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Catalán-Lambán A, Ojeda-Rodríguez A, Marti Del Moral A, Azcona-Sanjulian C. Changes in objectively measured sleep after a multidisciplinary lifestyle intervention in children with abdominal obesity: A randomized trial. Sleep Med 2023; 109:252-260. [PMID: 37487278 DOI: 10.1016/j.sleep.2023.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 06/30/2023] [Accepted: 07/07/2023] [Indexed: 07/26/2023]
Abstract
BACKGROUND/OBJECTIVE childhood obesity and sleep disorders have a well-established cross-sectional association, but lifestyle interventions' effects on sleep quality remain under-researched. This study aimed to evaluate the sleep quality of 122 participants (7-16 years) with abdominal obesity after a 2-year necessary lifestyle intervention. PATIENTS/METHODS participants were assigned to either the intervention group (moderate hypocaloric Mediterranean Diet) or the usual care group (standard recommendations on a healthy diet). Sleep was objectively assessed using triaxial accelerometry, and sleep parameters analyzed included latency, efficiency, wake after sleep onset, total time in bed, total sleep time, number of awakenings, and awakening duration. RESULTS AND CONCLUSIONS the results showed that the intervention group significantly improved sleep latency at 12 and 24 months and improved sleep efficiency at 2 and 12 months, compared to the usual care group. Wake after sleep onset and the number of awakenings were significantly reduced at 24 months in the intervention group. Wake after sleep onset and leptin levels were positively associated in all participants. Total time in bed was inversely associated with triglycerides and metabolic score, and total sleep time was inversely associated with leptin, triglycerides, and metabolic score after the 2-month intervention. Triglyceride levels were inversely associated with total time in bed and total sleep time at one year, while the metabolic score was directly associated with wake after sleep onset and the number of awakenings and inversely associated with efficiency. In conclusion, the multidisciplinary intervention in children and adolescents with abdominal obesity reduced anthropometric parameters and improved sleep habits.
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Affiliation(s)
- Ana Catalán-Lambán
- Department of Pediatrics, Clínica Universidad de Navarra, Pamplona, Spain
| | - Ana Ojeda-Rodríguez
- Department of Nutrition, Food Science and Physiology, Centre for Nutrition Research, School of Pharmacy and Nutrition, University of Navarra, Spain; Lipids and Atherosclerosis Unit, Unidad de Gestión Clinica Medicina Interna, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), Reina Sofia University Hospital, University of Córdoba, Av. Menendez Pidal, S/N. 14004, Córdoba, Spain
| | - Amelia Marti Del Moral
- Department of Nutrition, Food Science and Physiology, Centre for Nutrition Research, School of Pharmacy and Nutrition, University of Navarra, Spain; CIBER Fisiopatología de La Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), 28029, Madrid, Spain; Institute of Research of Navarra (IdisNa), Pamplona, Spain
| | - Cristina Azcona-Sanjulian
- Department of Pediatrics, Clínica Universidad de Navarra, Pamplona, Spain; Institute of Research of Navarra (IdisNa), Pamplona, Spain.
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Alonso-Pedrero L, Ojeda-Rodríguez A, Zalba G, Razquin C, Martínez-González MÁ, Bes-Rastrollo M, Marti A. Asociación entre salud cardiovascular ideal y longitud telomérica en una población de edad avanzada de la cohorte SUN. Rev Esp Cardiol 2022. [DOI: 10.1016/j.recesp.2021.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Alonso-Pedrero L, Donat-Vargas C, Bes-Rastrollo M, Ojeda-Rodríguez A, Zalba G, Razquin C, Martínez-González MA, Marti A. Dietary Exposure to Polychlorinated Biphenyls and Dioxins and Its Relationship to Telomere Length in Subjects Older Than 55 Years from the SUN Project. Nutrients 2022; 14:nu14020353. [PMID: 35057533 PMCID: PMC8779661 DOI: 10.3390/nu14020353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 01/10/2022] [Accepted: 01/11/2022] [Indexed: 02/05/2023] Open
Abstract
Exposure to persistent organic pollutants (POPs) may influence telomere length (TL), which is considered as a marker of biological age associated with the risk of chronic disease. We hypothesized that dietary exposure to polychlorinated biphenyls (PCBs) and dioxins could affect TL. Our aim was to evaluate the association of dietary exposure to PCBs and dioxins with TL. In this cross-sectional study of 886 subjects older than 55 y (mean age: 67.7; standard deviation (SD): 6.1; 27% women) from the “Seguimiento Universidad de Navarra” (SUN) project. TL was determined by real-time quantitative polymerase chain reaction and dietary PCBs and dioxins exposure was collected using a validated 136-item Food Frequency Questionnaire. Multivariable linear regression models were used to control for potential confounding factors. Shorter TL was associated with dietary total PCBs (SD of T/S ratio/(ng/day) = −0.30 × 10−7; 95% CI, −0.55 × 10−7 to −0.06 × 10−7), dioxin-like PCBs (DL-PCBs) (SD of T/S ratio/(pg WHO TEQ (Toxic Equivalents)/day) = −6.17 × 10−7; 95% CI, −11.30 × 10−7 to −1.03 × 10−7), and total TEQ exposure (SD of T/S ratio/(pg WHO TEQ/day) = −5.02 × 10−7; 95% CI, −9.44 × 10−7 to −0.61 × 10−7), but not with dioxins (SD of T/S ratio/(pg WHO TEQ/day) = −13.90 × 10−7; 95% CI, −37.70 × 10−7 to 9.79 × 10−7). In this sample of middle-aged and older Spanish adults, dietary exposure to total PCBs and DL-PCBs alone and together with dioxins was associated with shorter TL. Further longitudinal studies, preferably with POPs measured in biological samples, are needed to confirm this finding.
