Abstract
Purpose
Previous research has demonstrated that physical activity and muscle strengthening activities are independently and inversely associated with metabolic syndrome. Despite a number of studies examining the individual associations, only a few studies have examined the joint associations, and to our knowledge, no previous studies have examined the potential additive interaction of performing muscle strengthening activities and aerobic-based physical activity and their association with metabolic syndrome.
Method
Using data from the 2003 to 2006 National Health and Nutrition Examination Survey (NHANES), we computed three separate multivariable logistic regression models to examine the individual, combined, and additive interaction of meeting guidelines for accelerometer-assessed physical activity and self-reported muscle strengthening activities, and their association with metabolic syndrome.
Results
We found that individuals meeting physical activity and muscle strengthening activity guidelines, respectively, were at 61 and 25 % lower odds of having metabolic syndrome. Furthermore, individuals meeting both guidelines had the lowest odds of having metabolic syndrome (70 %), in part due to the additive interaction of performing both modes of exercise.
Conclusion
In this national sample, accelerometer-assessed physical activity and muscle strengthening activities were synergistically associated with metabolic syndrome.
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References
Sundström J, Risérus U, Byberg L, Zethelius B, Lithell H, Lind L. Clinical value of the metabolic syndrome for long term prediction of total and cardiovascular mortality: prospective, population based cohort study. BMJ. 2006;332:878–82. doi:10.1136/bmj.38766.624097.1F.
Isomaa B, Almgren P, Tuomi T, Forsén B, Lahti K, Nissén M, Taskinen MR, Groop L. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care. 2001;24:683–9.
Churilla JR, Fitzhugh EC, Thompson DL. The metabolic syndrome: how definition impacts the prevalence and risk in U.S. adults: 1999–2004 NHANES. Metab Syndr Relat Disord. 2007;5:331–42. doi:10.1089/met.2007.0010.
Loprinzi PD, Cardinal BJ. Interrelationships among physical activity, depression, homocysteine, and metabolic syndrome with special considerations by sex. Prev Med. 2012;54:388–92. doi:10.1016/j.ypmed.2012.03.016.
He D, Xi B, Xue J, Huai P, Zhang M, Li J. Association between leisure time physical activity and metabolic syndrome: a meta-analysis of prospective cohort studies. Endocrine. 2014;46:231–40. doi:10.1007/s12020-013-0110-0.
Conceição MS, Bonganha V, Vechin FC, de Barros Berton RP, Lixandrão ME, Nogueira FRD, de Souza GV, Chacon-Mikahil MPT, Libardi CA. Sixteen weeks of resistance training can decrease the risk of metabolic syndrome in healthy postmenopausal women. Clin Interv Aging. 2013;8:1221–8. doi:10.2147/CIA.S44245.
Strasser B, Siebert U, Schobersberger W. Resistance training in the treatment of the metabolic syndrome: a systematic review and meta-analysis of the effect of resistance training on metabolic clustering in patients with abnormal glucose metabolism. Sports Med. 2010;40:397–415. doi:10.2165/11531380-000000000-00000.
Stewart KJ, Bacher AC, Turner K, Lim JG, Hees PS, Shapiro EP, Tayback M, Ouyang P. Exercise and risk factors associated with metabolic syndrome in older adults. Am J Prev Med. 2005;28:9–18. doi:10.1016/j.amepre.2004.09.006.
Stensvold D, Tjønna AE, Skaug E-A, Aspenes S, Stølen T, Wisløff U, Slørdahl SA. Strength training versus aerobic interval training to modify risk factors of metabolic syndrome. J Appl Physiol. 2010;1985(108):804–10. doi:10.1152/japplphysiol.00996.2009.
Atlantis E, Martin SA, Haren MT, Taylor AW, Wittert GA. Members of the Florey Adelaide Male Ageing Study, inverse associations between muscle mass, strength, and the metabolic syndrome. Metabolism. 2009;58:1013–22. doi:10.1016/j.metabol.2009.02.027.
Jurca R, Lamonte MJ, Barlow CE, Kampert JB, Church TS, Blair SN. Association of muscular strength with incidence of metabolic syndrome in men. Med Sci Sports Exerc. 2005;37:1849–55.
Jurca R, Lamonte MJ, Church TS, Earnest CP, Fitzgerald SJ, Barlow CE, Jordan AN, Kampert JB, Blair SN. Associations of muscle strength and fitness with metabolic syndrome in men. Med Sci Sports Exerc. 2004;36:1301–7.
Sayer AA, Syddall HE, Dennison EM, Martin HJ, Phillips DIW, Cooper C, Byrne CD. Hertfordshire cohort, grip strength and the metabolic syndrome: findings from the Hertfordshire cohort study. QJM Mon J Assoc Physicians. 2007;100:707–13. doi:10.1093/qjmed/hcm095.
Hubal MJ, Gordish-Dressman H, Thompson PD, Price TB, Hoffman EP, Angelopoulos TJ, Gordon PM, Moyna NM, Pescatello LS, Visich PS, Zoeller RF, Seip RL, Clarkson PM. Variability in muscle size and strength gain after unilateral resistance training. Med Sci Sports Exerc. 2005;37:964–72.
