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Body composition of obese adolescents: association between adiposity indicators and cardiometabolic risk factors.
J Hum Nutr Diet. 2017 04; 30(2):193-202.JH

Abstract

BACKGROUND

The association between obesity during adolescence and the increased risk of cardiometabolic diseases indicates the need to identify reproducible and cost effective methods for identifying individuals who are at increased risk of developing diseases. The present cross-sectional study investigated the occurrence of metabolic consequences of obesity in adolescents and the use of adiposity indicators as predictors of cardiometabolic risk.

METHODS

A fasting blood sample was taken in 93 pubertal obese adolescents aged 13-18 years old (39 males, 54 females) for the assessment of cardiometabolic risk markers (glucose, lipid profiles, insulin resistence, and inflammatory and endothelial dysfunction markers). Together with anthropometry, total fat mass and lean mass were determined by dual-energy X-ray absorptiometry (DXA).

RESULTS

The prevalence of dyslipidaemia and disorders in glucose metabolism are noticeably higher in the present study. There was no correlation between the percentage of body fat according to DXA and most indicators of adiposity. For boys, the arm circumference values predicted the increase in fasting insulin (r² = 0.200), homeostasis model assessment of insulin resistance (r² = 0.267) and cardiometabolic risk score (r² = 0.338). The percentage of body fat according to DXA predicted the inflammation score (r² = 0.172). For girls, body mass index was the parameter that best described the variability of fasting insulin (r² = 0.079) and inflammation score (r² = 0.263). The waist-to-stature ratio was able to predict the triglyceride values (r² = 0.090).

CONCLUSIONS

Anthropometric measures of adiposity, such a body mass index, waist-to-stature ratio, arm circumference and waist circumference,should be considered in the clinical evaluation of obese adolescents.

Authors+Show Affiliations

Instituto de Ciências Biológicas, Universidade de Pernambuco, Recife, Pernambuco, Brazil.Instituto de Ciências Biológicas, Universidade de Pernambuco, Recife, Pernambuco, Brazil.Universidade Federal de São Paulo, Santos, São Paulo, Brazil.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27611775

Citation

Araújo, A J S., et al. "Body Composition of Obese Adolescents: Association Between Adiposity Indicators and Cardiometabolic Risk Factors." Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, vol. 30, no. 2, 2017, pp. 193-202.
Araújo AJ, Santos AC, Prado WL. Body composition of obese adolescents: association between adiposity indicators and cardiometabolic risk factors. J Hum Nutr Diet. 2017;30(2):193-202.
Araújo, A. J., Santos, A. C., & Prado, W. L. (2017). Body composition of obese adolescents: association between adiposity indicators and cardiometabolic risk factors. Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, 30(2), 193-202. https://doi.org/10.1111/jhn.12414
Araújo AJ, Santos AC, Prado WL. Body Composition of Obese Adolescents: Association Between Adiposity Indicators and Cardiometabolic Risk Factors. J Hum Nutr Diet. 2017;30(2):193-202. PubMed PMID: 27611775.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Body composition of obese adolescents: association between adiposity indicators and cardiometabolic risk factors. AU - Araújo,A J S, AU - Santos,A C O, AU - Prado,W L, Y1 - 2016/09/09/ PY - 2016/9/10/pubmed PY - 2018/2/27/medline PY - 2016/9/10/entrez KW - adolescence KW - anthropometry KW - body composition KW - cardiovascular disease KW - obesity SP - 193 EP - 202 JF - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association JO - J Hum Nutr Diet VL - 30 IS - 2 N2 - BACKGROUND: The association between obesity during adolescence and the increased risk of cardiometabolic diseases indicates the need to identify reproducible and cost effective methods for identifying individuals who are at increased risk of developing diseases. The present cross-sectional study investigated the occurrence of metabolic consequences of obesity in adolescents and the use of adiposity indicators as predictors of cardiometabolic risk. METHODS: A fasting blood sample was taken in 93 pubertal obese adolescents aged 13-18 years old (39 males, 54 females) for the assessment of cardiometabolic risk markers (glucose, lipid profiles, insulin resistence, and inflammatory and endothelial dysfunction markers). Together with anthropometry, total fat mass and lean mass were determined by dual-energy X-ray absorptiometry (DXA). RESULTS: The prevalence of dyslipidaemia and disorders in glucose metabolism are noticeably higher in the present study. There was no correlation between the percentage of body fat according to DXA and most indicators of adiposity. For boys, the arm circumference values predicted the increase in fasting insulin (r² = 0.200), homeostasis model assessment of insulin resistance (r² = 0.267) and cardiometabolic risk score (r² = 0.338). The percentage of body fat according to DXA predicted the inflammation score (r² = 0.172). For girls, body mass index was the parameter that best described the variability of fasting insulin (r² = 0.079) and inflammation score (r² = 0.263). The waist-to-stature ratio was able to predict the triglyceride values (r² = 0.090). CONCLUSIONS: Anthropometric measures of adiposity, such a body mass index, waist-to-stature ratio, arm circumference and waist circumference,should be considered in the clinical evaluation of obese adolescents. SN - 1365-277X UR - https://www.unboundmedicine.com/medline/citation/27611775/Body_composition_of_obese_adolescents:_association_between_adiposity_indicators_and_cardiometabolic_risk_factors_ L2 - https://doi.org/10.1111/jhn.12414 DB - PRIME DP - Unbound Medicine ER -