Marjeta Mišigoj-Duraković1, Maroje Sorić1, Dario Matika2, Igor Jukić1, Zijad Duraković3,4. 1. Department of Sport and Exercise Medicine, Faculty of Kinesiology, University of Zagreb, Croatia. 2. Croatian Defence Academy 'Petar Zrinski', Zagreb, Croatia. 3. The World Life College, Waterport, New York, USA. 4. The Croatian Academy of Sciences and Arts in Bosnia and Herzegovina, Mostar, Bosnia and Herzegovina.
Abstract
OBJECTIVE: To examine combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with metabolic syndrome (MetSy) in a sample of young men. METHODS: Participants were 557 men aged 19-47 years. CRF was quantified as peak oxygen uptake measured during an incremental treadmill test by a metabolic cart, while a composite MF score was calculated as the sum of z-scores from a push-ups and sit-ups test. The presence of MetSy was defined according to the updated NCEP-ATP III criteria. RESULTS: We found a graded inverse relationship between CRF and MetSy presence. The most aerobically fit individuals had 90% lower odds of having MetSy compared to their least fit counterparts, independent of MF (odds ratio [OR] = 0.10, 95% CI = 0.04-0.21). Conversely, an increment in MF across the first three quartiles was not associated with lower odds of MetSy; only the most muscularly fit men were 2.5 times less likely to have MetSy (OR = 0.41, 95% CI = 0.21-0.78). Finally, participants with high CRF but low MF exhibited a 50% decrease in odds of having MetSy (OR = 0.49, 95% CI = 0.26-0.91), while no protective effect was found for having high MF but low CRF (OR = 0.95, 95% CI = 0.55-1.62). CONCLUSIONS: CRF exhibited a strong protective effect against having MetSy, while the effect of MF was less pronounced.
OBJECTIVE: To examine combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with metabolic syndrome (MetSy) in a sample of young men. METHODS:Participants were 557 men aged 19-47 years. CRF was quantified as peak oxygen uptake measured during an incremental treadmill test by a metabolic cart, while a composite MF score was calculated as the sum of z-scores from a push-ups and sit-ups test. The presence of MetSy was defined according to the updated NCEP-ATP III criteria. RESULTS: We found a graded inverse relationship between CRF and MetSy presence. The most aerobically fit individuals had 90% lower odds of having MetSy compared to their least fit counterparts, independent of MF (odds ratio [OR] = 0.10, 95% CI = 0.04-0.21). Conversely, an increment in MF across the first three quartiles was not associated with lower odds of MetSy; only the most muscularly fit men were 2.5 times less likely to have MetSy (OR = 0.41, 95% CI = 0.21-0.78). Finally, participants with high CRF but low MF exhibited a 50% decrease in odds of having MetSy (OR = 0.49, 95% CI = 0.26-0.91), while no protective effect was found for having high MF but low CRF (OR = 0.95, 95% CI = 0.55-1.62). CONCLUSIONS: CRF exhibited a strong protective effect against having MetSy, while the effect of MF was less pronounced.
Authors: Elizabeth Kelley; Mary T Imboden; Matthew P Harber; Holmes Finch; Leonard A Kaminsky; Mitchell H Whaley Journal: Mayo Clin Proc Innov Qual Outcomes Date: 2018-05-08