scholarly journals Childhood body composition and BMI as a predictor of cardiometabolic non-communicable diseases in adulthood: A systematic review

Author(s):  
Amela Bander ◽  
Alexia J Murphy-Alford ◽  
Victor O Owino ◽  
Cornelia U Loechl ◽  
Imara Gluning ◽  
...  

There is growing evidence that childhood malnutrition is associated with non-communicable diseases (NCDs) in adulthood and that body composition mediates some of this association. This review aims to determine: if childhood body composition can be used to predict later-life cardiometabolic NCDs; which measures of body composition best predict future NCDs. Three electronic databases were searched for studies where: children aged under 5 year had body composition measured; cardiometabolic health outcomes were measured a minimum of 10 years later. 29 studies met the inclusion criteria. Though a poor proxy measure of body composition, Body mass index (BMI) was commonly reported (n=28, 97%). 25% of these studies included an additional measure (Ponderal Index or skinfold thickness). Only some studies adjusted for current body size (n=11, 39%). Many studies reported that low infant BMI and high childhood BMI increased the risk of NCD-related outcomes in later life but no conclusions can be made about exact timing of child malnutrition and consequent impact on NCD. Because studies focused on BMI rather than direct measures of body composition, nothing can be said about which measures of body composition in childhood are most useful. Future research on child nutrition and long-term outcomes is urgently needed and should include validated body composition assessments as well as standard anthropometric and BMI measurements.

2018 ◽  
Vol 73 (Suppl. 1) ◽  
pp. 27-36 ◽  
Author(s):  
Cristina Campoy ◽  
Daniel Campos ◽  
Tomás Cerdó ◽  
Estefanía Diéguez ◽  
José Antonio García-Santos

While a wide knowledge exists on the effects of breast milk or infant formula on growth and infant development, less attention has been paid to the importance of complementary feeding (CF). This review focuses on current recommendations for optimal introduction of CF in healthy full-term European infants and discusses the potential impact of this type of feeding on health outcomes. Overall, exclusive breastfeeding is recommended at least for 4 months and preferable for 6 months, followed by the introduction of CF alongside breast milk; infants’ nutrient requirements must meet the differences between nutrients provided by breast milk and the estimated total needs. There is growing evidence that healthy feeding practices during the CF period have positive short- and long-term effects on optimal growth, body composition, neurodevelopment, healthy food preferences, and gut microbiota composition and function; adequate and healthy CF may also diminish the risk of infections, allergies, type 1 diabetes mellitus, as well as celiac and non-communicable diseases. Following the expert recommendations, the design of nutritional strategies must encourage parents to provide a healthy lifestyle for their offspring. Future research should aim to optimize timing, content, and methods of CF; furthermore, it is necessary to explore future CF-targeted health-promoting strategies in early life (appetite regulation, eating patterns, eating behavior, gut dysbiosis, etc.) to prevent growth/obesity outcomes, immune system related-diseases or non-communicable diseases in later life.


Author(s):  
Pieter van Baal ◽  
Hendriek Boshuizen

In most countries, non-communicable diseases have taken over infectious diseases as the most important causes of death. Many non-communicable diseases that were previously lethal diseases have become chronic, and this has changed the healthcare landscape in terms of treatment and prevention options. Currently, a large part of healthcare spending is targeted at curing and caring for the elderly, who have multiple chronic diseases. In this context prevention plays an important role, as there are many risk factors amenable to prevention policies that are related to multiple chronic diseases. This article discusses the use of simulation modeling to better understand the relations between chronic diseases and their risk factors with the aim to inform health policy. Simulation modeling sheds light on important policy questions related to population aging and priority setting. The focus is on the modeling of multiple chronic diseases in the general population and how to consistently model the relations between chronic diseases and their risk factors by combining various data sources. Methodological issues in chronic disease modeling and how these relate to the availability of data are discussed. Here, a distinction is made between (a) issues related to the construction of the epidemiological simulation model and (b) issues related to linking outcomes of the epidemiological simulation model to economic relevant outcomes such as quality of life, healthcare spending and labor market participation. Based on this distinction, several simulation models are discussed that link risk factors to multiple chronic diseases in order to explore how these issues are handled in practice. Recommendations for future research are provided.


