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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Association between physical activity and metabolic syndrome: a cross sectional survey in adolescents in Ho Chi Minh City, Vietnam

Authors: Trang HHD Nguyen, Hong K Tang, Patrick Kelly, Hidde P van der Ploeg, Michael J Dibley

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

The emerging epidemic of overweight/obesity in adolescents in Ho Chi Minh City, Vietnam underlines the importance of studying the metabolic syndrome in Vietnamese adolescents who are becoming progressively more inactive. No study in Vietnam has examined the association of metabolic syndrome with moderate to vigorous physical activity (PA) levels among adolescents. We aimed to examine this association in a sample of urban adolescents from Ho Chi Minh City.

Methods

A cross-sectional assessment was conducted in 2007 on a representative sample of 693 high-school students from urban districts in Ho Chi Minh City. Metabolic syndrome was defined according to the International Diabetes Federation criteria and physical activity was measured with Actigraph accelerometers. The association between physical activity and metabolic syndrome was assessed by using multiple logistic regression models.

Results

Overall 4.6% of the adolescents and 11.8% of the overweight/obese adolescents had metabolic syndrome. Elevated BP was the most common individual component of the metabolic syndrome (21.5%), followed by hypertriglyceridemia (11.1%). After adjusting for other study factors, the odds of metabolic syndrome among youth in the lowest physical activity group (<43 minutes of physical activity/day) were five times higher than those in the highest physical activity group (>103 minutes/day) (AOR = 5.3, 95% CI: 1.5, 19.1). Metabolic syndrome was also positively associated with socioeconomic status (AOR = 9.4, 95% CI: 2.1, 42.4).