Campos GER, Luecke TJ, Wendeln HK, Toma K, Hagerman FC, Murray TF, Ragg KE, Ratamess NA, Kraemer WJ, Staron RS. Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones. Eur J Appl Physiol. 2002;88:50–60. doi:10.1007/s00421-002-0681-6.
Kim J, Lee N, Jung SH, Kim E-J, Cho H-C. Independent and joint associations of cardiorespiratory fitness and muscle fitness with metabolic syndrome in Korean men. Metab Syndr Relat Disord. 2011;9:273–9. doi:10.1089/met.2010.0138.
Wijndaele K, Duvigneaud N, Matton L, Duquet W, Thomis M, Beunen G, Lefevre J, Philippaerts RM. Muscular strength, aerobic fitness, and metabolic syndrome risk in Flemish adults. Med Sci Sports Exerc. 2007;39:233–40. doi:10.1249/01.mss.0000247003.32589.a6.
Loprinzi PD. Health-enhancing multibehavior and medical multimorbidity. Mayo Clin Proc. 2015;90:624–32. doi:10.1016/j.mayocp.2015.02.006.
Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40:181–8. doi:10.1249/mss.0b013e31815a51b3.
Kelly LA, McMillan DG, Anderson A, Fippinger M, Fillerup G, Rider J. Validity of actigraphs uniaxial and triaxial accelerometers for assessment of physical activity in adults in laboratory conditions. BMC Med Phys. 2013;13:5. doi:10.1186/1756-6649-13-5.
McClain JJ, Sisson SB, Tudor-Locke C. Actigraph accelerometer interinstrument reliability during free-living in adults. Med Sci Sports Exerc. 2007;39:1509–14. doi:10.1249/mss.0b013e3180dc9954.
Physical Activity Guidelines for Americans - paguide.pdf. n.d. http://www.health.gov/paguidelines/pdf/paguide.pdf. Accessed 4 Aug 2015.
Loprinzi PD, Loenneke JP, Abe T. The association between muscle strengthening activities and red blood cell distribution width among a national sample of U.S. adults. Prev Med. 2015;73:130–2. doi:10.1016/j.ypmed.2015.01.011.
Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC, Spertus JA, Costa F. American Heart Association, National Heart, Lung, and Blood Institute, diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112:2735–52. doi:10.1161/CIRCULATIONAHA.105.169404.
Ervin RB. Prevalence of metabolic syndrome among adults 20 years of age and over, by sex, age, race and ethnicity, and body mass index: United States, 2003–2006. Natl Health Stat Rep. 2009;1–7.
Oh SW, Yoon YS, Lee ES, Kim WK, Park C, Lee S, Jeong E-K, Yoo T. Association between cigarette smoking and metabolic syndrome the Korea National Health and Nutrition Examination Survey. Diabetes Care. 2005;28:2064–6. doi:10.2337/diacare.28.8.2064.
Devaraj S, Singh U, Jialal I. Human C-reactive protein and the metabolic syndrome. Curr Opin Lipidol. 2009;20:182–9. doi:10.1097/MOL.0b013e32832ac03e.
Marroquin OC, Kip KE, Kelley DE, Johnson BD, Shaw LJ, Bairey Merz CN, Sharaf BL, Pepine CJ, Sopko G, Reis SE. Women’s ischemia syndrome evaluation investigators, metabolic syndrome modifies the cardiovascular risk associated with angiographic coronary artery disease in women: a report from the Women’s ischemia syndrome evaluation. Circulation. 2004;109:714–21. doi:10.1161/01.CIR.0000115517.26897.A7.
Benowitz NL, Bernert JT, Caraballo RS, Holiday DB, Wang J. Optimal serum cotinine levels for distinguishing cigarette smokers and nonsmokers within different racial/ethnic groups in the United States between 1999 and 2004. Am J Epidemiol. 2009;169:236–48. doi:10.1093/aje/kwn301.
Hawley JA, Hargreaves M, Joyner MJ, Zierath JR. Integrative biology of exercise. Cell. 2014;159:738–49. doi:10.1016/j.cell.2014.10.029.
Church TS, Blair SN, Cocreham S, Johannsen N, Johnson W, Kramer K, Mikus CR, Myers V, Nauta M, Rodarte RQ, Sparks L, Thompson A, Earnest CP. Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: a randomized controlled trial. J Am Med Assoc. 2010;304:2253–62. doi:10.1001/jama.2010.1710.
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Dankel, S.J., Loenneke, J.P. & Loprinzi, P.D. The Individual, Joint, and Additive Interaction Associations of Aerobic-Based Physical Activity and Muscle Strengthening Activities on Metabolic Syndrome. Int.J. Behav. Med. 23, 707–713 (2016). https://doi.org/10.1007/s12529-016-9570-y
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DOI: https://doi.org/10.1007/s12529-016-9570-y