2020 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Aryanti Setyaningsih ◽  
Nastitie Cinintya Nurzihan

Abstrak Remaja merupakan kelompok kesehatan prima namun rentan karena mengalami perubahan perilaku berisiko sehingga akan menentukan status kesehatan pada saat dewasa. Salah satu permasalahan kesehatan yang meningkat pada remaja adalah meningkatnya penyakit tidak menular pada remaja, misalnya obesitas, hipertensi, diabetes dan hiperkolesterolemia. Remaja perlu mendapatkan pemaparan mengenai penyakit tidak menular perlu diberikan kepada remaja guna meningkatkan kesadaran dan pemahaman remaja mengenai risiko, dampak, dan deteksi dini penyakit tidak menular pada remaja. Oleh karena itu, perlu diberikan pendidikan kesehatan sebagai dasar penerapan hidup sehat dan cara deteksi dini yang dapat dilakukan oleh remaja guna pencegahan penyakit tidak menular pada remaja. Kegiatan ini dilaksanakan di di SMK 2 PGRI Surakarta yang dilakukan selama 2 hari pada Bulan Juli 2019. Metode kegiatan adalah pendidikan kesehatan dan pemeriksaan komposisi tubuh dengan pengukuran indeks massa tubuh. Tiga puluh dua siswa mengikuti kegiatan ini. Hasil evaluasi menunjukkan peningkatan pengetahuan penyakit tidak menular dan kemampuan siswa dalam memahami status gizi mereka melalui pengukuran komposisi tubuh sebagai bagian dari deteksi dini penyakit tidak menular. Dengan demikian, dapat disimpulkan bahwa terdapat peningkatan pengetahuan dan kesadaran peserta kegiatan dalam melakukan pencegahan terhadap penyakit tidak menular remaja. �Kata kunci: Deteksi Dini; Pendidikan Kesehatan; Pengetahuan; PTM; Remaja�Abstract Adolescents are a prime health group but are vulnerable because they experience changes in risky behavior that will determine their health status as adults. One of the increasing health problems in adolescents is the increase in non-communicable diseases in adolescents, such as obesity, hypertension, diabetes, and hypercholesterolemia. Adolescents need to get exposure to non-communicable diseases to increase awareness and understanding of the risks, impacts, and early detection of non-communicable diseases in adolescents. Therefore, it is necessary to provide health education as a basis for implementing a healthy lifestyle and early detection that can be done by adolescents to prevent non-communicable diseases in adolescents. This activity was carried out at SMK 2 PGRI Surakarta which was conducted for 2 days in July 2019. The method of the activity was health education and examination of body composition by measuring body mass index. Thirty-two students participated in this activity. Evaluation results show an increase in knowledge of non-communicable diseases and the ability of students to understand their nutritional status through measurement of body composition as part of early detection of non-communicable diseases. Thus, it can be concluded that there is an increase in the knowledge and awareness of participant activities in the prevention of adolescent non-communicable diseases.�Keywords: Early Detection; Health Education; Knowledge; Non-Communicable Disease; Adolescent


