalence of the metabolic syndrome was 2.9%. In crude models, a 10 min increase in moderate-to-vigorous intensity physical activity and vigorous-intensity physical activity were inversely associated with the metabolic syndrome [OR 0.88, 95% CI 0.82-0.94, OR 0.80, 95% CI 0.70-0.92]. One hour increase in sedentary time was positively associated with the metabolic syndrome [OR 1.28, 95% CI 1.13-1.45]. After adjustment for sedentary time, the association between moderate-to-vigorous-intensity physical activity and the metabolic syndrome remained significant [OR 0.91, 95% CI 0.84-0.99]. Sedentary time was not associated with the metabolic syndrome after adjustment for moderate-to-vigorous intensity physical activity [OR 1.14 95% CI 0.96-1.36]. Conclusions: Physical activity of at least moderate intensity but not sedentary time is independently associated with the metabolic syndrome.

AB - Background: Metabolic syndrome is increasingly prevalent in the pediatric population. To prevent an early onset, knowledge about its association with modifiable lifestyle factors is needed. Objectives: To estimate the prevalence of the metabolic syndrome and examine its cross-sectional associations with physical activity and sedentary time. Methods: Participants were 6009 children and adolescents from 8 studies of the International Children's Accelerometry Database. Physical activity and sedentary time were measured by accelerometer. Metabolic syndrome was defined based on International Diabetes Federation criteria. Logistic regression models adjusted for sex, age and monitor wear time were used to examine the associations between physical activity, sedentary time and the metabolic syndrome in each study and effect estimates were combined using random-effects meta-analysis. Results: The overall prevalence of the metabolic syndrome was 2.9%. In crude models, a 10 min increase in moderate-to-vigorous intensity physical activity and vigorous-intensity physical activity were inversely associated with the metabolic syndrome [OR 0.88, 95% CI 0.82-0.94, OR 0.80, 95% CI 0.70-0.92]. One hour increase in sedentary time was positively associated with the metabolic syndrome [OR 1.28, 95% CI 1.13-1.45]. After adjustment for sedentary time, the association between moderate-to-vigorous-intensity physical activity and the metabolic syndrome remained significant [OR 0.91, 95% CI 0.84-0.99]. Sedentary time was not associated with the metabolic syndrome after adjustment for moderate-to-vigorous intensity physical activity [OR 1.14 95% CI 0.96-1.36]. Conclusions: Physical activity of at least moderate intensity but not sedentary time is independently associated with the metabolic syndrome.

KW - Metabolic syndrome

KW - obesity

KW - physical activity

KW - sedentary behaviour

U2 - 10.1111/ijpo.12578

DO - 10.1111/ijpo.12578

M3 - Journal article

C2 - 31709781

AN - SCOPUS:85074844927

VL - 15

JO - Pediatric Obesity

JF - Pediatric Obesity

SN - 2047-6302

IS - 1

M1 - e12578

ER -