Does Physical Activity Lower the Risk for Metabolic Syndrome: A Longitudinal Study of Physically Active Elderly Women

Abstract Background: There are few studies assessing the health of older women with respect to their physical activity. This study sought to determine whether changes in the physical activity of 59 women aged 60+ measured seven years apart and the risk of the participants developing the metabolic syndrome (MetS) were related to each other. Methods: The physical activity of the participants was measured using the accelerometers in 2009 and 2016. Their risk for the MetS was assessed as per the NCEP-ATP III criteria. Results: The number of steps the participants took daily increased between 2009 and 2016 from 10.944±3,560 to 11.652±4865. Women who maintained a high level of physical activity between the measurements, or increased it, had a significantly higher mean concentration of high-density cholesterol in 2016 (80.3 vs. 64.5 mg/dL and 79.2 vs. 66.9mg/dL, respectively). In the latter, a lower concentration of triglycerides (TG) (123.8 vs. 158.3mg/dL) was also observed. In 2016, only 7 women met 3 or more criteria for MetS compared with 24 in 2009; at the same time, the mean number of the MetS criteria met by a participant fell from 2.2±1.4 to 1.4±1.0.Conclusions: The number of MetS criteria that the participants met in 2016 was lower than in 2007, probably due to the high number of steps taken daily. Therefore, their risk of developing cardiovascular diseases was lower too.

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Does physical activity lower the risk for metabolic syndrome: a longitudinal study of physically active older women

BMC Geriatrics ◽

10.1186/s12877-020-01952-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Izabela Zając-Gawlak ◽

Jana Pelclová ◽

Dorota Groffik ◽

Miroslava Přidalová ◽

Agnieszka Nawrat-Szołtysik ◽

...

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Longitudinal Study ◽

Older Women ◽

Repeated Measures ◽

Cross Sectional ◽

Physically Active ◽

High Density Cholesterol

Abstract Background The associations between physical activity and metabolic syndrome (MetS) have been mainly found in cross-sectional studies. The aim of this longitudinal study was to examine the relationship between meeting step-based guidelines and changes in the risk of metabolic syndrome. Methods This study included data from older women (baseline age 62.9 ± 4.3 years) from a 7-year longitudinal study in Central Europe. At baseline and follow-up, physical activity was measured by an accelerometer, and the risk for MetS was assessed according to the NCEP-ATP III criteria. In 59 women, multivariate repeated measures ANOVA was used to compare differences in changes in the risk of MetS in groups based on meeting step-based guidelines (10,000 steps/day and 9000 steps/day for women aged <65 and ≥ 65 years, respectively). Results Over 7 years, steps/day increased from 10,944 ± 3560 to 11,652 ± 4865, and the risk of MetS decreased from 41 to 12% in our sample. Women who longitudinally met step-based guidelines had a significantly higher mean concentration of high-density cholesterol (HDL-C) (64.5 and 80.3 mg/dL at baseline and follow-up, respectively) and a lower concentration of triglycerides (TGs) (158.3 and 123.8 mg/dL at baseline and follow-up, respectively) at follow-up compared to baseline. Moreover, women who increased their daily steps over 7 years to the recommended steps/day value significantly decreased the concentration of TGs (158.3 mg/dL and 123.8 mg/dL at baseline and follow-up, respectively). Conclusions Our study might suggest that the long-term meeting of step-based guidelines or an increase in daily steps/day to achieve the recommended value could be related to a lower risk of MetS, specifically in concentrations of HDL-C and TG. These findings may help in designing interventions aiming to decrease the risk of MetS in older women.

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Physical activity and the metabolic syndrome in Canada

Applied Physiology Nutrition and Metabolism ◽

10.1139/h05-024 ◽

2006 ◽

Vol 31 (1) ◽

pp. 40-47 ◽

Cited By ~ 41

Author(s):

Susan E Brien ◽

Peter T Katzmarzyk

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Health Surveys ◽

Lifestyle Changes ◽

Heart Health ◽

Physically Active ◽

The Metabolic Syndrome ◽

Strenuous Activity ◽

Therapeutic Lifestyle Changes ◽

The Relationship

The metabolic syndrome (MetS) is a cluster of risk factors that predispose individuals to cardiovascular disease. Therapeutic lifestyle changes, including increased physical activity, are recommended for the prevention and treatment of MetS. The purpose of this study was to examine the relationship between physical activity and MetS in Canada. The sample included 6406 men and 6475 women aged 18-64 y who were participants in the Canadian Heart Health Surveys (1986-1992). MetS was classified using criteria modified from the US National Cholesterol Education Program. Participants were deemed physically active if they were active at least once each week for at least 30 min, engaging in strenuous activity some of the time. The relationship between physical activity and MetS was assessed using logistic regression, with age, smoking, alcohol consumption, and income adequacy as covariates. A total of 14.4% of Canadians had MetS and 33.6% were physically active. The odds ratio for MetS was 0.73 (95% confidence interval (CI): 0.54-0.98; p < 0.05) for physically active vs. physically inactive participants. The corresponding odds ratios were 0.45 (95% CI: 0.29-0.69; p < 0.001) and 0.67 (95% CI: 0.44-1.02; p = 0.06) for men and women, respectively. In summary, physical activity was associated with lower odds of MetS, particularly in men. Further research is required to determine the effectiveness of physical activity in the treatment of MetS.Key words: metabolic syndrome, physical activity, Canadian Heart Health Surveys.