Author(s):  
Aryanti Setyaningsih ◽  
Nastitie Cinintya Nurzihan

Abstrak Remaja merupakan kelompok kesehatan prima namun rentan karena mengalami perubahan perilaku berisiko sehingga akan menentukan status kesehatan pada saat dewasa. Salah satu permasalahan kesehatan yang meningkat pada remaja adalah meningkatnya penyakit tidak menular pada remaja, misalnya obesitas, hipertensi, diabetes dan hiperkolesterolemia. Remaja perlu mendapatkan pemaparan mengenai penyakit tidak menular perlu diberikan kepada remaja guna meningkatkan kesadaran dan pemahaman remaja mengenai risiko, dampak, dan deteksi dini penyakit tidak menular pada remaja. Oleh karena itu, perlu diberikan pendidikan kesehatan sebagai dasar penerapan hidup sehat dan cara deteksi dini yang dapat dilakukan oleh remaja guna pencegahan penyakit tidak menular pada remaja. Kegiatan ini dilaksanakan di di SMK 2 PGRI Surakarta yang dilakukan selama 2 hari pada Bulan Juli 2019. Metode kegiatan adalah pendidikan kesehatan dan pemeriksaan komposisi tubuh dengan pengukuran indeks massa tubuh. Tiga puluh dua siswa mengikuti kegiatan ini. Hasil evaluasi menunjukkan peningkatan pengetahuan penyakit tidak menular dan kemampuan siswa dalam memahami status gizi mereka melalui pengukuran komposisi tubuh sebagai bagian dari deteksi dini penyakit tidak menular. Dengan demikian, dapat disimpulkan bahwa terdapat peningkatan pengetahuan dan kesadaran peserta kegiatan dalam melakukan pencegahan terhadap penyakit tidak menular remaja. Abstract Adolescents are a prime health group but are vulnerable because they experience changes in risky behavior that will determine their health status as adults. One of the increasing health problems in adolescents is the increase in non-communicable diseases in adolescents, such as obesity, hypertension, diabetes, and hypercholesterolemia. Adolescents need to get exposure to non-communicable diseases to increase awareness and understanding of the risks, impacts, and early detection of non-communicable diseases in adolescents. Therefore, it is necessary to provide health education as a basis for implementing a healthy lifestyle and early detection that can be done by adolescents to prevent non-communicable diseases in adolescents. This activity was carried out at SMK 2 PGRI Surakarta which was conducted for 2 days in July 2019. The method of the activity was health education and examination of body composition by measuring body mass index. Thirty-two students participated in this activity. Evaluation results show an increase in knowledge of non-communicable diseases and the ability of students to understand their nutritional status thro   ugh measurement of body composition as part of early detection of non-communicable diseases. Thus, it can be concluded that there is an increase in the knowledge and awareness of participant activities in the prevention of adolescent non-communicable diseases.


Author(s):  
Simon Kolb ◽  
Alexander Burchartz ◽  
Doris Oriwol ◽  
Steffen C. E. Schmidt ◽  
Alexander Woll ◽  
...  

Sufficient physical activity can help promote and maintain health, while its lack can jeopardize it. Since health and physical activity lay their foundation for later life in childhood and adolescence, it is important to examine this relationship from the beginning. Therefore, this scoping review aims to provide an overview of physical health indicators in children and adolescents in research on the effects of physical activity and sedentary behavior. We identified the indicators used to quantify or assess physical health and summarized the methods used to measure these indicators. We systematically searched Scopus, Pubmed, and Web of Science databases for systematic reviews. The search yielded 4595 records from which 32 records were included in the review. The measurements for physical health reported in the reviews contained measures of body composition, cardiometabolic biomarkers, physical fitness, harm/injury, or bone health. Body composition was the most used indicator to assess and evaluate physical health in children, whereas information on harm and injury was barely available. In future research longitudinal studies are mandatory to focus on the prospective relationships between physical activity or sedentary behavior, and physical health.


Author(s):  
Angela Chang ◽  
Peter J. Schulz ◽  
Angus Wenghin Cheong

As non-communicable diseases (NCDs) are now well recognized as the leading cause of mortality among adult populations worldwide, they are also increasingly the focus of media coverage. As such, the objective of this study is to describe the framing of NCDs in the coverage of newspapers, with the understanding that it says something about the society producing it. Automatic content analysis was employed to examine disease topics, risks, and cost consequences, thus providing lay people with a chance of learning the etiology of NCDs and information available for fighting diseases. The result of the computational method identified a total of 152,810 news articles with one of the seven supra-categories of NCDs. The category of metabolic diseases was covered most frequently in the past ten years. Three health risks received ample attention in all 11 newspapers: stress burden, tobacco use, and genetic predispositions. The results evidenced how media framed risk information of illnesses would distort the way in which diseases were selected, interpreted, and the outcome communicated. Future research building on our findings can further examine whether news framing affects the way the readers perceive and prevent NCDs.


