A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Longitudinal and cross‐sectional associations of adherence to 24‐hour movement guidelines with cardiometabolic risk (2022)

Leppänen, M. H., Haapala, E. A., Väistö, J., Ekelund, U., Brage, S., Kilpeläinen, T. O., & Lakka, T. A. (2022). Longitudinal and cross‐sectional associations of adherence to 24‐hour movement guidelines with cardiometabolic risk. Scandinavian Journal of Medicine and Science in Sports, 32(1), 255-266. https://doi.org/10.1111/sms.14081

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Leppänen, Marja H.; Haapala, Eero A.; Väistö, Juuso; Ekelund, Ulf; Brage, Søren; Kilpeläinen, Tuomas O.; Lakka, Timo A.

Lehti tai sarja: Scandinavian Journal of Medicine and Science in Sports

ISSN: 0905-7188

eISSN: 1600-0838

Julkaisuvuosi: 2022

Ilmestymispäivä: 13.10.2021

Volyymi: 32

Lehden numero: 1

Artikkelin sivunumerot: 255-266

Kustantaja: Wiley

Julkaisumaa: Britannia

Julkaisun kieli: englanti

DOI: https://doi.org/10.1111/sms.14081

Julkaisun avoin saatavuus: Ei avoin

Julkaisukanavan avoin saatavuus: 

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/78276

Tiivistelmä

This study aimed to examine 1) adherence to 24-hour movement guidelines over a 2-year follow-up in children aged 6-8 years and 2) association of this adherence with cardiometabolic risk factors. Physical activity and sleep were assessed by a monitor combining heart rate and accelerometry measurements. Screen time was reported by the parents. Body fat percentage, waist circumference, blood glucose, serum insulin, plasma lipids and blood pressure were assessed, and a cardiometabolic risk score was calculated using z-scores. Children were classified as meeting the guidelines if they had on average ≥60min/day of moderate-to-vigorous physical activity during the valid days; ≤120min/day of screen time; and 9–11h/day of sleep. In total, 485 children had valid data at baseline or at 2-year follow-up. Analyses were conducted using adjusted logistic and linear regression models. Most children adhered to the 24-hour movement guidelines at baseline, but the adherence decreased over the 2-year follow-up. Meeting physical activity guidelines individually, or in combination with screen time and/or sleep, was longitudinally associated with a lower cardiometabolic risk score, insulin and waist circumference, and cross-sectionally additionally with lower diastolic blood pressure and higher high-density lipoprotein cholesterol. However, these associations became statistically non-significant after adjustment for body fat. In conclusion, meeting 24-hour movement guidelines at baseline increases the odds of meeting them at 2-year follow-up in school-aged children. Furthermore, meeting 24-hour movement guidelines is associated with lower levels of cardiometabolic risk factors, but these associations are partly explained by lower body fat. Thus, promoting movement behaviors, especially physical activity, and healthy weight in early childhood is important in supporting cardiometabolic health in children.

YSO-asiasanat: liikunta; fyysinen aktiivisuus; lapset (ikäryhmät); sydän- ja verisuonitaudit; riskitekijät; ylipaino; rasvaprosentti; verensokeri; verenpaine; insuliini; uni (lepotila); varhaislapsuus; terveyskäyttäytyminen; terveyden edistäminen; terveyskasvatus

Liittyvät organisaatiot

OKM-raportointi: Kyllä

Raportointivuosi: 2022

JUFO-taso: 2