Adherence to the Japanese Food Guide: The Association between Three Scoring Systems and Cardiometabolic Risks in Japanese Adolescents

The Japanese Food Guide Spinning Top (JFGST) indicates optimal intake of five food groups (grain, fish and meat, vegetables, milk, and fruits) and sugar and confectionaries. We aimed to investigate whether adherence to the JFGST in 8th grade junior high school students (n = 3162) was associated with cardiometabolic risks and how different scorings of the JFGST influenced the associations. Metabolic risks were assessed from anthropometrics, blood pressure measurements, and blood glucose and lipid profile measurements. Three types of scoring adherent to the JFGST were analyzed (10 points were given for each item with optimal intake; range: 0–60): the original scoring (ORG scoring); first modified scoring, which had no upper limits for vegetables and fruits (MOD1 scoring); and MOD2 scoring without upper limits for five dishes (MOD2 scoring). The MOD2 scoring was positively associated with dietary fiber, potassium, calcium, and vitamins. All types of scorings were associated with low glucose levels (p ≤ 0.001); the MOD2 scoring was associated with low systolic blood pressure (p = 0.001) and low cardiometabolic risk (p = 0.003). Our findings suggest that Japanese adolescents adherent to the JFGST had low cardiometabolic risks and should not fall below lower limits for intake of the abovementioned five food groups.

Lifestyle Clusters and Cardiometabolic Risks in Adolescents: A Chinese School-Based Study Using a Latent Class Analysis Approach

Background: Unhealthy dietary and lifestyle behaviors are associated with a higher prevalence of non-communicable chronic diseases and higher mortality in adults. However, there remains some uncertainty about the magnitude of the associations between lifestyle behaviors and cardiovascular factors in adolescents.Methods: We conducted a school-based cross-sectional study of 895 Chinese adolescents aged 15–19 years. They participated in a questionnaire survey, physical examination, and blood sample collection. Latent class analysis (LCA) was used to identify heterogeneous subgroups of lifestyle behaviors. A set of 12 latent class indicators, which reflected lifestyle behaviors including dietary habits, physical activity, sleep duration, screen time, and pressure perception, were included in the analysis. Logistic regression analysis was performed to determine whether the derived classes were related to a cardiometabolic risk.Results: In total, 13.7 and 5.6% of the participants were overweight and obese, respectively, and 8.4 and 14.1% reported having pre-hypertension and hypertension, respectively. A two-class model provided the best fit with a healthy lifestyle pattern (65.8%) and a sub-healthy lifestyle pattern (34.2%). There were more female participants with a healthy lifestyle (56.2 vs. 43.8%), whereas there were more males with a sub-healthy lifestyle (45.4 vs. 54.6%), (all P = 0.002). Increased risk of cardiometabolic abnormality (BMI categories, blood pressure and lipids) was not significant across lifestyle patterns, except for waist circumference (70.5 vs 69.1 cm, P = 0.044). There was no significant difference in physical activity and intake of fruit and vegetable between the two patterns.Conclusion: Primary prevention based on lifestyle modification should target patterns of behaviors at high risk in adolescents. Due to the complex effect of lifestyle clusters on cardiometabolic risks, well-designed and prospective studies in adolescents are needed in the future.

