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Accelerometer-Measu...
Accelerometer-Measured Physical Activity, Fitness and Indicators of Cardiometabolic Risk among Rural Adolescents: A Cross-Sectional Study at 15-Year Follow-up of the MINIMat Cohort
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- Islam, Mohammad Redwanul (författare)
- Uppsala Univ, Sweden
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- Nystroem, Christine Delisle (författare)
- Karolinska Inst, Sweden
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- Kippler, Maria (författare)
- Karolinska Inst, Sweden
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- Kajantie, Eero (författare)
- Finnish Inst Hlth & Welf, Finland; Oulu Univ Hosp, Finland; Univ Oulu, Finland
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- Löf, Marie (författare)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Karolinska Inst, Sweden
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- Rahman, Syed Moshfiqur (författare)
- Uppsala Univ, Sweden; Int Ctr Diarrhoeal Dis Res Bangladesh icddr b, Bangladesh
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- Ekstroem, Eva-Charlotte (författare)
- Uppsala Univ, Sweden
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(creator_code:org_t)
- 2024
- 2024
- Engelska.
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Ingår i: JOURNAL OF EPIDEMIOLOGY AND GLOBAL HEALTH. - : SPRINGERNATURE. - 2210-6006.
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background Little is known about the relationship of physical activity (PA) and fitness with cardiometabolic risk among rural adolescents in low- and middle-income countries. Thus, we examined the associations of PA and fitness with selected cardiometabolic indicators along with potential gender-based differences in a birth cohort of rural adolescents from southeast Bangladesh.Methods We utilized data from the 15-year follow-up of Maternal and Infant Nutrition Interventions in Matlab (MINIMat) cohort (n = 2253). Wrist-worn ActiGraph wGT3x-BT accelerometers were used to estimate sedentary time (ST) and PA. Fitness was assessed using: handgrip strength, standing long jump, and Chester Step Test. Anthropometric parameters, systolic blood pressure (SBP), and fasting lipid, insulin and glucose levels were measured. We calculated insulin resistance using the Homeostasis Model Assessment equation (HOMA-IR). Linear regression and isotemporal substitution models were fitted.Results The adolescents spent 64 min/day (inter-quartile range: 50-81) in moderate-to-vigorous physical activity (MVPA). A 10-minute-per-day higher vigorous PA (VPA) was associated with: 4.9% (95% confidence interval (CI): 2.9-6.8%) lower waist circumference (WC), 3.2 mmHg (95% CI: 1.5-4.8) lower SBP, 10.4% (95% CI: 2.9-17.3%) lower TG, and 24.4% (95% CI: 11.3-34.9%) lower HOMA-IR. MVPA showed similar associations of notably smaller magnitude. Except for WC, the associations were more pronounced among the boys. Substituting ST with VPA of equal duration was associated with lower WC, SBP, triglyceride and HOMA-IR. Grip strength was favorably associated with all indicators, displaying considerably large effect sizes.Conclusion Our findings indicated beneficial roles of PA- particularly VPA- and muscular fitness in shaping cardiometabolic profile in mid-adolescence. VPA and grip strength may represent potential targets for preventive strategies tailored to adolescents in resource-limited settings.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Physical activity; Adolescents; Bangladesh; Blood pressure; Waist circumference; Triglyceride; Insulin resistance
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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