Evidence map›Paper›PMID 31709781›Full record

SynthesisPediatric obesity2020

Associations between accelerometry measured physical activity and sedentary time and the metabolic syndrome: A meta-analysis of more than 6000 children and adolescents.

Marius Renninger, Bjørge H Hansen, Jostein Steene-Johannessen, Susi Kriemler, Karsten Froberg, Kate Northstone, Luis Sardinha, Sigmund A Anderssen, Lars B Andersen, Ulf Ekelund and 1 more

Abstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Pediatric obesity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  15. Metabolic Derangement by Arsenic: a Review of the Mechanisms.Biological trace element research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marius RenningerDepartment of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Bjørge H HansenDepartment of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Jostein Steene-JohannessenDepartment of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Susi KriemlerEpidemiology, Biostatistics and Public Health Institute, University of Zürich, Zurich, Switzerland.
Karsten FrobergCenter of Research in Childhood Health (RICH), University of Southern Denmark, Odense, Denmark.
Kate NorthstoneSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Luis SardinhaExercise and Health Laboratory, CIPER, Fac Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.
Sigmund A AnderssenDepartment of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Lars B AndersenFaculty of Education, Arts and Sport, Western Norway University of Applied Sciences, Sogndal, Norway.
Ulf EkelundDepartment of Sport Medicine, Norwegian School of Sport Sciences, Oslo, Norway.ORCID 0000-0003-2115-9267
International Children's Accelerometry Database (ICAD) Collaborators

Funding

British Heart FoundationCancer Research UKChief Scientist OfficeDepartment of HealthMedical Research Council G0701877Medical Research Council G9815508Medical Research Council MC_PC_19009Medical Research Council MC_UU_12015/3Medical Research Council MC_UU_12015/3; MC_UU_12015/7Medical Research Council MC_UU_12015/7
6 · The paper itself

Abstract

backgroundMetabolic syndrome is increasingly prevalent in the pediatric population. To prevent an early onset, knowledge about its association with modifiable lifestyle factors is needed.

objectivesTo estimate the prevalence of the metabolic syndrome and examine its cross-sectional associations with physical activity and sedentary time.

methodsParticipants were 6009 children and adolescents from 8 studies of the International Children's Accelerometry Database. Physical activity and sedentary time were measured by accelerometer. Metabolic syndrome was defined based on International Diabetes Federation criteria. Logistic regression models adjusted for sex, age and monitor wear time were used to examine the associations between physical activity, sedentary time and the metabolic syndrome in each study and effect estimates were combined using random-effects meta-analysis.

resultsThe overall prevalence of the metabolic syndrome was 2.9%. In crude models, a 10 min increase in moderate-to-vigorous intensity physical activity and vigorous-intensity physical activity were inversely associated with the metabolic syndrome [OR 0.88, 95% CI 0.82-0.94, OR 0.80, 95% CI 0.70-0.92]. One hour increase in sedentary time was positively associated with the metabolic syndrome [OR 1.28, 95% CI 1.13-1.45]. After adjustment for sedentary time, the association between moderate-to-vigorous-intensity physical activity and the metabolic syndrome remained significant [OR 0.91, 95% CI 0.84-0.99]. Sedentary time was not associated with the metabolic syndrome after adjustment for moderate-to-vigorous intensity physical activity [OR 1.14 95% CI 0.96-1.36].

conclusionsPhysical activity of at least moderate intensity but not sedentary time is independently associated with the metabolic syndrome.

Indexed as

AccelerometryExerciseSedentary BehaviorAdolescentChildCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMetabolic SyndromeMetabolic syndromeobesityphysical activitysedentary behaviour

Identifiers

PMID31709781
PMCPMC7003500

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.