Cardiometabolic risk in students of the nutrition and dietetics career

The cardiometabolic risk describes the probabilities of a person to suffer a heart or blood vessels damages. Hence the relevance of determining this type of risk in the students of the Nutrition and Dietetics career of the Technical University of Babahoyo. For this purpose, indicators such as waist circumference, waist/height formula, sex, body mass index, waist-height index ICE, physical activity and inductive-deductive method were measured in a population of 100 students. It was found that the predominant nutritional status in female students is overweight and obesity. This indicates that 29% of female students have an increased cardiovascular risk. With regard to cardiometabolic risk, it was determined that female students had a rate of 36%, compared with male students with 11%. Keywords: cardiometabolic risk factors, overweight, obesity. References [1]Organización Mundial de la Salud, «www.who.int. Non communicable diseases,» 2018. [Online]. Available: https://www.who.int/es/news-room/fact-sheets/detail/non-communicable-diseases. [Last access: August 25, 2021]. [2]J. Maldonado, C. Carranza, M. Ortiz, C. Gómez and N.Cortés, «Prevalencia de factores de riesgo caardiometabólico en estudiantes de la Universidad de la región centroocidental en la Universidad Michoacana San Nicolás de Hidalgo. México,» SCIELO, vol. 24, nº 2, pp. 78-86, 2013. [3]M. Morales, «Influence of phisical activity and nutritional habits on the risk of metabolic syndrome,» SCIELO, vol. 6, 2016. [4]G. Morales, T. Castillo, S. Muñoz, C. Belma, A. Soto, I. Schifferli and F. Guillén, «Asociación entre factores de riesgo cardiometabólicos, actividad física y sedentarismo, » Nutrición Hospitalaria, vol. 34, nº 6, pp. 1345-1352, 2017. [5]Organización Mundial de la Salud, «Obesidad y sobrepeso,» 2021. [Online]. Available: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight. [Last access: August 29, 2021]. [6]G. Bray, G. Fruhbeck, D. Ryan and J. Wilding, «Management of obesity,» Lancet, vol. 387, nº 7, pp. 1847-1956, 2016. [7]A. Caicedo Paliz, A. León Fierro and K. Zambrano Llaguno, Protocolo de diagnóstico y manejo multidisciplinario de pacientes con sobrepeso y obesidad en la consulta ambulatoria, Quito: Universidad San Francisco de Quito, 2021. [8]INEC, «Encuesta Nacional de Salud y Nutrición (ENSANUT),» INEC, Quito, 2018. [9]N. Britto Núñez and R. Alcázar Carett, «Obesidad y riesgo cardiometabólico. Revisión.,» CIMEL, vol. 16, nº 2, pp. 106-113, 2011. [10]J. Vandervelde, H. Savelberg, N. Schaper and A. Koster, «Moderate activity and fitness not sedentary time are independently associated with cardiometabolic risks in US adults aged 18-49,» Environ Resident Public Health, vol. 12, pp. 2330-2343, 2015. [11]V. Carson and I. Janssen, «Volume, patterns and types of sedentary behavior and cardiometabolic health children and adolescents: a cross sectional study,» BMC Public Health, vol. 186, pp. 186-195, 2011. [12] T. Rendo Urteaga, A. De Moraes, T. Callesse y T. Marrios, «The combined effect of physical activity and sedentary behaviors on a clustered cardiometabolic risks score. The Helena Study,» Internal Cardiology, vol. 186, pp. 186-195, 2015. [13]R. Monroy Torres, C. Aguiklera Juarez and J. Nares, «Riesgo cardiometabólico en adolescentes con y sin obesidad: variables metabólicas, nutricionales y consumo de refresco,» revista Mexicana de trastornos Alimentarios, vol. 9, nº 1, pp. 24-33, 2018. [14]OMS, «estrategia Mundial sobre el régimen alimentario, actividad física y salud,» 2017. [Online]. Available: https://www.who.int/diethysicactivity/pa/es.[Last access: August 30, 2021]. [15]A. Alvarado Sánchez, A. González Yebra and M. Macías, «Correlaciones de factores de riesgo cardiometabólicio e hipoactividad con indice corporal y circunferencia de cintura en trabajadores del sector cuero y calzado de la ciudad de León,» Jóvenes en la ciencia, vol. 3, nº 2, pp. 1-5, 2017. [16]SEEDO, «Consenso SEEDO para la evaluación del sobrepeso y la obesidad. Revista Española de Obesidad, » 2007. [Online]. Available: https://www.seedo.es/images/site/documentacionConsenso/Consenso_SEEDO_2007 pdf. [Last access: August 21, 2021].

Dietary Strawberries Improve Biomarkers of Antioxidant Status and Endothelial Function in Adults with Cardiometabolic Risks in a Randomized Controlled Crossover Trial

Strawberries, a popularly consumed berry fruit, are rich in bioactive compounds with antioxidant effects. In this study, we examined the effects of two dietary achievable doses of strawberries on the antioxidant status and biomarkers of endothelial function in adults with features of metabolic syndrome and a confirmed low baseline of fruit and vegetable intake. In a 14-week randomized controlled crossover study, participants were assigned to one of three groups for four weeks separated by a one-week washout period: control powder, one serving (low dose: 13 g strawberry powder/day), or 2.5 servings (high dose: 32 g strawberry powder/day). Blood samples and health data were collected at baseline and at the end of each four-week phase of intervention. Thirty-three participants completed all three phases of the trial. Significant increases were observed in serum antioxidant capacity and superoxide dismutase activity as well as decreases in lipid peroxidation after both low and high dose strawberry phases when compared with the control phase. Significant decreases were also observed in soluble vascular cell adhesion molecule-1 and tumor necrosis factor-α with the high dose strawberry phase. These data confirm that consuming strawberries for four weeks significantly improves antioxidant status, endothelial function, and inflammation in adults with cardiometabolic risks.

Assessment of a short-course yoga practice on cardiometabolic risks, fetomaternal outcomes and psychophysical health in gestational diabetes mellitus

