Waist circumference change and risk of high carotid intima-media thickness in a cohort of Chinese children.
Journal
Journal of hypertension
ISSN: 1473-5598
Titre abrégé: J Hypertens
Pays: Netherlands
ID NLM: 8306882
Informations de publication
Date de publication:
01 09 2021
01 09 2021
Historique:
pubmed:
1
6
2021
medline:
27
10
2021
entrez:
31
5
2021
Statut:
ppublish
Résumé
Previous cross-sectional studies showed a positive association between waist circumference (WC) and carotid intima-media thickness (cIMT) among children and adolescents. We examined the association between change in WC and cIMT in a cohort study of Chinese children with 2-year follow-up. A school-based cohort study named 'Huantai Childhood Cardiovascular Health Cohort Study' was conducted in Zibo City, Shandong Province, China. WC and cIMT were measured in 2017 and 2019. Change in WC was categorized into four groups: persistently low WC, WC loss, WC gain and persistently high WC. We examined the association between WC change and cIMT during a 2-year follow-up. A total of 1183 children aged 6-11 years at baseline were included in this study. After adjustment for potential covariates, WC change was associated positively with cIMT change (linear regression coefficient = 5.92 μm/cm per 2 years, 95% confidence interval [CI]: 4.55-7.30). Among the 1072 children (out of 1183 children) with normal cIMT at baseline, compared with persistently low WC, WC gain (odds ratio [OR] = 3.23, 95% CI: 1.14-9.17) and persistently high WC (OR = 7.94, 95% CI: 3.81-16.51) were associated with high cIMT at the end of the follow-up period. In contrast, WC loss during follow-up was not associated with high cIMT (OR = 1.33, 95% CI:0.35-5.11). In this cohort of children, WC gain and persistently high WC were associated with increased cIMT whereas WC loss was not. These findings emphasize the importance of maintaining a normal WC in childhood to promote vascular health.
Identifiants
pubmed: 34054052
doi: 10.1097/HJH.0000000000002881
pii: 00004872-202109000-00020
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1901-1907Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Références
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128. 9 million children, adolescents, and adults. Lancet 2017; 390:2627–2642.
Dong YH, Jan C, Ma YH, Dong B, Zou ZY, Yang YD, et al. Economic development and the nutritional status of Chinese school-aged children and adolescents from 1995 to 2014: an analysis of five successive national surveys. Lancet Diabetes Endocrinol 2019; 7:288–299.
Bonafini S, Giontella A, Tagetti A, Montagnana M, Benati M, Danese E, et al. Markers of subclinical vascular damages associate with indices of adiposity and blood pressure in obese children. Hypertens Res 2019; 42:400–410.
de Groot E, Hovingh GK, Wiegman A, Duriez P, Smit AJ, Fruchart JC, Kastelein JJ. Measurement of arterial wall thickness as a surrogate marker for atherosclerosis. Circulation 2004; 109:33–38.
de Ferranti SD, Steinberger J, Ameduri R, Baker A, Gooding H, Kelly AS, et al. Cardiovascular risk reduction in high-risk pediatric patients: a scientific statement from the American Heart Association. Circulation 2019; 139:e603–e634.
Willeit P, Tschiderer L, Allara E, Reuber K, Seekircher L, Gao L, et al. cIMT progression as surrogate marker for CVD risk. Circulation 2020; 142:621–642.
Litwin M, Niemirska A, Sladowska-Kozlowska J, Wierzbicka A, Janas R, Wawer ZT, et al. Regression of target organ damage in children and adolescents with primary hypertension. Pediatr Nephrol 2010; 25:2489–2499.
Liang YJ, Xi B, Song AQ, Liu JX, Mi J. Trends in general and abdominal obesity among Chinese children and adolescents 1993–2009. Pediatr Obes 2012; 7:355–364.
van Dijk SB, Takken T, Prinsen EC, Wittink H. Different anthropometric adiposity measures and their association with cardiovascular disease risk factors: a meta-analysis. Neth Heart J 2012; 20:208–218.
Song X, Jousilahti P, Stehouwer CD, Söderberg S, Onat A, Laatikainen T, et al. Comparison of various surrogate obesity indicators as predictors of cardiovascular mortality in four European populations. Eur J Clin Nutr 2013; 67:1298–1302.
