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The Prospective Association of Organized Sports Participation With Cardiovascular Disease Risk in Children (the CHAMPS Study-DK)

  • Jeffrey J. Hebert
    Correspondence
    Correspondence: Address to Jeffrey J. Hebert, PhD, School of Psychology and Exercise Science, Murdoch University, 90 S St, ECL 4.008, Murdoch, Western Australia 6150, Australia.
    Affiliations
    School of Psychology and Exercise Science, Murdoch University, Murdoch, Western Australia, Australia

    Faculty of Kinesiology, University of New Brunswick, Fredericton, Canada
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  • Heidi Klakk
    Affiliations
    Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
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  • Niels Christian Møller
    Affiliations
    Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
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  • Anders Grøntved
    Affiliations
    Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
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  • Lars Bo Andersen
    Affiliations
    Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark

    Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway, and the Faculty of Teacher Education and Sports, Sogn og Fjordane University College, Sogndal, Norway
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  • Niels Wedderkopp
    Affiliations
    School of Psychology and Exercise Science, Murdoch University, Murdoch, Western Australia, Australia

    Centre of Research in Childhood Health, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark

    Sports Medicine Clinic, the Orthopedic Department, Hospital of Middelfart, Institute of Regional Health Services Research, University of Southern Denmark, Middelfart, Denmark
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Published:November 16, 2016DOI:https://doi.org/10.1016/j.mayocp.2016.08.013

      Abstract

      Objective

      To investigate the prospective association of organized leisure-time sports participation with cardiovascular risk in children.

      Methods

      Students were recruited from 10 public primary schools. From July 2009 to October 2010, parents reported children's weekly organized leisure-time sports participation via text messaging. Clustered cardiovascular risk was estimated with a composite score comprising fasting serum triglyceride levels, homeostasis assessment model-estimated insulin resistance, total to high-density lipoprotein cholesterol ratio, and systolic blood pressure. Additional outcomes were body mass index categories and fasting serum insulin and glucose concentrations. Associations were explored with generalized estimating equations and reported with beta coefficients (β) and percent difference per weekly sports session or incidence rate ratios. All models were adjusted for baseline values and other potential confounders.

      Results

      In total, 1197 children (53% female) with a mean age of 8.4±1.4 years were included. Participating in sports for 53 weeks was associated with lower clustered cardiovascular risk (β, −0.25; 95% CI, −0.41 to −0.10; percent difference, 3.2%; 95% CI, 5.2%-1.3%). Similar outcomes were observed for log homeostasis assessment model-estimated insulin resistance (β, −0.08; 95% CI, −0.12 to −0.04; percent difference, 3.4%; 5.1%-1.7%) and log insulin (β, −0.07; 95% CI, −0.11 to −0.04; percent difference, 2.6%; 95% CI, 4.0%-1.5%). Sports participation was associated with a 20% decreased risk of overweight/obesity (incidence rate ratio, 0.78; 95% CI, 0.64-0.96).

      Conclusion

      Participating in organized leisure-time sports for approximately 1 year is associated with decreased clustered cardiovascular risk in children. These findings show that participating in youth sports may be an effective strategy to reduce cardiovascular risk in children.

      Abbreviations and Acronyms:

      HDL-C (high-density lipoprotein cholesterol), HOMA-IR (homeostasis assessment model-estimated insulin resistance), IRR (incident rate ratio)
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