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The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China

OBJECTIVES: Metabolic syndrome (MetS) is a major public health issue worldwide, which is preventable through physical activity (PA) promotion and sedentary behavior (SB) reduction. However, the joint association of PA and SB with MetS was not well-investigated, particularly in elderly people. This s...

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Autores principales: Lou, Qinglin, Wu, Haidi, Li, Guang, Hu, Yan, Ye, Qing, Gu, Shouyong, Xu, Fei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731730/
https://www.ncbi.nlm.nih.gov/pubmed/36504988
http://dx.doi.org/10.3389/fpubh.2022.1073000
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author Lou, Qinglin
Wu, Haidi
Li, Guang
Hu, Yan
Ye, Qing
Gu, Shouyong
Xu, Fei
author_facet Lou, Qinglin
Wu, Haidi
Li, Guang
Hu, Yan
Ye, Qing
Gu, Shouyong
Xu, Fei
author_sort Lou, Qinglin
collection PubMed
description OBJECTIVES: Metabolic syndrome (MetS) is a major public health issue worldwide, which is preventable through physical activity (PA) promotion and sedentary behavior (SB) reduction. However, the joint association of PA and SB with MetS was not well-investigated, particularly in elderly people. This study aimed to examine separate and joint associations of PA and SB with MetS among elderly urban men in China. METHODS: In this cross-sectional study conducted in mid-2018, participants were urban men aged 60+ years randomly selected from in Nanjing of China. Exposure variables were PA and SB. The outcome variable was MetS. A participant was categorized as “having MetS” or “not having MetS” in the analysis. Independent variables were PA and SB, which were categorized as “sufficient PA or insufficient PA” and “shortened SB or prolonged SB”, respectively. Mixed-effects logistics regression models were applied to calculate odds ratios (ORs) and 95% confidence intervals (CIs) to assess the association of PA and SB with MetS. RESULTS: Totally, 5,520 from 5,792 eligible participants were randomly recruited and their mean age was 68.9 (standard deviation: 16.9) years. The prevalence of MetS was 30.8% (95%CI = 29.6%, 32.0%) among urban men aged 60+ years in the study. After adjustment for potential confounders, subjects with sufficient PA were less likely (OR = 0.77, 95%CI = 0.67, 0.88) to experience MetS, independently of SB, relative to their counterparts with insufficient PA, while a lower odds (OR = 0.74; 95%CI = 0.61, 0.89) of experiencing MetS was examined for participants with shortened SB, also independently of PA, compared to those with prolonged SB in the study. Furthermore, compared to participants with insufficient PA and prolonged SB, those either within categories of insufficient PA and shortened SB (OR = 0.81; 95%CI = 0.65, 0.99), sufficient PA and prolonged SB (OR = 0.80; 95%CI = 0.70, 0.92), or sufficient PA and shortened SB (OR = 0.41; 95%CI = 0.26, 0.63) were at significantly lower risk to experience MetS, respectively. CONCLUSIONS: PA was negatively associated with MetS, and SB was positively linked to MetS, which were independent of each other. Moreover, sufficient PA and shortened SB might exert additively joint influence on MetS. This study has important implications that concurrent PA promotion and SB reduction shall be encouraged for people to optimize the effectiveness of MetS prevention.
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spelling pubmed-97317302022-12-09 The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China Lou, Qinglin Wu, Haidi Li, Guang Hu, Yan Ye, Qing Gu, Shouyong Xu, Fei Front Public Health Public Health OBJECTIVES: Metabolic syndrome (MetS) is a major public health issue worldwide, which is preventable through physical activity (PA) promotion and sedentary behavior (SB) reduction. However, the joint association of PA and SB with MetS was not well-investigated, particularly in elderly people. This study aimed to examine separate and joint associations of PA and SB with MetS among elderly urban men in China. METHODS: In this cross-sectional study conducted in mid-2018, participants were urban men aged 60+ years randomly selected from in Nanjing of China. Exposure variables were PA and SB. The outcome variable was MetS. A participant was categorized as “having MetS” or “not having MetS” in the analysis. Independent variables were PA and SB, which were categorized as “sufficient PA or insufficient PA” and “shortened SB or prolonged SB”, respectively. Mixed-effects logistics regression models were applied to calculate odds ratios (ORs) and 95% confidence intervals (CIs) to assess the association of PA and SB with MetS. RESULTS: Totally, 5,520 from 5,792 eligible participants were randomly recruited and their mean age was 68.9 (standard deviation: 16.9) years. The prevalence of MetS was 30.8% (95%CI = 29.6%, 32.0%) among urban men aged 60+ years in the study. After adjustment for potential confounders, subjects with sufficient PA were less likely (OR = 0.77, 95%CI = 0.67, 0.88) to experience MetS, independently of SB, relative to their counterparts with insufficient PA, while a lower odds (OR = 0.74; 95%CI = 0.61, 0.89) of experiencing MetS was examined for participants with shortened SB, also independently of PA, compared to those with prolonged SB in the study. Furthermore, compared to participants with insufficient PA and prolonged SB, those either within categories of insufficient PA and shortened SB (OR = 0.81; 95%CI = 0.65, 0.99), sufficient PA and prolonged SB (OR = 0.80; 95%CI = 0.70, 0.92), or sufficient PA and shortened SB (OR = 0.41; 95%CI = 0.26, 0.63) were at significantly lower risk to experience MetS, respectively. CONCLUSIONS: PA was negatively associated with MetS, and SB was positively linked to MetS, which were independent of each other. Moreover, sufficient PA and shortened SB might exert additively joint influence on MetS. This study has important implications that concurrent PA promotion and SB reduction shall be encouraged for people to optimize the effectiveness of MetS prevention. Frontiers Media S.A. 2022-11-24 /pmc/articles/PMC9731730/ /pubmed/36504988 http://dx.doi.org/10.3389/fpubh.2022.1073000 Text en Copyright © 2022 Lou, Wu, Li, Hu, Ye, Gu and Xu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Lou, Qinglin
Wu, Haidi
Li, Guang
Hu, Yan
Ye, Qing
Gu, Shouyong
Xu, Fei
The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China
title The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China
title_full The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China
title_fullStr The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China
title_full_unstemmed The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China
title_short The joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional China
title_sort joint association of physical activity and sedentary behavior with metabolic syndrome among urban men aged 60+ years in regional china
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731730/
https://www.ncbi.nlm.nih.gov/pubmed/36504988
http://dx.doi.org/10.3389/fpubh.2022.1073000
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