Juonala M, Magnussen CG, Berenson GS, Venn A, Burns TL, Sabin MA, et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. N Engl J Med 2011; 365:1876–1885.
Buscot MJ, Thomson RJ, Juonala M, Sabin MA, Burgner DP, Lehtimaki T, et al. Distinct child-to-adult body mass index trajectories are associated with different levels of adult cardiometabolic risk. Eur Heart J 2018; 39:2263–2270.
Sun JH, Xi B, Yang LL, Zhao M, Juonala M, Magnussen CG. Weight change from childhood to adulthood and cardiovascular risk factors and outcomes in adulthood: a systematic review of the literature. Obes Rev 2021; 22:e13138.
Yang LL, Zhang Q, Zhang YQ, Sun JH, Zhao M, Xi B. Design of Huantai Childhood Cardiovascular Health Cohort Study. Chin J Prev Med 2020; 54:1461–1464.
Meng LH, Hou DQ, Shan XY, Mi J. Accuracy evaluation of Omron HEM-7012 electronic sphygmomanometers in measuring blood pressure of children and adolescents. Chin J Hypertens 2013; 21:158–162.
Zhao M, Lopez-Bermejo A, Caserta CA, Medeiros CCM, Kollias A, Bassols J, et al. Metabolically healthy obesity and high carotid intima-media thickness in children and adolescents: international childhood vascular structure evaluation consortium. Diabetes Care 2019; 42:119–125.
Magnussen CG, Koskinen J, Chen W, Thomson R, Schmidt MD, Srinivasan SR, et al. Pediatric metabolic syndrome predicts adulthood metabolic syndrome, subclinical atherosclerosis, and type 2 diabetes mellitus but is no better than body mass index alone: the Bogalusa Heart Study and the Cardiovascular Risk in Young Finns Study. Circulation 2010; 122:1604–1611.
Li H, Zong XN, Ji CY, Mi J. Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2–18 years. Chin J Epidemiol 2010; 31:616–620.
World Health Organization. Global recommendations on physical activity for health. Available at: https://www.who.int/dietphysicalactivity/factsheet_recommendations/en/ [Accessed 7 September 2020].
World Health Organization. Effectiveness of interventions and programmes promoting fruit and vegetable intake. Available at: https://www.who.int/dietphysicalactivity/publications/f&v_promotion_effectiveness.pdf?ua=1 [Accessed 7 September 2020].
Yan YK, Hou DQ, Liang YJ, Zhao XY, Hu YH, Liu JT, et al. Tracking body mass index from childhood to adulthood for subclinical cardiovascular diseases at adulthood. J am Coll Cardiol 2016; 67:1006–1007.
Ross R, Neeland IJ, Yamashita S, Shai I, Seidell J, Magni P, et al. Waist circumference as a vital sign in clinical practice: a consensus statement from the IAS and ICCR working group on visceral obesity. Nat Rev Endocrinol 2020; 16:177–189.
Kollias A, Psilopatis I, Karagiaouri E, Glaraki M, Grammatikos E, Grammatikos EE, et al. Adiposity, blood pressure, and carotid intima-media thickness in Greek adolescents. Obesity (Silver Spring) 2013; 21:1013–1017.
Melo X, Santa-Clara H, Pimenta NM, Carrolo M, Martins SS, Minderico CS, et al. Body composition phenotypes and carotid intima-media thickness in 11–13-year-old children. Eur J Pediatr 2014; 173:345–352.
Sonmez HE, Canpolat N, Agbas A, Tasdemir M, Ekmekci OB, Alikasifoglu M, et al. The relationship between the waist circumference and increased carotid intima thickness in obese children. Child Obes 2019; 15:468–475.
Melo X, Santa-Clara H, Santos DA, Pimenta NM, Pinto R, Minderico CS, et al. Single and combined effects of body composition phenotypes on carotid intima-media thickness. Pediatr Obes 2016; 11:272–278.
Al-Domi H, Al-Shorman A. Increased waist circumference is associated with subclinical atherosclerosis in schoolchildren. Diabetes Metab Syndr 2019; 13:264–269.
Sahakyan KR, Somers VK, Rodriguez-Escudero JP, Hodge DO, Carter RE, Sochor O, et al. Normal-weight central obesity: implications for total and cardiovascular mortality. Ann Intern Med 2015; 163:827–835.