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Mesquita EDDL, Tebar WR, Correia DCQ, Guica JT, Torres W, Fernandes RA, Agostinete RR, Christofaro DGD. Physical activity and sedentary behaviour of adolescents and their parents: a specific analysis by sex and socioeconomic status. Arch Public Health 2023; 81:189. [PMID: 37875950 PMCID: PMC10594871 DOI: 10.1186/s13690-023-01185-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Accepted: 09/05/2023] [Indexed: 10/26/2023] Open
Abstract
BACKGROUND The association of lifestyle habits of parents and of their children has been widely investigated as an important determinant for healthy habits in youth. Although parental sociodemographic characteristics are potential confounding factors in parent-child physical activity (PA) and sedentary behaviour (SB), it is still unclear whether these factors have a moderating role in this association. This study aimed to analyze the association of parent-child PA and SB according to parental sex and economic level in adolescents. METHODS The study sample was made up of 1231 adolescents (15.6 ± 1.1 years, 58.2% of girls), 1202 mothers and 871 fathers. The leisure-time and commuting PA was assessed by the Baecke questionnaire, while sedentary behaviour (SB) was assessed according to hours per week of television viewing and computer use, by both adolescents and their parents. Economic status was analyzed using a questionnaire and classified as low, medium, and high. Linear models were used to assess the association of parent-child PA and SB in the different domains according to parental sex and economic level. RESULTS Leisure time was associated between boys and their fathers in high (β = 0.23, p = 0.044) and low economic classes (β = 0.31, p < 0.001), and girls and their mothers in low economic class (β = 0.38, p < 0.001). Commuting PA was associated between adolescents and both parents in low economic class (fathers β = 0.21, p = 0.005; mothers (β = 0.15, p = 0.020). TV time of boys was associated with TV time of fathers in low economic class (β = 0.13, p = 0.022) and with TV time of mothers in medium economic class (β = 0.13, p = 0.046). Among girls, TV time was associated with TV time of both parents only in low economic class (fathers β = 0.28, p < 0.001; mothers β = 0.25, p < 0.001). Computer use of girls was associated with computer use of fathers in high economic class (β = 1.72, p = 0.043) and mothers in low economic class (β = 0.57, p = 0.014), while no association was observed among boys. CONCLUSION Economic status was shown to be an important moderator of the association between parent-child PA and SB in adolescents.
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Affiliation(s)
- Eduardo Duarte de Lima Mesquita
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil.
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil.
| | - William Rodrigues Tebar
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Center of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo (USP), São Paulo, Brazil
| | - Dayane Cristina Queiroz Correia
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Juziane Teixeira Guica
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Wésley Torres
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Rômulo Araújo Fernandes
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
| | - Ricardo Ribeiro Agostinete
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
| | - Diego Giulliano Destro Christofaro
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Presidente Prudente, São Paulo, Brazil
- Post-Graduation Program in Movement Sciences, Institute of Biosciences, São Paulo State University (UNESP), São Paulo, Brazil
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Hernández-Beltrán V, Espada MC, Santos FJ, Ferreira CC, Gamonales JM. Documents Publication Evolution (1990-2022) Related to Physical Activity and Healthy Habits, a Bibliometric Review. Healthcare (Basel) 2023; 11:1669. [PMID: 37372787 DOI: 10.3390/healthcare11121669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 05/30/2023] [Accepted: 06/03/2023] [Indexed: 06/29/2023] Open
Abstract
This research aims to provide an overview of the growing number of scientific literature publications related to Physical Activity and Healthy Habits. A bibliometric analysis between 1990 and 2022 in the Web of Science was carried out, following the bibliometric analysis law, using Microsoft Excel and VosViewer Software for analysis and data processing. A total of 276 documents (262 primary studies and 14 revisions) related to the topic under study were located. The results reveal an exponential growth of scientific production by 48% between 2006 and 2022. Public Environmental Occupational Health, Kaprio, J., and the USA were the knowledge field, author, and country most productive, respectively. A great thematic diversity was found related to the most used keywords by the authors, such as "physical activity", "health habits", "exercise", and "obesity". Thus, the research related to this theme is really in an exponential phase, with great interest in the importance of physical activity and healthy habits, implying practical decisions in policies to develop programs to promote physical activity and healthy habits.
