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Leisure-Time Physical Activity and Risk of Cancer, CVD, Dementia and All-Cause Mortality in Adults: A Dose-Response Meta-Analysis of Prospective Studies

作者:Yijun Huang

关键词:Metabolic disorder; Quantitative review; Blood pressure; Insulin resistance, Glucose intolerance; Sensitivity analysis

发表时间:2015

发表期刊:European Journal of Medical Research

证据类型:系统评价/Meta分析

Background: The purpose of this study was to assess the association between leisure-time physical activity (LPA) and the risk of metabolic syndrome (MS). Methods: Prospective cohort studies of the association between LPA and the risk of MS were retrieved from the PubMed and Embase databases up to 12 August 2013. The statistical analysis in this study was performed using Stata 11.0 software. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to evaluate the effect of LPA on the risk of MS. Results: A total of five articles were included in this meta-analysis. The overall effect sizes indicated that people with moderate level LPA (OR = 0.89, 95% CI: 0.82 to 0.96, P = 0.003) or high level LPA (OR = 0.58, 95% CI: 0.38 to 0.89, P = 0.012) had lower risk of MS than people with low level LPA. The subgroup analysis by gender showed that high level LPA could reduce the risk of MS in populations of different genders (female, OR = 0.20, 95% CI: 0.08 to 0.49, P <0.001; male, OR = 0.59, 95% CI: 0.43 to 0.82, P = 0.002). However, compared with low level LPA, Americans with high level LPA did not significantly reduce the risk of MS (OR = 0.59, 95% CI: 0.43 to 0.82, P = 0.002), while a significant decrease of the risk of MS was found in Europeans with high level LPA (OR = 0.49, 95% CI 0.32 to 0.77, P = 0.002) in the subgroup analysis by region. Conclusions: The meta-analysis confirmed that a moderate and high level of LPA could reduce the risk of MS.