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Lu Y, Wiltshire HD, Baker JS, Wang Q, Ying S, Li J, Lu Y. Objectively determined physical activity and adiposity measures in adult women: A systematic review and meta-analysis. Front Physiol 2022; 13:935892. [PMID: 36082217 PMCID: PMC9445154 DOI: 10.3389/fphys.2022.935892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 07/12/2022] [Indexed: 11/13/2022] Open
Abstract
The prevalence of adiposity is increasing among adult women. Although emerging evidence suggest that all patterns of heightened physical activity (PA) are important to benefit adiposity, the relationship between objectively assessed intensities of PA and adiposity in women has not yet been assessed. Therefore, this systematic review and meta-analysis aims to qualitatively synthesize and quantitatively assess the evidence for any relationship between objectively measured PA and a wide range of adiposity indicators to guide PA prescription in adult women. Four databases (PubMed, Web of Science, Scopus, and the Cochrane library) were searched for eligible studies. 35 studies were included (25 observational and 10 interventional studies), with a total of 9,176 women from 20 countries included. The overall pooled correlation for random effects model (n = 1 intervention and n = 15 cross-sectional studies) revealed that the total volume of physical activity (TPA) was moderately associated with percentage body fat (%BF) (r = −0.59; 95% CI: −1.11, −0.24; p = 0.003). There was a weak but significant association between MVPA with body mass index (BMI), waist circumference (WC), and visceral adiposity. Daily steps were significantly associated with BMI, %BF, WC, and fat mass, with the strongest association with %BF (r = −0.41; 95% CI: −0.66, −0.19; p < 0.001). Walking programs resulting in increasing daily steps only had a significant effect on WC (SMD = −0.35; 95% CI: −0.65, −0.05; p = 0.02). Overall, objectively determined PA in terms of steps, TPA and MVPA were favorably associated with adiposity outcomes. The improvement in adiposity can be achieved by simply accumulating more PA than previously and adiposity is more likely to be benefited by PA performed at higher intensity. Nonetheless, these results should be interpreted with caution as there were a small number of studies included in the meta-analysis and the majority of studies included utilized cross-sectional designs.
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Affiliation(s)
- Yining Lu
- Faculty of Sport Science, Ningbo University,Ningbo, China
- Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, United Kingdom
| | - Huw D. Wiltshire
- Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, United Kingdom
| | - Julien S. Baker
- Centre for Health and Exercise Science Research, Department of Sport, Physical Education and Health, Hong Kong Baptist University, Kowloon, Hong Kong SAR, China
| | - Qiaojun Wang
- Faculty of Sport Science, Ningbo University,Ningbo, China
- *Correspondence: Qiaojun Wang,
| | - Shanshan Ying
- Faculty of Sport Science, Ningbo University,Ningbo, China
| | - Jianshe Li
- Faculty of Sport Science, Ningbo University,Ningbo, China
| | - Yichen Lu
- Department of Sport and Physical Education, Zhejiang Pharmaceutical College, Ningbo, China
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Associations between Objectively Determined Physical Activity and Cardiometabolic Health in Adult Women: A Systematic Review and Meta-Analysis. BIOLOGY 2022; 11:biology11060925. [PMID: 35741446 PMCID: PMC9220764 DOI: 10.3390/biology11060925] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 06/14/2022] [Accepted: 06/15/2022] [Indexed: 11/17/2022]
Abstract
The purpose of this systematic review and meta-analysis was to qualitatively synthesize and quantitatively assess the evidence of the relationship between objectively determined volumes of physical activity (PA) and cardiometabolic health in women. Four databases (PubMed, Web of Science, Scopus, and the Cochrane library) were searched and, finally, 24 eligible studies were included, with a total of 2105 women from eight countries. A correlational meta-analysis shows that moderate-to-vigorous intensity physical activity (MVPA) was favorably associated with high-density lipoprotein (r = 0.16; 95% CI: 0.06, 0.25; p = 0.002); however, there was limited evidence for the effects of most of the other cardiometabolic biomarkers recorded from steps, total physical activity, light- and moderate-intensity physical activity and MVPA. It is most compelling and consistent that being more physically active is beneficial to the metabolic syndrome. Overall, PA levels are low in adult women, suggesting that increasing the total volume of PA is more important than emphasizing the intensity and duration of PA. The findings also indicate that, according to the confounding effects of body composition and cardiorespiratory fitness, meeting the minimal level of 150 min of moderate-intensity physical activity recommended is not enough to obtain a significant improvement in cardiometabolic indicators. Nonetheless, the high heterogeneity between studies inhibits robust conclusions.