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Affiliation(s)
- Víctor Hernández-Beltrán
- Optimization of Training and Sports Performance Research Group, Faculty of Sport Science, University of Extremadura, 10005 Cáceres, Spain
| | - Mário C Espada
- Instituto Politécnico de Setúbal, Escola Superior de Educação, CIEF, CDP2T, 2914-504 Setúbal, Portugal
- Life Quality Research Centre (CIEQV-Leiria), 2040-413 Rio Maior, Portugal
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisboa, Portugal
| | - Fernando J Santos
- Instituto Politécnico de Setúbal, Escola Superior de Educação, CIEF, CDP2T, 2914-504 Setúbal, Portugal
- Life Quality Research Centre (CIEQV-Leiria), 2040-413 Rio Maior, Portugal
- Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisboa, Portugal
| | - Cátia C Ferreira
- Optimization of Training and Sports Performance Research Group, Faculty of Sport Science, University of Extremadura, 10005 Cáceres, Spain
- Instituto Politécnico de Setúbal, Escola Superior de Educação, CIEF, CDP2T, 2914-504 Setúbal, Portugal
| | - José M Gamonales
- Optimization of Training and Sports Performance Research Group, Faculty of Sport Science, University of Extremadura, 10005 Cáceres, Spain
- Faculty of Health Sciences, University of Francisco de Vitoria, 28223 Madrid, Spain
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Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study. Dermatol Res Pract 2022; 2022:2906189. [PMID: 35386232 PMCID: PMC8979734 DOI: 10.1155/2022/2906189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 02/07/2022] [Accepted: 03/12/2022] [Indexed: 11/17/2022] Open
Abstract
Background. Acanthosis nigricans (AN) is a clinical sign that commonly occurs in obesity; however, its specificity and sensitivity have been controversial. It is unknown if AN severity degree can be a useful marker for cardiometabolic disorders screening. We suggest that the stratified analysis of AN severity degree in neck by Burke’s scale could be a useful tool in the screening of cardiometabolic alterations in obese children. Objective. The aim of this study was the association of AN severity degree in neck by Burke’s scale with anthropometric, biochemical, and inflammatory parameters in obese school-age children from Mexico City. Methods. A cross-sectional study was conducted, including 95 obese school-age children stratified by AN severity degree in neck by Burke’s scale. Anthropometric and fasting biochemical measurements were determined. Variables were compared by x2 test for frequencies and one-way ANOVA with Bonferroni posttest for continuous variables. Linear regression analysis adjusted by gender, BMI, and age was performed to evaluate the association between AN severity degree and cardiometabolic alterations. Statistical significance was set at
. Results. As AN severity degree in neck by Burke’s scale increased, diastolic blood pressure (
) and triglycerides (
) significantly increased and adiponectin significantly decreased (
). Positive associations between grade 3 AN and waist circumference, HOMA-IR, triglycerides, total cholesterol, and LDL cholesterol were observed. Conclusion. Our findings could be used to identify an easier clinical tool to prevent obesity progression and its complications in pediatrics. There are no similar studies.