Conclusions

A more physically active lifestyle appears to be associated with a lower odds of metabolic syndrome in Vietnamese adolescents. Socio-economic status should be taken into account when planning interventions to prevent adolescent metabolic syndrome.
Literature
1.
Alberti KG, Zimmet P, Shaw J: The metabolic syndrome--a new worldwide definition. Lancet. 2005, 366 (9491): 1059-1062. 10.1016/S0140-6736(05)67402-8.CrossRefPubMed
2.
Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH: Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med. 2003, 157 (8): 821-827. 10.1001/archpedi.157.8.821.CrossRefPubMed
3.
Cruz ML, Goran MI: The metabolic syndrome in children and adolescents. Curr Diab Rep. 2004, 4 (1): 53-62. 10.1007/s11892-004-0012-x.CrossRefPubMed
4.
Kong AP, Ko GT, Ozaki R, Wong GW, Tong PC, Chan JC: Metabolic syndrome by the new IDF criteria in Hong Kong Chinese adolescents and its prediction by using body mass index. Acta Paediatr. 2008, 97 (12): 1738-1742. 10.1111/j.1651-2227.2008.01056.x.CrossRefPubMed
5.
Li Y, Yang X, Zhai F, Kok FJ, Zhao W, Piao J, Zhang J, Cui Z, Ma G: Prevalence of the metabolic syndrome in Chinese adolescents. Br J Nutr. 2008, 99 (3): 565-570. 10.1017/S0007114507797064.CrossRefPubMed
6.
Park MJ, Boston BA, Oh M, Jee SH: Prevalence and trends of metabolic syndrome among Korean adolescents: from the Korean NHANES survey, 1998-2005. J Pediatr. 2009, 155 (4): 529-534. 10.1016/j.jpeds.2009.03.063.CrossRefPubMed
7.
Saito I, Mori M, Shibata H, Hirose H, Tsujioka M, Kawabe H: Prevalence of metabolic syndrome in young men in Japan. J Atheroscler Thromb. 2007, 14 (1): 27-30.CrossRefPubMed
8.
Singh R, Bhansali A, Sialy R, Aggarwal A: Prevalence of metabolic syndrome in adolescents from a north Indian population. Diabet Med. 2007, 24 (2): 195-199. 10.1111/j.1464-5491.2007.02066.x.CrossRefPubMed
9.
Invitti C, Maffeis C, Gilardini L, Pontiggia B, Mazzilli G, Girola A, Sartorio A, Morabito F, Viberti GC: Metabolic syndrome in obese Caucasian children: prevalence using WHO-derived criteria and association with nontraditional cardiovascular risk factors. Int J Obes (Lond). 2006, 30 (4): 627-633. 10.1038/sj.ijo.0803151.CrossRef
10.
Weiss R, Dziura J, Burgert TS, Tamborlane WV, Taksali SE, Yeckel CW, Allen K, Lopes M, Savoye M, Morrison J, Sherwin RS, Caprio S: Obesity and the metabolic syndrome in children and adolescents. N Engl J Med. 2004, 350 (23): 2362-2374. 10.1056/NEJMoa031049.CrossRefPubMed
11.
Yoshinaga M, Tanaka S, Shimago A, Sameshima K, Nishi J, Nomura Y, Kawano Y, Hashiguchi J, Ichiki T, Shimizu S: Metabolic syndrome in overweight and obese Japanese children. Obes Res. 2005, 13 (7): 1135-1140. 10.1038/oby.2005.134.CrossRefPubMed
12.
Ford ES: Prevalence of the metabolic syndrome defined by the International Diabetes Federation among adults in the U.S. Diabetes Care. 2005, 28 (11): 2745-2749. 10.2337/diacare.28.11.2745.CrossRefPubMed
13.
Andersen LB, Harro M, Sardinha LB, Froberg K, Ekelund U, Brage S, Anderssen SA: Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet. 2006, 368 (9532): 299-304. 10.1016/S0140-6736(06)69075-2.CrossRefPubMed
14.
Brage S, Wedderkopp N, Ekelund U, Franks PW, Wareham NJ, Andersen LB, Froberg K: Features of the metabolic syndrome are associated with objectively measured physical activity and fitness in Danish children: the European Youth Heart Study (EYHS). Diabetes Care. 2004, 27 (9): 2141-2148. 10.2337/diacare.27.9.2141.CrossRefPubMed
15.
Hong HR, Kim SU, Kang HS: Physical activity and metabolic syndrome in Korean children. Int J Sports Med. 2009, 30 (9): 677-683. 10.1055/s-0029-1224172.CrossRefPubMed
16.
Ekelund U, Anderssen S, Andersen LB, Riddoch CJ, Sardinha LB, Luan J, Froberg K, Brage S: Prevalence and correlates of the metabolic syndrome in a population-based sample of European youth. Am J Clin Nutr. 2009, 89 (1): 90-96. 10.3945/ajcn.2008.26649.CrossRefPubMed
17.
Kelishadi R, Razaghi EM, Gouya MM, Ardalan G, Gheiratmand R, Delavari A, Motaghian M, Ziaee V, Siadat ZD, Majdzadeh R, Heshmat R, Barekati H, Arabi MS, Heidarzadeh A, Shariatinejad K: Association of physical activity and the metabolic syndrome in children and adolescents: CASPIAN Study. Horm Res. 2007, 67 (1): 46-52. 10.1159/000096121.CrossRefPubMed
18.
Li CL, Lin JD, Lee SJ, Tseng RF: Associations between the metabolic syndrome and its components, watching television and physical activity. Public Health. 2007, 121 (2): 83-91. 10.1016/j.puhe.2006.08.004.CrossRefPubMed
19.
Schmitz KH, Jacobs DR, Hong CP, Steinberger J, Moran A, Sinaiko AR: Association of physical activity with insulin sensitivity in children. Int J Obes Relat Metab Disord. 2002, 26 (10): 1310-1316. 10.1038/sj.ijo.0802137.CrossRefPubMed
20.
Hong TK, Dibley MJ, Sibbritt D, Binh PN, Trang NH, Hanh TT: Overweight and obesity are rapidly emerging among adolescents in Ho Chi Minh City, Vietnam, 2002-2004. Int J Pediatr Obes. 2007, 2 (4): 194-201. 10.1080/17477160701520165.CrossRefPubMed
21.
Trang NH, Hong TK, Dibley MJ, Sibbritt DW: Factors associated with physical inactivity in adolescents in Ho Chi Minh City, Vietnam. Med Sci Sports Exerc. 2009, 41 (7): 1374-1383. 10.1249/MSS.0b013e31819c0dd3.CrossRefPubMed
22.
Hong KT: Diet, physical activity, environments and their relationship to the emergence of adolescent overweight and obesity in Ho Chi Minh City, Vietnam. PhD thesis. 2005, University of Newcastle, Faculty of Health