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Diniz TA, Rossi FE, Silveira LS, Neves LM, Fortaleza ACDS, Christofaro DGD, Lira FS, Freitas-Junior IF. The role of moderate-to-vigorous physical activity in mediating the relationship between central adiposity and immunometabolic profile in postmenopausal women. ARCHIVES OF ENDOCRINOLOGY AND METABOLISM 2017; 61:354-360. [PMID: 28977210 PMCID: PMC10118934 DOI: 10.1590/2359-3997000000259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2016] [Accepted: 10/18/2016] [Indexed: 11/22/2022]
Abstract
OBJECTIVES To analyze the role of moderate-to-vigorous physical activity (MVPA) in mediating the relationship between central adiposity and immune and metabolic profile in postmenopausal women. MATERIALS AND METHODS Cross-sectional study comprising 49 postmenopausal women (aged 59.26 ± 8.32 years) without regular physical exercise practice. Body composition was measured by dual-energy X-ray absorptiometry. Fasting blood samples were collected for assessment of nonesterified fatty acids, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), adiponectin, insulin and estimation of insulin resistance (HOMA-IR). Physical activity level was assessed with an accelerometer (Actigraph GTX3x) and reported as a percentage of time spent in sedentary behavior and MVPA. All analyses were performed using the software SPSS 17.0, with a significance level set at 5%. RESULTS Sedentary women had a positive relationship between trunk fat and IL-6 (rho = 0.471; p = 0.020), and trunk fat and HOMA-IR (rho = 0.418; p = 0.042). Adiponectin and fat mass (%) were only positively correlated in physically active women (rho = 0.441; p = 0.027). Physically active women with normal trunk fat values presented a 14.7% lower chance of having increased HOMA-IR levels (β [95%CI] = 0.147 [0.027; 0.811]). CONCLUSIONS The practice of sufficient levels of MVPA was a protective factor against immunometabolic disorders in postmenopausal women.
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Affiliation(s)
- Tiego A Diniz
- Universidade de São Paulo (USP), São Paulo, SP, Brasil.,Grupo de Imunometabolismo e Exercício, Departamento de Educação Física, Universidade Estadual Paulista (Unesp), Presidente Prudente, SP, Brasil
| | - Fabricio E Rossi
- Grupo de Imunometabolismo e Exercício, Departamento de Educação Física, Universidade Estadual Paulista (Unesp), Presidente Prudente, SP, Brasil
| | - Loreana S Silveira
- Grupo de Imunometabolismo e Exercício, Departamento de Educação Física, Universidade Estadual Paulista (Unesp), Presidente Prudente, SP, Brasil
| | | | - Ana Claudia de Souza Fortaleza
- Centro de Estudos e Laboratório de Avaliação e Prescrição de Atividades Motoras (Celapam), Departamento de Educação Física, Unesp, Presidente Prudente, SP, Brasil
| | - Diego G D Christofaro
- Grupo de Estudos em Atividade Física e Saúde, Departamento de Educação Física, Unesp, Presidente Prudente, SP, Brasil
| | - Fabio S Lira
- Grupo de Imunometabolismo e Exercício, Departamento de Educação Física, Universidade Estadual Paulista (Unesp), Presidente Prudente, SP, Brasil
| | - Ismael F Freitas-Junior
- Centro de Estudos e Laboratório de Avaliação e Prescrição de Atividades Motoras (Celapam), Departamento de Educação Física, Unesp, Presidente Prudente, SP, Brasil