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Sehn AP, Brand C, Silveira JFDC, Marshall R, Pollo Renner JD, Reuter CP. Integrated role of lifestyle habits in cardiometabolic risk factors according to sex in adolescents. Ann Hum Biol 2022; 49:18-26. [PMID: 35254182 DOI: 10.1080/03014460.2022.2049873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Background: A healthy lifestyle should be adopted by young people to maintain cardiometabolic health. Aim: To verify the prevalence and the integrated role of lifestyle habits in cardiometabolic risk factors according to sex in adolescents. Subjects and methods: Cross-sectional study developed with 1,502 adolescents, aged 10 to 17 years. Lifestyle habits included physical activity, screen time and sleep duration evaluated through a questionnaire. Cardiometabolic risk score (CMRS) was calculated by summing z-scores, divided by six. For statistical analyses, multivariable binary and multinomial logistic regression models were used. Results: 80.7% of the boys classified with adverse CMRS presented physical inactivity, compared to normal CMRS. In girls, 42.6% showed inadequate sleep compared to normal CMRS. Boys classified as inactive showed higher odds for obesity, as well as altered triglycerides, and systolic blood pressure, risk for cardiorespiratory fitness (CRF), high waist circumference, and CMRS, compared to the active. A prolonged screen time increased the odds for altered glucose and decreased the odds for altered triglycerides. In girls, inadequate sleep duration presented higher odds for overweight, obesity, risk for CRF, and high CMRS, compared to adequate sleep. Conclusions: Physical activity for boys and sleep duration for girls are important to maintain healthy metabolic health among youth.
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Affiliation(s)
- Ana Paula Sehn
- Graduate Program in Health Promotion. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brasil
| | - Caroline Brand
- Graduate Program in Health Promotion. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brasil
| | | | | | - Jane Dagmar Pollo Renner
- Graduate Program in Health Promotion. Life Sciences Department. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brazil
| | - Cézane Priscila Reuter
- Graduate Program in Health Promotion. Health Sciences Department. University of Santa Cruz do Sul (UNISC). Santa Cruz do Sul, RS, Brazil
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Sehn AP, Tornquist D, Tornquist L, Brazo-Sayavera J, Reuter CP. Biological and socioeconomic factors as moderator in relationship between leisure-time physical activity and cardiometabolic risk in adolescents from southern Brazil. Environ Health Prev Med 2021; 26:90. [PMID: 34521350 PMCID: PMC8442526 DOI: 10.1186/s12199-021-01012-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 09/01/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Given the important repercussions that sociodemographic factors can have on physical activity, especially in the field of leisure, and cardiometabolic risk, it seems relevant to analyze the implications of these variables on the relationship between physical activity in leisure time (LTPA) and cardiometabolic risk. In this sense, the present study aims to verify the moderating role of biologic and socioeconomic factors in the relationship between LTPA and cardiometabolic risk in adolescents in southern Brazil. METHODS Cross-sectional study that included 1596 adolescents selected at random (58.2% girls), aged between 10 and 17 years. LTPA, biological and socioeconomic factors were assessed using a self-reported questionnaire and the cardiometabolic risk score (total cholesterol/HDL-c ratio, triglycerides, fasting glucose, systolic blood pressure, and waist circumference, considering the participant's age and sex) was included as an outcome. Associations and moderations were tested by multiple linear regression models. RESULTS It was observed a positive interaction of LTPA and sex (p = 0.048) and LTPA and school system (p = 0.037), and negative interaction of LTPA and skin color (p = 0.040), indicating that these factors were moderators in the relationship between LTPA and clustered cardiometabolic risk score (cMetS) in adolescents. A reduction in cardiometabolic risk was observed according to the increase in weekly minutes of LTPA among boys, non-white adolescents, and students from municipal schools. CONCLUSIONS The association between LTPA and cardiometabolic risk was moderated by sex, skin color, and school system in adolescents from southern Brazil.
