Int J Sports Med 2009; 30(9): 677-683
DOI: 10.1055/s-0029-1224172
Clinical Sciences

© Georg Thieme Verlag KG Stuttgart · New York

Physical Activity and Metabolic Syndrome in Korean Children

H.-R. Hong 1 , S. U. Kim 2 , H.-S. Kang 1
  • 1School of Sport Science, Sungkyunkwan University, Suwon, Korea, Republic of Korea
  • 2Interdisciplinary Program in Bioinformatics, Seoul National University, Seoul, Korea, Republic of Korea
Further Information

Publication History

accepted after revision March 30, 2009

Publication Date:
30 June 2009 (online)

Abstract

Little is known about whether lifestyle factors such as dietary intake, physical activity (PA), and cardio/respiratory fitness (CRF) are associated with metabolic risk factors in Korean children. The purpose of the study was to investigate the relationships among those lifestyle-related modifiable factors and the clustering of metabolic risk factors in young Korean children. In a cross-sectional study, we studied 246 Korean children (mean±SD; age: 12.6±0.5 years, BMI: 19.9±3.2 kg/m2) who were recruited from local elementary schools. In the total study population, physical activity and CRF were inversely associated with metabolic risk factors including body fatness, blood pressures, blood lipids and glucose. Daily caloric intake and proportion of carbohydrates were positively associated with BMI and percent body fat only. Multivariate regression analyses showed that physical activity was independently and inversely associated with the clustering of metabolic risk factors, even after adjustments for age, sex, sexual maturation, dietary intake, and CRF. Overall, the current findings of the study suggest that physical activity rather than CRF and/or dietary intake is an independent predictor for the clustering of metabolic risk factors in Korean children.