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Affiliation(s)
- Lucia Alonso-Pedrero
- Department of Nutrition, Food Science and Physiology, University of Navarra, 31008 Pamplona, Spain; (L.A.-P.); (A.O.-R.)
- Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain; (M.B.-R.); (G.Z.); (M.A.M.-G.)
| | - Carolina Donat-Vargas
- Departament of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, CEI UAM+ CSIC, 28049 Madrid, Spain;
- Unit of Nutritional and Cardiovascular Epidemiology, Environmental Medicine Institute (IMM), Karolinska Institutet, 17177 Stockholm, Sweden
- Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, 28029 Madrid, Spain;
| | - Maira Bes-Rastrollo
- Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain; (M.B.-R.); (G.Z.); (M.A.M.-G.)
- Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, 28029 Madrid, Spain;
- Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, Spain
| | - Ana Ojeda-Rodríguez
- Department of Nutrition, Food Science and Physiology, University of Navarra, 31008 Pamplona, Spain; (L.A.-P.); (A.O.-R.)
- Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain; (M.B.-R.); (G.Z.); (M.A.M.-G.)
| | - Guillermo Zalba
- Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain; (M.B.-R.); (G.Z.); (M.A.M.-G.)
- Department of Biochemistry and Genetics, University of Navarra, 31008 Pamplona, Spain
| | - Cristina Razquin
- Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, 28029 Madrid, Spain;
- Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, Spain
| | - Miguel A. Martínez-González
- Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain; (M.B.-R.); (G.Z.); (M.A.M.-G.)
- Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, 28029 Madrid, Spain;
- Department of Preventive Medicine and Public Health, University of Navarra, 31008 Pamplona, Spain
- Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA 02115, USA
| | - Amelia Marti
- Department of Nutrition, Food Science and Physiology, University of Navarra, 31008 Pamplona, Spain; (L.A.-P.); (A.O.-R.)
- Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain; (M.B.-R.); (G.Z.); (M.A.M.-G.)
- Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, 28029 Madrid, Spain;
- Correspondence: ; Tel.: +34-948-425600 (ext. 806244)
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Alonso-Pedrero L, Ojeda-Rodríguez A, Zalba G, Razquin C, Martínez-González MÁ, Bes-Rastrollo M, Marti A. Association between ideal cardiovascular health and telomere length in participants older than 55 years old from the SUN cohort. Rev Esp Cardiol (Engl Ed) 2021; 75:308-315. [PMID: 33994338 DOI: 10.1016/j.rec.2021.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 04/05/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION AND OBJECTIVES Telomeres are noncoding regions located at the end of chromosomes and their shortening has been associated with risk factors and cardiovascular disease. The aim of this study was to evaluate the association between ideal cardiovascular health (Life's simple 7) and the odds of having short telomeres in a subsample of participants older than 55 years from the Seguimiento Universidad de Navarra (SUN) study. METHODS We included 886 participants older than 55 years (645 men and 241 women). Telomere length was measured using a real-time quantitative polymerase chain reaction. Cardiovascular health score was defined by the American Heart Association as a composite score of 7 key risk factors (smoking status, physical activity, diet, body mass index, blood pressure, total cholesterol, and fasting blood glucose) with 0 to 2 points for each factor. We categorized this score in tertiles as poor (0-9 points), intermediate (10-11 points) and ideal (12-14 points). The odds of having short telomeres was defined as telomere length below the 20th percentile. RESULTS Individuals with higher ideal cardiovascular health had a lower prevalence of having short telomeres (adjusted OR, 0.60; 95%CI, 0.34-1.05; P trend=.052). This association was statistically significant in men (adjusted OR, 0.37; 95%CI, 0.17-0.83; P trend=.025) but not in women. CONCLUSIONS An inverse association between cardiovascular health score and short telomeres was found especially for men older than 55 years in the SUN population. The SUN project was registered at ClinicalTrials.gov (Identifier: NCT02669602).
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Affiliation(s)
- Lucia Alonso-Pedrero
- Departamento de Ciencias de la Alimentación y Fisiología, Universidad de Navarra, Pamplona, Navarra, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain
| | - Ana Ojeda-Rodríguez
- Departamento de Ciencias de la Alimentación y Fisiología, Universidad de Navarra, Pamplona, Navarra, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain
| | - Guillermo Zalba
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain; Departamento de Bioquímica y Genética, Universidad de Navarra, Pamplona, Navarra, Spain
| | - Cristina Razquin
- Departamento de Medicina Preventiva y Salud Pública, Universidad de Navarra, Pamplona, Navarra, Spain
| | - Miguel Á Martínez-González
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain; Departamento de Medicina Preventiva y Salud Pública, Universidad de Navarra, Pamplona, Navarra, Spain; Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Carlos III, Madrid, Spain; Department of Nutrition, Harvard TH Chan School of Public Health, Boston, United States
| | - Maira Bes-Rastrollo
- Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain; Departamento de Medicina Preventiva y Salud Pública, Universidad de Navarra, Pamplona, Navarra, Spain; Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Carlos III, Madrid, Spain
| | - Amelia Marti
- Departamento de Ciencias de la Alimentación y Fisiología, Universidad de Navarra, Pamplona, Navarra, Spain; Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain; Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Carlos III, Madrid, Spain.
