Submitted: 01 May 2016
Revised: 26 May 2016
Accepted: 30 May 2016
First published online: 10 Aug 2016
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Health Promot Perspect. 2016;6(3):128-136.
doi: 10.15171/hpp.2016.21
PMID: 27579256
PMCID: PMC5002879
  Abstract View: 570
  PDF Download: 392
  Full Text View: 324

Original Article

The association of physical activity and cholesterol concentrations across different combinations of central adiposity and body mass index

Paul D. Loprinzi 1 * , Ovuokerie Addoh 2

1 Director of Research Engagement – Jackson Heart Study Vanguard Center of Oxford, Physical Activity Epidemiology Laboratory, Department of Health, Exercise Science and Recreation Management, The University of Mississippi, University, MS 38677, USA
2 Physical Activity Epidemiology Laboratory, Department of Health, Exercise Science and Recreation Management, The University of Mississippi, University, MS 38677, USA

Abstract

Background: The purpose of this study was to investigate if those who are physically active,compared to physically inactive, have better cholesterol profiles across different combinations of body mass index (BMI) and waist circumference (WC).

Methods: Data from the 1999-2006 National Health and Nutrition Examination Survey (NHANES) were used (N = 16 095). Cholesterol parameters included total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), TC/HDL-C ratio, triglycerides and at herogenic index(Log10 [triglycerides/HDL-C]). Physical activity (PA) was assessed via self-report, with BMI and WC objectively measured. Cholesterol concentrations of 6 combinations of BMI and WC were evaluated among active and inactive participants. Multivariable linear regression analysis was utilized.

Results: Findings were not consistent across sex. There was little evidence to suggest an association of PA on TC across varying BMI and WC combinations. For example, among those who had an obese BMI and high WC, inactive participants did not have different TC level when compared to active participants (β = -1.2; 95% CI: -3.9-1.5, P = 0.38). There was evidence to suggest a favorable association of PA on HDL-C, triglycerides and at herogenic index across varying BMI and WC combinations. For example, among those who had an obese BMI and high WC, inactive (vs. active) participants had a lower HDL-C (βadjusted = -1.6, P < 0.01). When considering either gender, there was sufficient evidence to suggest a favorable association of PA on at least one of the evaluated cholesterol parameters for each of the BMI/WC combinations with the exception of normal BMI and high WC.

Conclusion: Except for those having normal weight central obesity, PA is favorably associated with cholesterol parameters across various combinations of BMI and WC.

Citation: Loprinzi PD, Addoh O. The association of physical activity and cholesterol concentrations across different combinations of centraladiposity and body mass index. Health Promot Perspect. 2016;6(3):128-136. doi: 10.15171/hpp.2016.21.
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