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Echocardiography evaluation of left ventricular diastolic function in elderly women with metabolic syndrome

Open Medicine ◽

10.1515/med-2019-0073 ◽

2019 ◽

Vol 14 (1) ◽

pp. 633-638

Author(s):

Jin-Wook Chung ◽

Dong-il Seo ◽

Yoonjung Park ◽

Wi-Young So

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Diastolic Function ◽

Elderly Women ◽

Left Ventricular ◽

Activity Levels ◽

Mitral Inflow ◽

The Metabolic Syndrome ◽

Physical Activity Levels ◽

Mitral Inflow Velocity

AbstractTo date, we found no published reports on the effects of metabolic syndrome and physical activity levels on left ventricular (LV) diastolic function in elderly women aged over 65 years. Our study involved patients with echocardiographically normal LV ejection fractions (≥50%) and normal LV dilatation diameters (≤55 mm). Elderly women with metabolic syndrome (n = 20) and healthy elderly women (n = 17) were selected and assessed with the National Cholesterol Education Program Adult Treatment Panel III, a metabolic syndrome diagnostic instrument. We compared the LV function indices and physical activity levels according to the presence (metabolic syndrome group) or absence (normal group) of metabolic syndrome. The LV end-systolic (LVES) diameter was significantly smaller (p = 0.037) and LV outflow tract (LVOT) diameter was significantly larger (p = 0.030) in the metabolic syndrome group. The left arterial dimension at end-systole (p = 0.024), left arterial volume (LAV) index (p = 0.015), early peak mitral inflow velocity (E, p = 0.031), early diastolic mitral annulus motion velocity (Eʹ-septal, p = 0.044), (Eʹ-lateral, p = 0.008), and E/late peak mitral inflow velocity ratio (E/A, p = 0.006) values were significantly lower and physical activity levels (p = 0.034) were significantly higher in the metabolic syndrome group. These results indicated that the metabolic syndrome group had relatively high physical activity levels compared to the normal group, which may have positively affected the LVES, LVOT, left atrial volume index, E, Eʹ, and E/A values.

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Working in Shifts and the Metabolic Syndrome: Epidemiological Evidence and Physiopathological Mechanisms

ARS Medica Tomitana ◽

10.2478/arsm-2018-0026 ◽

2018 ◽

Vol 24 (3) ◽

pp. 144-151

Author(s):

Oţelea Marina Ruxandra ◽

Raşcu Agripina ◽

Ion Ileana ◽

Arghir Ioan Anton ◽

Badiu Adela ◽

...

Keyword(s):

Physical Activity ◽

Insulin Resistance ◽

Metabolic Syndrome ◽

Hdl Cholesterol ◽

Gene Interaction ◽

Underlying Mechanism ◽

Epidemiological Evidence ◽

The Metabolic Syndrome ◽

Abnormal Metabolism ◽

High Level

Abstract The Metabolic syndrome (MetS) is considered as an association of the abdominal obesity, abnormal metabolism of the lipids and glucose (high level of triglycerides, low level of HDL-cholesterol and high level of glycemia) and high values of blood pressure, determined by an underlying mechanism of insulin resistance. As a result of environmental-gene interaction, MetS is associated with unhealthy nutrition, smoking, alcohol abuse, lack of physical activity, shorter sleep duration and desynchronization of the circadian rhytm caused by working in shifts. The aim of this article is to review the effects of working in shifts on the MetS through the epidemiological evidence and the perspective of the physiopathological mechanisms.

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Physical Activity, Cardiorespiratory Fitness, and the Metabolic Syndrome

Nutrients ◽

10.3390/nu11071652 ◽

2019 ◽

Vol 11 (7) ◽

pp. 1652 ◽

Cited By ~ 35

Author(s):

Jonathan Myers ◽

Peter Kokkinos ◽

Eric Nyelin

Keyword(s):

Physical Activity ◽

Insulin Resistance ◽

Metabolic Syndrome ◽

Cost Effective ◽

Professional Organizations ◽

Physically Active ◽

Physical Activity Interventions ◽

The Metabolic Syndrome ◽

Current Article ◽

The Impact

Both observational and interventional studies suggest an important role for physical activity and higher fitness in mitigating the metabolic syndrome. Each component of the metabolic syndrome is, to a certain extent, favorably influenced by interventions that include physical activity. Given that the prevalence of the metabolic syndrome and its individual components (particularly obesity and insulin resistance) has increased significantly in recent decades, guidelines from various professional organizations have called for greater efforts to reduce the incidence of this condition and its components. While physical activity interventions that lead to improved fitness cannot be expected to normalize insulin resistance, lipid disorders, or obesity, the combined effect of increasing activity on these risk markers, an improvement in fitness, or both, has been shown to have a major impact on health outcomes related to the metabolic syndrome. Exercise therapy is a cost-effective intervention to both prevent and mitigate the impact of the metabolic syndrome, but it remains underutilized. In the current article, an overview of the effects of physical activity and higher fitness on the metabolic syndrome is provided, along with a discussion of the mechanisms underlying the benefits of being more fit or more physically active in the prevention and treatment of the metabolic syndrome.

