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Passos AFF, Santos ADC, Coelho ASG, Cominetti C. Associations between Normal-Weight Obesity and Disturbances in the Lipid Profile of Young Adults. Arq Bras Cardiol 2023; 120:e20220914. [PMID: 37878879 PMCID: PMC10567082 DOI: 10.36660/abc.20220914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 06/27/2023] [Accepted: 07/17/2023] [Indexed: 10/27/2023] Open
Abstract
BACKGROUND Normal-weight obesity (NWO) is characterized by normal body mass index (BMI) but high body fat percentage (%BF) that increases the risks of cardiometabolic comorbidities. Accurate assessment and interpretation of body composition data are necessary to reduce these risks. OBJECTIVES To compare the cardiometabolic profile of individuals with NWO and normal %BF and evaluate the associated risk factors. METHODS A cross-sectional study was conducted with 222 Brazilian adults from a university community, of whom 157 had NWO and 65 had normal BMI and %BF (non-NWO). All participants reported being asymptomatic and without underlying health conditions. Socioeconomic, lifestyle, food intake, anthropometry, body composition measures (using dual-energy radiological absorptiometry), and lipid and glycemic profiles were evaluated. A p < 0.05 was established as significant. RESULTS The median age of the participants was 23 years (interquartile range: 21 to 25), and most were female (67.1%). No significant differences were found in blood pressure, age, or physical activity levels between the NWO and non-NWO groups. However, the frequency of lipid profile disturbances was higher in the NWO group (54%) compared to the non-NWO group (34%) (p < 0.006). Neck circumference, %BF, and lipid profile disturbances were positively associated with NWO. CONCLUSION Individuals with NWO have a worse cardiometabolic profile than those without NWO, and this condition is associated with important biomarkers. Addressing these outcomes is important for preventing long-term cardiometabolic complications. Accurate assessment and interpretation of body composition data, regardless of BMI, are crucial in this scenario.
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Affiliation(s)
- Anna Flavia Ferreira Passos
- Grupo de Pesquisa em Genômica NutricionalFaculdade de NutriçãoUniversidade Federal de GoiásGoiâniaGOBrasil Grupo de Pesquisa em Genômica Nutricional , Faculdade de Nutrição , Universidade Federal de Goiás , Goiânia , GO – Brasil
| | - Acsa de Castro Santos
- Grupo de Pesquisa em Genômica NutricionalFaculdade de NutriçãoUniversidade Federal de GoiásGoiâniaGOBrasil Grupo de Pesquisa em Genômica Nutricional , Faculdade de Nutrição , Universidade Federal de Goiás , Goiânia , GO – Brasil
| | - Alexandre Siqueira Guedes Coelho
- Faculdade de AgronomiaUniversidade Federal de GoiásGoiâniaGOBrasil Faculdade de Agronomia , Universidade Federal de Goiás , Goiânia , GO – Brasil
| | - Cristiane Cominetti
- Grupo de Pesquisa em Genômica NutricionalFaculdade de NutriçãoUniversidade Federal de GoiásGoiâniaGOBrasil Grupo de Pesquisa em Genômica Nutricional , Faculdade de Nutrição , Universidade Federal de Goiás , Goiânia , GO – Brasil
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Guerra Valencia J, Saavedra-Garcia L, Vera-Ponce VJ, Espinoza-Rojas R, Barengo NC. Factors Associated with Normal-Weight Abdominal Obesity Phenotype in a Representative Sample of the Peruvian Population: A 4-Year Pooled Cross-Sectional Study. J Clin Med 2023; 12:jcm12103482. [PMID: 37240588 DOI: 10.3390/jcm12103482] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 04/28/2023] [Accepted: 05/04/2023] [Indexed: 05/28/2023] Open
Abstract
To examine factors associated with abdominal obesity among normal-weight individuals from the Demographic and Health Survey of Peru (2018-2021). Cross-sectional analytical study. The outcome variable was abdominal obesity defined according to JIS criteria. Crude (cPR) and adjusted prevalence ratios (aPR) were estimated for the association between sociodemographic and health-related variables and abdominal obesity using the GLM Poisson distribution with robust variance estimates. A total of 32,109 subjects were included. The prevalence of abdominal obesity was 26.7%. The multivariate analysis showed a statistically significant association between abdominal obesity and female sex (aPR: 11.16; 95% CI 10.43-11.94); categorized age 35 to 59 (aPR: 1.71; 95% CI 1.65-1.78); 60 to 69 (aPR: 1.91; 95% CI 1.81-2.02); and 70 or older(aPR: 1.99; 95% CI 1.87-2.10); survey year 2019 (aPR: 1.22; 95% CI 1.15-1.28); 2020 (aPR: 1.17; 95% CI 1.11-1.24); and 2021 (aPR: 1.12; 95% CI 1.06-1.18); living in Andean region (aPR: 0.91; 95% CI 0.86-0.95); wealth index poor (aPR: 1.26; 95% CI 1.18-1.35); middle (aPR: 1.17; 95% CI 1.08-1.26); rich (aPR: 1.26; 95% CI 1.17-1.36); and richest (aPR: 1.25; 95% CI 1.16-1.36); depressive symptoms (aPR: 0.95; 95% CI 0.92-0.98); history of hypertension (aPR: 1.08; 95% CI 1.03-1.13), type 2 diabetes (aPR: 1.13; 95% CI 1.07-1.20); and fruit intake 3 or more servings/day (aPR: 0.92; 95% CI 0.89-0.96). Female sex, older ages, and low and high income levels increased the prevalence ratio for abdominal obesity, while depressive symptoms, living in the Andean region, and fruit intake of 3 or more servings/day decreased it.
