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

The Helena study

Tara Rendo-Urteaga, Augusto César Ferreira De Moraes, Tatiana Sadalla Collese, Yannis Manios, María Hagströmer, Michael Sjöström, Anthony Kafatos, Kurt Widhalm, Jérémy Vanhelst, Ascensión Marcos, Marcela González-Gross, Stefaan De Henauw, Donatella Ciarapica, Jonatan R. Ruiz, Vanesa España-Romero, D. Molnár, Heráclito B. Carvalho, Luis A. Moreno

Research output: Contribution to journalArticle

17 Citations (Scopus)

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 do more MVPA (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 (β = 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 4Skinfolds (β = - 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 4Skinfolds was shown (β = 0.28; 95%CI 0.04 to 0.53; p <0.05). Furthermore, VO2max (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.

Original languageEnglish
Pages (from-to)186-195
Number of pages10
JournalInternational Journal of Cardiology
Volume186
DOIs
Publication statusPublished - May 1 2015

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Exercise
Sedentary Lifestyle
Cross-Sectional Studies

Keywords

  • Adolescents
  • Cardiometabolic risk
  • Physical activity
  • Sedentary lifestyle

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Rendo-Urteaga, T., De Moraes, A. C. F., Collese, T. S., Manios, Y., Hagströmer, M., Sjöström, M., ... Moreno, L. A. (2015). The combined effect of physical activity and sedentary behaviors on a clustered cardio-metabolic risk score: The Helena study. International Journal of Cardiology, 186, 186-195. https://doi.org/10.1016/j.ijcard.2015.03.176

The combined effect of physical activity and sedentary behaviors on a clustered cardio-metabolic risk score : The Helena study. / Rendo-Urteaga, Tara; De Moraes, Augusto César Ferreira; Collese, Tatiana Sadalla; Manios, Yannis; Hagströmer, María; Sjöström, Michael; Kafatos, Anthony; Widhalm, Kurt; Vanhelst, Jérémy; Marcos, Ascensión; González-Gross, Marcela; De Henauw, Stefaan; Ciarapica, Donatella; Ruiz, Jonatan R.; España-Romero, Vanesa; Molnár, D.; Carvalho, Heráclito B.; Moreno, Luis A.

In: International Journal of Cardiology, Vol. 186, 01.05.2015, p. 186-195.

Research output: Contribution to journalArticle

Rendo-Urteaga, T, De Moraes, ACF, Collese, TS, Manios, Y, Hagströmer, M, Sjöström, M, Kafatos, A, Widhalm, K, Vanhelst, J, Marcos, A, González-Gross, M, De Henauw, S, Ciarapica, D, Ruiz, JR, España-Romero, V, Molnár, D, Carvalho, HB & Moreno, LA 2015, 'The combined effect of physical activity and sedentary behaviors on a clustered cardio-metabolic risk score: The Helena study', International Journal of Cardiology, vol. 186, pp. 186-195. https://doi.org/10.1016/j.ijcard.2015.03.176
Rendo-Urteaga, Tara ; De Moraes, Augusto César Ferreira ; Collese, Tatiana Sadalla ; Manios, Yannis ; Hagströmer, María ; Sjöström, Michael ; Kafatos, Anthony ; Widhalm, Kurt ; Vanhelst, Jérémy ; Marcos, Ascensión ; González-Gross, Marcela ; De Henauw, Stefaan ; Ciarapica, Donatella ; Ruiz, Jonatan R. ; España-Romero, Vanesa ; Molnár, D. ; Carvalho, Heráclito B. ; Moreno, Luis A. / The combined effect of physical activity and sedentary behaviors on a clustered cardio-metabolic risk score : The Helena study. In: International Journal of Cardiology. 2015 ; Vol. 186. pp. 186-195.
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author = "Tara Rendo-Urteaga and {De Moraes}, {Augusto C{\'e}sar Ferreira} and Collese, {Tatiana Sadalla} and Yannis Manios and Mar{\'i}a Hagstr{\"o}mer and Michael Sj{\"o}str{\"o}m and Anthony Kafatos and Kurt Widhalm and J{\'e}r{\'e}my Vanhelst and Ascensi{\'o}n Marcos and Marcela Gonz{\'a}lez-Gross and {De Henauw}, Stefaan and Donatella Ciarapica and Ruiz, {Jonatan R.} and Vanesa Espa{\~n}a-Romero and D. Moln{\'a}r and Carvalho, {Her{\'a}clito B.} and Moreno, {Luis A.}",
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T1 - The combined effect of physical activity and sedentary behaviors on a clustered cardio-metabolic risk score

T2 - The Helena study

AU - Rendo-Urteaga, Tara

AU - De Moraes, Augusto César Ferreira

AU - Collese, Tatiana Sadalla

AU - Manios, Yannis

AU - Hagströmer, María

AU - Sjöström, Michael

AU - Kafatos, Anthony

AU - Widhalm, Kurt

AU - Vanhelst, Jérémy

AU - Marcos, Ascensión

AU - González-Gross, Marcela

AU - De Henauw, Stefaan

AU - Ciarapica, Donatella

AU - Ruiz, Jonatan R.

AU - España-Romero, Vanesa

AU - Molnár, D.

AU - Carvalho, Heráclito B.

AU - Moreno, Luis A.

PY - 2015/5/1

Y1 - 2015/5/1

N2 - 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 do more MVPA (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 (β = 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 4Skinfolds (β = - 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 4Skinfolds was shown (β = 0.28; 95%CI 0.04 to 0.53; p <0.05). Furthermore, VO2max (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.

AB - 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 do more MVPA (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 (β = 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 4Skinfolds (β = - 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 4Skinfolds was shown (β = 0.28; 95%CI 0.04 to 0.53; p <0.05). Furthermore, VO2max (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.

KW - Adolescents

KW - Cardiometabolic risk

KW - Physical activity

KW - Sedentary lifestyle

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