scholarly journals The Effect of Body Mass Index on Acute Cardiometabolic Responses to Graded Exercise Testing in Children: A Narrative Review

Sports ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 103 ◽  
Author(s):  
Pantelis Nikolaidis ◽  
Eleni Kintziou ◽  
Georgios Georgoudis ◽  
José Afonso ◽  
Rodrigo Vancini ◽  
...  

Although the beneficial role of exercise for health is widely recognized, it is not clear to what extent the acute physiological responses (e.g., heart rate (HR) and oxygen uptake (VO2)) to a graded exercise test are influenced by nutritional status (i.e., overweight vs. normal-weight). Therefore, the main objectives of the present narrative review were to examine the effect of nutritional status on acute HR, and VO2 responses of children to exercise testing. For this purpose, we examined existing literature using PubMed, ISI, Scopus, and Google Scholar search engines. Compared with their normal-body mass index (BMI) peers, a trend of higher HRrest, higher HR during submaximal exercise testing, and lower HRmax was observed among overweight and obese children (according to BMI). Independent from exercise mode (walking, running, cycling, or stepping), exercise testing was metabolically more demanding (i.e., higher VO2) for obese and overweight children than for their normal-weight peers. Considering these cardiometabolic differences according to BMI in children might help exercise specialists to evaluate the outcome of a graded exercise test (GXT) (e.g., VO2max, HRmax) and to prescribe optimal exercise intensity in the context of development of exercise programs for the management of body mass.

2019 ◽  
Vol 160 (39) ◽  
pp. 1554-1562
Author(s):  
Julianna Bircher ◽  
Eszter Kótyuk ◽  
Renáta Cserjési ◽  
Andrea Vereczkei ◽  
Zsolt Rónai ◽  
...  

Abstract: Introduction and aim: Earlier results in the literature suggest that overweight subjects show weaker performance in executive function tasks as compared to normal weight people. Dopaminergic system is strongly linked to executive functions, body mass regulation and ingestion. The aim of the present study was to examine the possible relationship between DRD4 VNTR 7-repeat allele, body mass index and Stroop performance in a healthy adult population, and to draw psychogenetic conclusions. Method: 152 subjects without diabetic or psychiatric history participated in the study. Along with non-invasive DNA sampling, demographic, weight and height data were collected. The participants also solved the computerized Stroop task. 11 subjects belonged to the underweight (mean body mass index = 17.9 kg/m2), 98 subjects to the normal (mean body mass index = 21.8 kg/m2), and 43 subjects to the overweight (mean body mass index = 28.9 kg/m2) category. After grouping participants according to their body mass index and DRD4 VNTR genotype, we compared their mean performance to investigate the possible psychogenetic associations. Results: Body mass index and stimuli type showed significant interaction on error number (p = 0.045): subjects with normal body mass index made significantly less error as compared to under- and overweight subjects in incongruent trials. The 7-repeat allele carriers made tendentiously more errors than non-carriers. Normal weight people made less error – independently from their genotype –, while subjects with either low or high BMI carrying the 7-repeat allele made more errors compared to non-carriers. Conclusion: Under- and overweight subjects perform weaker where inhibition is necessary in the task. This may reflect their reactions to food-related situations. Orv Hetil. 2019; 160(39): 1554–1562.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 7060-7060
Author(s):  
Catherine Handy Marshall ◽  
Paul A McAuley ◽  
Hua-Ling Tsai ◽  
Zeina Dardari ◽  
Mouaz H Al-Mallah ◽  
...  