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Affiliation(s)
- Ana Paula Sehn
- Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Av. Independência, 2293, Universitário, Santa Cruz do Sul, Rio Grande do Sul 96815-900 Brazil
| | - Debora Tornquist
- Graduate Program in Physical Education, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul Brazil
| | - Luciana Tornquist
- Graduate Program in Physical Education, Federal University of Pelotas (UFPel), Pelotas, Rio Grande do Sul Brazil
| | - Javier Brazo-Sayavera
- Department of Sports and Computer Sciences, Universidad Pablo de Olavide, Seville, Spain
| | - Cézane Priscila Reuter
- Graduate Program in Health Promotion, Department of Health Sciences, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, Rio Grande do Sul Brazil
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Zanuto EF, Ritti-Dias RM, Tebar WR, Scarabottolo CC, Delfino LD, Casonatto J, Vanderlei LCM, Christofaro DGD. Is physical activity associated with resting heart rate in boys and girls? A representative study controlled for confounders. J Pediatr (Rio J) 2020; 96:247-254. [PMID: 30521767 PMCID: PMC9432037 DOI: 10.1016/j.jped.2018.10.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 09/27/2018] [Accepted: 10/01/2018] [Indexed: 12/25/2022] Open
Abstract
OBJECTIVE Investigate the relationship between different domains of physical activity and resting heart rate (RHR) in boys and girls. METHOD The sample included 1011 adolescents, aged between 10 and 17 years. RHR was measured by a heart rate monitor and physical activity was assessed in total and in three different domains (school, occupational, and sports practice) by a questionnaire. Anthropometry was directly obtained for body mass index and central fat. Ethnicity, sedentary behavior, and smoking habits were self-reported and used to adjust the analysis, through hierarchical linear regression. RESULTS Total physical activity was associated with low RHR in boys (β=-0.52; 95% CI: -0.92, -0.12) and girls (β=-0.67; 95% CI: -1.07, -0.28). Although sporting physical activities were associated with low RHR in both boys (β=-0.58; 95% CI: -1.05, -0.11) and girls (β=-0.87; 95% CI: -1.34, -0.39), occupational physical activity was related to low RHR only in boys (β=-1.56; 95% CI: -2.99, -0.14). CONCLUSION The practice of physical activity in the sport practice domain and total physical activity were related to low RHR in both sexes, while occupational physical activities were associated with RHR only in boys.
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Affiliation(s)
- Edner F Zanuto
- Universidade Estadual Paulista, Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Raphael M Ritti-Dias
- Universidade Nove de Julho, Departamento de Ciências da Reabilitação, São Paulo, SP, Brazil
| | - William R Tebar
- Universidade Estadual Paulista, Programa de Pós-graduação em Ciências do Movimento, Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Catarina C Scarabottolo
- Universidade Estadual Paulista, Programa de Pós-graduação em Ciências do Movimento, Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Leandro D Delfino
- Universidade Estadual Paulista, Departamento de Educação Física, Presidente Prudente, SP, Brazil
| | - Juliano Casonatto
- Universidade Norte do Paraná, Departamento de Educação Física, Londrina, PR, Brazil
| | - Luiz Carlos M Vanderlei
- Universidade Estadual Paulista, Departamento de Fisioterapia, Presidente Prudente, SP, Brazil
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Zanuto EF, Ritti‐Dias RM, Tebar WR, Scarabottolo CC, Delfino LD, Casonatto J, Vanderlei LCM, Christofaro DGD. Is physical activity associated with resting heart rate in boys and girls? A representative study controlled for confounders. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2020. [DOI: 10.1016/j.jpedp.2019.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Physical Activity and Health Habits of 17- to 25-Year-Old Young People during Their Free Time. SUSTAINABILITY 2019. [DOI: 10.3390/su11236577] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The objective was to examine daily health-related habits and physical activity during free time in a group of young people, with the aim of analysing what types of habits are developed and the associations existing between these habits. A cross-sectional and observational study was carried out. The sample was composed of 1132 young people from Castilla-La Mancha (Spain), 53.4% women and 46.6% men, between 17 and 25 years old (M = 20.63; DT = 2.01). The instrument used in this study was the questionnaire of assessment of health-related habits (QAHH). Different ranges of age and gender were taken into account in the analyses. The results showed low rates of physical activity, with only 25% of the participants practicing physical activity in their free time. Regarding gender, no differences were observed between boys and girls in terms of the level of physical activity practice. The inferential analyses revealed several significant relationships between the habits of leisure time and the practice of physical activity. The analyses also revealed that alcohol consumption, tobacco consumption and Internet were used as means to escape from everyday life. The most frequent free-time activities of the participants during the week were the use of new technologies and the consumption of harmful substances. During the weekends the most frequent ones were physical activity and consumption of harmful substances. While the relationship between physical activity, health-related habits and leisure time in young people is complex, these results indicate that physical activity should be promoted in young people, especially during the week and as a healthy alternative to the consumption of harmful substances. To do this, professionals of different fields (education, psychology, sports sciences, nutrition and medicine, among others) should work together.
