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

Izabela Zając-Gawlak , Jana Pelclova , Dorota Groffik , Miroslava Přidalová , Agnieszka Nawrat-Szołtysik , Aleksandra Kroemeke , Aleš Gába , Ewa Sadowska-Krępa


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.
Author Izabela Zając-Gawlak
Izabela Zając-Gawlak,,
, Jana Pelclova
Jana Pelclova,,
, Dorota Groffik
Dorota Groffik,,
, Miroslava Přidalová
Miroslava Přidalová,,
, Agnieszka Nawrat-Szołtysik
Agnieszka Nawrat-Szołtysik,,
, Aleksandra Kroemeke (Wydział Psychologii w Warszawie)
Aleksandra Kroemeke,,
- Wydział Psychologii w Warszawie
, Aleš Gába
Aleš Gába,,
, Ewa Sadowska-Krępa
Ewa Sadowska-Krępa,,
Journal seriesBMC Geriatrics, ISSN 1471-2318, (N/A 100 pkt)
Issue year2021
Publication size in sheets0.5
Keywords in EnglishHealth, Daily physical activity, Accelerometer, MetS components, Number of steps
ASJC Classification2717 Geriatrics and Gerontology
Languageen angielski
Does physical activity lower the risk for metabolic.pdf 892.69 KB
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Osw_BMC Geriatrics-AK.pdf 1.94 MB
Score (nominal)100
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 1.42; WoS Impact Factor: 2018 = 2.818 (2) - 2018=3.458 (5)
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