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Diniz TA, Rossi FE, Buonani C, Mota J, Forte Freitas-Junior I. EXERCÍCIO FÍSICO COMO TRATAMENTO NÃO FARMACOLÓGICO PARA A MELHORA DA SAÚDE PÓS-MENOPAUSA. REV BRAS MED ESPORTE 2017. [DOI: 10.1590/1517-869220172304156418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO O período da pós-menopausa é caracterizado por 12 meses consecutivos de amenorreia. Além de afetar o sistema reprodutivo e a produção de hormônios sexuais, principalmente o estrógeno, essas mulheres apresentam aumento da gordura corporal total, principalmente na região central, o que está relacionado com o desenvolvimento de diversas doenças crônicas, como dislipidemia, aterosclerose e resistência à insulina. Dessa forma, diferentes programas de exercício físico, aeróbico, resistido ou combinado (aeróbico e resistido em uma mesma sessão) podem ser uma forma interessante de tratamento não farmacológico para a prevenção e melhora dos desfechos. Entretanto, as adaptações promovidas pelos diferentes programas de exercício sobre a composição corporal, perfil lipídico e glicêmico não estão claras na literatura e precisam ser elucidadas. Assim sendo, esta revisão tem como objetivo discutir as diferentes adaptações do treinamento aeróbico, resistido e combinado na composição corporal, perfil lipídico e glicêmico de mulheres na pós-menopausa.
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Rossi FE, Diniz TA, Fortaleza ACS, Neves LM, Picolo MR, Monteiro PA, Buonani C, Lira FS, Freitas IF. Concurrent Training Promoted Sustained Anti-atherogenic Benefits in the Fasting Plasma Triacylglycerolemia of Postmenopausal Women at 1-Year Follow-up. J Strength Cond Res 2016; 32:3564-3573. [PMID: 27893473 DOI: 10.1519/jsc.0000000000001732] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Rossi, FE, Diniz, TA, Fortaleza, ACS, Neves, LM, Picolo, MR, Monteiro, PA, Buonani, C, Lira, FS, and Freitas, IF Jr. Concurrent training promoted sustained anti-atherogenic benefits in the fasting plasma triacylglycerolemia of postmenopausal women at 1-year follow-up. J Strength Cond Res 32(12): 3573-3582, 2018-The aim of this study was to compare the effects of aerobic and concurrent training (aerobic plus strength training) on the lipid profiles of normotriacylglycerolemic and hypertriacylglycerolemic postmenopausal women and to verify whether the benefits of aerobic and concurrent training were sustained after 1 year. Total cholesterol, high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol, triacylglycerol (TAG), and glucose were assessed in 46 normotriacylglycerolemic (TAG < 150 mg·dl) postmenopausal women divided into 3 groups: aerobic training, concurrent training (CT), and a control group. For CT group, hypertriacylglycerolemic postmenopausal women were recruited (TAG ≥ 150 mg·dl, n = 14). Total daily caloric consumption and free-living physical activity were evaluated by dietary questionnaires and accelerometer, respectively, and fat mass by DXA. In 16 weeks, CT was effective in increasing HDL-c (normotriacylglycerolemic: pre = 57.1 ± 17.3 mg·dl × post = 64.3 ± 16.1 mg·dl p = 0.020 and hypertriacylglycerolemic: pre = 44.7 ± 9.6 mg·dl × post = 50.3 ± 15.3 mg·dl; p = 0.012) and reducing the atherogenic index in normotriacylglycerolemic (pre = 3.6 ± 0.9 mg·dl × post = 3.0 ± 0.6 mg·dl; p = 0.003) and hypertriacylglycerolemic (pre = 5.2 ± 1.1 mg·dl × post = 4.7 ± 1.2 mg·dl; p = 0.018) postmenopausal women. In addition, the effects were sustained at the 1-year follow-up only among the hypertriacylglycerolemic postmenopausal women. The anti-atherogenic status in normotriacylglycerolemic and hypertriacylglycerolemic postmenopausal women was changed by CT but without significant differences between groups. Furthermore, these benefits are sustained at the 1-year follow-up among the hypertriacylglycerolemic subjects.