23.
WHO Expert Committee: Physical status: The use and interpretation of anthropometry: report of a WHO expert committee (WHO Technical Report Series; 854). 1995, Geneva: World Health Organization
24.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000, 320 (7244): 1240-1243. 10.1136/bmj.320.7244.1240.CrossRefPubMedPubMedCentral
25.
Cole TJ, Pan W-H: LMSChartMaker. 2005, Tyne and Wear, England: Harlow Healthcare, 2.3
26.
Cole TJ: The LMS method for constructing normalized growth standards. Eur J Clin Nutr. 1990, 44 (1): 45-60.PubMed
27.
Harrison GG, Buskirk ER, Carter JEL, Johnston FE, Lohman TG, Pollock ML, Roche AF, Wilmore J: Skinfold Thickness and Measurement Technique. Anthropometric standardization reference manual. Edited by: Lohman TG, Roche AF, Martorell R. 1988, Illinois: Human Kinetics Publishers, 55-70. First
28.
Tanner JM: Growth at adolescence; with a general consideration of the effects of hereditary and environmental factors upon growth and maturation from birth to maturity. 1962, Oxford: Blackwell, 2
29.
Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J: Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc. 2002, 34 (2): 350-355. 10.1097/00005768-200202000-00025.CrossRefPubMed
30.
Filmer D, Pritchett LH: Estimating wealth effects without expenditure data--or tears: an application to educational enrollments in states of India. Demography. 2001, 38 (1): 115-132.PubMed
31.
Zimmet P, Alberti G, Kaufman F, Tajima N, Silink M, Arslanian S, Wong G, Bennett P, Shaw J, Caprio S: The metabolic syndrome in children and adolescents. Lancet. 2007, 369 (9579): 2059-2061. 10.1016/S0140-6736(07)60958-1.CrossRefPubMed
32.
Lee S, Bacha F, Gungor N, Arslanian SA: Waist circumference is an independent predictor of insulin resistance in black and white youths. J Pediatr. 2006, 148 (2): 188-194. 10.1016/j.jpeds.2005.10.001.CrossRefPubMed
33.
Maffeis C, Banzato C, Talamini G: Waist-to-height ratio, a useful index to identify high metabolic risk in overweight children. J Pediatr. 2008, 152 (2): 207-213. 10.1016/j.jpeds.2007.09.021.CrossRefPubMed
34.
Park MJ, Boston BA, Oh M, Jee SH: Prevalence and Trends of Metabolic Syndrome Among Korean Adolescents: From the Korean NHANES Survey, 1998-2005. J Pediatr. 2009, 155 (4): 529-34. 10.1016/j.jpeds.2009.03.063.CrossRefPubMed
35.
Agirbasli M, Cakir S, Ozme S, Ciliv G: Metabolic syndrome in Turkish children and adolescents. Metabolism. 2006, 55 (8): 1002-1006. 10.1016/j.metabol.2006.03.009.CrossRefPubMed
36.
Krssak M, Petersen KF, Bergeron R, Price T, Laurent D, Rothman DL, Roden M, Shulman GI: Intramuscular glycogen and intramyocellular lipid utilization during prolonged exercise and recovery in man: a 13C and 1H nuclear magnetic resonance spectroscopy study. J Clin Endocrinol Metab. 2000, 85 (2): 748-754. 10.1210/jc.85.2.748.PubMed
37.
van Loon LJ, Goodpaster BH: Increased intramuscular lipid storage in the insulin-resistant and endurance-trained state. Pflugers Arch. 2006, 451 (5): 606-616. 10.1007/s00424-005-1509-0.CrossRefPubMed
38.
Hawley JA: Adaptations of skeletal muscle to prolonged, intense endurance training. Clin Exp Pharmacol Physiol. 2002, 29 (3): 218-222. 10.1046/j.1440-1681.2002.03623.x.CrossRefPubMed
39.
Carroll S, Dudfield M: What is the relationship between exercise and metabolic abnormalities? A review of the metabolic syndrome. Sports Med. 2004, 34 (6): 371-418. 10.2165/00007256-200434060-00004.CrossRefPubMed
40.
Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Hergenroeder AC, Must A, Nixon PA, Pivarnik JM, Rowland T, Trost S, Trudeau F: Evidence based physical activity for school-age youth. J Pediatr. 2005, 146 (6): 732-737. 10.1016/j.jpeds.2005.01.055.CrossRefPubMed
41.
Kang HS, Gutin B, Barbeau P, Owens S, Lemmon CR, Allison J, Litaker MS, Le NA: Physical training improves insulin resistance syndrome markers in obese adolescents. Med Sci Sports Exerc. 2002, 34 (12): 1920-1927. 10.1097/00005768-200212000-00010.CrossRefPubMed
42.
Mirhosseini NZ, Yusoff NA, Shahar S, Parizadeh SM, Mobarhen MG, Shakery MT: Prevalence of the metabolic syndrome and its influencing factors among adolescent girls in Mashhad, Iran. Asia Pac J Clin Nutr. 2009, 18 (1): 131-136.PubMed
43.
Buckland G, Salas-Salvado J, Roure E, Bullo M, Serra-Majem L: Sociodemographic risk factors associated with metabolic syndrome in a Mediterranean population. Public Health Nutr. 2008, 11 (12): 1372-1378. 10.1017/S1368980008003492.CrossRefPubMed
44.
Ford ES, Li C, Zhao G, Pearson WS, Mokdad AH: Prevalence of the metabolic syndrome among U.S. adolescents using the definition from the International Diabetes Federation. Diabetes Care. 2008, 31 (3): 587-589. 10.2337/dc07-1030.CrossRefPubMed
45.
Lee K: Waist circumference percentile criteria for the pediatric metabolic syndrome in Korean adolescents. Asia Pac J Clin Nutr. 2008, 17 (3): 422-428.PubMed
46.
Xu YQ, Ji CY: Prevalence of the metabolic syndrome in secondary school adolescents in Beijing, China. Acta Paediatr. 2008, 97 (3): 348-353. 10.1111/j.1651-2227.2008.00665.x.CrossRefPubMed
Metadata
Title
Association between physical activity and metabolic syndrome: a cross sectional survey in adolescents in Ho Chi Minh City, Vietnam
Authors
Trang HHD Nguyen
Hong K Tang
Patrick Kelly
Hidde P van der Ploeg
Michael J Dibley
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-141

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