患有先天性心脏病的儿童和青少年的生活方式行为与动脉粥样硬化危险因素相关:Floripa儿童研究

IF 2.4 4区 医学 Q3 NUTRITION & DIETETICS
Michele Honicky, Silvia Meyer Cardoso, Luiz Rodrigo Augustemak de Lima, Diego Augusto Santos Silva, Tiago Rodrigues de Lima, Isabela de Carlos Back, Yara Maria Franco Moreno
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引用次数: 0

摘要

继发性心血管疾病是先天性心脏病(CHD)患者死亡的主要原因。坚持健康的生活方式可以广泛预防心血管疾病的风险;然而,与儿童和青少年冠心病患者动脉粥样硬化危险因素相关的生活方式行为集群尚不清楚。我们的目的是描述儿童和青少年冠心病患者的生活方式行为,并评估其与动脉粥样硬化危险因素的关系。我们对227名患有冠心病的儿童和青少年(中位年龄:10.02 [IQR:7.08-13.02]岁)进行了横断面研究。评估饮食摄入、身体活动(PA)和久坐行为(SB)。使用两步聚类分析确定生活方式行为的聚类。评估的动脉粥样硬化危险因素包括体脂量、中心性肥胖、血压、脂质参数、葡萄糖、c反应蛋白和颈动脉内膜-中膜厚度(cIMT)。采用多元逻辑回归。“不健康:高SB +低PA”群集与体脂量升高、中心性肥胖和cIMT升高相关。此外,“不健康:低PA +不健康的饮食习惯”集群与体脂量升高、中心性肥胖和血糖升高有关。不健康的生活方式行为与儿童和青少年冠心病的动脉粥样硬化危险因素相关。需要多学科策略来促进健康行为,以预防晚年心血管疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clusters of lifestyle behaviors associated with atherosclerosis risk factors in children and adolescents with congenital heart disease: Floripa CHild Study.

Secondary cardiovascular disease is the main cause of mortality in congenital heart disease (CHD) patients. The cardiovascular risk could be widely prevented with adherence to a healthy lifestyle; however, clusters of lifestyle behaviors related to atherosclerosis risk factors in children and adolescents with CHD remain unclear. We aimed to describe the clusters of lifestyle behaviors of children and adolescents with CHD and to evaluate their association with atherosclerosis risk factors. We conducted a cross-sectional study on 227 children and adolescents with CHD (median age:10.02 [IQR:7.08-13.02] years). Dietary intake, physical activity (PA), and sedentary behavior (SB) were evaluated. Clusters of lifestyle behaviors were determined using a two-step cluster analysis. Atherosclerosis risk factors evaluated include body fat mass, central obesity, blood pressure, lipid parameters, glucose, C-reactive protein, and carotid intima-media thickness (cIMT). Multiple logistic regressions were used. The "unhealthy: high SB + low PA" cluster was associated with elevated body fat mass, central obesity, and elevated cIMT. Furthermore, the "unhealthy: low PA + unhealthy eating habits" cluster was associated with elevated body fat mass, central obesity, and elevated glucose. The unhealthier lifestyle behavior clusters were associated with atherosclerosis risk factors in children and adolescents with CHD. Multidisciplinary strategies to promote healthy behaviors are needed to prevent cardiovascular disease in later life.

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来源期刊
CiteScore
6.50
自引率
2.90%
发文量
113
审稿时长
4-8 weeks
期刊介绍: Applied Physiology, Nutrition, and Metabolism publishes original research articles, reviews, and commentaries, focussing on the application of physiology, nutrition, and metabolism to the study of human health, physical activity, and fitness. The published research, reviews, and symposia will be of interest to exercise physiologists, physical fitness and exercise rehabilitation specialists, public health and health care professionals, as well as basic and applied physiologists, nutritionists, and biochemists.
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