Lifestyle and awareness of cholesterol blood levels among 29159 community school children in Italy

Martino, Francesco De; Martino, Eliana; Versacci, Paolo; Niglio, Tarcisio; Zanoni, Cristina; Puddu, Paolo Emilio

doi:10.1016/j.numecd.2019.05.060

Cited by 8 publications

(4 citation statements)

References 40 publications

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“…Previous studies have demonstrated the benefits of the MedDiet on cardiometabolic profile in adults [ 39 – 42 ] but not in children [ 28 , 43 ]. In the present study, similar to evidence in adults [ 35 , 38 ], MedDiet was inversely related to serum triglyceride levels, which could be explained by some MedDiet characteristics [ 39 ], rich in fish, nuts, olive-oil, legumes, and other plant-based foods but low in refined cereals and sugar [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort

Garcidueñas-Fimbres,

Gómez-Martínez,

Pascual-Compte

et al. 2024

Eur J Pediatr

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To assess the associations between the adherence to a composite score comprised of 6 healthy lifestyle behaviors and its individual components with several cardiometabolic risk factors in Spanish preschool children. Cross-sectional analyses were conducted in 938 participants included in the CORALS cohort aged 3–6 years. Six recognized healthy lifestyle behaviors (breastfeeding, sleep duration, physical activity, screentime, adherence to the Mediterranean diet, and eating speed) were assessed in a composite score. Multiple linear and logistic regression models were fitted to assess the associations with cardiometabolic risk factors (weight status, waist circumference, fat mass index, blood pressure, fasting plasma glucose, and lipid profile). In the adjusted multiple linear and logistic regression models, compared with the reference category of adherence to the healthy lifestyle behavior composite score, those participants in the category of the highest adherence showed significant decreased prevalence risk of overweight or obesity [OR (95% CI), 0.4 (0.2, 0.6)] as well as significant lower waist circumference, fat mass index (FMI), systolic blood pressure and fasting plasma glucose concentration [β (95% CI), − 1.4 cm (− 2.5, − 0.4); − 0.3 kg/m2 (− 0.5, − 0.1); and − 3.0 mmHg (− 5.2, − 0.9); − 1.9 mg/dL (− 3.5, − 0.4), respectively]. Slow eating speed was individually associated with most of the cardiometabolic risk factors. Conclusions: Higher adherence to the healthy lifestyle behavior composite score was associated with lower waist circumference, FMI, other cardiometabolic risk factors, and risk of overweight or obesity in Spanish preschool children. Further studies are required to confirm these associations. What is Known:• Lifestyle is a well-recognized etiologic factor of obesity and its comorbidities.• Certain healthy behaviors such as adhering to a healthy diet, increasing physical activity, and decreasing screentime are strategies for prevention and treatment of childhood obesity. What is New:• Higher adherence to the healthy lifestyle behavior composite score to 6 healthy behaviors (breastfeeding, sleep duration, physical activity, screentime, eating speed, and adherence to the Mediterranean diet) was associated with decreased adiposity, including prevalence risk of overweight or obesity, and cardiometabolic risk in preschool children.• Slow eating and greater adherence to the Mediterranean diet were mainly associated to lower fasting plasma and serum triglycerides concentration, respectively.

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Section: Discussionmentioning

confidence: 99%

Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort

Garcidueñas-Fimbres,

Gómez-Martínez,

Pascual-Compte

et al. 2024

Eur J Pediatr

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“…Moreover, children who spend more time playing sports or in the open air display better adherence to the Mediterranean diet versus children who stay inside for hours watching television or using their computers. Adherence to a Mediterranean diet represents a decisive factor in the prevention of CVD 137 . However, the IDEFICS ( identification and prevention of dietary- and lifestyle-induced health effects in children and infants ) study revealed how, in Italy, only one out of every two schoolchildren follows a Mediterranean diet, with the percentage reducing further as they age 138 .…”

Section: Clinical Management Of Familial Hypercholesterolemia In Chil...mentioning

confidence: 99%

“…Adherence to a Mediterranean diet represents a decisive factor in the prevention of CVD. 137 However, the IDEFICS (identification and prevention of dietary-and lifestyle-induced health effects in children and infants) study revealed how, in Italy, only one out of every two schoolchildren follows a Mediterranean diet, with the percentage reducing further as they age. 138 Furthermore, it has recently been proved that a dietary intervention with the Mediterranean diet in children with familial or polygenic hyperlipidaemia improves their lipid profile in terms of reaching the target levels of LDL-C but not of HDL-C. 139 The dietary addition of nutritional supplements such as high viscosity glucomannan significantly improves metabolic imbalances, reducing blood pressure and body weight.…”