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Quaresma FRP, da Silva Maciel E, dos Santos Figueiredo FW, Adami F. Factors associated with blood pressure disorders in Afro-descendant children and adolescents. BMC Pediatr 2019; 19:244. [PMID: 31325963 PMCID: PMC6642598 DOI: 10.1186/s12887-019-1626-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Accepted: 07/12/2019] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Hypertension (AH) is an emerging disease that has rapidly increased in the last decades throughout the world. The increase in blood pressure (BP) is observed with growth and development and, although the manifestation of the disease is rare in childhood and adolescence, its occurrence is increasing and the causes are likely to be from different combinations of factors. Afrodescendants have been consistently observed in many populations, including Brazil, which has the largest population of Afrodescendants outside Africa; nevertheless, data is scarce on the disease in children and adolescents. In this study, we investigated BP disorders in children and adolescents of "Quilombola" populations of the state of Tocantins, northern Brazil, and determined the disease occurrence with some factors, namely food consumption, body composition, anthropometric measures, and biochemical data. METHODS We carried out a cross-sectional study with 67 children aged 10-17 years, comparing the variables studied between the normotensive and non-normotensive groups, using the Chi-square test for qualitative variables and the appropriate tests, according to data adherence to the Gaussian distribution for the quantitative variables. High blood pressure was defined as mean systolic or diastolic blood pressure ≥ 90 percentile for age, height, gender. RESULTS The rate of adolescents with BP disorders was 19.4% (prehypertension 14.9% and hypertension 4.5%). There were no significant differences between the sexes for high blood pressure. In the Poisson regression analysis, the high fat percentage was associated with elevated blood pressure (p = 0.021) for adolescents. Similar associations were observed for non-HDL-c (p < 0.001) and low calcium intake (p = 0.015). CONCLUSION Most children and adolescents in "Quilombola" communities had normal blood pressure. However, higher levels of dyslipidemia and low calcium intake are factors associated with prehypertension in the population studied with high BP.
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Affiliation(s)
- Fernando Rodrigues Peixoto Quaresma
- Laboratory of Epidemiology and Data Analysis, Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000, Santo André, São Paulo Brazil
- Federal University of Tocantins, Campus Palmas, Quadra 109 Norte, Avenida NS15, ALCNO-14 - Plano Diretor Norte, Palmas, TO Brazil
| | - Erika da Silva Maciel
- Laboratory of Epidemiology and Data Analysis, Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000, Santo André, São Paulo Brazil
- Federal University of Tocantins, Miracema Campus, Av. Lourdes Solino, 195 - St. Sussuapara, Miracema do Tocantins, TO Brazil
| | | | - Fernando Adami
- Laboratory of Epidemiology and Data Analysis, Faculdade de Medicina do ABC, Av. Lauro Gomes, 2000, Santo André, São Paulo Brazil
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Huerta-Ávila EE, Ramírez-Silva I, Torres-Sánchez LE, Díaz-Benítez CE, Orbe-Orihuela YC, Lagunas-Martínez A, Galván-Portillo M, Flores M, Cruz M, Burguete-García AI. High Relative Abundance of Lactobacillus reuteri and Fructose Intake are Associated with Adiposity and Cardiometabolic Risk Factors in Children from Mexico City. Nutrients 2019; 11:nu11061207. [PMID: 31141963 PMCID: PMC6627236 DOI: 10.3390/nu11061207] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 05/10/2019] [Accepted: 05/10/2019] [Indexed: 01/04/2023] Open
Abstract