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Affiliation(s)
| | | | - Víctor Juan Vera-Ponce
- Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima 15039, Peru
- Facultad de Psicología, Universidad Tecnológica del Perú, Lima 15046, Peru
| | - Rubén Espinoza-Rojas
- Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima 15039, Peru
| | - Noel C Barengo
- Herbert Wertheim College of Medicine, Florida International University, Miami, FL 33199, USA
- Faculty of Medicine, Riga Stradins University, LV-1007 Riga, Latvia
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3
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Production of antihypertensive and antidiabetic peptide fractions from quinoa (Chenopodium quinoa Willd.) by electrodialysis with ultrafiltration membranes. FOOD SCIENCE AND HUMAN WELLNESS 2022. [DOI: 10.1016/j.fshw.2022.06.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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4
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Alaminos-Torres A, Martínez-Álvarez JR, López-Ejeda N, Marrodán-Serrano MD. Atherogenic Risk, Anthropometry, Diet and Physical Activity in a Sample of Spanish Commercial Airline Pilots. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074128. [PMID: 35409811 PMCID: PMC8998253 DOI: 10.3390/ijerph19074128] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 03/21/2022] [Accepted: 03/23/2022] [Indexed: 12/04/2022]
Abstract
Cardiovascular accidents are the most disabling event for pilots, causing complicated situations during flight and the withdrawal of license. The study aims to assess the modifiable risk factors and the atherogenic index of plasma (AIP) associated with anthropometric, physiometabolic and lifestyle profiles in a sample of Spanish aviation pilots. Data from pilots’ clinical and professional history, anthropometric and bioelectrical impedance assessments of nutritional status, and diet and physical activity questionnaires. The sample comprised 304 men pilots. Up to 53.6% showed excess weight, of which 6.4% were obese, 64.3% presented high relative adiposity and 64.6% showed abdominal obesity. Regarding the physiometabolic profile, 10.0% had hypertension, 42.6% hypercholesterolemia, 9.4% high LDL and 10.6% low HDL, 9.4% hyperglycemia and 8.1% hypertriglyceridemia. The adherence to the Mediterranean diet (MedDiet) was high in 29.7% and low in 14.7%. Most of the sample showed a good physical activity level. The AIP risk increased with higher obesity indicators and LDL cholesterol levels. There was an inverse relationship between the MedDiet adherence and vigorous physical activity and the risk of atherogenicity. Elevated rates of overweight, abdominal obesity and hypercholesterolemia were found, contributing to the atherogenic risk of plasma (AIP). This parameter was significantly associated with all anthropometric indicators and LDL cholesterol. Prevention plans on reducing excess fat and blood cholesterol levels are recommended to reduce cardiovascular risk in Spanish aviation pilots and ensure flight safety.
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Affiliation(s)
- Ana Alaminos-Torres
- Physical Anthropology Unit, Department of Biodiversity, Ecology and Evolution, Faculty of Biological Sciences, Complutense University of Madrid, 28040 Madrid, Spain;
- EPINUT Research Group (ref. 920325), Faculty of Medicine, Complutense University of Madrid, 28040 Madrid, Spain;
- Correspondence: (A.A.-T.); (M.D.M.-S.)
| | - Jesús Román Martínez-Álvarez
- EPINUT Research Group (ref. 920325), Faculty of Medicine, Complutense University of Madrid, 28040 Madrid, Spain;
- Spanish Society of Dietetics and Food Sciences, Pozuelo de Alarcón, 28224 Madrid, Spain
| | - Noemi López-Ejeda
- Physical Anthropology Unit, Department of Biodiversity, Ecology and Evolution, Faculty of Biological Sciences, Complutense University of Madrid, 28040 Madrid, Spain;
- EPINUT Research Group (ref. 920325), Faculty of Medicine, Complutense University of Madrid, 28040 Madrid, Spain;
| | - Maria Dolores Marrodán-Serrano
- Physical Anthropology Unit, Department of Biodiversity, Ecology and Evolution, Faculty of Biological Sciences, Complutense University of Madrid, 28040 Madrid, Spain;
- EPINUT Research Group (ref. 920325), Faculty of Medicine, Complutense University of Madrid, 28040 Madrid, Spain;
- Spanish Society of Dietetics and Food Sciences, Pozuelo de Alarcón, 28224 Madrid, Spain
- Correspondence: (A.A.-T.); (M.D.M.-S.)
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5
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Gabel ME, Fox CK, Grimes RA, Lowman JD, McDonald CM, Stallings VA, Michel SH. Overweight and cystic fibrosis: An unexpected challenge. Pediatr Pulmonol 2022; 57 Suppl 1:S40-S49. [PMID: 34738328 DOI: 10.1002/ppul.25748] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 10/06/2021] [Accepted: 10/18/2021] [Indexed: 02/06/2023]
Abstract
Achieving a healthy weight balance has been a central focus of care for people who have cystic fibrosis (CF). Over the years, the emphasis has primarily been on promoting weight gain to optimize pulmonary outcomes. With continued improvements in CF care, including highly effective CF modulators available for many people, the CF community is now experiencing a new challenge: addressing the concern that some people are gaining weight excessively. While at this time, we do not know to what extent overweight and obesity will affect health outcomes for people with CF, it is likely that excessive weight gain may have negative health impacts similar to those seen in the general population. In this paper, we review the history of nutritional guidelines for people with CF, as well as more recent trends toward overweight and obesity for some. A multidisciplinary approach is needed to collaboratively start the oftentimes difficult conversation regarding excessive weight gain, and to identify resources to help people achieve and maintain a healthy weight through diet, exercise, and behavioral modification.
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Affiliation(s)
- Megan E Gabel
- Department of Pediatrics, University of Rochester Medical Center, Rochester, New York, USA
| | - Claudia K Fox
- Department of Pediatrics, Center for Pediatric Obesity Medicine, University of Minnesota, Minneapolis, Minnesota, USA
| | - Rachel A Grimes
- Department of Psychiatry, Cook Children's Medical Center, Fort Worth, Texas, USA
| | - John D Lowman
- Department of Physical Therapy, Gregory Fleming James Cystic Fibrosis Research Center, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Catherine M McDonald
- Department of Clinical Nutrition, Primary Children's Hospital, Salt Lake City, Utah, USA
| | - Virginia A Stallings
- Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
| | - Suzanne H Michel
- Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
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6
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Zhuang Z, Zheng J, Xie M, Zhang Y. The effect of nasopharyngeal ventilation on the detection rate of colorectal polyps in two hundred middle-aged and elderly overweight patients. Int J Clin Pract 2021; 75:e14884. [PMID: 34670355 DOI: 10.1111/ijcp.14884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Zhaomeng Zhuang
- Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou, China
| | - Juanhong Zheng
- Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou, China
| | - Min Xie
- Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou, China
| | - Yiguang Zhang
- Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou, China
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7
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Tang C, Yang X, Peng F, Hu X. Curse or Blessing? Obesity and Income-Related Inequality in the Chinese Labor Force. Front Public Health 2021; 9:606634. [PMID: 33732676 PMCID: PMC7959819 DOI: 10.3389/fpubh.2021.606634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 02/08/2021] [Indexed: 01/22/2023] Open
Abstract
China owns a huge labor force of around half billion workers in 2018. However, little is known about the prevalence of obesity and the association between obesity and economic status in this special population. By employing the concentration index (CI) and decomposition analysis, this paper addresses this knowledge gap by using the most recent nationally representative dataset. In specific, this study examines the prevalence of obesity and the socioeconomic gradient in the probability of obesity among Chinese workers between 16 and 65. Our results show that the prevalence of obesity is completely different by using a different measure: the overall prevalence of being general obesity (measured by body mass index, BMI ≥ 28) varies by gender and residency from a minimum of 5.88% to a maximum of 9.46%, whereas abdominal obesity (measured by waist circumference, WCmale ≥ 85 cm & WCfemale ≥ 80 cm) prevalence presents a socking level from 64.53% to 67.69%. Moreover, the results show a pro-rich distribution of obesity (general and abdominal) among male workers (CIBMI = 0.112; CIWC = 0.057) and a pro-poor distribution among female workers (CIBMI = −0.141; CIWC = −0.166). We also find that the direction of the contribution of socioeconomic factors to income-related inequalities in obesity differs by gender. These results have substantial implications for the measurement of socioeconomic inequality in adiposity and for improving health-related policies targeting the Chinese labor force.