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W09.223 Physical activity and the metabolic syndrome in 60-year old men and women

Atherosclerosis ◽

10.1016/s0021-9150(04)90222-5 ◽

2004 ◽

Vol 5 (1) ◽

pp. 52

Author(s):

M HALLDIN

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Men And Women ◽

The Metabolic Syndrome ◽

Old Men

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Association between the type of physical activity and metabolic syndrome in middle-aged and older adult residents of a semi-mountainous area in Japan

Environmental Health and Preventive Medicine ◽

10.1186/s12199-021-00949-x ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Noriko Kudo ◽

Ritsuko Nishide ◽

Mayumi Mizutani ◽

Shota Ogawa ◽

Susumu Tanimura

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Older Women ◽

Secondary Data ◽

Daily Physical Activity ◽

Mountainous Area ◽

Mountainous Areas ◽

Middle Aged ◽

Type Activity ◽

Specific Health

Abstract Background Physical activity is reported to prevent metabolic syndrome. However, it is unclear whether exercise or daily physical activity is more beneficial for residents of semi-mountainous areas. This study aimed to identify whether daily physical activity is more beneficial than exercise for the prevention of metabolic syndrome among middle-aged and older residents in semi-mountainous areas. Methods We analyzed secondary data of 636 people who underwent a specific health checkup in a semi-mountainous area of Japan. Physical activity was classified into four types: inactivity (I-type; without exercise and without daily physical activity), only exercise (E-type; with exercise and without daily physical activity), only daily physical activity (D-type; without exercise and with daily physical activity), and full physical activity type (F-type; with exercise and with daily physical activity). We compared the means of risk factors for metabolic syndrome by these four types, followed by logistic regression analysis, to identify whether and to what extent the D-type was less likely to have metabolic syndrome than the E-type. Results The prevalence of metabolic syndrome was 28.5% (men 45.7%, women 15.8%). The proportions of men with exercise and daily physical activity were 38.7% and 52.8%, respectively. For women, the proportions were 33.0% and 47.1%, respectively. In women, the D-type had the significantly lowest BMI, smallest waist circumference, highest HDL-C, and lowest prevalence of metabolic syndrome of the four types; the same was not observed in men. Additionally, D-type activity was more strongly associated with a reduced risk of metabolic syndrome than E-type activity in women (adjusted odds ratio 0.24; 95% confidence interval 0.06–0.85, P = 0.028). Conclusions Compared to middle-aged and older women residents with exercise in a semi-mountainous area of Japan, those with daily physical activity may effectively prevent metabolic syndrome.

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Individual Diet Modification Reduces the Metabolic Syndrome in Patients Before Pharmacological Treatment

Nutrients ◽

10.3390/nu13062102 ◽

2021 ◽

Vol 13 (6) ◽

pp. 2102

Author(s):

Małgorzata Elżbieta Zujko ◽

Marta Rożniata ◽

Kinga Zujko

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Fatty Acids ◽

Waist Circumference ◽

Nutrition Education ◽

Dietary Habits ◽

Fasting Glucose ◽

Intervention Group ◽

Control Group ◽

The Metabolic Syndrome

Modification of lifestyle, including healthy nutrition, is the primary approach for metabolic syndrome (MetS) therapy. The aim of this study was to estimate how individual nutrition intervention affects the reduction of MetS components. Subjects diagnosed with MetS were recruited in the Lomza Medical Centre. The study group consisted of 90 participants and was divided into one intervention group (individual nutrition education group (INEG)) and one control group (CG). The research was conducted over 3 months. The following measurements were obtained during the first visit and after completion of the 3 months intervention: body mass, waist circumference, body composition, blood pressure, fasting glucose, and blood lipids. Dietary assessments were performed before and post-intervention using 3-day 24-h dietary recalls. Dietary knowledge was evaluated with the KomPAN questionnaire. The total polyphenol content of the diet was calculated. Sociodemographic and lifestyle characteristics were collected from a self-reported questionnaire. The physical activity was assessed by the short version of the International Physical Activity Questionnaire (IPAQ). It was found that the individual nutrition education was an effective method to improve the knowledge, dietary habits, and physical activity of the study participants. The modification of the diet in terms of higher intake of polyphenols (flavonoids and anthocyanins), fiber, polyunsaturated fatty acids (PUFA), PUFA n-3, and lower intake of saturated fatty acids (SFA) had a significant impact on the improvement of some MetS risk factors (waist circumference, fasting glucose, and HDL-cholesterol).

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