Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON Study
We investigated which determinants (socioeconomic, early life factors, body composition changes, fitness changes and/or physical activity changes) best predicted longitudinal outcomes in cardiometabolic risk profile (Z-score change) in adolescents with OW/OB who underwent a 13-month multidisciplinar...
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MDPI AG
2022-08-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/15/3241 |
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| author | Miguel Martín-Matillas Dinalrilan Rocha-Silva Abel Plaza-Florido Manuel Delgado-Fernández Amelia Marti Pilar De Miguel-Etayo Luis A. Moreno Ascensión Marcos Cristina Campoy |
| author_facet | Miguel Martín-Matillas Dinalrilan Rocha-Silva Abel Plaza-Florido Manuel Delgado-Fernández Amelia Marti Pilar De Miguel-Etayo Luis A. Moreno Ascensión Marcos Cristina Campoy |
| author_sort | Miguel Martín-Matillas |
| collection | DOAJ |
| description | We investigated which determinants (socioeconomic, early life factors, body composition changes, fitness changes and/or physical activity changes) best predicted longitudinal outcomes in cardiometabolic risk profile (Z-score change) in adolescents with OW/OB who underwent a 13-month multidisciplinary lifestyle intervention. A total of 165 adolescents (13–16 y; 46% boys) from the EVASYON study were included. Socioeconomic variables and early life factors were obtained from the medical records. Body composition was assessed using anthropometry. Fitness and physical activity were measured with field-based tests and questionnaires. Cardiometabolic risk factors (fasting glucose, HDL cholesterol, triglycerides, blood pressure and waist circumference) were derived from standard methods in the hospital. Body weight changes, sex and mother’s education were selected in the stepwise process as the most important determinants of changes in cardiometabolic risk profile (R<sup>2</sup> = 0.26, <i>p</i> = 0.002; R<sup>2</sup> = 0.14, <i>p</i> = 0.013; and R<sup>2</sup> = 0.14, <i>p</i> = 0.017, respectively). Both boys and girls showed a lower cardiometabolic risk score with the reduction in body weight (r = 0.535, <i>p</i> = 0.009 and r = 0.506, <i>p</i> = 0.005, respectively). There was no interaction between sex and body weight change (<i>p</i> = 0.614). In conclusion, the simple measure of changes in body weight should be considered to track changes in cardiometabolic risk profile in adolescents with OW/OB. |
| first_indexed | 2024-03-09T12:18:26Z |
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| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T12:18:26Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-fb49f9c4187046c8b7f8dd03c136af642023-11-30T22:44:56ZengMDPI AGNutrients2072-66432022-08-011415324110.3390/nu14153241Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON StudyMiguel Martín-Matillas0Dinalrilan Rocha-Silva1Abel Plaza-Florido2Manuel Delgado-Fernández3Amelia Marti4Pilar De Miguel-Etayo5Luis A. Moreno6Ascensión Marcos7Cristina Campoy8PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, SpainDepartment of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, SpainPROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, SpainPA-HELP “Physical Activity for Health Promotion, CTS-1018” Research Group, Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18071 Granada, SpainDepartment of Nutrition, Food Sciences and Physiology, University of Navarra, 31008 Pamplona, SpainPhysiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn CB15/00043), Spanish National Institute of Health Carlos III, 28029 Madrid, SpainPhysiopathology of Obesity and Nutrition Networking Biomedical Research Centre (CIBERobn CB15/00043), Spanish National Institute of Health Carlos III, 28029 Madrid, SpainDepartment of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), 28040 Madrid, SpainDepartment of Pediatrics, School of Medicine, University of Granada, 18016 Granada, SpainWe investigated which determinants (socioeconomic, early life factors, body composition changes, fitness changes and/or physical activity changes) best predicted longitudinal outcomes in cardiometabolic risk profile (Z-score change) in adolescents with OW/OB who underwent a 13-month multidisciplinary lifestyle intervention. A total of 165 adolescents (13–16 y; 46% boys) from the EVASYON study were included. Socioeconomic variables and early life factors were obtained from the medical records. Body composition was assessed using anthropometry. Fitness and physical activity were measured with field-based tests and questionnaires. Cardiometabolic risk factors (fasting glucose, HDL cholesterol, triglycerides, blood pressure and waist circumference) were derived from standard methods in the hospital. Body weight changes, sex and mother’s education were selected in the stepwise process as the most important determinants of changes in cardiometabolic risk profile (R<sup>2</sup> = 0.26, <i>p</i> = 0.002; R<sup>2</sup> = 0.14, <i>p</i> = 0.013; and R<sup>2</sup> = 0.14, <i>p</i> = 0.017, respectively). Both boys and girls showed a lower cardiometabolic risk score with the reduction in body weight (r = 0.535, <i>p</i> = 0.009 and r = 0.506, <i>p</i> = 0.005, respectively). There was no interaction between sex and body weight change (<i>p</i> = 0.614). In conclusion, the simple measure of changes in body weight should be considered to track changes in cardiometabolic risk profile in adolescents with OW/OB.https://www.mdpi.com/2072-6643/14/15/3241adolescentsparents’ educational levelparents’ occupational levelbirthweightbreastfeedingadiposity |
| spellingShingle | Miguel Martín-Matillas Dinalrilan Rocha-Silva Abel Plaza-Florido Manuel Delgado-Fernández Amelia Marti Pilar De Miguel-Etayo Luis A. Moreno Ascensión Marcos Cristina Campoy Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON Study Nutrients adolescents parents’ educational level parents’ occupational level birthweight breastfeeding adiposity |
| title | Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON Study |
| title_full | Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON Study |
| title_fullStr | Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON Study |
| title_full_unstemmed | Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON Study |
| title_short | Determinants of Longitudinal Changes in Cardiometabolic Risk in Adolescents with Overweight/Obesity: The EVASYON Study |
| title_sort | determinants of longitudinal changes in cardiometabolic risk in adolescents with overweight obesity the evasyon study |
| topic | adolescents parents’ educational level parents’ occupational level birthweight breastfeeding adiposity |
| url | https://www.mdpi.com/2072-6643/14/15/3241 |
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