Garrett Strizich1, Robert C Kaplan1, Daniela Sotres-Alvarez2, Keith M Diaz3, Amber L Daigre4, Mercedes R Carnethon5, Denise C Vidot6, Alan M Delamater4, Lilian Perez7, Krista Perreira2, Carmen R Isasi1, Qibin Qi1. 1. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York. 2. Department of Biostatistics, Collaborating Studies Coordinating Center, University of North Carolina, Chapel Hill, North Carolina. 3. Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, New York. 4. Department of Pediatrics, Miller School of Medicine, University of Miami, Miami, Florida. 5. Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. 6. Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida. 7. Institute for Behavioral and Community Health, San Diego State University, San Diego, California.
Abstract
Context: Time spent in moderate-to-vigorous physical activity (MVPA), but not in sedentary behavior (SB), is related to cardiometabolic risk among non-Hispanic white youth. Objective: Examine associations of SB and MVPA with cardiometabolic risk factors among Hispanic/Latino youth. Design: Cross-sectional analysis. Setting: Four US communities. Participants: Hispanic/Latino youth (N = 1,426) ages 8 to 16 years. Measurements: Associations of MVPA and SB, measured using 7-day accelerometer data (independent variables), with markers of glucose and lipid metabolism, inflammation, and endothelial function (dependent variables), were assessed in multivariable linear regression models while adjusting for sociodemographic characteristics and accelerometer wear time. Additional models controlled for obesity measures. Results: SB comprised a mean (SD) of 75% (13%) of accelerometer wear time; mean (SD) time of MVPA was 35 min/d (22 min/d). Deleterious levels of high-density lipoprotein-cholesterol (HDL-C), triglycerides, insulin resistance, C-reactive protein, and plasminogen activator inhibitor-1 were associated with lower levels of MVPA and higher levels of SB (all P < 0.05). Associations of MVPA with log-transformed triglyceride concentrations (β per 15-min/d increment, -0.039; SE, 0.018; P = 0.037) and SB with HDL-C (β per 30-min/d increment, -0.63; SE, 0.26; P = 0.018), but not those with other markers, remained significant after adjusting for MVPA or SB and further adjustment for body mass index and waist circumference. Higher SB tertiles were associated with lower soluble receptor for advanced glycation end products in fully adjusted models (P for trend = 0.037). Conclusions: Physiological precursors of diabetes and cardiovascular disease were associated with MVPA and SB among US Hispanic/Latino youth, a group that bears a disproportionate burden of metabolic disorders.
Context: Time spent in moderate-to-vigorous physical activity (MVPA), but not in sedentary behavior (SB), is related to cardiometabolic risk among non-Hispanic white youth. Objective: Examine associations of SB and MVPA with cardiometabolic risk factors among Hispanic/Latino youth. Design: Cross-sectional analysis. Setting: Four US communities. Participants: Hispanic/Latino youth (N = 1,426) ages 8 to 16 years. Measurements: Associations of MVPA and SB, measured using 7-day accelerometer data (independent variables), with markers of glucose and lipid metabolism, inflammation, and endothelial function (dependent variables), were assessed in multivariable linear regression models while adjusting for sociodemographic characteristics and accelerometer wear time. Additional models controlled for obesity measures. Results: SB comprised a mean (SD) of 75% (13%) of accelerometer wear time; mean (SD) time of MVPA was 35 min/d (22 min/d). Deleterious levels of high-density lipoprotein-cholesterol (HDL-C), triglycerides, insulin resistance, C-reactive protein, and plasminogen activator inhibitor-1 were associated with lower levels of MVPA and higher levels of SB (all P < 0.05). Associations of MVPA with log-transformed triglyceride concentrations (β per 15-min/d increment, -0.039; SE, 0.018; P = 0.037) and SB with HDL-C (β per 30-min/d increment, -0.63; SE, 0.26; P = 0.018), but not those with other markers, remained significant after adjusting for MVPA or SB and further adjustment for body mass index and waist circumference. Higher SB tertiles were associated with lower soluble receptor for advanced glycation end products in fully adjusted models (P for trend = 0.037). Conclusions: Physiological precursors of diabetes and cardiovascular disease were associated with MVPA and SB among US Hispanic/Latino youth, a group that bears a disproportionate burden of metabolic disorders.
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