scholarly journals Normal-Weight Obesity Is Associated with Poorer Cardiometabolic Profile and Lower Physical Fitness Levels in Children and Adolescents

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1171 ◽  
Author(s):  
Antonio García-Hermoso ◽  
Cesar Agostinis-Sobrinho ◽  
Gloria Eugenia Camargo-Villalba ◽  
Nubia Mercedes González-Jiménez ◽  
Mikel Izquierdo ◽  
...  

Normal-weight obesity (NWO) syndrome has been shown to be associated with cardiometabolic dysfunction. However, little is known regarding this potential relationship in Latin American children and adolescents. The aim of this study was two-fold: (i) to investigate whether Colombian youth with NWO syndrome have a poorer cardiometabolic profile and physical fitness performance than normal-weight lean (NWL) peers; and (ii) to determine if physical fitness levels are related to prevalence of normal-weight obesity in youth. This was an analytical cross-sectional study of 1919 youths (9–179 years old, 53.0% girls) in the capital area of Colombia. NWO was defined as a body mass index < 25 kg/m2 and a validated body fat percentage above the sex-age-specific 90th percentile for Colombian children and adolescents. Body fat was estimated using bioelectrical impedance analysis, cardiorespiratory fitness (CRF) was estimated using the 20-meter shuttle run test, and muscular fitness with the handgrip test. Biochemical profile blood samples were collected for cardiometabolic risk factors. After adjusting for chronological age, pubertal stage, and Mediterranean diet adherence, the NWO group (boys and girls) had significantly higher values for cardiometabolic risk factors, and waist circumference (WC) than the NWL group. The prevalence of NWO was lower in youth classified with healthy CRF (boys, odds ratio (OR) = 0.54, 95% confidence interval (CI) 0.37 to 0.78; girls, OR = 0.35, 95% CI 0.24 to 0.50), p < 0.001. Our findings indicate that using only body mass index for the assessment of cardiometabolic risk likely misrepresents true adiposity and suggest the need to include the assessment of body fat in the routine clinical evaluation of individuals during childhood and adolescence.

2018 ◽  
Vol Volume 11 ◽  
pp. 241-253 ◽  
Author(s):  
Somlak Vanavanan ◽  
Pornpen Srisawasdi ◽  
Mana Rochanawutanon ◽  
Nalinee Kumproa ◽  
Khanat Kruthkul ◽  
...  

2020 ◽  
pp. 1-12
Author(s):  
Bruna Clemente Cota ◽  
Lara Gomes Suhett ◽  
Nathália Nogueira Leite ◽  
Patrícia Feliciano Pereira ◽  
Sarah Aparecida Vieira Ribeiro ◽  
...  

Abstract Objective: To analyse the presence of cardiometabolic risk factors in adolescents with normal-weight obesity (NWO), as well as to investigate health behaviours related to the phenotype. Design: The study was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines and the bibliographic search was carried out in the PubMed, Scielo and ScienceDirect databases. Setting: School, university and population. Participants: Adolescents between 10 and 19 years old. Results: A total of eight papers were included. Most studies have found a relationship between NWO and the presence of cardiometabolic risk factors, such as high waist circumference, unfavourable lipid and glycid profile. As for health behaviours, three of the eight studies included evaluated eating habits; however, the results were not conclusive. In addition, four studies analysed the practice of physical activity or physical fitness, which was lower in NWO. Conclusions: The available evidence indicates that NWO is related to the early development of cardiometabolic changes, physical inactivity and less physical fitness in adolescents. The results also reveal the importance of early detection of the phenotype, as well as the need for further research on the associated factors to prevent future diseases. Registration (PROSPERO: CRD42020161204).


2015 ◽  
Vol 30 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Laura N. Anderson ◽  
Gerald Lebovic ◽  
Jill Hamilton ◽  
Anthony J. Hanley ◽  
Brian W. McCrindle ◽  
...  

2019 ◽  
Vol 13 (1) ◽  
pp. 570-575 ◽  
Author(s):  
Hosein Sheibani ◽  
Habibollah Esmaeili ◽  
Maryam Tayefi ◽  
Maryam Saberi-Karimian ◽  
Susan Darroudi ◽  
...  

Nutrients ◽  
2017 ◽  
Vol 9 (7) ◽  
pp. 644 ◽  
Author(s):  
Robinson Ramírez-Vélez ◽  
Antonio García-Hermoso ◽  
Cesar Agostinis-Sobrinho ◽  
Jorge Mota ◽  
Rute Santos ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document