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Relationship between youth cardiometabolic health and physical activity in medical records.
- Source :
-
PloS one [PLoS One] 2024 Jun 06; Vol. 19 (6), pp. e0303583. Date of Electronic Publication: 2024 Jun 06 (Print Publication: 2024). - Publication Year :
- 2024
-
Abstract
- Background: Thers is limited research examining modifiable cardiometabolic risk factors with a single-item health behavior question obtained during a clinic visit. Such information could support clinicians in identifying patients at risk for adverse cardiometabolic health. We investigated if children meeting physical activity or screen time recommendations, collected during clinic visits, have better cardiometabolic health than children not meeting recommendations. We hypothesized that children meeting either recommendation would have fewer cardiometabolic risk factors.<br />Methods and Findings: This cross-sectional study used data from electronic medical records (EMRs) between January 1, 2013 through December 30, 2017 from children (2-18 years) with a well child visits and data for ≥1 cardiometabolic risk factor (i.e., systolic and diastolic blood pressure, glycated hemoglobin, alanine transaminase, high-density and low-density lipoprotein, total cholesterol, and/or triglycerides). Physical activity and screen time were patient/caregiver-reported. Analyses included EMRs from 63,676 well child visits by 30,698 unique patients (49.3% female; 41.7% Black, 31.5% Hispanic). Models that included data from all visits indicated children meeting physical activity recommendations had reduced risk for abnormal blood pressure (odds ratio [OR] = 0.91, 95%CI 0.86, 0.97; p = 0.002), glycated hemoglobin (OR = 0.83, 95%CI 0.75, 0.91; p = 0.00006), alanine transaminase (OR = 0.85, 95%CI 0.79, 0.92; p = 0.00001), high-density lipoprotein (OR = 0.88, 95%CI 0.82, 0.95; p = 0.0009), and triglyceride values (OR = 0.89, 95%CI 0.83, 0.96; p = 0.002). Meeting screen time recommendations was not associated with abnormal cardiometabolic risk factors.<br />Conclusion: Collecting information on reported adherence to meeting physical activity recommendations can provide clinicians with additional information to identify patients with a higher risk of adverse cardiometabolic health.<br />Competing Interests: "The authors have read the journal’s policy and have the following competing interests: BF received salary support from the National Institutes of Health for research not directly related to this project (F32DK128982). This does not alter our adherence to PLOS ONE policies on sharing data and materials."<br /> (Copyright: © 2024 Forseth et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
- Subjects :
- Humans
Female
Male
Adolescent
Child
Cross-Sectional Studies
Child, Preschool
Electronic Health Records statistics & numerical data
Blood Pressure
Glycated Hemoglobin analysis
Glycated Hemoglobin metabolism
Cardiovascular Diseases epidemiology
Screen Time
Risk Factors
Alanine Transaminase blood
Alanine Transaminase metabolism
Triglycerides blood
Exercise
Cardiometabolic Risk Factors
Subjects
Details
- Language :
- English
- ISSN :
- 1932-6203
- Volume :
- 19
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- PloS one
- Publication Type :
- Academic Journal
- Accession number :
- 38843219
- Full Text :
- https://doi.org/10.1371/journal.pone.0303583