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Ojeda-Rodríguez A, Morell-Azanza L, Zalba G, Zazpe I, Azcona-Sanjulian MC, Marti A. Associations of telomere length with two dietary quality indices after a lifestyle intervention in children with abdominal obesity: a randomized controlled trial. Pediatr Obes 2020; 15:e12661. [PMID: 32558330 DOI: 10.1111/ijpo.12661] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 04/28/2020] [Accepted: 05/04/2020] [Indexed: 01/15/2023]
Abstract
BACKGROUND Dietary factors seem to influence telomere length. Moreover, associations between changes in adiposity indices and telomere length (TL) have been found in intervention studies. OBJECTIVE We evaluated changes in two diet quality indices and their association with TL in children with abdominal obesity in a 12-month lifestyle intervention. METHODS Eighty-seven participants (7-16 years old) were assigned to the intervention (moderate hypocaloric Mediterranean diet) or usual care group (standard paediatric recommendations) for a 2-month intensive phase and a subsequent 10-month follow-up. Diet quality was assessed using the Diet Quality Index for Adolescents (DQI-A) and the Healthy Lifestyle Diet Index (HLD-I). TL was measured by monochrome multiplex real-time quantitative PCR. The intra-class correlation coefficient for TL was 0.793 (95% CI 0.707, 0.857). RESULTS After a 12-month lifestyle intervention, a significant reduction in BMI-SDS (-0.57 and -0.49 for the intervention and usual care groups, respectively) and fat mass was observed in all subjects without differences between groups. Changes in DQI-A (+12.36% vs +5.53%, P = .005) and HLD-I (+4.43 vs +1.09, P < .001) were higher in the intervention subjects compared with usual care subjects after 2 months. Interestingly, we observed a positive change in TL between 2 and 12 months (P = .025), which was associated with higher scores on the DQI-A (β = 0.008, R2 = 0.088, P = .010) and HLD-I (β = 0.022, R2 = 0.198, P = .015), in the intervention group after the 2-month intensive phase. CONCLUSION Favourable changes in diet quality indices could contribute to telomere integrity in children with abdominal obesity enrolled in an intensive lifestyle intervention.
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Affiliation(s)
- Ana Ojeda-Rodríguez
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain
| | - Lydia Morell-Azanza
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain
| | - Guillermo Zalba
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.,Department of Biochemistry and Genetics, University of Navarra, Pamplona, Spain
| | - Itziar Zazpe
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.,Department of Preventive Medicine and Public Health, School of Medicine-Clínica Universidad de Navarra, University of Navarra, Pamplona, Spain.,Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Madrid, Spain
| | - Maria Cristina Azcona-Sanjulian
- IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.,Pediatric Endocrinology Unit, Department of Pediatrics, Clínica Universidad de Navarra, Pamplona, Spain
| | - Amelia Marti
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.,Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Madrid, Spain
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Ojeda-Rodríguez A, Morell-Azanza L, Martín-Calvo N, Zalba G, Chueca M, Azcona-Sanjulian MC, Marti A. Association between favourable changes in objectively measured physical activity and telomere length after a lifestyle intervention in pediatric patients with abdominal obesity. Appl Physiol Nutr Metab 2020; 46:205-212. [PMID: 32871095 DOI: 10.1139/apnm-2020-0297] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The purpose of this study was to assess the effect of physical activity (PA) changes, measured by accelerometry, on telomere length (TL) in pediatric patients with abdominal obesity after a lifestyle intervention. One hundred and twenty-one children (7-16 years old) with abdominal obesity were randomized to the intervention (a moderately hypocaloric Mediterranean diet) or the usual care group (standard pediatric recommendations) for 22 months (a 2 month intensive phase and a subsequent 20 month follow-up). Both groups were encouraged to accumulate an extra 200 min/week of PA. TL was measured by MMqPCR. Data were analyzed in 102 subjects after 2 months and 64 subjects at the first 10 months of follow-up. Light PA level decreased in both groups after 12 months of intervention. At month 2, moderate to vigorous PA (MVPA) increased in the intervention group (+5.4 min/day, p = 0.035) and so did sedentary time in the usual care group (+49.7 min/day, p = 0.010). TL changes were positively associated (p < 0.050) with metabolic equivalents (METs), MVPA level, and number of steps, and were inversely associated with sedentary and light PA levels in the intervention group after the intensive phase. In conclusion, favourable changes in PA levels in the intensive phase of a lifestyle intervention could contribute to TL maintenance in a pediatric population with abdominal obesity. Novelty Changes in physical activity levels had a direct effect on telomere length, a biomarker of cellular aging and oxidative stress. PA advice based on The American College of Sports Medicine included in this intervention is easy to implement in primary care.
