Florian Knappe , Konstantinia Filippou , Antonis Hatzigeorgiadis , Ioannis D. Morres , Emmanouil Tzormpatzakis , Elsa Havas , Harald Seelig , Sebastian Ludyga , Flora Colledge , Marianne Meier , Yannis Theodorakis , Roland von Känel , Uwe Pühse , Markus Gerber
{"title":"共同设计的运动和体育干预措施对希腊难民营居民心肺功能和代谢综合征成分的影响：随机对照试验","authors":"Florian Knappe , Konstantinia Filippou , Antonis Hatzigeorgiadis , Ioannis D. Morres , Emmanouil Tzormpatzakis , Elsa Havas , Harald Seelig , Sebastian Ludyga , Flora Colledge , Marianne Meier , Yannis Theodorakis , Roland von Känel , Uwe Pühse , Markus Gerber","doi":"10.1016/j.jmh.2024.100227","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The metabolic syndrome epidemic, including in forcibly displaced individuals, requires cost-effective prevention and treatment strategies. Yet, the health needs of forcibly displaced individuals often remain underserved. Our study evaluated the effect of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals in a refugee camp in Greece and examined the indirect effect through cardiorespiratory fitness on metabolic syndrome components.</p></div><div><h3>Methods</h3><p>We conducted a randomized controlled trial involving an intervention and a wait-list control group with <em>n</em> = 142 (52.8 % women) forcibly displaced Southwest Asians and Sub-Saharan Africans. The intervention group participated for 10 weeks in exercise and sport activities. Outcomes were cardiorespiratory fitness and single metabolic syndrome components. Effects were analyzed with structural equation modeling.</p></div><div><h3>Results</h3><p>In total, 62.7 % of participants presented with low cardiorespiratory fitness levels (<40th percentile), and 24.6 % met the criteria for metabolic syndrome. In the intervention group, 73.5 % attended the exercise and sport sessions at least once a week. There was evidence for a direct intervention effect on cardiorespiratory fitness, ß<sub>direct</sub> = 0.12, <em>p</em> = 0.022, but not for any of the metabolic syndrome components (<em>p</em> ≥ 0.192). Cardiorespiratory fitness significantly facilitated the intervention's indirect effect on abdominal obesity, ß<sub>indirect</sub> = −0.03, <em>p</em> = 0.012, high diastolic blood pressure, ß<sub>indirect</sub> = −0.04, <em>p</em> = 0.011, and elevated triglycerides, ß<sub>indirect</sub> = −0.03, <em>p</em> = 0.025.</p></div><div><h3>Conclusion</h3><p>Implementing exercise and sport activities in a refugee camp in Greece effectively reaches a wider target population and improves cardiorespiratory fitness among forcibly displaced individuals. The intervention contributes to a decrease in abdominal obesity, high diastolic blood pressure and elevated triglycerides indirectly via improved cardiorespiratory fitness.</p></div>","PeriodicalId":34448,"journal":{"name":"Journal of Migration and Health","volume":null,"pages":null},"PeriodicalIF":3.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666623524000175/pdfft?md5=83267243c4634d82de0f20a3ed480d65&pid=1-s2.0-S2666623524000175-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Effects of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals living in a refugee camp in Greece: A randomized controlled trial\",\"authors\":\"Florian Knappe , Konstantinia Filippou , Antonis Hatzigeorgiadis , Ioannis D. Morres , Emmanouil Tzormpatzakis , Elsa Havas , Harald Seelig , Sebastian Ludyga , Flora Colledge , Marianne Meier , Yannis Theodorakis , Roland von Känel , Uwe Pühse , Markus Gerber\",\"doi\":\"10.1016/j.jmh.2024.100227\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The metabolic syndrome epidemic, including in forcibly displaced individuals, requires cost-effective prevention and treatment strategies. Yet, the health needs of forcibly displaced individuals often remain underserved. Our study evaluated the effect of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals in a refugee camp in Greece and examined the indirect effect through cardiorespiratory fitness on metabolic syndrome components.