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Affiliation(s)
- Chengxiang Tang
- Department of Government Administration, School of Public Administration, Guangzhou University, Guangzhou, China
| | - Xiaocong Yang
- Department of Government Administration, School of Public Administration, Guangzhou University, Guangzhou, China
| | - Fei Peng
- Department of Economics, School of International Economics and Trade, Shanghai Lixin University of Accounting and Finance, Shanghai, China
| | - Xianglian Hu
- Center for Chinese Public Administration Research, School of Government, Sun Yat-sen University, Guangzhou, China
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8
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Iglesias-Soler E, Rúa-Alonso M, Rial-Vázquez J, Lete-Lasa JR, Clavel I, Giráldez-García MA, Rico-Díaz J, Corral MRD, Carballeira-Fernández E, Dopico-Calvo X. Percentiles and Principal Component Analysis of Physical Fitness From a Big Sample of Children and Adolescents Aged 6-18 Years: The DAFIS Project. Front Psychol 2021; 12:627834. [PMID: 33679548 PMCID: PMC7932997 DOI: 10.3389/fpsyg.2021.627834] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 01/13/2021] [Indexed: 11/18/2022] Open
Abstract
Assessing physical fitness has emerged as a proxy of the health status of children and adolescents and therefore as relevant from a public health point of view. DAFIS is a project included in Plan Galicia Saudable (Healthy Galicia Plan) of the regional government of Galicia (Spain). DAFIS consists of an on-line software devoted to record the results of a standard physical fitness protocol carried out as a part of the physical education curriculum. The aims of this study were: to obtain normative values of physical fitness of the Galician school population evaluated in the DAFIS project, and to identify a reduced number of components and tests able to capture a significant amount of the variability in the physical fitness of children and adolescents. From an initial sample of 27784 records, 15287 cases (7543 males, 7744 females) were considered after filtering. Generalized Additive Models for Location, Scale and Shape were used for obtaining percentile curves and tables for each sex. Furthermore, a principal components analysis was performed, selecting the number of components by applying the Kaiser's rule and selecting a subset of variables considering the correlation between each variable and the components. Percentile curves and normative values are reported for each test and sex. Physical fitness was better in boys than in girls throughout age groups, except for flexibility that was consistently higher in girls. Two main components were detected throughout age groups: the first one representing body composition and partially cardiorespiratory fitness and the second one muscular fitness. For boys and girls, waist to height ratio had the highest correlations with the first component in four out of six age groups. The highest correlation with the second component, was most frequently observed for the handgrip test both in boys and girls (four out of six age groups). This study provides evidence about the utility of school community actions like DAFIS aimed to track the health-related fitness of children and adolescents. The results suggest that fat mass distribution (i.e., waist to height ratio and waist circumference) and muscular performance (mainly handgrip) concentrate a high proportion physical fitness variance.
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Affiliation(s)
- Eliseo Iglesias-Soler
- Performance and Health Group, Faculty of Sports Sciences and Physical Education, Department of Physical Education and Sports, University of A Coruna, A Coruña, Spain
| | - María Rúa-Alonso
- Performance and Health Group, Faculty of Sports Sciences and Physical Education, Department of Physical Education and Sports, University of A Coruna, A Coruña, Spain
| | - Jessica Rial-Vázquez
- Performance and Health Group, Faculty of Sports Sciences and Physical Education, Department of Physical Education and Sports, University of A Coruna, A Coruña, Spain
| | | | - Iván Clavel
- Galician Sport Foundation, General Sport Secretariat, Galician Government, Santiago de Compostela, Spain
| | - Manuel A. Giráldez-García
- Performance and Health Group, Faculty of Sports Sciences and Physical Education, Department of Physical Education and Sports, University of A Coruna, A Coruña, Spain
| | - Javier Rico-Díaz
- General Sport Secretariat, Galician Government, Santiago de Compostela, Spain
- Faculty of Education Sciences, University of Santiago de Compostela, Santiago de Compostela, Spain
| | | | - Eduardo Carballeira-Fernández
- Performance and Health Group, Faculty of Sports Sciences and Physical Education, Department of Physical Education and Sports, University of A Coruna, A Coruña, Spain
| | - Xurxo Dopico-Calvo
- Performance and Health Group, Faculty of Sports Sciences and Physical Education, Department of Physical Education and Sports, University of A Coruna, A Coruña, Spain
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9
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Changes in adiposity and fat tissue distribution among preschool children from Kraków, Poland, from 2008 to 2018. J Biosoc Sci 2021; 54:333-346. [DOI: 10.1017/s0021932021000018] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Abstract
In the light of changes in the living conditions of populations, excess adiposity is currently a serious public health problem worldwide. The aim of this study was to assess the changes in the body fat ratio among preschool children aged 3–7 years from Kraków, Poland, between 2008 and 2018. The study group consisted of children examined in two cross-sectional studies. Analysed characteristics included triceps, calf, subscapular, abdominal and suprailiac skinfold thicknesses, and adiposity calculated according to Slaughter’s equations. The trunk adiposity index and limbs-to-trunk fat ratio were also calculated. Statistical significance was obtained using two-way ANOVA and Tukey’s tests. Lower-limb adiposity was largest in the 2008 cohort and trunk adiposity was greater in the 2018 cohort. The mean values of the trunk adiposity index and limbs-to-trunk fat ratio were lower in the 2018 cohort than in the 2008 cohort. The 2018 cohort was also characterized by a lower overall adiposity. Regardless of the lower body adiposity percentage, in 2018 there was a tendency towards the central allocation of fat tissue. This is a negative phenomenon because, especially when co-existing with reduced lower-limb adiposity, it is associated with an increased risk of metabolic and cardiovascular diseases, even in young children.