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Affiliation(s)
- Ana Ojeda-Rodríguez
- Department of Nutrition, Food Sciences and Physiology, University of Navarra. C/Irunlarrea, 1. 31008 Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA). C/Irunlarrea, 3. 31008 Pamplona, Spain
| | - Lydia Morell-Azanza
- Department of Nutrition, Food Sciences and Physiology, University of Navarra. C/Irunlarrea, 1. 31008 Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA). C/Irunlarrea, 3. 31008 Pamplona, Spain
| | - Nerea Martín-Calvo
- Instituto de Investigación Sanitaria de Navarra (IdiSNA). C/Irunlarrea, 3. 31008 Pamplona, Spain.,Department of Preventive Medicine and Public Health, School of Medicine-Clínica, University of Navarra. C/Irunlarrea, 1. 31008 Pamplona, Spain.,Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III. Av. Monforte de Lemos, 3-5. 28029 Madrid, Spain
| | - Guillermo Zalba
- Instituto de Investigación Sanitaria de Navarra (IdiSNA). C/Irunlarrea, 3. 31008 Pamplona, Spain.,Department of Biochemistry and Genetics, University of Navarra, C/Irunlarrea, 1, 31008, Pamplona, Spain
| | - María Chueca
- Instituto de Investigación Sanitaria de Navarra (IdiSNA). C/Irunlarrea, 3. 31008 Pamplona, Spain.,Pediatric Endocrinology Unit, Department of Pediatrics, Complejo Hospitalario de Navarra, 31008, Pamplona, Spain
| | - Maria Cristina Azcona-Sanjulian
- Instituto de Investigación Sanitaria de Navarra (IdiSNA). C/Irunlarrea, 3. 31008 Pamplona, Spain.,Pediatric Endocrinology Unit, Department of Pediatrics, Clínica Universidad de Navarra. Av. Pío XII, 36. 31008 Pamplona, Spain
| | - Amelia Marti
- Department of Nutrition, Food Sciences and Physiology, University of Navarra. C/Irunlarrea, 1. 31008 Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA). C/Irunlarrea, 3. 31008 Pamplona, Spain.,Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III. Av. Monforte de Lemos, 3-5. 28029 Madrid, Spain
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Alonso-Pedrero L, Ojeda-Rodríguez A, Martínez-González MA, Zalba G, Bes-Rastrollo M, Marti A. Ultra-processed food consumption and the risk of short telomeres in an elderly population of the Seguimiento Universidad de Navarra (SUN) Project. Am J Clin Nutr 2020; 111:1259-1266. [PMID: 32330232 DOI: 10.1093/ajcn/nqaa075] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 03/26/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Telomere length (TL) is a marker of biological age that may be affected by dietary factors through oxidation and inflammation mechanisms. In addition, ultra-processed food (UPF) consumption has increased worldwide and it has been associated with the risk of developing several diseases. OBJECTIVES We aimed to evaluate the association between UPF consumption and the risk of having short telomeres in an elderly population of the Seguimiento Universidad de Navarra (SUN) Project. METHODS This is a cross-sectional study of 886 participants (645 men and 241 women) aged 57-91 y recruited from the SUN Project (Spain, 1999-2018). TL was measured from saliva samples by real-time qPCR at baseline and UPF consumption was collected using a validated 136-item FFQ and classified according to the NOVA system. We evaluated the association between consumption of energy-adjusted UPF categorized into quartiles (low, medium-low, medium-high, and high consumption) and the risk of having short telomeres (<20th percentile) using logistic regression models. RESULTS Those participants with the highest UPF consumption had almost twice the odds of having short telomeres compared with those with the lowest consumption (adjusted OR: 1.82; 95% CI: 1.05, 3.22; P-trend = 0.03). CONCLUSIONS A higher consumption of UPF (>3 servings/d) was associated with higher risk of having shorter telomeres in an elderly Spanish population of the SUN Project.This trial was registered at clinicaltrials.gov as NCT02669602.
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Affiliation(s)
- Lucia Alonso-Pedrero
- University of Navarra, Department of Nutrition, Food Science and Physiology, Pamplona, Spain.,Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
| | - Ana Ojeda-Rodríguez
- University of Navarra, Department of Nutrition, Food Science and Physiology, Pamplona, Spain.,Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
| | - Miguel A Martínez-González
- Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.,University of Navarra, Department of Preventive Medicine and Public Health, Pamplona, Spain.,Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, Madrid, Spain.,Harvard TH Chan School of Public Health, Department of Nutrition, Boston, MA, USA
| | - Guillermo Zalba
- Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.,University of Navarra, Department of Biochemistry and Genetics, Pamplona, Spain
| | - Maira Bes-Rastrollo
- Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.,University of Navarra, Department of Preventive Medicine and Public Health, Pamplona, Spain.,Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, Madrid, Spain
| | - Amelia Marti
- University of Navarra, Department of Nutrition, Food Science and Physiology, Pamplona, Spain.,Navarra Institute for Health Research (IdiSNA), Pamplona, Spain.,Physiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn), Spanish National Institute of Health Carlos III, Madrid, Spain
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Morell-Azanza L, Ojeda-Rodríguez A, Azcona-SanJulián MC, Zalba G, Marti A. Associations of telomere length with anthropometric and glucose changes after a lifestyle intervention in abdominal obese children. Nutr Metab Cardiovasc Dis 2020; 30:694-700. [PMID: 32007334 DOI: 10.1016/j.numecd.2019.12.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 11/28/2019] [Accepted: 12/02/2019] [Indexed: 12/23/2022]
Abstract
BACKGROUND AND AIMS In lifestyle intervention studies, we demonstrated that changes in telomere length (TL) were associated with changes in anthropometric indices. Therefore, our new hypothesis is that TL could be a predictor of changes in anthropometric or metabolic measures in children with abdominal obesity. The aim of the study was to evaluate the association between anthropometric and biochemical measurements with TL before and after an 8-week lifestyle intervention in children with abdominal obesity (7-16 years old). METHODS AND RESULTS We assessed anthropometric and biochemical outcomes at baseline and after 8-week lifestyle intervention in 106 children with abdominal obesity (11.30 ± 2.49 years old, 63% girls). TL was measured by monochrome multiplex real-time quantitative PCR. After the lifestyle intervention, anthropometric parameters and glucose metabolism indicators significantly improved in the participants. TL did not change after the intervention in participants. Significant negative correlations between baseline TL and anthropometric measures (BMI, body weight and waist circumference) were observed. Furthermore, baseline TL was a predictor for changes in blood glucose levels after the lifestyle intervention. CONCLUSIONS An inverse correlation between TL and obesity traits was observed in children with abdominal obesity. Interestingly, we found that baseline TL could predict changes in blood glucose levels. CLINICAL TRIAL NCT03147261. Registered 10 May 2017.