Introduction and Aim: Gestational diabetes mellitus (GDM), which is defined as diabetes diagnosed in the second and third trimesters of pregnancy, has emerged as a global public health concern. It has been associated with short-term and long-term adverse health outcomes for both mothers and their new-borns. Women with GDM are known to have decreased quality of life and increased risks of caesarean section, gestational hypertension, preeclampsia, and type 2 diabetes. In babies, GDM has been found to be associated with macrosomia or larger than normal gestational-aged infants, neonatal hypoglycemia, and type 2 diabetes mellitus later in life. Though yoga is known to improve the quality of life of diabetic patients, its role in the management of GDM has not been adequately assessed. Therefore, the present study was conducted to evaluate the effectiveness of Yoga on cardiometabolic parameters, psychophysical health and maternal and fetal outcomes in GDM patients at JIPMER hospital, Puducherry. Methods: Fifteen pregnant women diagnosed to have GDM, admitted to Obstetrics Ward of JIPMER Hospital were recruited for the study. The intervention package of a thirty minutes Yoga module consisting of Sukshma Vyayama (2 min), Tadasana (1 min), Utthitapadasana (1 min), Savasana in the left lateral posture (3 min), Nadisodhana or Anuloma-viloma pranayama (5 min), Chandranadi pranayama (5 min), Sheetali pranayama (5 min) and Bhramari pranayama (5 min) and Relaxation (3 min) was administered along with hospital routine treatment for 10 days during 35th/36th week (depending on the gestational week of admission to hospital), or until delivery. Cardiometabolic parameters including heart rate (HR), blood pressure (BP), rate pressure product (RPP) and glycemic status assessed by random blood sugar (RBS) were investigated. JIPMER hospital tool for the maternal and fetal outcome variables were used to assess the feto-maternal parameters. Perceived Stress Score (PSS) and Quality of Life Score (QoL) were used to assess the psychophysical health of the GDM patients. All the parameters were assessed before and after yoga intervention. Paired t test was used for statistical analysis of data. P value of <0.05 were considered to indicate significant statistical difference. Results: Statistically significant decrease in HR, BP, RPP, RBS, PSS, and increase in QoL, and improvement of fetomaternal outcomes (based on the normative data available in the department) were observed in GDM patients after yoga intervention for a period of seven to ten days during their hospital stay. Conclusion: A short-course yoga practice for 7-10 days is adequate to reduce cardiometabolic risks, psychological stress, and improve quality of life and feto-maternal outcomes in GDM patients. Antenatal mother with GDM can use yoga as an adjunct therapy in the later part of pregnancy to prevent or reduce the complications and to improve the maternal and fetal outcomes of gestational diabetes mellitus.

Associations between cardiometabolic risks and physical activity in early adulthood: a cross-sectional study

ObjectivesYoung adults’ physical activity (PA) is a foundation of creating future healthy lifestyles. The purpose of this study was to explore differences in PA, sedentary behaviour, walkability and health beliefs among young adults with different levels of cardiometabolic risks and the influence of moderate-to-vigorous PA.DesignA cross-sectional study was conducted using a structured questionnaire.ParticipantsTotally, 1149 valid responses were received for a response rate of 86.32%. According to the self-reported worst health condition, participants were categorised into healthy adults, and adults at levels 1 (overweight), 2 (obese), 3 (hypertensive, hyperlipidaemic, and/or hyperglycaemic), and 4 (with a diagnosis of cardiometabolic diseases) of cardiometabolic risks.Primary outcome measuresPA, sedentary time, walkability and health beliefs.ResultsSignificant differences in PA (F=3.78, p<0.01) and sedentary time (F=2.39, p<0.05) among groups with various cardiometabolic risk levels were found. Healthy adults and adults at level 1 risk had significantly higher PA than adults at risk levels 2 and 3. Young adults at risk level 3 were less likely to participate in moderate-to-vigorous PA than were healthy adults (OR=0.64 (95% CI 0.41 to 0.99), p<0.05). Individuals who perceived that there were more recreational facilities (OR=1.27 (1.05 to 1.53), p<0.05), who had higher benefits of exercise (OR=1.73 (1.30 to 2.31), p<0.001), and who had lower barriers to exercise (OR=0.42 (0.32 to 0.55), p<0.001) were more likely to participate in moderate-to-vigorous PA.ConclusionsBeing aware of body weight changes could be a danger sign of a lack of PA. Developing environmental and psychological strategies to promote engaging in PA is necessary to promote the cardiometabolic health of young adults.

Significance and agreement between obesity anthropometric measurements and indices in adults: a population-based study from the United Arab Emirates

Background The rates of overweight and obese adults in the United Arab Emirates (UAE) have increased dramatically in recent decades. Several anthropometric measurements are used to assess body weight status. Some anthropometric measurements might not be convenient to use in certain communities and settings. The objective of this study was to assess the agreement of four anthropometric measurements and indices of weight status and to investigate their associations with cardiometabolic risks. Methods The study design was a cross-section population-based study. Adults living in the Northern Emirates were surveyed. Fasting blood samples, blood pressure readings and anthropometric measurements were also collected. Results A total of 3531 subjects were included in this study. The prevalence of obesity/overweight was 66.4% based on body mass index (BMI), 61.7% based on waist circumference (WC), 64.6% based on waist–hip ratio (WHR) and 71% based on neck circumference (NC). There were moderate agreements between BMI and WC and between WC and WHR, with kappa (k) ranging from 0.41 to 0.60. NC showed poor agreement with BMI, WC and WHR, with k ranging from 0 to 0.2. Overweight and obesity based on BMI, WC and WHR were significantly associated with cardiometabolic risks. Conclusion Overall, there was a moderate to a poor agreement between BMI, WC, WHR and NC. Particularly, NC showed poor agreement with BMI, WC and WHR. BMI and WC showed better performance for identifying cardiometabolic risks than WHR and NC.