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Affiliation(s)
- Fabrício E Rossi
- Department of Physical Education, Institute of Bioscience, University Estadual Paulista, Rio Claro, São Paulo, Brazil
| | - Tiego A Diniz
- Department of Physical Education, Institute of Bioscience, University Estadual Paulista, Rio Claro, São Paulo, Brazil
| | - Ana C S Fortaleza
- Department of Physical Education, Institute of Bioscience, University Estadual Paulista, Rio Claro, São Paulo, Brazil
| | - Lucas M Neves
- School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
| | | | - Paula A Monteiro
- Department of Physical Education, Institute of Bioscience, University Estadual Paulista, Rio Claro, São Paulo, Brazil
| | - Camila Buonani
- Physical Education, University Estadual Paulista, Presidente Prudente, São Paulo, Brazil
| | - Fábio S Lira
- Exercise and Immunometabolism Research Group, Department of Physical Education, University Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil
| | - Ismael F Freitas
- Physical Education, University Estadual Paulista, Presidente Prudente, São Paulo, Brazil
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Diniz TA, Neves LM, Rossi FE, Fortaleza ACDS, Rosa CS, Tebar WR, Christofaro DGD, Freitas-Junior IF. Weekly time spent in the standing position is independently related to a better quality of life in postmenopausal women. Eur J Obstet Gynecol Reprod Biol 2016; 199:150-5. [PMID: 26930043 DOI: 10.1016/j.ejogrb.2016.02.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Revised: 01/14/2016] [Accepted: 02/11/2016] [Indexed: 01/25/2023]
Abstract
OBJECTIVES To analyze the relationship between standing, sitting and reclining behaviors and quality of life in postmenopausal women. STUDY DESIGN Cross-sectional study composed of forty postmenopausal women (aged 59.58±5.32) who do not practice regular physical exercise. Body composition was measured using Dual-energy X-ray absorptiometry and quality of life by the Short Form 36 Health Survey (SF-36). Physical activity level was assessed using an accelerometer (Actigraph GTX3x) and is reported as minutes per week of moderate-to-vigorous physical activity (MVPA). Inclinometer analysis was also measured using this accelerometer model and reported as a weekly percentage of time spent standing, sitting and reclining. All analyses were performed using SPSS 17.0 software with the significance level set at 5%. RESULTS The percentage of time in the standing position was lower among women with poor quality of life (p<0.05). Adjusted analysis (age, years since menopause, percentage of fat mass, MVPA and occupation status) was used to evaluate the relationship between quality of life and accelerometer inclinometer measures. The relationship between time standing and general health status (β=0.353; 95%CI=0.017; 0.377), social function (β=0.429; 95%CI=0.060; 0.396) and overall score (β=0.336; 95%CI=0.015; 0.442) were statistically significant. The relationship between the reclining position and both overall score (β=-0.320; 95%CI=-0.492; 0.006) and emotional aspects (β=-0.337; 95%CI=-0.191; 0.001) showed a tendency to present statistical significance. CONCLUSION In summary, our results suggest that postmenopausal women who spend more time in the standing position have a better overall quality of life regardless of confounders.
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Affiliation(s)
- Tiego A Diniz
- Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil; Exercise and Immunometabolism Research Group, Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil.
| | - Lucas M Neves
- Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil.
| | - Fabricio E Rossi
- Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil; Exercise and Immunometabolism Research Group, Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil.
| | - Ana Claudia de S Fortaleza
- Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil.
| | - Clara Suemi Rosa
- Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil.
| | - William Rodrigues Tebar
- Institute of Bioscience, Department of Physical Education, Sao Paulo State University (UNESP), Rio Claro, SP, Brazil.
| | | | - Ismael F Freitas-Junior
- Center of Studies and Laboratory of Evaluation and Prescription of Motor Activities (CELAPAM), Department of Physical Education, Sao Paulo State University (UNESP), 19060-900 Presidente Prudente, SP, Brazil.
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