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Portincasa P, Krawczyk M, Smyk W, Lammert F, Di Ciaula A. COVID-19 and non-alcoholic fatty liver disease: Two intersecting pandemics. Eur J Clin Invest 2020; 50:e13338. [PMID: 32589264 PMCID: PMC7361203 DOI: 10.1111/eci.13338] [Citation(s) in RCA: 83] [Impact Index Per Article: 20.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 05/27/2020] [Accepted: 06/18/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND Initial evidence from China suggests that most vulnerable subjects to COVID-19 infection suffer from pre-existing illness, including metabolic abnormalities. The pandemic characteristics and high-lethality rate of COVID-19 infection have raised concerns about interactions between virus pathobiology and components of the metabolic syndrome. METHODS We harmonized the information from the recent existing literature on COVID-19 acute pandemic and mechanisms of damage in non-alcoholic fatty liver disease (NAFLD), as an example of chronic (non-communicable) metabolic pandemic. RESULTS COVID-19-infected patients are more fragile with underlying metabolic illness, including hypertension, cardiovascular disease, type 2 diabetes, chronic lung diseases (e.g. asthma, chronic obstructive pulmonary disease and emphysema) and metabolic syndrome. During metabolic abnormalities, expansion of metabolically active fat ('overfat condition') parallels chronic inflammatory changes, development of insulin resistance and accumulation of fat in configuring NAFLD. The deleterious interplay of inflammatory pathways chronically active in NAFLD and acutely in COVID-19-infected patients, can explain liver damage in a subgroup of patients and might condition a worse outcome in metabolically compromised NAFLD patients. In a subgroup of patients with NAFLD, the underlying liver fibrosis might represent an additional and independent risk factor for severe COVID-19 illness, irrespective of metabolic comorbidities. CONCLUSIONS NAFLD can play a role in the outcome of COVID-19 illness due to frequent association with comorbidities. Initial evidences suggest that increased liver fibrosis in NAFLD might affect COVID-19 outcome. In addition, long-term monitoring of post-COVID-19 NAFLD patients is advisable, to document further deterioration of liver damage. Further studies are required in this field.
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Affiliation(s)
- Piero Portincasa
- Clinica Medica ‘A. Murri’Department of Biomedical Sciences and Human OncologyUniversity of Bari ‘Aldo Moro’BariItaly
| | - Marcin Krawczyk
- Department of Medicine IISaarland University Medical CenterSaarland UniversityHomburgGermany
- Laboratory of Metabolic Liver DiseasesDepartment of General, Transplant and Liver SurgeryCentre for Preclinical ResearchMedical University of WarsawWarsawPoland
| | - Wiktor Smyk
- Liver and Internal Medicine UnitDepartment of General, Transplant and Liver SurgeryMedical University of WarsawWarsawPoland
| | - Frank Lammert
- Department of Medicine IISaarland University Medical CenterSaarland UniversityHomburgGermany
| | - Agostino Di Ciaula
- Clinica Medica ‘A. Murri’Department of Biomedical Sciences and Human OncologyUniversity of Bari ‘Aldo Moro’BariItaly
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Maffetone PB, Laursen PB. The Perfect Storm: Coronavirus (Covid-19) Pandemic Meets Overfat Pandemic. Front Public Health 2020; 8:135. [PMID: 32391307 PMCID: PMC7190793 DOI: 10.3389/fpubh.2020.00135] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Accepted: 04/03/2020] [Indexed: 12/16/2022] Open
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Maffetone PB, Laursen PB. Revisiting the Global Overfat Pandemic. Front Public Health 2020; 8:51. [PMID: 32158742 PMCID: PMC7052125 DOI: 10.3389/fpubh.2020.00051] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Accepted: 02/11/2020] [Indexed: 01/03/2023] Open
Abstract
The previously described overfat pandemic, estimated to be 62-76% worldwide, is comprised of individuals with excess body fat sufficient to impair health. The overfat condition is common in those who are overweight and obese, and can also occur in significant numbers of normal-weight non-obese individuals. Being overfat increases the risk for a wide spectrum of common cardiovascular and metabolic (cardiometabolic) abnormalities, chronic diseases and physical impairment. In some ethnicities, up to 40% or more of those who are normal-weight and non-obese may be overfat, a figure twice that used in the original global overfat estimates. In addition to the rates of overfat outpacing overweight and obesity, non-White populations outnumber Whites 6:1, with the recently estimated overfat prevalence being low when considering ethnicities such as Asians, Chinese, Africans and Latin Americans, including these individuals living among predominantly White populations. An awareness of the extent of the overfat pandemic is important because excess body fat can precede cardiometabolic risk factors, chronic diseases, and physical disabilities, and can reduce quality of life and increase healthcare expenditure. The purpose of this Perspective is to demonstrate that the global overfat prevalence of 62-76% may be considerably underestimated.
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Changes in the prevalence of overweight/obesity and adiposity among pre-school children in Kraków, Poland, from 2008 to 2018. J Biosoc Sci 2020; 52:895-906. [DOI: 10.1017/s0021932019000853] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractSocioeconomic changes occurring over time influence the lifestyle choices of a population, and these can significantly affect children’s body weight and composition. The aim of this study was to assess the changes in prevalence of overweight, obesity and adiposity in pre-school children in Poland between 2008 and 2018. Body height, body weight and subscapular and triceps skinfolds were measured in 2167 children aged 3–7 years from Kraków. Body mass index and adiposity (percentage body fat, %BF) were calculated for the children, who were then categorized as underweight, normal weight, overweight or obese according to Cole’s cut-off points. Adiposity was categorized according to the z-scores for %BF as low (<−1), normal (−1 to 1) or high (>1). Differences between cohorts were analysed using the chi-squared test. Only the decrease in the prevalence of obesity in 5-year-old girls was found to be statistically significant. However, some overall tendencies were noted. Decreases in the prevalence of underweight, overweight and obesity were observed for both sexes, as well as in the incidence of high adiposity in boys and low adiposity in girls. Increases in the prevalence of high adiposity in girls and low adiposity in boys were also noted. There was no significant change in the prevalence of overweight and obesity among pre-school children over the study decade, and the visible tendencies included decreases in the prevalence of excess body weight and adiposity as well as underweight and low body fat. Also, the visible trends in adiposity were mostly negative. Further studies should, however, also consider the levels of physical fitness and activity of children, as these have a crucial influence on the measured characteristics.