In Mexico, 3 of 10 children are overweight. Fructose intake and relative abundance (RA) of Lactobacillus reuteri (L. reuteri) in the intestinal microbiota are associated with obesity and diabetes in adults, but studies in children are limited. This study evaluates the association between fructose intake and L. reuteri RA with adiposity and cardiometabolic risk markers in Mexican children dietary information, microbiota profiles, adiposity indicators (Body Mass Index, BMI and Waste Circumference, WC), and cardiometabolic markers were analyzed in 1087 children aged 6–12 years. Linear regression and path analysis models were used. High-tertile fructose intake and L. reuteri RA were positively associated with BMI (βTertil 3 vs. Tertil 1= 0.24 (95% CI, 0.04; 0.44) and βT3 vs. T1 = 0.52 (95% CI, 0.32; 0.72)) and WC (βT3 vs. T1 = 2.40 (95% CI, 0.93; 3.83) and βT3 vs. T1 = 3.40 (95% CI, 1.95; 4.90)), respectively. Also, these factors mediated by adiposity were positively correlated with high triglycerides and insulin concentrations and HOMA-IR (p ≤ 0.03) and negatively associated with HDL-C concentration (p < 0.01). High-tertile fructose intake and L. reuteri RA were directly associated with adiposity and indirectly associated though adiposity with metabolic disorders in children. In conclusion, fructose intake and L. reuteri RA were directly associated with adiposity and indirectly associated with metabolic disorders in children, mediated by adiposity.
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Affiliation(s)
- Eira E Huerta-Ávila
- Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Ivonne Ramírez-Silva
- Centro de Investigación sobre Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Luisa E Torres-Sánchez
- Centro de Investigación Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Cinthya E Díaz-Benítez
- Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Yaneth C Orbe-Orihuela
- Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Alfredo Lagunas-Martínez
- Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Marcia Galván-Portillo
- Centro de Investigación Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Mario Flores
- Centro de Investigación sobre Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
| | - Miguel Cruz
- Unidad de Investigación Médica en Bioquímica, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Juárez, Ciudad de México, CDMX 06600, México.
| | - Ana I Burguete-García
- Centro de Investigación sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, México.
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Pressão arterial elevada em escolares: fatores sociodemográficos e bioquímicos associados. Rev Port Cardiol 2019; 38:195-201. [DOI: 10.1016/j.repc.2018.06.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Revised: 06/11/2018] [Accepted: 06/24/2018] [Indexed: 11/30/2022] Open
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Reuter CP, Rodrigues ST, Barbian CD, Silveira JFDC, Schneiders LDB, Soares SS, Burgos LT, Burgos MS. High blood pressure in schoolchildren: Associated sociodemographic and biochemical factors. REVISTA PORTUGUESA DE CARDIOLOGIA (ENGLISH EDITION) 2019. [DOI: 10.1016/j.repce.2018.06.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
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Abstract
Lifestyle changes such as exercise and dietary change are recommended first-line therapy for children with dyslipidemia, hypertension, and obesity. Although most clinicians recommend exercise, specific exercise prescriptions are not usually provided. The optimal type, duration, and intensity of activity to achieve a meaningful outcome is not definitively defined. As the pediatric population becomes more sedentary and morbidity accumulates from this lifestyle, understanding how targeted exercise prescriptions can benefit patients will be critical to effectively manage this group of patients. This review focuses on the role of exercise for the treatment of pediatric patients with dyslipidemia, hypertension, and obesity and describes additional factors that require future research to achieve desired outcomes in this at-risk population. [Pediatr Ann. 2018;47(12):e494-e498.].
