Prevalence of Metabolically Healthy but Overweight/Obese Phenotype and Its Association With Sedentary Time, Physical Activity, and Fitness

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Názov: Prevalence of Metabolically Healthy but Overweight/Obese Phenotype and Its Association With Sedentary Time, Physical Activity, and Fitness
Autori: Gloria Bueno, Kurt Widhalm, Maria Plada, Michael Sjöström, Luis A. Moreno, Cristina Cadenas-Sanchez, Yannis Manios, Idoia Labayen, Laura Censi, Jérémy Vanhelst, Inge Huybrechts, Jonatan R. Ruiz, Christina Breidenassel, Dénes Molnár, Stefaan De Henauw, Manuel J. Castillo, Anthony Kafatos, Francisco B. Ortega, Marcela González-Gross
Prispievatelia: Inserm, Université de Lille, CHU Lille, Lille Inflammation Research International Center - U 995 [LIRIC], Université de Lille, LillOA
Zdroj: Journal of Adolescent Health. 61:107-114
Informácie o vydavateľovi: Elsevier BV, 2017.
Rok vydania: 2017
Predmety: Mesh:Female, Male, Pediatric Obesity, Youth, Mesh:Europe/epidemiology, Adolescent, Mesh:Male, Metabolic status, MHO, Mesh:Overweight/epidemiology, 03 medical and health sciences, Mesh:Adolescent, 0302 clinical medicine, Prevalence, Humans, Mesh:Exercise, Mesh:Pediatric Obesity/physiopathology, Mesh:Sedentary Lifestyle, Children, Exercise, 2. Zero hunger, Mesh:Overweight/blood, non-MHO, Mesh:Physical Fitness, Mesh:Phenotype, Overweight, Mesh:Pediatric Obesity/epidemiology, 16. Peace & justice, Mesh:Pediatric Obesity/blood, 3. Good health, [SDV] Life Sciences [q-bio], Europe, Nonmetabolically healthy, Mesh:Humans, Phenotype, Physical Fitness, Mesh:Prevalence, Mesh:Overweight/physiopathology, Female, Sedentary Behavior
Popis: Childhood obesity is one of the major concerns in the last years due to the association with future health problems and all-cause mortality. However, there is a subset of adolescents with overweight/obesity who present a metabolic healthy profile. Therefore, the aim of this study was to examine the prevalence of metabolically healthy but overweight/obese adolescents and whether sedentary time, physical activity, and fitness differ between metabolically healthy and nonmetabolically healthy phenotypes.A subsample of 237 European adolescents from the HEalthy Lifestyle in Europe by Nutrition in Adolescence study (n = 3,528, participation rate: 61.3%) with overweight/obesity were included. The study sample was not fully representative for the European adolescent population. Based on sex- and age-specific metabolic syndrome cutoff points for triglycerides, glucose, blood pressure, and high-density cholesterol participants were classified as metabolically healthy or nonmetabolically healthy. Sedentary time, physical activity, and fitness were assessed by accelerometry and the Alpha battery, respectively.The prevalence of metabolically healthy status in adolescents with overweight and obesity was higher in girls (87%) than in boys (74%, p = .019), being similar when only obesity was considered. Sedentary time was lower in metabolically healthy overweight/obese than in nonmetabolically healthy participants (mean difference = 48.0 minutes, p = .012). Moderate and moderate-to-vigorous physical activity were higher (p's < .05) in metabolically healthy than in nonmetabolically healthy adolescents with overweight/obesity (mean difference = 7.9 min/day and 10.9 min/day, respectively). No significant differences were found in fitness. Overall, these results persisted when only adolescents with obesity were included in the analyses.Metabolically healthy adolescents with overweight/obesity are less sedentary and more active than their nonmetabolically healthy peers with overweight/obesity, yet consistent differences in fitness were not observed.
Druh dokumentu: Article
Popis súboru: application/octet-stream
Jazyk: English
ISSN: 1054-139X
DOI: 10.1016/j.jadohealth.2017.01.018
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/28363717
https://www.ncbi.nlm.nih.gov/pubmed/28363717
https://pubmed.ncbi.nlm.nih.gov/28363717/
https://www.sciencedirect.com/science/article/pii/S1054139X17300617
http://hdl.handle.net/20.500.12210/5445
https://hal.univ-lille.fr/hal-02177254v1
https://doi.org/10.1016/j.jadohealth.2017.01.018
Rights: Elsevier TDM
Prístupové číslo: edsair.doi.dedup.....09ba73efa6fa9678b68dabdbe739467e
Databáza: OpenAIRE
Popis
Abstrakt:Childhood obesity is one of the major concerns in the last years due to the association with future health problems and all-cause mortality. However, there is a subset of adolescents with overweight/obesity who present a metabolic healthy profile. Therefore, the aim of this study was to examine the prevalence of metabolically healthy but overweight/obese adolescents and whether sedentary time, physical activity, and fitness differ between metabolically healthy and nonmetabolically healthy phenotypes.A subsample of 237 European adolescents from the HEalthy Lifestyle in Europe by Nutrition in Adolescence study (n = 3,528, participation rate: 61.3%) with overweight/obesity were included. The study sample was not fully representative for the European adolescent population. Based on sex- and age-specific metabolic syndrome cutoff points for triglycerides, glucose, blood pressure, and high-density cholesterol participants were classified as metabolically healthy or nonmetabolically healthy. Sedentary time, physical activity, and fitness were assessed by accelerometry and the Alpha battery, respectively.The prevalence of metabolically healthy status in adolescents with overweight and obesity was higher in girls (87%) than in boys (74%, p = .019), being similar when only obesity was considered. Sedentary time was lower in metabolically healthy overweight/obese than in nonmetabolically healthy participants (mean difference = 48.0 minutes, p = .012). Moderate and moderate-to-vigorous physical activity were higher (p's < .05) in metabolically healthy than in nonmetabolically healthy adolescents with overweight/obesity (mean difference = 7.9 min/day and 10.9 min/day, respectively). No significant differences were found in fitness. Overall, these results persisted when only adolescents with obesity were included in the analyses.Metabolically healthy adolescents with overweight/obesity are less sedentary and more active than their nonmetabolically healthy peers with overweight/obesity, yet consistent differences in fitness were not observed.
ISSN:1054139X
DOI:10.1016/j.jadohealth.2017.01.018