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Dybala MP, Brady MJ, Hara M. Disparity in Adiposity among Adults with Normal Body Mass Index and Waist-to-Height Ratio. iScience 2019; 21:612-623. [PMID: 31731199 PMCID: PMC6889773 DOI: 10.1016/j.isci.2019.10.062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 06/10/2019] [Accepted: 10/28/2019] [Indexed: 11/28/2022] Open
Abstract
Body mass index (BMI) is commonly used to define obesity. However, concerns about its accuracy in predicting adiposity have been raised. The feasibility of using BMI as well as waist-height ratio (WHtR) in assessing adiposity was examined in relation to a more direct measurement of percent body fat (%BF). We analyzed the relation between dual-energy X-ray absorptiometry (DXA)-measured fat mass and BMI and WHtR using the US 1999-2004 National Health and Nutrition Examination Survey (NHANES) data. A considerable proportion of subjects in the healthy BMI range 20-25 were found to have excess adiposity, including 33.1% of males and 51.9% of females. The use of WHtR also supports the notion of normal-weight central obesity (NWCO), which increases with age. These findings have important implications not only for clinical practice but also for many comparative studies where control subjects are usually selected based on age, sex, and BMI.
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Affiliation(s)
- Michael P Dybala
- Department of Medicine, The University of Chicago, 5841 South Maryland Avenue, MC1027, Chicago, IL 60637, USA
| | - Matthew J Brady
- Department of Medicine, The University of Chicago, 5841 South Maryland Avenue, MC1027, Chicago, IL 60637, USA
| | - Manami Hara
- Department of Medicine, The University of Chicago, 5841 South Maryland Avenue, MC1027, Chicago, IL 60637, USA.
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Ramírez-Vélez R, Pérez-Sousa MA, Venegas-Sanabria LC, Chavarro-Carvajal DA, Cano-Gutierrez CA, Correa-Bautista JE, González-Ruíz K, Izquierdo M. Gait speed moderates the adverse effect of obesity on dependency in older Colombian adult. Exp Gerontol 2019; 127:110732. [PMID: 31505226 DOI: 10.1016/j.exger.2019.110732] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Revised: 09/02/2019] [Accepted: 09/07/2019] [Indexed: 01/28/2023]
Abstract
INTRODUCTION Gait speed worsens with the presence of obesity, and is a powerful marker of functional dependence. Accordingly, gait speed could be a factor that improves or worsens the relationship between obesity and dependence in activities of daily living (ADL). However, to date this potential role has not been examined and the minimum gait speed threshold in the relationship between obesity and ADL is not known. The aim of this study was to determine whether speed moderates the association between obesity and dependence in ADL, and also define the gait speed threshold of this relationship. METHODS A total of 20,507 community-dwelling older adults from a cross-sectional analysis of national survey data - the Colombian Health, Well-being and Aging study (SABE, 2015) - were surveyed. The research data were collected using structured questionnaires, including basic information, ADL measured using the Barthel Index, body mass index, and gait speed (3 m). The Johnson-Neyman technique was applied to determine the gait speed threshold adjusted for age, sex and comorbidities. RESULTS Regression analysis showed a significant detrimental effect of obesity on dependence in ADL, which was moderated by gait speed (β = 0.081; 95%CI: 0.045 to 0.117; p < 0.001). Adjusted for major covariates, the Johnson-Neyman technique defined two gait speed thresholds: < 0.77 m/s, indicating an aggravated adverse effect; and >1.06 m/s, indicating a positive effect. CONCLUSIONS The adverse effect of obesity on dependence in ADL is moderated by gait speed. Considering these thresholds, the distribution of older adults in each of the proposed areas of significance were: below 0.77 (m/s) = 14,324 (70.0%), above 1.06 (m/s) = 1553 older adults (7.5%) and between areas = 4630 older adults (22.5%).
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Affiliation(s)
- Robinson Ramírez-Vélez
- Navarrabiomed-Universidad Pública de Navarra (UPNA)-Complejo Hospitalario de Navarra (CHN), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain.
| | - Miguel A Pérez-Sousa
- Faculty of Sport Sciences, University of Huelva, Avenida de las Fuerzas Armadas s/n, 21007 Huelva, Spain
| | - Luis C Venegas-Sanabria
- Hospital Universitario San Ignacio - Aging Institute, Pontificia Universidad Javeriana, Bogotá, Colombia.
| | - Diego A Chavarro-Carvajal
- Hospital Universitario San Ignacio - Aging Institute, Pontificia Universidad Javeriana, Bogotá, Colombia
| | - Carlos A Cano-Gutierrez
- Hospital Universitario San Ignacio - Aging Institute, Pontificia Universidad Javeriana, Bogotá, Colombia.
| | - Jorge E Correa-Bautista
- Navarrabiomed-Universidad Pública de Navarra (UPNA)-Complejo Hospitalario de Navarra (CHN), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain
| | - Katherine González-Ruíz
- Grupo de Ejercicio Físico y Deportes, Facultad de Salud, Programa de Fisioterapia, Universidad Manuela Beltrán, Bogotá 110231, Colombia.
