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The interplay of physical activity and smoking with metabolic syndrome and its components in the STEPS survey.

Scientific reports
April 12, 2025
Parisa Mohseni et al. (4 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to investigate the interaction between physical activity and smoking on the development of metabolic syndrome (MetS) and its components.

Results Summary

The study found that smoking combined with low physical activity increased the odds of MetS and its components, while moderate/vigorous physical activity with smoking was associated with lower odds of some MetS components but higher odds of low HDL cholesterol.

Population

40,046 Iranian participants aged 25-64 years from the STEPS surveys (2007, 2011, and 2016).

Effective Dosage

Not specified

Duration

Not specified (cross-sectional surveys from 2007, 2011, and 2016)

Interactions

Interaction with physical activity noted; no other interactions mentioned.

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low physical activity
increase
MetS
participants aged 25-64 years
34.32%
higher weighted prevalence
#1
current smoking
increase
MetS
participants aged 25-64 years
26.63%
weighted prevalence
#2
low physical activity and smoking
increase
MetS
participants aged 25-64 years
RERI=0.23, AP=0.25, SI=0.23
positive interactions observed
#3
low physical activity and smoking
increase
abdominal obesity
participants aged 25-64 years
RERI=0.24, AP=0.31, SI=0.47
positive interactions observed
#4
low physical activity and smoking
increase
high triglycerides
participants aged 25-64 years
RERI=0.19, AP=0.19, SI=0.12
positive interactions observed
#5
moderate/vigorous physical activity combined with smoking
decrease
abdominal obesity
participants aged 25-64 years
-
associated with lower odds
#6
moderate/vigorous physical activity combined with smoking
decrease
hypertension
participants aged 25-64 years
-
associated with lower odds
#7
moderate/vigorous physical activity combined with smoking
decrease
elevated fasting blood glucose
participants aged 25-64 years
-
associated with lower odds
#8
moderate/vigorous physical activity combined with smoking
increase
low HDL cholesterol
participants aged 25-64 years
-
associated with higher odds
#9
physical inactivity
increase
MetS
-
-
greater potential risk factor
#10
low physical activity and smoking
increase
MetS
-
-
exacerbates the odds
#11
low physical activity and smoking
increase
several of its components
-
-
exacerbates the odds
#12
Abstract

Metabolic syndrome (MetS) is a cluster of metabolic disorders associated with an increased risk of cardiovascular disease and type 2 diabetes. The aim of this study was to investigate the interaction between physical activity and smoking on the development of MetS and its components. In this repeated cross-sectional study, data from the Iranian STEPwise non-communicable disease risk factor surveillance (STEPS) surveys (2007, 2011, and 2016) were analyzed, which included 40,046 participants aged 25-64 years. Physical activity was categorized as low, moderate, or vigorous based on metabolic equivalents (MET) minutes per week. Smoking status was defined based on self-reported information as either a current smoker or a non-smoker. MetS was diagnosed using established criteria. Interactive association was analyzed using relative excess risk due to interaction (RERI), attributable proportion (AP), and synergy index (SI), and weighted logistic regression. The weighted prevalence of MetS was higher in the low physical activity group (34.32%) than in the current smokers group (26.63%). Positive interactions between low physical activity and smoking were observed for MetS (RERI = 0.23, AP = 0.25, SI = 0.23), abdominal obesity (RERI = 0.24, AP = 0.31, SI = 0.47) and high triglycerides (RERI = 0.19, AP = 0.19, SI = 0.12). Moderate/vigorous physical activity combined with smoking was associated with lower odds of abdominal obesity, hypertension and elevated fasting blood glucose, but higher odds of low HDL cholesterol. A physical inactivity appears to be a greater potential risk factor for MetS than smoking. The interaction between low physical activity and smoking exacerbates the odds of MetS and several of its components. Promoting physical activity and smoking cessation should be prioritized in MetS prevention and treatment strategies.

Medical Subject Headings (MeSH)
HumansMetabolic SyndromeMiddle AgedMaleFemaleAdultExerciseSmokingCross-Sectional StudiesIranRisk FactorsPrevalence
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.47
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