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Sedentary time has a stronger impact on metabolic health than moderate to vigorous physical activity in adolescents with obesity: a cross-sectional analysis of the Beta-JUDO study.
Julian, Valérie; Bergsten, Peter; Forslund, Anders; Ahlstrom, Hakan; Ciba, Iris; Dahlbom, Marie; Furthner, Dieter; Gomahr, Julian; Kullberg, Joel; Maruszczak, Katharina; Morwald, Katharina; Olsson, Roger; Pixner, Thomas; Schneider, Anna; Pereira, Bruno; Thivel, David; Weghuber, Daniel.
Afiliación
  • Julian V; Department of Sport Medicine and Functional Explorations, University Teaching Hospital of Clermont-Ferrand, Diet and Musculoskeletal Health Team, CRNH, INRA, University of Clermont Auvergne, Clermont-Ferrand, France.
  • Bergsten P; Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
  • Forslund A; Department of Medical Cell Biology, Uppsala University, Uppsala, Sweden.
  • Ahlstrom H; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
  • Ciba I; Department of Surgical Sciences, Radiology, Uppsala University, Uppsala, Sweden.
  • Dahlbom M; Antaros Medical AB, BioVenture Hub, Mölndal, Sweden.
  • Furthner D; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
  • Gomahr J; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
  • Kullberg J; Department of Pediatrics and Adolescent Medicine, Salzkammergut-Klinikum, Vöcklabruck, Austria.
  • Maruszczak K; Obesity Research Unit, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
  • Morwald K; Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
  • Olsson R; Obesity Research Unit, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
  • Pixner T; Department of Surgical Sciences, Radiology, Uppsala University, Uppsala, Sweden.
  • Schneider A; Antaros Medical AB, BioVenture Hub, Mölndal, Sweden.
  • Pereira B; Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
  • Thivel D; Obesity Research Unit, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
  • Weghuber D; Department of Pediatrics, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.
Pediatr Obes ; 17(7): e12897, 2022 07.
Article en En | MEDLINE | ID: mdl-35083885
BACKGROUND: Relationships between movement-related behaviours and metabolic health remain underexplored in adolescents with obesity. OBJECTIVES: To compare profiles of sedentary time (more sedentary, SED+ vs. less sedentary, SED-), moderate to vigorous physical activity (MVPA) time (more active, MVPA+ vs. less active, MVPA-) and combinations of behaviours (SED-/MVPA+, SED-/MVPA-, SED+/MVPA+, SED+/MVPA-) in regard to metabolic health. METHODS: One hundred and thirty-four subjects (mean age 13.4 ± 2.2 yrs, mean body mass index [BMI] 98.9 ± 0.7 percentile, 48.5% females) underwent 24 h/7 day accelerometry, anthropometric, body composition, blood pressure (BP), lipid profile and insulin resistance (IR) assessments. RESULTS: Metabolic health was better in SED- [lower fat mass (FM) percentage (p < 0.05), blood pressure (BP) (p < 0.05), homeostasis model assessment of insulin resistance (HOMA-IR) (p < 0.001) and metabolic syndrome risk score (MetScore) (p < 0.001), higher high-density lipoprotein-cholesterol (HDL-c) (p = 0.001)] vs. SED+ group and in MVPA+ [lower triglyceridemia (TG), (p < 0.05), HOMA-IR (p < 0.01) and MetScore (p < 0.001), higher HDL-c (p < 0.01)] vs. MVPA- group after adjustment with age, gender, maturation and BMI. SED-/MVPA+ group had the best metabolic health. While sedentary (p < 0.001) but also MVPA times (p < 0.001) were lower in SED-/MVPA- vs. SED+/MVPA+, SED-/MVPA- had lower FM percentage (p < 0.05), HOMA-IR (p < 0.01) and MetScore (p < 0.05) and higher HDL-c (p < 0.05), independently of BMI. Sedentary time was positively correlated with HOMA-IR and Metscore and negatively correlated with HDL-c after adjustment with MVPA (p < 0.05). MVPA was negatively correlated with HOMA-IR, BP and MetScore and positively correlated with HDL-c after adjustment with sedentary time (p < 0.05). CONCLUSION: Lower sedentary time is associated with a better metabolic health independently of MVPA and might be a first step in the management of pediatric obesity when increasing MVPA is not possible.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resistencia a la Insulina / Artes Marciales / Obesidad Infantil Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Pediatr Obes Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Resistencia a la Insulina / Artes Marciales / Obesidad Infantil Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Pediatr Obes Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido