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The impact of educational attainment on cardiorespiratory fitness and metabolic syndrome in Korean adults.

ABSTRACT: The aim of this study was to evaluate the relationship between educational attainment and cardiorespiratory fitness (CRF) as a predictor of metabolic syndrome in a Korean population.In this single-center, retrospective cross-sectional study, 988 healthy adults (601 men and 387 women) who underwent regular health check-up in Seoul St. Mary's Hospital were analyzed. Educational attainment was categorized into 3 groups according to their final grade of educational course: middle or high school (?12 years of education), college or university (12-16 years of education), and postgraduate (?16 years of education). CRF was assessed by cardiopulmonary exercise testing, biceps strength, hand grip strength, bioelectrical impedance analysis, and echocardiography. Metabolic syndrome was diagnosed according to the 3rd report of the National Cholesterol Education Program.Among the subjects, 357 (36.1%) had metabolic syndrome. The postgraduate group had significantly higher peak oxygen consumption (VO2), biceps strength, hand grip strength, and peak expiratory flow than other groups (all P?

SUBMITTER: Chang M

PROVIDER: S-EPMC7440071 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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The impact of educational attainment on cardiorespiratory fitness and metabolic syndrome in Korean adults.

Chang Mineok M Lee Hea-Yeon HY Seo Suk Min SM Koh Yoon-Seok YS Park Hun-Jun HJ Kim Pum-Joon PJ Seung Ki-Bae KB

Medicine 20200401 17

The aim of this study was to evaluate the relationship between educational attainment and cardiorespiratory fitness (CRF) as a predictor of metabolic syndrome in a Korean population.In this single-center, retrospective cross-sectional study, 988 healthy adults (601 men and 387 women) who underwent regular health check-up in Seoul St. Mary's Hospital were analyzed. Educational attainment was categorized into 3 groups according to their final grade of educational course: middle or high school (≤12 ...[more]

PMID: 32332649

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Project description:Background:Metabolic syndrome (MetS) is a health disorder characterized by metabolic abnormalities that predict an increased risk to develop cardiovascular disease (CVD) and type 2 diabetes (T2DM). It can be resolved, and its complications reduced, by lifestyle interventions offered in primary care. The objectives of this study were to evaluate the impact of the exercise program of the CHANGE feasibility study on physical fitness and physical activity habits, and assess associations between changes in MetS components and cardiorespiratory fitness (CRF). Methods:In this analysis of 192 of the 293 adults with MetS in the overall study, the impact on physical fitness [aerobic capacity, muscular fitness and flexibility], and non-supervised physical activities was investigated over 12?months. In the CHANGE program, aerobic capacity, muscular fitness and flexibility were assessed at baseline, after 3?months of weekly supervised exercise, and following 9 additional months during which participants had one monthly session of supervised exercise. Additionally, CRF response was also examined in relation to changes in MetS components [fasting glucose, high-density lipoprotein (HDL) cholesterol, triglycerides, blood pressure, waist circumference (WC)]. Results:Fitness variables were significantly increased at 12?months with most of the improvements reached by 3?months (estimated VO2 max: 6 and 12%; partial curl-ups: 55 and 80%; push-ups: 50 and 100%; flexibility: 22 and 10% in men and women, respectively, p?<? 0.001). As expected, the duration and intensity of supervised aerobic physical activity increased during the first 3?months of supervision in both men and women, and remained unchanged for the duration of the program. The duration of non-supervised physical activities did not change during the program in men whereas an increase in manual work of moderate intensity was recorded in women between 3 and 12?months. In women, mean changes in WC were significantly greater among high VO2 max responders than low responders, between 0 and 12?months, as well as between 3 and 12?months (-?3.42?cm and?-?4.32?cm, respectively, p?<? 0.05). No associations were seen with MetS components in men. Higher intensity activities were maintained by both sexes at one year. Conclusion:Patients with MetS participating in the CHANGE lifestyle program improved physical fitness and physical activity habits by three months and maintained these gains over one year. Women who achieved a greater VO2 max increase had greater reductions in WC compared to low VO2max responders.

Dataset Information

The impact of educational attainment on cardiorespiratory fitness and metabolic syndrome in Korean adults.

Publications

The impact of educational attainment on cardiorespiratory fitness and metabolic syndrome in Korean adults.

Similar Datasets

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