Association of dietary behaviors, biochemical, and lifestyle factors with metabolic phenotypes of obesity in children and adolescents.
Adolescents
Children
Metabolic phenotype
Metabolic syndrome
Obesity
Journal
Diabetology & metabolic syndrome
ISSN: 1758-5996
Titre abrégé: Diabetol Metab Syndr
Pays: England
ID NLM: 101488958
Informations de publication
Date de publication:
07 Dec 2020
07 Dec 2020
Historique:
received:
31
05
2020
accepted:
23
11
2020
entrez:
29
12
2020
pubmed:
30
12
2020
medline:
30
12
2020
Statut:
epublish
Résumé
To examine the association of dietary behaviors, lifestyle, and biochemical factors with metabolic phenotypes of obesity among obese Iranian children and adolescents. This cross-sectional study was conducted within the framework of the fifth phase of CASPIAN study. Of 3840 students aged 7-18 years of 30 Iranian provinces, 408 subjects were diagnosed as obese; they were divided into metabolically healthy obese (MHO) and metabolically unhealthy obese (MUO) groups. Biochemical factors, anthropometric measures, dietary, and lifestyle habits were compared between groups. Of the 408 obese subjects, 68 (16.7%) were the MUO; the remaining 340 (84.3%) fall in the MHO group. The MUO group had significantly higher systolic and diastolic BPs, FBS, TG, ALT, anthropometric measures, and lower HDL levels than MHO groups (all p-value < 0.05). The frequency of high birth weight (> 4000 gr) was significantly higher in the MUO group than the MHO group (p-value: 0.04). A higher percentage of individuals with breastfeeding duration ≥ 6 month was found in the MUO group (95.5% (95% CI 86.1-98.6%)) compared to MHO group (85.7% (95% CI 80.4-89.7%)) (p-value = 0.04). Among dietary and lifestyle-related behaviors, only the frequency of salty snack consumption and eating food according to the parents' request was significantly higher in the MUO group than the MHO group (p-value < 0.05). Dietary habits and lifestyle factors may determine the obesity phenotypes in children and adolescents.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
To examine the association of dietary behaviors, lifestyle, and biochemical factors with metabolic phenotypes of obesity among obese Iranian children and adolescents.
METHODS
METHODS
This cross-sectional study was conducted within the framework of the fifth phase of CASPIAN study. Of 3840 students aged 7-18 years of 30 Iranian provinces, 408 subjects were diagnosed as obese; they were divided into metabolically healthy obese (MHO) and metabolically unhealthy obese (MUO) groups. Biochemical factors, anthropometric measures, dietary, and lifestyle habits were compared between groups.
RESULTS
RESULTS
Of the 408 obese subjects, 68 (16.7%) were the MUO; the remaining 340 (84.3%) fall in the MHO group. The MUO group had significantly higher systolic and diastolic BPs, FBS, TG, ALT, anthropometric measures, and lower HDL levels than MHO groups (all p-value < 0.05). The frequency of high birth weight (> 4000 gr) was significantly higher in the MUO group than the MHO group (p-value: 0.04). A higher percentage of individuals with breastfeeding duration ≥ 6 month was found in the MUO group (95.5% (95% CI 86.1-98.6%)) compared to MHO group (85.7% (95% CI 80.4-89.7%)) (p-value = 0.04). Among dietary and lifestyle-related behaviors, only the frequency of salty snack consumption and eating food according to the parents' request was significantly higher in the MUO group than the MHO group (p-value < 0.05).
CONCLUSION
CONCLUSIONS
Dietary habits and lifestyle factors may determine the obesity phenotypes in children and adolescents.
Identifiants
pubmed: 33372634
doi: 10.1186/s13098-020-00617-0
pii: 10.1186/s13098-020-00617-0
pmc: PMC7720466
doi:
Types de publication
Journal Article
Langues
eng
Pagination
108Références
Diabetes Care. 2010 Apr;33(4):920-2
pubmed: 20067971
Obes Facts. 2017;10(3):207-215
pubmed: 28564650
Diabetol Metab Syndr. 2015 Mar 18;7:21
pubmed: 25806088
Int J Obes (Lond). 2009 Dec;33(12):1419-26
pubmed: 19736556
Metabolism. 2019 Mar;92:51-60
pubmed: 30458177
J Hypertens. 2011 Sep;29(9):1765-72
pubmed: 21826021
Nutr Metab Cardiovasc Dis. 2017 Aug;27(8):703-710
pubmed: 28693964
J Obes. 2013;2013:984613
pubmed: 24102022
BMJ. 2005 Jun 11;330(7504):1357
pubmed: 15908441
JAMA Pediatr. 2014 Jun;168(6):561-6
pubmed: 24710576
Front Endocrinol (Lausanne). 2019 Dec 10;10:865
pubmed: 31920976
Int J Obes (Lond). 2014 Dec;38(12):1518-24
pubmed: 24675713
J Clin Endocrinol Metab. 2006 Jun;91(6):2153-8
pubmed: 16537681
Int J Obes (Lond). 2015 Sep;39(9):1365-70
pubmed: 25920773
Pediatr Obes. 2015 Oct;10(5):361-70
pubmed: 25515703
Obes Facts. 2014;7(5):322-8
pubmed: 25485991
Bull World Health Organ. 2007 Jan;85(1):19-26
pubmed: 17242754
Appetite. 2018 Aug 1;127:87-96
pubmed: 29709528