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Affiliation(s)
- Lydia Morell-Azanza
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain; IdiSNA (Navarra Institute for Health Research), Pamplona, Spain
| | - Ana Ojeda-Rodríguez
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain; IdiSNA (Navarra Institute for Health Research), Pamplona, Spain
| | - Ma Cristina Azcona-SanJulián
- IdiSNA (Navarra Institute for Health Research), Pamplona, Spain; Paediatric Endocrinology Unit, Department of Pediatrics, Clínica Universidad de Navarra, Pamplona, Spain
| | - Guillermo Zalba
- IdiSNA (Navarra Institute for Health Research), Pamplona, Spain; Department of Biochemistry and Genetics, University of Navarra, Pamplona, Spain
| | - Amelia Marti
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain; IdiSNA (Navarra Institute for Health Research), Pamplona, Spain; Center of Biomedical Research in Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
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9
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Ojeda-Rodríguez A, Zazpe I, Alonso-Pedrero L, Zalba G, Guillen-Grima F, Martinez-Gonzalez MA, Marti A. Association between diet quality indexes and the risk of short telomeres in an elderly population of the SUN project. Clin Nutr 2019; 39:2487-2494. [PMID: 31767135 DOI: 10.1016/j.clnu.2019.11.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 10/28/2019] [Accepted: 11/04/2019] [Indexed: 12/12/2022]
Abstract
BACKGROUND Shorter telomeres are associated with several age-related diseases, and lifestyle factors could influence this relationship. The aim of this study was to examine associations between salivary telomere length (TL) and diet quality using 5 evidence-based dietary indexes in an elderly (>55 years old) Spanish population of the SUN project (n = 886). METHOD TL was measured using the quantitative real-time polymerase chain reaction. Age-adjusted TL variable through residuals methods was used for all analysis. Diet quality was assessed by the Prime Diet Quality Score (PDQS), Fat Quality Index (FQI), Mediterranean Diet Adherence Screener (MEDAS), Dietary Approaches to Stop Hypertension (DASH) index and the Alternative Healthy Eating Index (AHEI-2010). RESULTS TL did differ according to sex, smoking status, and dyslipidemia in elderly subjects of the SUN study. In addition, subjects with dyslipidemia (compared to absence of dyslipidemia) had a significantly higher risk (27% vs. 18%, p = 0.015) of short telomeres (<percentile 20th). Interestingly, a lower risk of having short telomeres was observed among participants in the top tertiles of the following diet quality score PDQS, MEDAS and DASH compared to the bottom tertiles in crude and adjusted models. Moreover, FQI and AHEI-2010 scores showed an inverse association with the risk of having short telomeres after adjustment for potential confounders (model adjusted for dyslipidemia interaction, p for trend = 0.025 and 0.021, respectively; and model additionally adjusted for sex and smoking status, p for trend = 0.033 and 0.029, respectively). CONCLUSION Adherence to high quality diet is associated to longer salivary TL in our elderly Spanish population of the SUN study.
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Affiliation(s)
- Ana Ojeda-Rodríguez
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, C/ Irunlarrea, 1, 31008, Pamplona, Spain; IdiSNA, Navarre's Institute for Health Research, C/Irunlarrea, 3, 31008, Pamplona, Spain.
| | - Itziar Zazpe
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, C/ Irunlarrea, 1, 31008, Pamplona, Spain; IdiSNA, Navarre's Institute for Health Research, C/Irunlarrea, 3, 31008, Pamplona, Spain; Department of Preventive Medicine and Public Health, School of Medicine-Clínica Universidad de Navarra, University of Navarra, C/ Irunlarrea, 1, 31008, Pamplona, Spain; Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Av. Monforte de Lemos, 3-5, 28029, Madrid, Spain.
| | - Lucía Alonso-Pedrero
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, C/ Irunlarrea, 1, 31008, Pamplona, Spain; IdiSNA, Navarre's Institute for Health Research, C/Irunlarrea, 3, 31008, Pamplona, Spain.
| | - Guillermo Zalba
- IdiSNA, Navarre's Institute for Health Research, C/Irunlarrea, 3, 31008, Pamplona, Spain; Department of Biochemistry and Genetics, University of Navarra, C/ Irunlarrea, 1, 31008, Pamplona, Spain.
| | - Francisco Guillen-Grima
- IdiSNA, Navarre's Institute for Health Research, C/Irunlarrea, 3, 31008, Pamplona, Spain; Department of Health Sciences, Public University of Navarre, Avenida de Barañain, 31008, Pamplona, Spain; Department of Preventive Medicine, University of Navarra Clinic, C/Pío XII, 36, 31008, Pamplona, Spain.
| | - Miguel A Martinez-Gonzalez
- IdiSNA, Navarre's Institute for Health Research, C/Irunlarrea, 3, 31008, Pamplona, Spain; Department of Preventive Medicine and Public Health, School of Medicine-Clínica Universidad de Navarra, University of Navarra, C/ Irunlarrea, 1, 31008, Pamplona, Spain; Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Av. Monforte de Lemos, 3-5, 28029, Madrid, Spain; Department of Nutrition, Harvard TH Chan School of Public Health, Boston, USA.
| | - Amelia Marti
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, C/ Irunlarrea, 1, 31008, Pamplona, Spain; IdiSNA, Navarre's Institute for Health Research, C/Irunlarrea, 3, 31008, Pamplona, Spain; Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III, Av. Monforte de Lemos, 3-5, 28029, Madrid, Spain.
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10
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Morell-Azanza L, Ojeda-Rodríguez A, Ochotorena-Elicegui A, Martín-Calvo N, Chueca M, Marti A, Azcona-San Julian C. Changes in objectively measured physical activity after a multidisciplinary lifestyle intervention in children with abdominal obesity: a randomized control trial. BMC Pediatr 2019; 19:90. [PMID: 30947686 PMCID: PMC6448302 DOI: 10.1186/s12887-019-1468-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 03/24/2019] [Indexed: 12/31/2022] Open
Abstract
Background Physical activity (PA) is associated with changes in body composition that affect insulin sensitivity and leptin levels. Few studies have assessed the effect of lifestyle interventions on changes in objectively measured PA levels in obese children. To evaluate the effects of a multidisciplinary lifestyle intervention on anthropometric indices, biochemical parameters and accelerometer measured PA in abdominal obese children. Methods A randomized control trial was performed in 106 children and adolescents with abdominal obesity. Participants were randomly assigned to usual or intensive care group for 8-week. PA was measured by accelerometry over four days including, at least, two weekdays in all participants. Both groups were encouraged to accumulate an extra time of 200 min per week in their PA. Results At baseline, 75% of subjects do not fulfill the WHO recommendation of being more than 60 min/day on moderate-to-vigorous PA (MVPA). The intensive care group achieved a significant reduction in anthropometric indexes compared to the usual care but no significant change was found in biochemical or PA parameters. Both groups achieved a significant reduction in light PA. Interestingly, intensive care participants significantly increased MVPA in 5.5 min/day. Moreover, an inverse association between changes in MVPA and leptin levels was found. Conclusion The two lifestyle intervention reduced anthropometric indexes and lowered light PA in abdominal obese children. No significant differences were observed between intensive care and usual care in regard to PA. Intensive care participants significantly increase physical activity (MVPA) and, changes in MVPA were inversely associated with changes in leptin levels after the intervention. Trial registration ClinicalTrials.gov, Identifier: NCT03147261. Registered 10 May 2017. Retrospectively registered. Electronic supplementary material The online version of this article (10.1186/s12887-019-1468-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Lydia Morell-Azanza
- Department of Nutrition, Food Science and Physiology, University of Navarra, Irunlarrea 1, 31008, Pamplona, Navarra, Spain.,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain
| | - Ana Ojeda-Rodríguez
- Department of Nutrition, Food Science and Physiology, University of Navarra, Irunlarrea 1, 31008, Pamplona, Navarra, Spain.,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain
| | - Amaia Ochotorena-Elicegui
- Paediatric Endocrinology Unit, Department of Pediatrics, Clínica Universidad de Navarra, Pamplona, Spain
| | - Nerea Martín-Calvo
- IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Department of Preventive Medicine & Public Health, School of Medicine, University of Navarra, Pamplona, Spain.,Center of Biomedical Research in Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
| | - María Chueca
- IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Paediatric Endocrinology Unit, Complejo Hospitalario de Navarra, Pamplona, Spain
| | - Amelia Marti
- Department of Nutrition, Food Science and Physiology, University of Navarra, Irunlarrea 1, 31008, Pamplona, Navarra, Spain. .,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain. .,Center of Biomedical Research in Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
| | - Cristina Azcona-San Julian
- Paediatric Endocrinology Unit, Department of Pediatrics, Clínica Universidad de Navarra, Pamplona, Spain. .,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.
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11
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Bel-Serrat S, Ojeda-Rodríguez A, Heinen MM, Buoncristiano M, Abdrakhmanova S, Duleva V, Sant'Angelo VF, Fijałkowska A, Hejgaard T, Huidumac C, Hyska J, Kujundzic E, Milanović SM, Ovezmyradova G, Pérez-Farinós N, Petrauskiene A, Rito AI, Shengelia L, Braunerová RT, Rutter H, Murrin CM, Kelleher CC, Breda J. Clustering of Multiple Energy Balance-Related Behaviors in School Children and its Association with Overweight and Obesity-WHO European Childhood Obesity Surveillance Initiative (COSI 2015⁻2017). Nutrients 2019; 11:E511. [PMID: 30818859 PMCID: PMC6471416 DOI: 10.3390/nu11030511] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 02/19/2019] [Accepted: 02/21/2019] [Indexed: 01/22/2023] Open
Abstract
It is unclear how dietary, physical activity and sedentary behaviors co-occur in school-aged children. We investigated the clustering of energy balance-related behaviors and whether the identified clusters were associated with weight status. Participants were 6- to 9-year-old children (n = 63,215, 49.9% girls) from 19 countries participating in the fourth round (2015/2017) of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative. Energy balance-related behaviors were parentally reported. Weight and height were objectively measured. We performed cluster analysis separately per group of countries (North Europe, East Europe, South Europe/Mediterranean countries and West-Central Asia). Seven clusters were identified in each group. Healthier clusters were common across groups. The pattern of distribution of healthy and unhealthy behaviors within each cluster was group specific. Associations between the clustering of energy balance-related behaviors and weight status varied per group. In South Europe/Mediterranean countries and East Europe, all or most of the cluster solutions were associated with higher risk of overweight/obesity when compared with the cluster 'Physically active and healthy diet'. Few or no associations were observed in North Europe and West-Central Asia, respectively. These findings support the hypothesis that unfavorable weight status is associated with a particular combination of energy balance-related behavior patterns, but only in some groups of countries.