| | - Mikel Izquierdo
- Navarrabiomed-Universidad Pública de Navarra (UPNA)-Complejo Hospitalario de Navarra (CHN), Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain; CIBER of Frailty and Healthy Aging (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain
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16
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Bortolin RC, Vargas AR, de Miranda Ramos V, Gasparotto J, Chaves PR, Schnorr CE, da Boit Martinello K, Silveira AK, Gomes HM, Rabelo TK, Grunwald MS, Ligabue-Braun R, Gelain DP, Moreira JCF. Guarana supplementation attenuated obesity, insulin resistance, and adipokines dysregulation induced by a standardized human Western diet via brown adipose tissue activation. Phytother Res 2019; 33:1394-1403. [PMID: 30868680 DOI: 10.1002/ptr.6330] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2018] [Revised: 12/17/2018] [Accepted: 02/09/2019] [Indexed: 01/17/2023]
Abstract
Obesity is a metabolic disorder associated with adverse health consequences that has increased worldwide at an epidemic rate. This has encouraged many people to utilize nonprescription herbal supplements for weight loss without knowledge of their safety or efficacy. However, mounting evidence has shown that some herbal supplements used for weight loss are associated with adverse effects. Guarana seed powder is a popular nonprescription dietary herb supplement marketed for weight loss, but no study has demonstrated its efficacy or safety when administered alone. Wistar rats were fed four different diets (low-fat diet and Western diet with or without guarana supplementation) for 18 weeks. Metabolic parameters, gut microbiota changes, and toxicity were then characterized. Guarana seed powder supplementation prevented weight gain, insulin resistance, and adipokine dysregulation induced by Western diet compared with the control diet. Guarana induced brown adipose tissue expansion, mitochondrial biogenesis, uncoupling protein-1 overexpression, AMPK activation, and minor changes in gut microbiota. Molecular docking suggested a direct activation of AMPK by four guarana compounds tested here. We propose that brown adipose tissue activation is one of the action mechanisms involved in guarana supplementation-induced weight loss and that direct AMPK activation may underlie this mechanism. In summary, guarana is an attractive potential therapeutic agent to treat obesity.
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Affiliation(s)
- Rafael Calixto Bortolin
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.,Departamento de Civil y Ambiental, Universidad de la Costa, Barranquilla, Colombia
| | - Amanda Rodrigues Vargas
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Vitor de Miranda Ramos
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Juciano Gasparotto
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Paloma Rodrigues Chaves
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | | | | | - Alexandre Kleber Silveira
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Henrique Mautone Gomes
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Thallita Kelly Rabelo
- Departamento de Educação em Saúde, Campus Universitário Professor Antônio Garcia Filho, Universidade Federal de Sergipe (UFS), Lagarto, Brazil
| | - Marcelo Sartori Grunwald
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Rodrigo Ligabue-Braun
- Programa de Pós-graduação em Biologia Celular e Molecular, Centro de Biotecnologia (CBiot), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Daniel Pens Gelain
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - José Cláudio Fonseca Moreira
- Centro de Estudos em Estresse Oxidativo, Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
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17
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Iñiguez M, Pérez-Matute P, Villanueva-Millán MJ, Recio-Fernández E, Roncero-Ramos I, Pérez-Clavijo M, Oteo JA. Agaricus bisporus supplementation reduces high-fat diet-induced body weight gain and fatty liver development. J Physiol Biochem 2018; 74:635-646. [PMID: 30288689 DOI: 10.1007/s13105-018-0649-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Accepted: 09/12/2018] [Indexed: 02/06/2023]
Abstract
Obesity is a global epidemic characterized not only by excessive fat deposition but also by important complications such as nonalcoholic liver steatosis. Beneficial antiobesogenic effects have been described for some mushrooms. The current study aimed to demonstrate the protective effect of Agaricus bisporus (AB) supplementation against the metabolic alterations induced by high-fat-diet (HFD) feeding. Eight-week-old C57BL/6J mice were fed for 10 weeks with one of the following diets: (1) control diet (n = 7), (2) HFD (n = 7), (3) HFD supplemented with 5% AB (n = 9), and (4) HFD supplemented with 10% AB (n = 9). A pair-fed group was also included for the 10% AB group (n = 6). The impact of AB supplementation on food intake, body weight gain, and liver and fat pad weights was examined. Biochemical, histological, and molecular parameters were also analyzed. Dietary supplementation with 10% AB reduced the HFD-induced increase in body, epididymal, and mesenteric fat weights (p < 0.01, p < 0.05, and p < 0.05, respectively). Supplementation with AB also reduced liver damage in a dose-dependent manner (p < 0.01 and p < 0.001). This effect was confirmed by histological analysis that showed that liver steatosis was markedly reduced in mice fed with AB. The beneficial properties of 10% AB supplementation appear to be mediated through a decrease in food intake and via stimulation of mesenteric and hepatic free-fatty acid beta-oxidation, along with a decrease in epidydimal and hepatic expression of CD36. In conclusion, supplementation with AB prevents excessive body weight gain and liver steatosis induced by HFD consumption.
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Affiliation(s)
- María Iñiguez
- Infectious Diseases, Microbiota and Metabolism Unit, Infectious Diseases Department, Center for Biomedical Research of La Rioja (CIBIR), Piqueras 98, 3rd floor, 26006, Logroño, La Rioja, Spain
| | - Patricia Pérez-Matute
- Infectious Diseases, Microbiota and Metabolism Unit, Infectious Diseases Department, Center for Biomedical Research of La Rioja (CIBIR), Piqueras 98, 3rd floor, 26006, Logroño, La Rioja, Spain.