7060 Background: The obesity paradox –i.e. inverse associations between body mass index (BMI) and mortality – has been reported in patients with cancer, heart failure, and diabetes. However, the influence of cardiorespiratory fitness (CRF) on this relationship is not well established. This study assesses the association of BMI and CRF with all-cause mortality among cancer patients. Methods: The Henry Ford (HF) FIT Project is a retrospective cohort study of 69,885 consecutive patients who underwent physician-referred exercise stress testing from 1991 through 2009. Cancer diagnosis was identified through linkage to the HF tumor registry. We included patients 40-70 years old, with BMI recorded, at time of exercise test, with a history of cancer > 6 months prior. BMI was categorized as normal (18.5-24.9kg/m2), overweight (25-29.9kg/m2), or obese ( > = 30kg/m2). All-cause mortality was obtained from the National Death Index. Because of a significant interaction between BMI and cancer type, patients with breast or prostate cancer were excluded. Multivariable adjusted Cox proportional hazard models were used to evaluate the association of CRF andBMI with all-cause mortality; adjusted for age at exercise test, sex, diabetes, smoking, cancer stage, and time from cancer diagnosis to exercise test. Results: Included were 676 patients with a mean age of 58 years (SD 7.5), 51% female, 70% White, 25% Black, with a median of 4.8 years from diagnosis to exercise test and median follow up time of 10.3 years. Among patients achieving < 10 METs, those who are overweight and obese had a lower risk of mortality HR 0.47 (95% CI 0.25,0.86) and HR 0.44 (95% CI 0.26, 0.74, respectively), compared to those with normal BMI. Among patients with METs > = 10, those who were overweight had the lowest risk of all-cause mortality (HR 0.23, 95% CI 0.09-0.62) compared to normal weight, while no statistically significant different risk of mortality was observed when comparing those who are obese to normal weight (HR 0.37, 95% CI 0.13-1.06). In an analysis combining BMI and fitness groups (four categories), those with BMI > = 25 and METs > = 10 had the lowest risk of all-cause mortality (Table). Conclusions: In non-breast/non-prostate cancer patients, increased BMI is associated with improved overall survival in those with METs < 10, while a U-shaped relationship between BMI and all-cause mortality exists among those with METs > = 10. [Table: see text]


2015 ◽  
Vol 47 ◽  
pp. 47
Author(s):  
Elizabeth A. Easley ◽  
W. Scott Black ◽  
Alison L. Bailey ◽  
Terry Lennie ◽  
Jody L. Clasey

2021 ◽  
Vol 5 (4) ◽  
pp. 347
Author(s):  
Rieza Enggardany ◽  
Lucia Yovita Hendrati ◽  
Noran Naqiah Hairi

ABSTRACTBackground: Anemia is a condition characterized by low levels of hemoglobin (Hb) from normal limits. Anemia is still a public health problem. Data states that the prevalence of anemia in Indonesia in 2013 was 21.7%, with the number of sufferers known to be higher in women than men. The prevalence of anemia in the age range 15 to 24 years was 18.4%. Nutritional status shows the balance of nutrients due to the consumption, absorption, and use of nutrients that come from food in the body. A person's nutritional status can be said to be deficient if the body lacks intake of one or more essential nutrients for the body. One of the indicators for assessing a person's nutritional status is the Body Mass Index (BMI). Inadequate nutritional status will affect the nutritional status of iron in a person' s body so that it can be interpreted that nutritional status is one of the factors of anemia. Consuming foods with good nutritional value, especially foods that contain high iron will also affect the nutritional status of these adolescents so that the risk of suffering from anemia will decrease.Objective: This study aims to analyze the relationship between body mass index and anemia among young women in Indonesia.Methods: This study is a cross-sectional study. The data used are secondary data from the Indonesian Family Life Survey (IFLS) 5. The population of this study was all Indonesians who participated in IFLS 5. The sample used in this study amounted to 3,525 respondents. IInclusion criteria of this study included female, aged 10-18 years, unmarried, having complete data regarding body weight, height and hemoglobin measurement results. If data related to the measurement results of hemoglobin, body weight, height are incomplete, they will be excluded.The statistical test was used is a chi-square test.Results: There was a relationship between Body Mass Index (BMI) and anemia among young women in Indonesia (p = 0.034 <0.05).Based on the odd ratio analysis using the normal Body Mass Index (BMI) group as a comparison, it is known that young women with underweight BMI categories have a 1.198 greater risk of experiencing anemia than girls with normal BMI categories.Conclusion: There is a relationship between BMI and anemia in adolescent girls. It is important for young women to always pay attention to daily iron intake by eating foods that are rich in iron or taking blood-booster tablets (TTD) to avoid anemia.


Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Caroline A Ball ◽  
Carolyn M Larsen ◽  
Virginia Hebl ◽  
Jeffrey B Geske ◽  
Kevin C Ong ◽  
...  

Introduction: Impaired peak VO2 and obesity are known predictors of morbidity and mortality in Hypertrophic Cardiomyopathy (HCM). The purpose of this study is to determine the degree of exercise impairment due to excess weight in patients with HCM. Methods: Adult HCM patients who underwent cardiopulmonary treadmill testing at our tertiary referral center from 2006 - 2012 and had consented to research participation were identified retrospectively. Percent predicted peak VO2 was calculated by the Astrand formula for men and the Jones formula for women which adjust for age and gender. Baseline echocardiographic features obtained within 1 week of exercise testing and % predicted peak VO2 were compared among four groups of patients stratified by body mass index (BMI). Results: 510 patients were identified, with a mean age at diagnosis of 44.3 ± 16.1 years, 186 (36.5%) female. Mean BMI at the time of cardiopulmonary exercise testing was 29.7 ± 5.3 and 227 (44.6%) patients had a BMI ≥ 30. Overweight and obese patients were older and were more likely to be male than their normal weight peers. However, there was no significant difference in ejection fraction (EF), resting left ventricular outflow tract gradient, right ventricular systolic pressure (RVSP), or septal thickness among the groups. HCM patients show impaired peak VO2 across all BMI groups. While peak VO2 increased progressively across BMI groups consistent with greater O2 demand generated by higher body weight, the adjusted peak VO2 in mL/kg/min fell progressively, indicating progressively greater performance impairment with increasing BMI despite similar degrees of cardiac impairment (p <0.0001) (Table 1). Conclusion: Increased BMI is associated with reduced exercise performance in a graded manner in HCM patients independent of cardiac impairment identified on echocardiography.


Author(s):  
Hesti Platini ◽  
Widia Hastuti ◽  
Andoko Andoko

Background: Hypertension or high blood pressure is still a high cause of death in the world. One factor in the occurrence of hypertension is poor nutritional status. Measurement of nutritional status is by knowing body mass index.Purpose: To describe the body mass index (BMI) values in patients with hypertension.Methods: Descriptive with cross sectional approach with consecutive sampling. The number of samples was 40 respondents. Data retrieval is measurement of blood pressure, height and weight. Data analyzed and made by frequencies and percentages.Results: The highest number of hypertension was in the age range of  60-74 years old and the highest gender in this research is women and hypertension in grade I with overweight body mass index values (35%), normal body mass index (62.5%).Conclusion: This study shows that hypertensive patients at Public Health Centre (Puskesmas Pasundan Garut) was show a high body mass index (BMI) value. By early detection to prevent of further severe complications and management of hypertension can be done to improve the quality of life.


2021 ◽  
Vol 9 (1) ◽  
pp. 53-58
Author(s):  
Yudhi Adrianto ◽  
Diah Mulyawati Utari ◽  
Fitri Hudayani ◽  
Triyani Kresnawan

Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p0.05)Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.