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Affiliation(s)
- Silvia Bel-Serrat
- National Nutrition Surveillance Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin,D4 Dublin, Ireland.
| | - Ana Ojeda-Rodríguez
- National Nutrition Surveillance Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin,D4 Dublin, Ireland.
- Department of Nutrition, Food Science and Physiology, University of Navarra, 31008 Pamplona, Spain.
| | - Mirjam M Heinen
- National Nutrition Surveillance Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin,D4 Dublin, Ireland.
| | - Marta Buoncristiano
- Division of Noncommunicable Diseases and Promoting Health through the Life-course, WHO European Office for Prevention and Control of Noncommunicable Diseases, 125009 Moscow, Russia.
| | - Shynar Abdrakhmanova
- National Center of Public Health, Ministry of Health of the Republic of Kazakhstan, 50010 Almaty, Kazakhstan.
| | - Vesselka Duleva
- National Center of Public Health and Analyses, 1431 Sofia, Bulgaria.
| | | | - Anna Fijałkowska
- Department of Cardiology, Institute of Mother and Child, 01-211 Warsaw, Poland.
| | | | | | | | - Enisa Kujundzic
- Institute of Public Health of Montenegro, 8100 Podgorica, Montenegro.
| | - Sanja Musić Milanović
- Croatian Institute of Public Health, 10000 Zagreb, Croatia.
- School of Medicine, School of Public Health Andrija Štampar, University of Zagreb, 10000 Zagreb, Croatia.
| | | | | | - Ausra Petrauskiene
- Department of Preventive Medicine, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
| | - Ana Isabel Rito
- National Institute of Health Doutor Ricardo Jorge, I.P.,1649-016 Lisbon, Portugal.
| | - Lela Shengelia
- National Center for Disease Control and Public Health of Georgia, 0186 Tbilisi, Georgia.
| | | | - Harry Rutter
- Department of Social and Policy Sciences, University of Bath, Claverton Down, BA2 7AYBath, UK.
| | - Celine M Murrin
- National Nutrition Surveillance Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin,D4 Dublin, Ireland.
| | - Cecily C Kelleher
- National Nutrition Surveillance Centre, School of Public Health, Physiotherapy and Sports Science, University College Dublin,D4 Dublin, Ireland.
| | - João Breda
- Division of Noncommunicable Diseases and Promoting Health through the Life-course, WHO European Office for Prevention and Control of Noncommunicable Diseases, 125009 Moscow, Russia.
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12
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Ojeda-Rodríguez A, Zazpe I, Morell-Azanza L, Chueca MJ, Azcona-Sanjulian MC, Marti A. Improved Diet Quality and Nutrient Adequacy in Children and Adolescents with Abdominal Obesity after a Lifestyle Intervention. Nutrients 2018; 10:nu10101500. [PMID: 30322156 PMCID: PMC6213517 DOI: 10.3390/nu10101500] [Citation(s) in RCA: 65] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 10/07/2018] [Accepted: 10/11/2018] [Indexed: 02/06/2023] Open
Abstract
High rates of childhood obesity require integral treatment with lifestyle modifications that achieve weight loss. We evaluated a lifestyle intervention on nutrient adequacy and diet quality in children and adolescents with abdominal obesity. A randomized controlled trial was performed on 107 participants, assigned either to a usual care group or to an intensive care group that followed a moderate hypocaloric Mediterranean diet and received nutritional education. Intake adequacy was evaluated using Dietary Reference Intakes and diet quality through the Diet Quality Index for Adolescents (DQI-A), the Healthy Lifestyle Diet-Index (HLD-I) and the Mediterranean Diet Quality Index (KIDMED). Both groups achieved a significant reduction in BMI standard deviation score (BMI-SDS), glucose and total cholesterol levels. Intake of Calcium, Iodine and vitamin D were higher in the intensive care group, with enhanced compliance with recommendations. Higher dietary scores were associated with lower micronutrient inadequacy. DQI-A and HLD-I were significantly higher in the intensive care group vs. usual care group after the treatment. In conclusion, we observed that an intensive lifestyle intervention was able to reduce BMI-SDS in children with abdominal obesity. Furthermore, participants significantly improved dietary indices getting closer to the nutritional recommendations. Therefore, these diet quality indices could be a valid indicator to evaluate micronutrient adequacy.
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Affiliation(s)
- Ana Ojeda-Rodríguez
- Department of Nutrition, Food Sciences and Physiology, University of Navarra. C/ Irunlarrea, 1. 31008 Pamplona, Spain.
- IdiSNA, Instituto de Investigación Sanitaria de Navarra. C/Irunlarrea, 3. 31008 Pamplona, Spain.
| | - Itziar Zazpe
- Department of Nutrition, Food Sciences and Physiology, University of Navarra. C/ Irunlarrea, 1. 31008 Pamplona, Spain.
- IdiSNA, Instituto de Investigación Sanitaria de Navarra. C/Irunlarrea, 3. 31008 Pamplona, Spain.
