Behavioral, contextual and biological factors associated with obesity during adolescence: A systematic review

Narciso, Janine; Silva, António; Rodrigues, Vítor Manuel Costa Pereira; Monteiro, Maria João; Almeida, António; Saavedra, Raquel; Costa, Aldo M.

doi:10.1371/journal.pone.0214941

Cited by 55 publications

(47 citation statements)

References 92 publications

(256 reference statements)

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“…Obesity, particularly abdominal/central obesity, which reflects visceral fat accumulation, is associated with mortality risk [7] and several comorbidities [8][9][10][11][12]. The development of obesity is multifactorial [13]: In general, imbalances in the diet, e.g., energy-dense diet. Several investigations on factors that contribute to childhood and adolescent obesity have focused on dietary factors [14][15][16][17][18] or habits [19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Animal Protein Intake Is Associated with General Adiposity in Adolescents: The Teen Food and Development Study

et al. 2019

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Protein plays a crucial role in the growth and development of adolescents. However, being a secondary energy source, protein’s role in obesity has been sidelined. We examined whether intake of protein (total, animal, plant), branched-chain (BCAAs), and sulfur-containing (SCAAs) amino acids are associated with general body and central obesity and body composition in a cross-sectional study among healthy adolescents. Students aged 12–18 years old (n = 601) in schools near two major Adventist universities in California and Michigan provided dietary data via a validated web-based food frequency questionnaire (FFQ) and anthropometric data during school visits. Intakes of total, animal, and plant proteins, and BCAAs and SCAAs were derived from FFQ data. We defined general body obesity with body-mass-index-for-age (BMIz) z-scores and central obesity with waist-to-height ratios (WHtR). After full adjustment for covariates, multiple regression analyses showed significant positive associations between intakes of total protein (β = 0.101, 95% CI: 0.041, 0.161), animal protein (β = 0.118, 95% CI: 0.057, 0.178), BCAAs (β = 0.056, 95% CI: 0.025, 0.087), and SCAAs (β = 0.025, 95% CI: 0.012, 0.038) with general body adiposity. Animal protein (β = 0.017, 95% CI: 0.001, 0.033) and SCAAs (β = 0.004, 95% CI: 0.000, 0.008) were also associated with central obesity. Total and animal protein and BCAA and SCAA were also significantly associated with fat mass. Our findings suggest that high protein intake may pose a possible detriment to adolescent health. Longitudinal and safety evaluation studies are recommended.

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Section: Introductionmentioning

confidence: 99%

Animal Protein Intake Is Associated with General Adiposity in Adolescents: The Teen Food and Development Study

et al. 2019

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“…According to the framework, the basic causes including poverty, social condition, and political, economic, ecological, and other factors were the root reason for any form of malnutrition [13]. Different literature studies explicitly identified sociodemographic factors that were highly correlated with obesity, for example, older age [2,6], married (marital status) [14], low wealth index [6,10,[15][16][17], urban residency [6,10,16,18], being female [2,9], learning in private schools [2,9,19,20], easy accessibility of junk and fired or energy-dense foods and packed animal source foods due to free trade policy [2], rural to urban migration, replacement of local agribusiness with food retail [21], higher education level [6,7,22], and being pregnant [6,18]. In contrary to the previous findings, a study conducted among French women shows that having a higher income, a higher occupational class, and a higher educational level and having hot water at home reduce the occurrence of obesity [23] although the pathophysiology of hot water at home and obesity occurrence was not yet studied.…”

Section: Sociodemographic Factors Based On United Nationsmentioning

confidence: 99%

“…Eating breakfast and fruit reduces the occurrence of obesity [27], and in other words, evening snack induces obesity [29]. Furthermore, food store environment and school food environment [15] for school age children expose to obesity.…”

Section: Behavioral Factors (Feeding Habit and Life Style)mentioning

confidence: 99%

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Epidemiology, Predisposing Factors, Biomarkers, and Prevention Mechanism of Obesity: A Systematic Review

2020

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Background. Globally, obesity is becoming a public health problem in the general population. Various determinants were reported by different scholars even though there are inconsistencies. Different biomarkers of obesity were identified for the prediction of obesity. Even though researchers speculate the factors, biomarkers, consequences, and prevention mechanisms, there is a lack of aggregate and purified data in the area of obesity. Summary. In this review, the epidemiology, predisposing factors, biomarkers, consequences, and prevention approaches of obesity were reviewed. Key Messages. The epidemiology of obesity increased in low-, middle-, and high-income countries. Even if the factors vary across regions and socioeconomic levels, sociodemographic, behavioral, and genetic factors were prominent for the development of obesity. There are a lot of biomarkers for obesity, of which microRNA, adipocytes, oxidative stress, blood cell profile, nutrients, and microbiota were promising biomarkers for determination of occurrence of obesity. Since the consequences of obesity are vast and interrelated, multidimensional prevention strategy is mandatory in all nations.

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“…Several factors are related to adolescent obesity. A systematic review [5] reported that high calorie intake and excessive fast food intake were associated with high body mass index (BMI). Furthermore, the lack of physical activity and sleep time were related to high BMI and the presence of specific genes in obesity.…”

Section: Introductionmentioning

confidence: 99%

Parental Factors Associated with Obesity in Korean Adolescents

Yoon

Kim

2020

IJERPH

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Parental characteristics can influence adolescent obesity. However, the influence of parental characteristics on obesity may differ depending on the adolescent’s sex. This study evaluated parental characteristics that were associated with obesity in male and female adolescents. This study involved the secondary data analysis of cross-sectional survey data that were collected from June to September 2015. The study subjects included 1621 eighth-grade students. The study variables included sex, age, body mass index, household income, parental weight, parental perceptions of the child’s body, parental lifestyle, and parental social support for healthy eating and physical activity. The association between parental factors and adolescent obesity was analyzed via logistic regression analysis for each sex. Among male students, the fathers’ and mothers’ overweight status, fathers’ underestimation and overestimation of male adolescent weight, mothers’ dietary habits, and the mothers’ physical activity level were identified as obesity-associated factors. Among female students, the mothers’ overweight status, underestimation of female adolescent weight by fathers, dietary habits, and the physical activity level of fathers were significantly associated with adolescent obesity. The mothers’ overweight status and the underestimation of weight by fathers were strongly associated with obesity in male and female adolescents. Parental involvement in obesity-intervention programs could help prevent adolescent obesity.

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Behavioral, contextual and biological factors associated with obesity during adolescence: A systematic review

Cited by 55 publications

References 92 publications

Animal Protein Intake Is Associated with General Adiposity in Adolescents: The Teen Food and Development Study

Animal Protein Intake Is Associated with General Adiposity in Adolescents: The Teen Food and Development Study

Epidemiology, Predisposing Factors, Biomarkers, and Prevention Mechanism of Obesity: A Systematic Review

Parental Factors Associated with Obesity in Korean Adolescents

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