2011 ◽  
Vol 70 (1) ◽  
pp. 64-72 ◽  
Author(s):  
Karen A. Lillycrop

The rapid increase in the incidence of chronic non-communicable diseases over the past two decades cannot be explained solely by genetic and adult lifestyle factors. There is now considerable evidence that the fetal and early postnatal environment also strongly influences the risk of developing such diseases in later life. Human studies have shown that low birth weight is associated with an increased risk of CVD, type II diabetes, obesity and hypertension, although recent studies have shown that over-nutrition in early life can also increase susceptibility to future metabolic disease. These findings have been replicated in a variety of animal models, which have shown that both maternal under- and over-nutrition can induce persistent changes in gene expression and metabolism within the offspring. The mechanism by which the maternal nutritional environment induces such changes is beginning to be understood and involves the altered epigenetic regulation of specific genes. The demonstration of a role for altered epigenetic regulation of genes in the developmental induction of chronic diseases raises the possibility that nutritional or pharmaceutical interventions may be used to modify long-term cardio-metabolic disease risk and combat this rapid rise in chronic non-communicable diseases.


2019 ◽  
pp. 38-46
Author(s):  
I. N. Zakharova ◽  
M. R. Aisanova

Non-communicable diseases result in more than 63% of all deaths according to the data announced at the meeting on the prevention of non-communicable diseases held by the UN General Assembly in 2011. Such diseases are caused by genetic and socioecological factors, the level of health care system, individual lifestyle (diet, physical activity). Due to morphofunctional characteristics of organs and systems, children are most at risk from exposure to toxic substances contained in food. The article describes exactly what effect the most harmful and common toxicants of food have on the child’s body and provides food safety and nutrition strategies developed at the state level.


2021 ◽  
Vol 6 (5) ◽  
pp. 226-232
Author(s):  
М. М. Potiazhenko ◽  
◽  
О. P. Mintser ◽  
G. V. Nevoit ◽  
◽  
...  

The purpose of the study is to assess the clinical feasibility and indicators of instrumental impedance measurement in patients who are at various stages of the cardiovascular continuum, in order to increase the effectiveness of measures for the prevention and treatment of non-communicable diseases in Ukraine by improving the diagnosis and prevention of non-communicable diseases through the introduction of modern science-intensive technologies into medical practice. Materials and methods. An open, non-randomized controlled study was performed with the assessment of examination on a BF 500 body composition monitor (model HBF-500-E, Omron Healthcare, Japan) in 186 functionally healthy individuals (control; in 75 respondents of professional athletes (group K1), in 111 respondents – intern doctors (group K2)) and in 253 patients with non-communicable diseases (main group). The patients were divided into four subgroups (Pg1, Pg2, Pg3, Pg4) depending on the stage of the cardiovascular continuum. Results and discussion. Non-compliance with the norm of body composition was found in 83% of respondents in group K2 and in 100% of patients. 83% of people were deficient in muscle, 23% had preobesity, 6% were obese, and 5% had visceral obesity. Overweight by body mass index was in 30% of Pg1 patients, in 31% of Pg2 patients, in 30% of Pg3 patients, in 37% of Pg4 patients and obesity was in 32% of Pg1 patients, in 31% of Pg2 patients, in 25% of Pg3 patients, in 35% of Pg4 patients. Overweight in the percentage of fat was diagnosed in 17% of Pg1 patients, in 31% of Pg2 patients, in 21% of Pg3 patients, in 37% of Pg4 patients; obesity was in 37% of Pg1 patients, in 48% of Pg2 patients, in 56% of Pg3 patients, in 51% of Pg4 patients. Visceral obesity was diagnosed in 35% of Pg1 patients, in 56% of Pg2 patients, in 60% of Pg3 patients, in 77% of Pg4 patients. Deficiency of muscle percentage was found in 85% of Pg1 patients, in 91% of Pg2 patients, in 89% of Pg3 patients, and in 88% of Pg4 patients. Conclusion. Instrumental impedance measurement shows clinical significance and should become a mandatory method of Objective Structured Clinical Examination. The body composition of patients with non-communicable diseases is characterized by an increase in energy expenditure of the main metabolism, general and visceral obesity, muscle deficiency. The degree and number of cases of violation of body composition increases with the progression of the cardiovascular continuum


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