</p></div><div><h3>Methods</h3><p>We conducted a randomized controlled trial involving an intervention and a wait-list control group with <em>n</em> = 142 (52.8 % women) forcibly displaced Southwest Asians and Sub-Saharan Africans. The intervention group participated for 10 weeks in exercise and sport activities. Outcomes were cardiorespiratory fitness and single metabolic syndrome components. Effects were analyzed with structural equation modeling.</p></div><div><h3>Results</h3><p>In total, 62.7 % of participants presented with low cardiorespiratory fitness levels (<40th percentile), and 24.6 % met the criteria for metabolic syndrome. In the intervention group, 73.5 % attended the exercise and sport sessions at least once a week. There was evidence for a direct intervention effect on cardiorespiratory fitness, ß<sub>direct</sub> = 0.12, <em>p</em> = 0.022, but not for any of the metabolic syndrome components (<em>p</em> ≥ 0.192). Cardiorespiratory fitness significantly facilitated the intervention's indirect effect on abdominal obesity, ß<sub>indirect</sub> = −0.03, <em>p</em> = 0.012, high diastolic blood pressure, ß<sub>indirect</sub> = −0.04, <em>p</em> = 0.011, and elevated triglycerides, ß<sub>indirect</sub> = −0.03, <em>p</em> = 0.025.</p></div><div><h3>Conclusion</h3><p>Implementing exercise and sport activities in a refugee camp in Greece effectively reaches a wider target population and improves cardiorespiratory fitness among forcibly displaced individuals. The intervention contributes to a decrease in abdominal obesity, high diastolic blood pressure and elevated triglycerides indirectly via improved cardiorespiratory fitness.</p></div>\",\"PeriodicalId\":34448,\"journal\":{\"name\":\"Journal of Migration and Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666623524000175/pdfft?md5=83267243c4634d82de0f20a3ed480d65&pid=1-s2.0-S2666623524000175-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Migration and Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666623524000175\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Migration and Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666623524000175","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Effects of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals living in a refugee camp in Greece: A randomized controlled trial
Background
The metabolic syndrome epidemic, including in forcibly displaced individuals, requires cost-effective prevention and treatment strategies. Yet, the health needs of forcibly displaced individuals often remain underserved. Our study evaluated the effect of a co-designed exercise and sport intervention on cardiorespiratory fitness and metabolic syndrome components among individuals in a refugee camp in Greece and examined the indirect effect through cardiorespiratory fitness on metabolic syndrome components.
Methods
We conducted a randomized controlled trial involving an intervention and a wait-list control group with n = 142 (52.8 % women) forcibly displaced Southwest Asians and Sub-Saharan Africans. The intervention group participated for 10 weeks in exercise and sport activities. Outcomes were cardiorespiratory fitness and single metabolic syndrome components. Effects were analyzed with structural equation modeling.
Results
In total, 62.7 % of participants presented with low cardiorespiratory fitness levels (<40th percentile), and 24.6 % met the criteria for metabolic syndrome. In the intervention group, 73.5 % attended the exercise and sport sessions at least once a week. There was evidence for a direct intervention effect on cardiorespiratory fitness, ßdirect = 0.12, p = 0.022, but not for any of the metabolic syndrome components (p ≥ 0.192). Cardiorespiratory fitness significantly facilitated the intervention's indirect effect on abdominal obesity, ßindirect = −0.03, p = 0.012, high diastolic blood pressure, ßindirect = −0.04, p = 0.011, and elevated triglycerides, ßindirect = −0.03, p = 0.025.
Conclusion
Implementing exercise and sport activities in a refugee camp in Greece effectively reaches a wider target population and improves cardiorespiratory fitness among forcibly displaced individuals. The intervention contributes to a decrease in abdominal obesity, high diastolic blood pressure and elevated triglycerides indirectly via improved cardiorespiratory fitness.
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