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Kamel M, Smith BT, Wahi G, Carsley S, Birken CS, Anderson LN. Continuous cardiometabolic risk score definitions in early childhood: a scoping review. Obes Rev 2018; 19:1688-1699. [PMID: 30223304 DOI: 10.1111/obr.12748] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Revised: 06/25/2018] [Accepted: 07/06/2018] [Indexed: 02/06/2023]
Abstract
BACKGROUND Cardiometabolic risk (CMR) in young children has been measured using various approaches, including a continuous summary score that incorporates components such as adiposity, lipids, metabolic factors and blood pressure. OBJECTIVES The objective of this study was to comprehensively review definitions of continuous CMR scores in children <10 years of age. METHODS A scoping review was conducted using a systematic search of four scientific databases up to June 2016. Inclusion criteria were children <10 years of age and report of a continuous CMR score. RESULTS Ninety-one articles were included. Most studies were published from 2007 to 2016 (96%). Nearly all continuous CMR scores (90%) were calculated using the sum or the mean of z-scores, and many articles age-standardized and sex-standardized components within their own population. The mean number of variables included in the risk scores was 5 with a range of 3-11. The most commonly included score components were waist circumference (52%), triglycerides (87%), high-density lipoprotein cholesterol (67%), glucose (43%) and systolic blood pressure (52%). IMPORTANCE Continuous CMR scores are emerging frequently in the child health literature and are calculated using numerous methods with diverse components. This heterogeneity limits comparability across studies. A harmonized definition of CMR in childhood is needed.
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Affiliation(s)
- M Kamel
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - B T Smith
- Public Health Ontario, Toronto, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - G Wahi
- Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
| | - S Carsley
- Public Health Ontario, Toronto, Ontario, Canada.,Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - C S Birken
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.,Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
| | - L N Anderson
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.,Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada
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Opina AD, Cephus C, Wang Y, Younan S, Moodie D. The effects of lifestyle changes on serum lipid levels in children in a real life setting. CONGENIT HEART DIS 2018; 13:327-333. [PMID: 29345123 DOI: 10.1111/chd.12580] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Revised: 11/28/2017] [Accepted: 12/22/2017] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Studies have shown improvement in lipid levels after institution of lifestyle changes in children enrolled in closely monitored programs. There programs are difficult to mimic in real world clinics. We aim to determine if diet and exercise result in improvement in lipid levels in patients seen in a designated lipid clinic in a real life setting. DESIGN Retrospective review of patients followed for dyslipidemia at the Texas Children's Hospital Lipid Clinic from May 1, 2012 to May 1, 2015. Patients included were seen more than once, had repeat lipid testing, and abnormal baseline lipid levels. Multivariate analysis using mixed models were performed to compare outcomes in patients who did and did not participate in lifestyle change. RESULTS Of the 268 patients seen within the study period, 174 (56% male, 44% female) met inclusion criteria. Median age was 11 years. Compared to patients who did not make lifestyle changes: patients who made only diet changes demonstrated significant improvement in weight only (slope = -1.55, P-value = .014), and those who made only exercise changes demonstrated significant improvements in serum cholesterol (slope = -22.8, P-value = .017) and non-HDL cholesterol (slope = -28.7, P-value = < .01) levels. Patients who participated in both diet and exercise demonstrated significant improvement in weight (slope = -1.13, P-value = .011), diastolic blood pressure (slope = -1.82, P-value = < .01), and serum lipid levels: LDL (slope = -10.8, P-value = 0.017), HDL (slope = 1.52, P-value = .24), Triglycerides (slope = -0.11, P-value = .033) compared to those who did not make lifestyle changes. CONCLUSIONS Outpatient management of dyslipidemia is difficult. Only patients who participated in both diet and exercise showed significant improvement in outcomes when compared to those who did not make lifestyle changes.
