Association between physical activity levels and metabolic syndrome among children aged 8-9 years old in Pudong New Area, Shanghai

QIN Cun; MAIHELIYAKEZI Tuersunniyazi; REN Yaping; JING Guangzhuang; HU Hui; BAI Pinqing; SHI Huijing

doi:10.16835/j.cnki.1000-9817.2025044

Volume 46 Issue 2

Feb. 2025

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QIN Cun, MAIHELIYAKEZI Tuersunniyazi, REN Yaping, JING Guangzhuang, HU Hui, BAI Pinqing, SHI Huijing. Association between physical activity levels and metabolic syndrome among children aged 8-9 years old in Pudong New Area, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 260-265. doi: 10.16835/j.cnki.1000-9817.2025044

Citation:

QIN Cun, MAIHELIYAKEZI Tuersunniyazi, REN Yaping, JING Guangzhuang, HU Hui, BAI Pinqing, SHI Huijing. Association between physical activity levels and metabolic syndrome among children aged 8-9 years old in Pudong New Area, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 260-265. doi: 10.16835/j.cnki.1000-9817.2025044

Citation:

QIN Cun, MAIHELIYAKEZI Tuersunniyazi, REN Yaping, JING Guangzhuang, HU Hui, BAI Pinqing, SHI Huijing. Association between physical activity levels and metabolic syndrome among children aged 8-9 years old in Pudong New Area, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 260-265. doi: 10.16835/j.cnki.1000-9817.2025044

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Association between physical activity levels and metabolic syndrome among children aged 8-9 years old in Pudong New Area, Shanghai

doi: 10.16835/j.cnki.1000-9817.2025044

1.
Department of School Health and Nutrition Food, Pudong Center for Disease Control and Prevention, Pudong New Area Health Supervision Institute /Pudong Institute of Preventive Medicine, Fudan University, Shanghai (200136), China

Received Date: 2024-11-06
Rev Recd Date: 2024-12-04

Available Online: 2025-03-05

Publish Date: 2025-02-25

Abstract

Abstract

Objective To understand 24 h physical activity levels of children aged 8-9 years in Pudong New Area and to explore its association with metabolic syndrome, so as to provide scientific basis for children's participation in physical activities and reducing the risk of metabolic syndrome. Methods A stratified cluster random sampling method was adopted to select 13 schools in Pudong New Area, Shanghai. A total of 2 013 primary school students aged 8-9 years old were included as the research subjects. During September 2021 to December 2022, Actigraph GT3X accelerometer, height measuring gauge, electronic sphygmomanometer and waist circumference tape was used to measure physical activity, height, blood pressure and waist circumference, respectively. A total of 5 mL of venous blood was collected from students, and the levels of triglycerides (TG), high-density lipoprotein cholesterol (HDL-C) and fasting plasma glucose (FPG) were detected, and online questionnaires were conducted. The t-test and one-way ANOVA were employed to compare the differences in 24 h physical activity levels among children with different characteristics. Multivariate Logistic regression was used to analyze the association between the 24 h physical activity levels and metabolic syndrome as well as its components. Results Among primary school students, the average daily time of moderate to vigorous physical activity (MVPA) was (34.25±13.49)min, the attainment rate was 1.59%. The average daily sleep (SLP) time was (538.27±28.53) min, attainment rate was 1.89%. The detection rates of metabolic syndrome, abdominal obesity (AO), elevated blood pressure (BP), elevated TG, low HDL-C, and elevated FPG were 2.48%, 34.53%, 10.38%, 10.73%, 1.24% and 0.70%, respectively. Multivariate Logistic regression analysis showed that, for every 10-minute increase in sedentary behavior (SB) time, the risks of AO, elevated BP, and elevated TG increased by 2% (OR=1.02, 95%CI=1.01-1.04), 5% (OR=1.05, 95%CI=1.01-1.08), and 6% (OR=1.06, 95%CI=1.02-1.11), respectively (P < 0.05). For every 10-minute increase in MVPA time, the risk of metabolic syndrome decreased by 27% (OR=0.73, 95%CI=0.57-0.93, P < 0.05). For every 10-minute increase in SLP time, the risks of AO, elevated BP, and metabolic syndrome decreased by 16% (OR=0.84, 95%CI=0.80-0.88), 9% (OR=0.91, 95%CI=0.82-0.99), and 15% (OR=0.85, 95%CI=0.77-0.94), respectively (P < 0.05). Conclusions The time of MVPA and SLP are seriously insufficient among children aged 8-9 years in Pudong New Area. There is an association between physical activity levels and metabolic syndrome as well as its components. Increasing the time of MVPA and SLP is of great significance for maintaining a relatively low risk of metabolic syndrome in children.
- Motor activity,
- Metabolic syndrome X,
- Regression analysis,
- Child

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References(29)

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