Body composition of obese adolescents: association between adiposity indicators and cardiometabolic risk factors

Araújo, Alice V.; Santos, Ana Célia Oliveira dos; Prado, Wagner Luiz do

doi:10.1111/jhn.12414

Cited by 17 publications

(15 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…MUAC has been accepted as a widely used indicator of upper body adiposity in children, adolescents and adults 20 21. Previous studies have shown mixed results on the associations between MUAC and CVD 22–25. Findings from a retrospective cohort study of 570 Japanese adults have suggested that MUAC may play a complementary role to BMI in predicting prognosis in patients with heart failure 22.…”

Section: Discussionmentioning

confidence: 99%

“…Findings from a retrospective cohort study of 570 Japanese adults have suggested that MUAC may play a complementary role to BMI in predicting prognosis in patients with heart failure 22. In addition, a cross-sectional study of 93 pubertal obese adolescents from Brazil has associated a larger MUAC with a higher level of HOMA-IR and a higher cardiometabolic risk score 23. On the contrary, results from the Health Effects of Arsenic Longitudinal Study of 562 middle-aged participants who were free of CVD in rural Bangladesh have shown no relationship between MUAC and CIMT 24.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association between mid-upper arm circumference and cardiometabolic risk in Chinese population: a cross-sectional study

Hou¹,

Xu²,

Luo³

et al. 2019

BMJ Open

View full text Add to dashboard Cite

ObjectivesUpper body fat has been associated with an unfavourable cardiometabolic risk. We aimed to investigate the associations between mid-upper arm circumference (MUAC), a novel indicator of upper body fat, and a wide spectrum of cardiometabolic risk profiles in Chinese population.Design and settingCross-sectional analyses were performed using data from a well-defined community in 2014, Shanghai, China.ParticipantsA total of 6287 Chinese adults (2310 men and 3977 women) aged 40 years or older.Outcome measuresMultivariable logistic regression model was used to examine the associations of MUAC with cardiometabolic disorders including central obesity, diabetes, hypertension, hypertriglyceridaemia, low high-density lipoprotein (HDL) cholesterol and subclinical atherosclerosis.ResultsIn the overall participants, after multivariable adjustment, each 1 SD (3.13 cm) increment in MUAC was positively associated with central obesity (OR 2.05; 95% CI 1.85 to 2.28), hypertension (OR 1.10; 95% CI 1.03 to 1.19) and low HDL cholesterol (OR 1.10; 95% CI 1.01 to 1.22). Multivariable-adjusted ORs for subclinical atherosclerosis were gradually increased across increasing quartiles of MUAC with the lowest quartile as reference (quartile 2: OR 1.31; 95% CI 1.09 to 1.58; quartile 3: OR 1.33; 95% CI 1.10 to 1.62; quartile 4: OR 1.45; 95% CI 1.16 to 1.80; p for trend=0.005). Similar but more prominent associations were observed among women than men. In addition, MUAC was significantly interacted with diabetes (p for interaction=0.04) and insulin resistance (p for interaction=0.01) on subclinical atherosclerosis.ConclusionA greater MUAC was positively associated with higher risks of several cardiometabolic disorders and subclinical atherosclerosis in Chinese adults.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association between mid-upper arm circumference and cardiometabolic risk in Chinese population: a cross-sectional study

Hou¹,

Xu²,

Luo³

et al. 2019

BMJ Open

View full text Add to dashboard Cite

show abstract

“…The association between the categorical variables was analyzed by the Chi-square test (x²) and the association between the continuous variables by the Pearson correlation. In this study, strong correlation occurred when values were above 0.6, moderate correlation when values were between 0.4 and 0.59 and low correlation when values were below 0.39 [29].…”

Section: Discussionmentioning

confidence: 47%

Clinical and Anthropometric Characteristics of the Metabolically Unhealthy Phenotype in Adolescents with Adequate and High BMI

Magalhães

Pierucci

Oliveira

et al. 2020

Preprint

View full text Add to dashboard Cite

Background The metabolically healthy (MH) and metabolically unhealthy (MUH) phenotypes have been discussed in the literature but the factors related to the development of these phenotypes, in adolescents with adwuate and high body mass index (BMI), are not yet fully understood. Objective To evaluate the relationship between age during the menarche, serum leptin concentrations, body composition and MH and MUH phenotypes, in adolescents with adequate and high BMI. Methods Observational and cross-sectional study made up of female adolescents attended at Centro de Referência do Adolescente, in Macaé, Rio de Janeiro. The stage of sexual maturation and the age at menarche were analyzed based on the self-declaration of the participants. The menarche was considered early (EM) when the first menstruation occurred up to 11 years of age; normal (NM) between 12 and 14 years old; and late after 15 years of age. Body mass and height were measured to calculate BMI, and the following body variables were analyzed: waist circumference (WC), waist/height ratio (WHR), body fat (BF%), fat body mass index (FBMI) and fat-free mass index (FFMI), visceral adiposity index (VAI). In addition, cardiometabolic components and serum leptin concentrations were measured.Results 82% (n=114) of the adolescents were classified as MH and 18% (n=25) as MU. The mean age at menarche was 11.79 ± 1.39 years. 60% (n=15) of EM and 84% (n=21) of inadequacy of serum leptin were identified in the MUH group. Among eutrophic women, there was 85.7% (n=6) of inadequate WC among MUH adolescents and 2.5% (n=2) among MH ones ( p <0.01), while among adolescents with high BMI, 88.9% (n=16) and 28.6 (n=10) of the MUH and MH groups, respectively, showed inadequacy of this variable ( p <0.01). Among MUH adolescents, there was a strong correlation between the age at menarche and BF% (r= - 0.63 p <0.01); VAI and TG (r=0.87 p <0.01), BF% (r=0.63 p <0.01) and FFM (r=0.61 p <0.01). Conclusion Age at menarche, serum leptin and WC are related to the MUH phenotype in adolescents and should be investigated, during clinical practice, to help prevent cardiometabolic diseases in adulthood.

show abstract

“…Destaca-se que tanto a CC quanto o IMC são adotados frequentemente como indicadores de adiposidade e, representam, indiretamente, os depósitos de gordura abdominal e a gordura corporal total, respectivamente. 17,18 Estudos têm evidenciado que os baixos níveis de força muscular estão fortemente associados com a morbidade e mortalidade. 19,20 Considerando que a obesidade é uma enfermidade crônica, tais achados corroboram com os resultados obtidos por esse estudo, onde os indivíduos com menores níveis de força demonstraram maiores valores para os indicadores de obesidade.…”

Section: Tabelaunclassified

Associação entre Força Muscular Relativa e Indicadores de Obesidade em Professores Universitários

et al. 2018

View full text Add to dashboard Cite

Body composition of obese adolescents: association between adiposity indicators and cardiometabolic risk factors

Abstract: Anthropometric measures of adiposity, such a body mass index, waist-to-stature ratio, arm circumference and waist circumference,should be considered in the clinical evaluation of obese adolescents.

Cited by 17 publications

References 42 publications

Association between mid-upper arm circumference and cardiometabolic risk in Chinese population: a cross-sectional study

Association between mid-upper arm circumference and cardiometabolic risk in Chinese population: a cross-sectional study

Clinical and Anthropometric Characteristics of the Metabolically Unhealthy Phenotype in Adolescents with Adequate and High BMI

Associação entre Força Muscular Relativa e Indicadores de Obesidade em Professores Universitários

Contact Info

Product

Resources

About