子どもにおける身体活動とクラスター化された心血管疾患リスク:横断的な研究 (欧州青年心臓研究)

Lars Bo Andersen¹, Maarike Harro, Luis B Sardinha

¹Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway. lars.bo.andersen@nih.no

Lancet (London, England)

|July 25, 2006

まとめ

子どもにおけるより高い身体活動は,心血管疾患のリスク要因を予防するために極めて重要です. 現在のガイドラインでは,これらのリスクを効果的に軽減するには不十分かもしれません.

科学分野:

小児の心血管健康について
公衆衛生と予防医学について
運動科学は運動科学である.

背景:

幼少期から始まるプロセスである動脈硬化症は,身体活動によって影響を受けることがあります.
心血管疾患の危険因子は,子供に集まる可能性があります.
身体活動の客観的な測定は,その影響を理解するための鍵です.

研究の目的:

客観的に測定された身体活動と,小児における結集した心血管疾患の危険因子との関連を調査する.
小児集団における心血管疾患のリスクを予防するための身体活動の根拠に基づいたガイドラインを確立する.

主な方法:

デンマーク,エストニア,ポルトガルの9歳と15歳の子ども1732人を対象とした横断的な研究.
評価された心血管疾患の危険因子には,血圧,トリグリセリド,コレステロール/HDL比,インスリン抵抗性,皮膚折り,エアロビックフィットネスが含まれていました.
身体活動は,アクセレロメトリーを使用して客観的に測定されました.

主要な成果:

身体活動の低いクインティルの子供たちは,クラスタリスク因子を持つ確率が有意に増加したことを示しました.
クラスタリスクに対するオッズ比率は,最も活動的なクインチルと比較して,活動性の低いグループで大幅に増加した.
身体活動の4番目のクインチルでさえ,かなりの日々のアクティブタイム (88-116分) を必要とした.

結論:

現在の国際的な身体活動ガイドライン (少なくとも1時間/日中程度の強度) は不十分かもしれません.
子どもの心血管疾患のリスク因子のクラスタリングを効果的に防ぐために,より高いレベルの身体活動が推奨されます.

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