Run, lift, or both? Associations between concurrent aerobic–muscle strengthening exercise with adverse cardiometabolic biomarkers among Korean adults

Bennie, Jason A. ORCID: https://orcid.org/0000-0002-8668-8998 and Ding, Ding and Khan, Asaduzzaman and Stamatakis, Emmanuel and Biddle, Stuart J. H. ORCID: https://orcid.org/0000-0002-7663-6895 and Kim, Junghoon (2020) Run, lift, or both? Associations between concurrent aerobic–muscle strengthening exercise with adverse cardiometabolic biomarkers among Korean adults. European Journal of Preventive Cardiology, 27 (7). pp. 738-748. ISSN 2047-4873


Abstract

Background:
Clinical exercise interventions show that combining moderate to vigorous intensity physical activity (MVPA) and muscle strengthening exercise (MSE) has more favourable cardiometabolic health benefits than engaging in only one mode of physical activity. However, few studies have examined these associations among community-based samples and none among Asian adults.

Methods:
This cross-sectional analysis included 9120 participants aged 20-80 years from the 2014-2015 Korea National Health and Nutritional Examination Survey. Fasting blood samples were analysed for adverse cardiometabolic biomarkers (e.g. high glucose/glycohaemoglobin/triglycerides) and MVPA and MSE were assessed using validated questionnaires. Poisson regression models examined the association between the individual and total number of adverse biomarkers across categories of MVPA-MSE guideline adherence (met neither (reference); met MSE only; met MVPA only; met both) and prevalence ratios are reported adjusted for covariates (e.g. age, education, smoking, waist circumference and sitting time).

Results:
The mean +/- SD age was 46.2 +/- 16.3 years and 50.3% of the participants were women. Compared with meeting neither guideline, meeting both guidelines had the lowest prevalence ratios for four out of eight individual adverse cardiometabolic biomarkers. In a sex-stratified analysis of men, only meeting both guidelines had a lower prevalence ratio for >= 4 adverse biomarkers (prevalence ratio 0.67; 95% confidence interval 0.53-0.85). For women, the prevalence ratio for >= 4 adverse biomarkers was lowest among those meeting both guidelines (prevalence ratio 0.46; 95% confidence interval 0.31-0.66), followed by MSE only (prevalence ratio 0.65; 95% confidence interval 0.42-0.96) and MVPA only (prevalence ratio 0.78; 95% confidence interval 0.65-0.92).

Conclusions:
Among a large sample of Korean adults, concurrent MVPA-MSE was independently associated with favourable cardiometabolic outcomes. This study supports public health action to promote adherence to MVPA-MSE guidelines to enhance cardiovascular health among Korean adults.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to published version, in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Date Deposited: 16 Feb 2021 05:15
Last Modified: 17 Feb 2021 01:29
Uncontrolled Keywords: physical activity, epidemiology, strength training, cardiovascular disease, exercise
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110699 Human Movement and Sports Science not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4202 Epidemiology > 420201 Behavioural epidemiology
42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
Identification Number or DOI: https://doi.org/10.1177/2047487318817899
URI: http://eprints.usq.edu.au/id/eprint/41268

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