Section: Screening For Obesity In Children and Adolescentsmentioning

confidence: 99%

Cardiovascular prevention in childhood: a consensus document of the Italian Society of Cardiology Working Group on Congenital Heart Disease and Cardiovascular Prevention in Paediatric Age

Martino

Bassareo

Martino

et al. 2023

Journal of Cardiovascular Medicine

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Cardiovascular diseases (CVD) may be manifested from a very early age. Genetic and environmental (epigenetic) factors interact to affect development and give rise to an abnormal phenotypical expression of genetic information, although not eliciting changes in the nucleotide sequence of DNA. It has been scientifically proven that increased oxidative stress (OS) caused by disease (overweight, obesity, diabetes), nutritional imbalances, unhealthy lifestyles (smoking, alcohol, substance abuse) in the mother during pregnancy may induce placental dysfunction, intrauterine growth restriction, prematurity, low birth weight, postnatal adiposity rebound, metabolic alterations and consequent onset of traditional cardiovascular risk factors. OS represents the cornerstone in the onset of atherosclerosis and manifestation of CVD following an extended asymptomatic period. OS activates platelets and monocytes eliciting the release of pro-inflammatory, pro-atherogenic and pro-oxidising substances resulting in endothelial dysfunction, decrease in flow-mediated arterial dilatation and increase in carotid intima-media thickness. The prevention of CVD is defined as primordial (aimed at preventing risk factors development), primary (aimed at early identification and treatment of risk factors), secondary (aimed at reducing risk of future events in patients who have already manifested a cardiovascular event), and tertiary (aimed at limiting the complex outcome of disease). Atherosclerosis prevention should be implemented as early as possible. Appropriate screening should be carried out to identify children at high risk who are apparently healthy and implement measures including dietary and lifestyle changes, addition of nutritional supplements and, lastly, pharmacological treatment if risk profiles fail to normalise. Reinstating endothelial function during the reversible stage of atherosclerosis is crucial.

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“…Métodos eficientes vêm sendo usados para tratar essas doenças, como por exemplo, no tratamento da hiperlipidemia pode-se usar a colestiramina (sequestrante de ligação ao ácido biliar), ezetimiba (inibidor da absorção de colesterol) e inibidores da pro-proteína convertase subtilisina/anticorpo monoclonal kexin (PCSK9) (Cerqueira et al, 2016). Mas, vale ressaltar que o estilo de vida (alimentação e atividade física) é a peça fundamental para a manutenção de um bom nível de lipídeo, e dos demais nutrientes (proteínas, carboidratos, vitaminas e minerais) no organismo (Martino et al, 2019).…”

Section: Introductionunclassified

Aspectos nutricionais da gordura láctea: Uma revisão dos benefícios comprovados do seu consumo para a saúde humana

Francisquini

Costa

Stephani

et al. 2021

RSD

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Os lipídeos exercem um papel fundamental para o ser humano, sendo um macronutriente transportado por lipoproteínas dentro do organismo. A cada dia mais cresce o aparecimento das doenças crônicas não transmissíveis, sendo uma das principais causas de morbidade, incapacidade e mortalidade nas sociedades ocidentais. Durante muito tempo este macronutriente foi associado ao desenvolvimento e progressão de tais doenças. O objetivo deste trabalho é buscar um copilado da literatura sobre os benefícios dos componentes individuais das gorduras lácteas para a saúde humana. Pode-se concluir com os trabalhos relatados que a cada dia mais há um consenso de que as gorduras lácteas são de grande complexidade no que diz respeito à sua composição possuindo alto valor nutricional e bioatividade podendo ainda ajudar na perda de peso e na prevenção de uma série de doenças como cânceres, síndrome metabólica, propriedades antidiabéticas, modulação da microbiota intestinal, hipertensão, obesidade, prevenção de alergias e asmas dentre outras.

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Lifestyle and awareness of cholesterol blood levels among 29159 community school children in Italy

Cited by 8 publications

References 40 publications

Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort

Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort

Cardiovascular prevention in childhood: a consensus document of the Italian Society of Cardiology Working Group on Congenital Heart Disease and Cardiovascular Prevention in Paediatric Age

Aspectos nutricionais da gordura láctea: Uma revisão dos benefícios comprovados do seu consumo para a saúde humana

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