| | - María Jesús Villanueva-Millán
- Infectious Diseases, Microbiota and Metabolism Unit, Infectious Diseases Department, Center for Biomedical Research of La Rioja (CIBIR), Piqueras 98, 3rd floor, 26006, Logroño, La Rioja, Spain
| | - Emma Recio-Fernández
- Infectious Diseases, Microbiota and Metabolism Unit, Infectious Diseases Department, Center for Biomedical Research of La Rioja (CIBIR), Piqueras 98, 3rd floor, 26006, Logroño, La Rioja, Spain
| | - Irene Roncero-Ramos
- Mushroom Technological Research Center of La Rioja (CTICH), Autol, La Rioja, Spain
| | | | - José-Antonio Oteo
- Infectious Diseases, Microbiota and Metabolism Unit, Infectious Diseases Department, Center for Biomedical Research of La Rioja (CIBIR), Piqueras 98, 3rd floor, 26006, Logroño, La Rioja, Spain.,Infectious Diseases Department, Hospital San Pedro, Logroño, La Rioja, Spain
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18
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Ameer B, Weintraub MA. Pediatric Obesity: Influence on Drug Dosing and Therapeutics. J Clin Pharmacol 2018; 58 Suppl 10:S94-S107. [DOI: 10.1002/jcph.1092] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Accepted: 01/11/2018] [Indexed: 12/19/2022]
Affiliation(s)
- Barbara Ameer
- Department of Medicine; Rutgers - Robert Wood Johnson Medical School; Piscataway NJ USA
| | - Michael A. Weintraub
- Department of Medicine; Thomas Jefferson University Hospitals; Philadelphia PA USA
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19
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de Oliveira Y, Lima RPA, Luna RCP, Monteiro MGCA, da Silva CSO, do Nascimento RAF, de Farias Lima KQ, Andrade E Silva AH, de Lima Ferreira FEL, de Toledo Vianna RP, de Moraes RM, de Oliveira NFP, de Almeida ATC, Silva AS, da Silva Diniz A, de Carvalho Costa MJ, da Conceição Rodrigues Gonçalves M. Decrease of the DNA methylation levels of the ADRB3 gene in leukocytes is related with serum folate in eutrophic adults. J Transl Med 2018; 16:152. [PMID: 29866117 PMCID: PMC5987450 DOI: 10.1186/s12967-018-1529-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Accepted: 05/28/2018] [Indexed: 12/14/2022] Open
Abstract
Background DNA methylation has been evidenced as a potential epigenetic mechanism related to various candidate genes to development of obesity. Therefore, the objective of this study was to evaluate the DNA methylation levels of the ADRB3 gene by body mass index (BMI) in a representative adult population, besides characterizing this population as to the lipid profile, oxidative stress and food intake. Methods This was a cross-sectional population-based study, involving 262 adults aged 20–59 years, of both genders, representative of the East and West regions of the municipality of João Pessoa, Paraíba state, Brazil, in that were evaluated lifestyle variables and performed nutritional, biochemical evaluation and DNA methylation levels of the ADRB3 gene using high resolution melting method. The relationship between the study variables was performed using analyses of variance and multiple regression models. All results were obtained using the software R, 3.3.2. Results From the stratification of categories BMI, was observed a difference in the average variables values of age, waist-to-height ratio, waist-to-hip ratio, waist circumference, triglycerides and intake of trans fat, which occurred more frequently between the categories “eutrophic” and “obesity”. From the multiple regression analysis in the group of eutrophic adults, it was observed a negative relationship between methylation levels of the ADRB3 gene with serum levels of folic acid. However, no significant relation was observed among lipid profile, oxidative stress and food intake in individuals distributed in the three categories of BMI. Conclusions A negative relationship was demonstrated between methylation levels of the ADRB3 gene in eutrophic adults individuals with serum levels of folic acid, as well as with the independent gender of BMI, however, was not observed relation with lipid profile, oxidative stress and variables of food intake. Regarding the absence of relationship with methylation levels of the ADRB3 gene in the categories of overweight, mild and moderate obesity, the answer probably lies in the insufficient amount of body fat to initiate inflammatory processes and oxidative stress with a direct impact on methylation levels, what is differently is found most of the times in exacerbated levels in severe obesity. Electronic supplementary material The online version of this article (10.1186/s12967-018-1529-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Yohanna de Oliveira
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil.
| | - Raquel Patrícia Ataíde Lima
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Rafaella Cristhine Pordeus Luna
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Mussara Gomes Cavalcanti Alves Monteiro
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Cássia Surama Oliveira da Silva
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Rayner Anderson Ferreira do Nascimento
- Center of Exact Sciences and Nature (Centro de Ciências Exatas e da Natureza), Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Keylha Querino de Farias Lima
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Ana Hermínia Andrade E Silva
- Departament of Statistics, Center of Exact Sciences and Nature (Centro de Ciências Exatas e da Natureza), Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Flávia Emília Leite de Lima Ferreira
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Rodrigo Pinheiro de Toledo Vianna
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Ronei Marcos de Moraes
- Departament of Statistics, Center of Exact Sciences and Nature (Centro de Ciências Exatas e da Natureza), Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Naila Francis Paulo de Oliveira
- Departament of Molecular Biology, Center of Exact Sciences and Nature (Centro de Ciências Exatas e da Natureza), Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Aléssio Tony Cavalcanti de Almeida
- Department of Economics, Center for Applied Social Sciences (Centro de Ciências Sociais Aplicadas), Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Alexandre Sérgio Silva
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Alcides da Silva Diniz
- Departament of Nutrition, Health Sciences Center (Centro de Ciências da Saúde), Federal University of Pernambuco (Universidade Federal de Pernambuco), Recife, Brazil
| | - Maria José de Carvalho Costa
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
| | - Maria da Conceição Rodrigues Gonçalves
- Health Sciences Center (Centro de Ciências da Saúde), Departament of Nutrition, Federal University of Paraíba (Universidade Federal da Paraíba), João Pessoa, Brazil
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20
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Gordon KE, Siegel RM. Identifying the best methods to assess adiposity and metabolic risk in children. Acta Paediatr 2018; 107:921-922. [PMID: 29600807 DOI: 10.1111/apa.14307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Katelyn E. Gordon
- Center for Better Health and Nutrition; Cincinnati Children's Hospital; University of Cincinnati, College of Medicine; Cincinnati OH USA
| | - Robert M. Siegel
- Center for Better Health and Nutrition; Cincinnati Children's Hospital; University of Cincinnati, College of Medicine; Cincinnati OH USA
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21
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Hruskova J, Maugeri A, Podroužková H, Štípalová T, Jakubík J, Barchitta M, Medina-Inojosa JR, Homolka M, Agodi A, Kunzova S, Sochor O, Lopez-Jimenez F, Vinciguerra M. Association of Cardiovascular Health with Epicardial Adipose Tissue and Intima Media Thickness: The Kardiovize Study. J Clin Med 2018; 7:jcm7050113. [PMID: 29757253 PMCID: PMC5977152 DOI: 10.3390/jcm7050113] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2018] [Revised: 05/08/2018] [Accepted: 05/10/2018] [Indexed: 12/31/2022] Open
Abstract
Background: Intima-media thickness (IMT) has been proposed as a measurement of subclinical atherosclerosis and has been associated with cardiovascular disease (CVD). Epicardial adipose tissue (EAT) is a fat depot between the pericardium and myocardium and has been associated with coronary atherosclerosis. The relationship between IMT and EAT thickness has not been reported before. We investigated the relationship between EAT thickness, IMT, CVD risk factors, and ideal cardiovascular health (CVH) metrics using subjects from the Kardiovize Brno 2030 cohort study, a random urban sample population in Central Europe. Methods: We studied 102 individuals (65 males) aged 25–64 years (median = 37 years) with no current or past CVD history. We measured IMT using a vascular ultrasound and EAT thickness using transthoracic echocardiography, and collected data on anthropometric factors, CVD risk factors, and CVH score. Correlation tests and multiple linear regression models were applied. Results: In the age- and gender-adjusted model, we demonstrated that, among CVD risk factors, only BMI was significantly and positively associated with EAT thickness (β = 0.182, SE = 0.082, p = 0.030), while no significant associations with IMT were evident. Although both EAT thickness and IMT were negatively correlated with CVH score (r = −0.45, p < 0.001, and r = −0.38, p < 0.001, respectively), we demonstrated that overall CVH score (β = −0.262; SE = 0.077; p = 0.001), as well as BMI (β = −1.305; SE = 0.194; p < 0.001) and blood pressure CVH metrics (β = −0.607; SE = 0.206; p = 0.004) were significantly associated with EAT thickness but not with IMT. Conclusions: Our study is important as it demonstrated for the first time that CVH is associated with EAT thickness. Interestingly, this relationship seems to be dependent on BMI and blood pressure rather than on the other CVH metrics. However, outcome-driven studies are required to confirm these findings.