References

  • 1 American College of Sports Medicine .ASCM’s Guidelines for Exercise Testing and Prescription. 7th ed. Philadelphia, PA: Lippinocott Williams & Wilkins 2006: 237-240
  • 2 Boreham C, Twisk J, Murray L, Savage M, Strain JJ, Cran G. Fitness, fatness, and coronary heart disease risk in adolescents: the Northern Ireland Young Heart Project.  Med Sci Sports Exerc. 2001;  33 270-274
  • 3 Brage S, Wedderkopp N, Ekelund U, Franks PW, Wareham NJ, Andersen LB, Froberg K. Objectively measured physical activity correlates with indices of insulin resistance in Danish children. The European Youth Heart Study (EYHS).  Int J Obes. 2004;  28 1503-1538
  • 4 Chiarelli F, Marcovecchio ML. Insulin resistance and obesity in childhood.  Eur J Endocrinol. 2008;  159 S67-S74
  • 5 Deheeger M, Rolland-Cachera MF, Fontvielle AM. Physical activity and body composition in 10 year old French children: linkages with nutritional intake?.  Int J Obes. 1997;  21 372-379
  • 6 Gutin B. Child obesity can be reduced with vigorous activity rather than restriction of energy intake.  Obesity. 2008;  16 2193-2196
  • 7 Eisenmann JC. Aerobic fitness, fatness and the metabolic syndrome in children and adolescents.  Acta Paediatrics. 2007;  96 1723-1729
  • 8 Goodpaster BA, Katsiaras A, Kelley DE. Enhanced fat oxidation through physical activity is associated with improvements in insulin sensitivity in obesity.  Diabetes. 2003;  52 2191-2197
  • 9 Goran MI. Energy expenditure, body composition, and disease risk in children and adolescents.  Proc Nutr Soc. 1997;  56 195-209
  • 10 Goran MI, Ball GDC, Cruz ML. Obesity and risk of Type 2 diabetes and cardiovascular disease in children and adolescents.  J Clin Endocrinol Metabol. 2003;  88 1417-1427
  • 11 Hawley JA. Adaptations of skeletal muscle to prolonged, intense endurance training.  Clin Exp Pharmacol Physiol. 2002;  29 218-222
  • 12 Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002.  JAMA. 2004;  291 2847-2850
  • 13 Hoppeler H, Fluck M. Plasticity of skeletal muscle mitochondria: structure and function.  Med Sci Sports Exerc. 2003;  35 95-104
  • 14 Jago R, Wedderkopp N, Kristensen PL, Moller NC, Andersen LB, Cooper AR, Froberg K. Six-year change in youth physical activity and effect on fasting insulin and HOMA-IR.  Am J Prev Med. 2008;  35 554-560
  • 15 Kim JA, Kim SM, Lee JS, Oh HJ, Han JH, Song YJ, Joung HJ, Park HS. Dietary patterns and the metabolic syndrome in Korean adolescents.  Diabetes Care. 2007;  30 1904-1905
  • 16 Kim DJ, Lee MS, Kim KW, Lee MK. Insulin secretory dysfunction and insulin resistance in the pathogenesis of Korean type 2 diabetes mellitus.  Metabolism. 2001;  50 590-593
  • 17 Kim HM, Park J, Kim HS, Kim DH. Prevalence of the metabolic syndrome in Korean adolescents aged 12–19 years from the Korean National Health and Nutrition Examination Survey 1998 and 2001.  Diabetes Res Clin Pract. 2007;  75 111-114
  • 18 Kim HM, Park J, Kim HS, Kim DH, Park S-H. Obesity and cardiovascular risk factors in Korean children and adolescents aged 10–18 years from the Korean National Health and Nutrition Examination Survey, 1998 and 2001.  Am J Epidemiol. 2006;  164 787-793
  • 19 Korean Ministry of Health and Welfare .The Korean National Health Nutrition Examination Survey 1998. Seoul: Korean Ministry of Health and Welfare 1999: 150-265
  • 20 Korean Ministry of Health and Welfare .The Korean National Health Nutrition Examination Survey 2001. Seoul: Korean Ministry of Health and Welfare 2002: 178-232
  • 21 Kong KA, Park BH, Min JW, Hong JH, Hong YS, Lee BE, Chang NS, Lee SH, Ha EH, Park HS. Clustering of metabolic risk factors and its related risk factors in young schoolchildren.  J Prev Med Pub Health. 2006;  39 235-242
  • 22 Krekoukia M, Nassis GP, Psarra G, Skenderi K, Chrousos GP, Sidossis LS. Elevated total and central adiposity and low physical activity are associated with insulin resistance in children.  Metabolism. 2007;  56 206-213
  • 23 Kumahara H, Schutz Y, Ayabe M, Yoshioka M, Yoshitake Y, Shindo M, Ishii K, Tanaka H. The use of uniaxial accelerometry for the assessment of physical-activity-related energy expenditure: a validation study against whole-body indirect calorimetry.  Br J Nutr. 2004;  91 235-243
  • 24 Liese AD, Mayer-Davis EJ, Haffner SM. Development of the multiple metabolic syndrome: An epidemiologic perspective.  Epidemiol Rev. 1998;  20 157-172
  • 25 Marshall W, Tanner I. Variation in pattern of pubertal changes in boys.  Arch Dis Child. 1970;  45 13-23
  • 26 Obarzanek E, Schreiber GB, Crawford PB, Goldman SR, Barrier PM, Frederick MM, Lakatos E. Energy intake and physical activity in relation to indexes of body fat: the National Heart, Lung, and Blood Institute Growth and Health Study.  Am J Clin Nutr. 1994;  60 15-22
  • 27 Otsuki T, Maeda S, Iemitsu M, Saito Y, Tanimura Y, Ajisaka R, Miyauchi T. Relationship between arterial stiffness and athletic training programs in young adult men.  Am J Hypertens. 2007;  20 967-973
  • 28 Parizkova J. Nutritional individuality and physical performance in different periods of life. In: Shepard JR, Parizkova J (eds). Human Growth, Physical Fitness and Nutrition (Medicine and Sports Science vol. 31). Champaign, IL: Human Kinetics Books 104-114
  • 29 Raitakari OT, PorkkaKV, Taimela S, Telama R, Rasanen L, Viikari JS. Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults: the Cardiovascular Risk in Young Finns Study.  Am J Epidemiol. 1994;  140 195-205
  • 30 Rizzo NS, Ruiz JR, Hurtig-Wennlöf A, Ortega FB, Sjöström M. Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European Youth Heart Study.  J Pediatr. 2007;  150 388-394
  • 31 Rolland-Cachera MF, Bellisle F. No correlation between adiposity and food intake: why are working class children fatter?.  Am J Clin Nutr. 1986;  44 779-787
  • 32 Ruiz JR, Rizzo NS, Hurtig-Wennlöf A, Ortega FB, Wärnberg J, Sjöström M. Relations of total physical activity and intensity to fitness and fatness in children: the European Youth Heart Study.  Am J Clin Nutr. 2006;  84 299-303
  • 33 Ruiz JR, Rizzo NS, Ortega FB, Loit HM, Veidebaum T, Sjöström M. Markers of insulin resistance are associated with fatness and fitness in school-aged children: the European Youth Heart Study.  Diabetologia. 2007;  50 1401-1408
  • 34 Schmitz KH, Jacobs  DR, Hong CP, Steinberger J, Morgan A, Sinaiko AR. Association of physical activity with insulin sensitivity in children.  Int J Obes Relat Metab Disord. 2002;  26 1310-1316
  • 35 Schwartz B, Jacobs  Jr  DR, Moran A, Steinberger J, Hong C-P, Sinaiko AR. Measurement of insulin sensitivity in children.  Diabetes Care. 2008;  31 783-788
  • 36 Stallmann-Jorgensen IS, Gutin B, Hatfield-Laube JL, Humphries MC, Johnson MH, Barbeau P. General and visceral adiposity in black and white adolescents and their relation with reported physical activity and diet.  Int J Obes. 2007;  31 622-629
  • 37 Sugawara J, Komine H, Hayashi K, Yoshizawa M, Otsuki T, Shimojo N, Miyauchi T, Yokoi T, Maeda S, Tanaka H. Reduction in alpha-adrenergic receptor-mediated vascular tone contributes to improved arterial compliance with endurance training.  Int J Cardiol. 2009;  , (in press)
  • 38 Sunnegardh J, Bratteby LE, Hagman U, Samuelson G, Sjolin S. Physical activity in relation to energy intake and body fat in 8- and 13-year-old children in Sweden.  Acta Paediatr Scand. 1986;  75 955-963

Correspondence

Prof. H.-S. Kang

School of Sport Science

Sungkyunkwan University

300 Cheoncheon-dong

Suwon

440-746 Korea

Republic of Korea

Phone: +82/31/299 69 11

Fax: +82/31/299 69 29

Email: hkang@skku.edu

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