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Vigorous intensity physical activity is related to the metabolic syndrome independent of the physical activity dose
Open accessAbstract
BACKGROUND: Current physical activity guidelines imply that, by comparison with moderate physical activity (MPA), the benefits of engaging in vigorous physical activity (VPA) are attributed to the greater energy expenditure dose per unit of time and do not relate to intensity per se. The purpose of this study was to determine whether VPA influences the metabolic syndrome (MetS) independent of its influence on the energy expenditure dose of moderate-to-vigorous physical activity (MVPA). METHODS: Participants consisted of 1841 adults from the 2003-06 National Health and Nutrition Examination Survey, a representative cross-sectional study. MPA and VPA were measured objectively over 7 days using Actigraph accelerometers. MetS was determined using an established clinical definition. Associations between physical activity and the MetS were determined using logistic regression and controlled for relevant covariates. RESULTS: Analyses revealed that VPA remained a meaningful predictor of the MetS after controlling for the total energy expenditure dose of MVPA such that the relative odds of the MetS was 0.28 (95% confidence interval 0.17-0.46) in the group with the highest VPA compared with the group with no VPA. VPA had a greater influence on the MetS than an equivalent energy expenditure dose of MPA. For instance, between 0 and 500 MET min/week of MPA the adjusted prevalence of the MetS decreased by 15.5%, whereas between 0 and 500 MET min/week of VPA the prevalence decreased by 37.1%. CONCLUSION: These cross-sectional findings suggest that VPA per se has an important role in cardiometabolic disease prevention.
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“Epidemiological data suggests that more vigorous-intensity physical activity may confer greater benefits to metabolic health [19].”
From High-Intensity Interval Training as an Efficacious Alternative to Moderate-Intensity Continuous Training for Adults with Prediabetes (2015) · cites this paper as [19]
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“In other words, it appears that vigorous-intensity physical activity has an important independent role in the prevention of cardiometabolic disease.”
From High-Intensity Interval Training as an Efficacious Alternative to Moderate-Intensity Continuous Training for Adults with Prediabetes (2015) · cites this paper as [19]
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“Specifically, NHANES data suggests that individuals accumulating more vigorous-intensity physical activity have reduced odds of metabolic syndrome (closely related to prediabetes), independent of total physical activity levels [19].”
From High-Intensity Interval Training as an Efficacious Alternative to Moderate-Intensity Continuous Training for Adults with Prediabetes (2015) · cites this paper as [19]
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Metadata
- Authors
- Janssen, I., & Ross, R.
- Affiliations
- Queen's University (CA)
- Corresponding author
- Janssen, I.
- ORCID
- Janssen, I.
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-03-24
- Volume
- 41
- Issue
- 4
- Pages
- 1132-1140
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- PMC
- PMC3429871
- OpenAlex
- W2100553130
- Cited by
- 124
- References
- 27
- Citations by year
- 2026: 8 · 2025: 5 · 2024: 8 · 2023: 9 · 2022: 8 · 2021: 13 · 2020: 6 · 2019: 5 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 10 · 2014: 10 · 2013: 13 · 2012: 4
- FWCI
- 7.93
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- International Journal of Epidemiology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Heart and Stroke Foundation of Canada
- Ontario Ministry of Research and Innovation
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- high-intensity exercise, metabolic syndrome, moderate physical activity, physical activity intensity, cardiometabolic disease prevention, accelerometer-measured activity, MET-minutes per week
- MeSH terms
- Adult, Cross-Sectional Studies, Energy Metabolism, Female, Humans, Male, Motor Activity, Nutrition Surveys, Ontario, Logistic Models, Metabolic Syndrome
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