- Department of Preventive Medicine and Public Health, School of Medicine-Clínica Universidad de Navarra, University of Navarra. C/ Irunlarrea, 1. 31008 Pamplona, Spain.
- Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III. Av. Monforte de Lemos, 3-5. 28029 Madrid, Spain.
| | - Lydia Morell-Azanza
- Department of Nutrition, Food Sciences and Physiology, University of Navarra. C/ Irunlarrea, 1. 31008 Pamplona, Spain.
- IdiSNA, Instituto de Investigación Sanitaria de Navarra. C/Irunlarrea, 3. 31008 Pamplona, Spain.
| | - María J Chueca
- IdiSNA, Instituto de Investigación Sanitaria de Navarra. C/Irunlarrea, 3. 31008 Pamplona, Spain.
- Paediatric Endocrinology Unit, Complejo Hospitalario de Navarra. C/Irunlarrea, 3. 31008 Pamplona, Spain.
| | - Maria Cristina Azcona-Sanjulian
- IdiSNA, Instituto de Investigación Sanitaria de Navarra. C/Irunlarrea, 3. 31008 Pamplona, Spain.
- Paediatric Endocrinology Unit, Department of Paediatrics. Clínica Universidad de Navarra. Av. Pío XII, 36. 31008 Pamplona, Spain.
| | - Amelia Marti
- Department of Nutrition, Food Sciences and Physiology, University of Navarra. C/ Irunlarrea, 1. 31008 Pamplona, Spain.
- IdiSNA, Instituto de Investigación Sanitaria de Navarra. C/Irunlarrea, 3. 31008 Pamplona, Spain.
- Biomedical Research Centre Network on Obesity and Nutrition (CIBERobn), Physiopathology of Obesity and Nutrition, Institute of Health Carlos III. Av. Monforte de Lemos, 3-5. 28029 Madrid, Spain.
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13
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Marti A, Morell-Azanza L, Rendo-Urteaga T, García-Calzón S, Ojeda-Rodríguez A, Martín-Calvo N, Moreno-Aliaga MJ, Martínez JA, Azcona-San Julián MC. Serum and gene expression levels of CT-1, IL-6, and TNF-α after a lifestyle intervention in obese children. Pediatr Diabetes 2018; 19:217-222. [PMID: 28749076 DOI: 10.1111/pedi.12561] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Revised: 06/02/2017] [Accepted: 06/20/2017] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Inflammation related molecules such as tumor necrosis factor-α (TNF-α), interleukin 6 (IL-6), and cardiotrophin-1 (CT-1) are highly expressed in obese individuals and could partly explain some comorbidities associated to obesity. In obese children, lifestyle interventions are able to lower inflammation and reduce cardiovascular risk factors associated with obesity. The aim of the present work was to study changes in inflammation-related molecules serum and peripheral blood mononuclear cells (PBMC) transcript levels after a 10-week lifestyle intervention in obese children and asses their potential association with glucose metabolism. METHODS Twenty-three obese children (mean age 11.5 years; 48% males) underwent a 10-week lifestyle not controlled intervention trial. Anthropometric and biochemical measurements were analyzed. Transcript analysis for CT-1, IL-6, and TNF-α in PBMC were performed by RT-PCR. Serum cytokine levels were also measured at baseline and after 10-weeks. RESULTS Participants achieved a significant reduction in body adiposity (0.34 decrease in body mass index-standard deviation), total cholesterol, and glucose levels after 10-weeks. A Significant decrease in serum TNF-α and C reactive protein (CRP) were observed. CT-1 transcript levels were significantly reduced (P = .005) after lifestyle intervention, and these changes were significantly correlated with changes in serum CT-1 levels (r = 0.451; P = .031). In multiple regression analysis baseline CT-1 transcript levels were positively associated with final insulin (R2 = 0.506; P = .035) and HOMA-IR values (R2 = 0.473; P = .034). CONCLUSIONS We reported that serum CRP, TNF-α, as well as PBMC CT-1 transcript levels were reduced after lifestyle intervention in obese children. More studies are needed to clarify the role of inflammation-related molecules in glucose metabolism.
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Affiliation(s)
- A Marti
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Center of Biomedical Research in Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
| | - L Morell-Azanza
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain
| | - T Rendo-Urteaga
- Youth/Child and cAdiovascular Risk and Environmental (YCARE) Research Group, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil
| | - S García-Calzón
- IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Epigenetics and Diabetes Unit, Department of Clinical Sciences, Lund University Diabetes Centre, CRC, Lund University, Malmö, Sweden
| | - A Ojeda-Rodríguez
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain
| | - N Martín-Calvo
- IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Center of Biomedical Research in Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Department of Preventive Medicine & Public Health, School of Medicine, University of Navarra, Pamplona, Spain
| | - M J Moreno-Aliaga
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Center of Biomedical Research in Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Center for Nutrition Research, University of Navarra, Pamplona, Spain
| | - J A Martínez
- Department of Nutrition, Food Sciences and Physiology, University of Navarra, Pamplona, Spain.,IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Center of Biomedical Research in Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.,Center for Nutrition Research, University of Navarra, Pamplona, Spain.,Madrid Institute of Advanced Science (IMDEA Food), Madrid, Spain
| | - M C Azcona-San Julián
- IdiSNA (Navarra Institute for Health Research), Pamplona, Spain.,Paediatric Endocrinology Unit, Department of Paediatrics, Clinica Universidad de Navarra, Pamplona, Spain
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