2015 ◽  
Vol 20 (2) ◽  
pp. 149
Author(s):  
Fildzah Nurul Fajrin ◽  
Zulkarnain Agus ◽  
Nila Kasuma

Laju aliran saliva merupakan salah satu faktor penting pembentukan karies. Laju aliran saliva yang adekuat dapat mencegah proses pembentukan karies dan perkembangan penyakit periodontal dan infeksi oral. Status gizi adalah salah satu faktor yang mempengaruhi laju aliran saliva. Salah satu parameter status gizi adalah Body Mass Index (BMI). Tujuan penelitian ini adalah untuk mengetahui hubungan antara BMI dengan laju aliran saliva. Penelitian ini merupakan penelitian observasional dengan pendekatan crosss sectional study yang dilakukan pada 24 orang mahasiswa Fakultas Kedokteran Gigi Universitas Andalas yang berumur 18 – 25 tahun yang memenuhi kriteria inklusi dan eklusi. BMI ditentukan dengan rumus BMI dengan satuan kg/m2. Laju aliran saliva ditentukan dengan metode Sialometry Navazesh (2008) dalam satuan ml/menit. Analisa data univariat dilakukan untuk mendeskripsikan masing-masing variabel, untuk melihat distribusi normal (p > 0,05) dilakukan uji normalitas Kolmogorov Smirnof test. Setelah terbukti variabel terdistribusi normal, selanjutnya dilakukan uji korelasi regresi untuk mengetahui hubungan antara BMI dengan laju aliran saliva. Berdasarkan hasil uji korelasi didapatkan rata-rata BMI mahasiswa Fakultas Kedokteran Gigi Universitas Andalas adalah χχ ± SD = 24,50 ±6,02 kg/m2 dan laju aliran saliva adalah χχ ± SD = 0,29 ± 0,10 ml/menit. Hubungan antara BMI dengan laju aliran saliva menunjukkan hubungan sedang dengan arah negatif (r = - 0,451). Hasil uji regresi linear diketahui bahwa Laju Aliran Saliva = 0,404 - 0,008*(BMI). Koefisien regresi BMI 0.008 menyatakan bahwa setiap penambahan 1 BMI maka akan menurunkan laju aliran saliva sebanyak 0,008 ml/menit. Penelitian ini menyimpulkan bahwa terdapat hubungan bemakna antara Body Mass Index (BMI) dengan laju aliran saliva. Pada kelompok obesity memiliki laju aliran yang lebih rendah dibandingkan individu non obese (underweight, normal weight dan overweight). Sedangkan laju aliran saliva pada kelompok underweight tidak ditemukan penurunan laju aliran saliva.Relationship between Body Mass Index and Saliva Flow Rate (A Study in Faculty of Dentistry, Andalas University). Saliva flow rate is an affecting factor of caries formation. Adequate saliva flow rate can prevent cariess formation process and progression of periodontal disease and oral infection. Nutritional status is known as an influencing factor of saliva flow rate. The parameter of nutritional status is Body Mass Index (BMI). The purpose of this study is to discover the relation between BMI and saliva flow rate in College Students of the Dentistry Faculty Andalas University. This observational study with cross sectional design was conducted to 24 college students of the Dentistry Faculty Andalas University whose ages were 18-25 years old who complied with inclussion and exclussion criteria. BMI was calculated with BMI formula. The saliva flow rate was determined with Sialometry Method of Navazesh 2008 with ”ml/minute” unit. The univariat data analysis was caried out to describe each variable. Normality test Kolmogorov Smirnoff was done to see the normal distribution (p > 0,05). After the distribution was proven to be normal, corelation and regression test was executed to discover the relation between BMI and saliva flow rate. Based on the correlation test result, BMI of college students of the Dentistry Faculty Andalas University is χχ ± SD = 24,6 ± 6,02 kg/m2 and saliva flow rate is χχ ± SD = 0,29 ± 0,1 ml/minute. The relation between BMI and saliva flow rate expresses medium correlation with negative direction ( r = - 0,451). The result of linear regression shows that Saliva Flow Rate = 0,404 - 0,008*(BMI). The coefficient of regression BMI 0.008 shows that increasing 1 unit of BMI will decrease saliva flow rate 0,008 ml/minute. This study concludes that there is correlation between Body Mass Index and saliva flow rate. Obesity group has the lowest saliva flow rate, while the saliva flow rate does not decrease in underweight group.


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