Korean J Sports Med.  2024 Jun;42(2):145-153. 10.5763/kjsm.2024.42.2.145.

The Association between the Type and Level of Physical Activity and Metabolic Syndrome in Korean Adults Aged 40 Years and over: Results from the Eighth Korea National Health and Nutrition Examination Survey (2019–2021)

• Son N

• KMID: 2556280
• DOI: http://doi.org/10.5763/kjsm.2024.42.2.145

Abstract

Purpose
The purpose of this study was to elucidate the association between the type and level of physical activity and metabolic syndrome (MetS) in Korean adults aged 40 years and over.
Methods
A total of 11,848 adults aged 40 years and over from the eighth Korea National Health and Nutrition Examination Survey (2019–2021) were analyzed. The participants were classified into four groups according to the type and level of physical activity (‘combined,’ ‘aerobic only,’ ‘resistance only,’ and ‘insufficiently active’). MetS and risk factors were analyzed according to the diagnostic criteria of the Korean Society of Cardiometabolic Syndrome. Complex samples logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (CI) of the relationship between the type and level of physical activity and MetS after adjusting covariates.
Results
Compared to the ‘insufficiently active’ group, the ‘combined’ group had a 28% lower risk of MetS (OR, 0.72; 95% CI, 0.62–0.83), the ‘aerobic only’ group had a 19% lower risk of MetS (OR, 0.81; 95% CI, 0.72–0.92), and the ‘resistance only’ group had a 40% lower risk of MetS (OR, 0.60; 95% CI, 0.50–0.72). The ‘combined’ and ‘resistance only’ groups showed a significantly lower risk of four risk factors for MetS except for ‘high fasting glucose,’ and the ‘aerobic only’ group showed a significantly lower risk of ‘abdominal obesity’ and ‘a low level of high-density lipoprotein cholesterol.’ Conclusion: The results of this study showed a negative association between the type and level of physical activity and MetS.

Keyword

Metabolic syndrome; Physical activity; Strength exercise

Figure

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  Fig. 1 Flow chart of the study. KNHANES VIII: The Eighth Korea National Health and Nutrition Examination Survey, HDL-C: high-density lipoprotein cholesterol.

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