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Affiliation(s)
- Jana Hruskova
- International Clinical Research Center, St'Anne University Hospital, Brno 60200, Czech Republic.
| | - Andrea Maugeri
- International Clinical Research Center, St'Anne University Hospital, Brno 60200, Czech Republic.
- Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.
| | - Helena Podroužková
- Department of Internal Medicine ⁻ Cardioangiology, Faculty of Medicine, Masaryk University, Brno 65691, Czech Republic.
| | - Tatiana Štípalová
- Department of Internal Medicine ⁻ Cardioangiology, Faculty of Medicine, Masaryk University, Brno 65691, Czech Republic.
| | - Juraj Jakubík
- International Clinical Research Center, St'Anne University Hospital, Brno 60200, Czech Republic.
| | - Martina Barchitta
- Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.
| | - Jose R Medina-Inojosa
- Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
| | - Martin Homolka
- International Clinical Research Center, St'Anne University Hospital, Brno 60200, Czech Republic.
| | - Antonella Agodi
- Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.
| | - Sarka Kunzova
- International Clinical Research Center, St'Anne University Hospital, Brno 60200, Czech Republic.
| | - Ondrej Sochor
- International Clinical Research Center, St'Anne University Hospital, Brno 60200, Czech Republic.
| | - Francisco Lopez-Jimenez
- Division of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
| | - Manlio Vinciguerra
- International Clinical Research Center, St'Anne University Hospital, Brno 60200, Czech Republic.
- Division of Medicine, University College London (UCL), London, NW3 2PF, UK.
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22
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Trestini I, Carbognin L, Bonaiuto C, Tortora G, Bria E. The obesity paradox in cancer: clinical insights and perspectives. Eat Weight Disord 2018; 23:185-193. [PMID: 29492860 DOI: 10.1007/s40519-018-0489-y] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2017] [Accepted: 02/12/2018] [Indexed: 01/06/2023] Open
Abstract
A series of evidence demonstrated that obesity represents an established risk factor for an increase in the incidence of multiple cancer types and for poor cancer survival. Nevertheless, recent studies suggested that, in a series of cancers, patients with a normal body mass index (BMI) have worse outcomes than obese patients. This phenomenon, named 'obesity paradox' or 'reverse epidemiology' in cancer, is not well understood and presents controversial aspects. Therefore, this review aims to explore the available studies concerning the relationship between obesity and cancer incidence or survival and to highlight the hypothetical explanations and the methodological framework. In this regard, we underline the limits of BMI as a potential marker of adiposity and the relevance to assessing body composition, beyond the body size. Further studies are needed to define the impact of obesity in cancer patients, to tailor weight management after cancer diagnosis and to hopefully improve overall clinical outcome.
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Affiliation(s)
- Ilaria Trestini
- U.O.C. Oncology, University of Verona, Azienda Ospedaliera Universitaria Integrata, P.le L.A. Scuro 10, 37124, Verona, Italy
| | - Luisa Carbognin
- U.O.C. Oncology, University of Verona, Azienda Ospedaliera Universitaria Integrata, P.le L.A. Scuro 10, 37124, Verona, Italy
| | - Clelia Bonaiuto
- U.O.C. Oncology, University of Verona, Azienda Ospedaliera Universitaria Integrata, P.le L.A. Scuro 10, 37124, Verona, Italy
| | - Giampaolo Tortora
- U.O.C. Oncology, University of Verona, Azienda Ospedaliera Universitaria Integrata, P.le L.A. Scuro 10, 37124, Verona, Italy
| | - Emilio Bria
- U.O.C. Oncology, University of Verona, Azienda Ospedaliera Universitaria Integrata, P.le L.A. Scuro 10, 37124, Verona, Italy.
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Maffetone PB, Laursen PB. The Prevalence of Overfat Adults and Children in the US. Front Public Health 2017; 5:290. [PMID: 29164096 PMCID: PMC5671970 DOI: 10.3389/fpubh.2017.00290] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 10/19/2017] [Indexed: 12/15/2022] Open
Abstract
The overfat condition is defined as excess body fat sufficient to impair health. The problem exists in most overweight and obese individuals and can also occur in those who are normal-weight and non-obese, often due to excess abdominal fat. Despite previous indications that the prevalence overweight and obesity is leveling, these conditions are currently at their highest levels in US history. Our review estimated the number of overfat Americans at 91% for adults and 69% for children. The primary purpose of this review was to build upon previous estimations of overfat prevalence in developed countries by using new data from the Centers for Disease Control and Prevention to estimate the overfat prevalence in American adults (≥20 years) and children (2-19 years), and to expand the definition of overfat as excess body fat associated with at least one additional risk factor of impaired cardiometabolic or physical health. The secondary goals are to highlight the role of dietary sugar as a primary cause of the overfat pandemic and mention new data showing the increased prevalence of exercise that parallels the rising prevalence of overfat to further emphasize the secondary role exercise may play in fat loss. Current public health guidelines to address the overfat pandemic may require more emphasis on reducing the consumption of refined carbohydrates, including added sugars.
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Affiliation(s)
| | - Paul B. Laursen
- Sports Performance Research Institute New Zealand (SPRINZ), AUT University, Auckland, New Zealand
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