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Affiliation(s)
- Angeline D Opina
- Lillie Frank Abercrombie Section of Cardiology Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
| | - Constance Cephus
- Lillie Frank Abercrombie Section of Cardiology Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
| | - Yunfei Wang
- Lillie Frank Abercrombie Section of Cardiology Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
| | - Samuel Younan
- Lillie Frank Abercrombie Section of Cardiology Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
| | - Douglas Moodie
- Lillie Frank Abercrombie Section of Cardiology Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
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16
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Chen JL, Guo J, Esquivel JH, Chesla CA. Like Mother, Like Child: The Influences of Maternal Attitudes and Behaviors on Weight-Related Health Behaviors in Their Children. J Transcult Nurs 2018; 29:523-531. [PMID: 29409395 DOI: 10.1177/1043659617736883] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Childhood obesity has become a global health issue, yet little is known about the influence of maternal factors on children's weight-related health behaviors (dietary habits and physical activity), especially in China. The purpose of this study was to examine the influence of maternal factors on children's eating behaviors and physical activity in Chinese preschool-age children. METHOD A cross-sectional study was utilized to describe weight-related health behaviors among preschool-aged children and identify maternal factors that are associated with children's weight-related health behaviors in China. Mothers completed questionnaires regarding family eating and activity habits, child feeding practices, and maternal self-efficacy regarding their child's health-related health behaviors. RESULTS A total of 222 mother-child dyads participated in this study. Maternal health-related behavior and attitudes regarding feeding practices and self-efficacy were associated with children's health-related behaviors, including eating behaviors and physical and sedentary activities. The influence of maternal behaviors and attitudes were domain specific. DISCUSSION Improvement of children's health behaviors, promoting a healthy lifestyle of the mother and self-efficacy, and providing health home environment for the child are critical in obesity prevention. IMPLICATIONS FOR PRACTICE Because children's health is critical to the health of the nation and to global development, understanding the factors related to children's health-related behaviors is an important first step toward development of tailored, culturally sensitive interventions for promoting a healthy lifestyle and preventing obesity.
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Affiliation(s)
- Jyu-Lin Chen
- 1 University of California, San Francisco, CA, USA.,2 National Defense Medical Center School of Nursing, Taipei, Taiwan
| | - Jia Guo
- 3 Central South University, Changsha, China
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Galvan-Portillo M, Sánchez E, Cárdenas-Cárdenas LM, Karam R, Claudio L, Cruz M, Burguete-García AI. Dietary patterns in Mexican children and adolescents: Characterization and relation with socioeconomic and home environment factors. Appetite 2018; 121:275-284. [DOI: 10.1016/j.appet.2017.11.088] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 09/07/2017] [Accepted: 11/09/2017] [Indexed: 01/22/2023]
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18
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Todendi PF, Valim ARDM, Reuter CP, Mello EDD, Gaya AR, Burgos MS. Metabolic risk in schoolchildren is associated with low levels of cardiorespiratory fitness, obesity, and parents' nutritional profile. J Pediatr (Rio J) 2016; 92:388-93. [PMID: 27207232 DOI: 10.1016/j.jped.2015.10.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Revised: 09/21/2015] [Accepted: 10/13/2015] [Indexed: 01/07/2023] Open
Abstract
OBJECTIVE Verify the association between metabolic risk profile in students with different levels of cardiorespiratory fitness and body mass index, as well as the nutritional status of their parents. METHODS A cross-sectional study comprising 1.254 schoolchildren aged between seven and 17 years. The metabolic risk profile was calculated by summing the standardized values of high density lipoproteins and low density lipoproteins, triglycerides, glucose and systolic blood pressure. The parents' nutritional status was evaluated by self-reported weight and height data, for body mass index calculating. The body mass index of schoolchildren was classified as underweight/normal weight and overweight/obesity. The cardiorespiratory fitness was assessed by 9-minute running/walk test, being categorized as fit (good levels) and unfit (low levels). Data were analyzed using prevalence ratio values (PR). RESULTS The data indicates a higher occurrence of developing metabolic risk in schoolchildren whose mother is obese (PR: 1.50; 95% CI: 1.01, 2.23), and even higher for those whose father and mother are obese (PR: 2, 79, 95% CI: 1.41; 5.51). Students who have low levels of cardiorespiratory fitness and overweight/obesity have higher occurrence of presenting metabolic risk profile (PR: 5.25; 95% CI: 3.31; 8.16). CONCLUSION the occurrence of developing metabolic risk in schoolchildren increase when they have low levels of cardiorespiratory fitness and overweight/obesity, and the presence of parental obesity.
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Affiliation(s)
| | | | | | | | - Anelise Reis Gaya
- Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
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Metabolic risk in schoolchildren is associated with low levels of cardiorespiratory fitness, obesity, and parents’ nutritional profile. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2016. [DOI: 10.1016/j.jpedp.2016.05.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
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