Predicting obesity in early adulthood in Japanese women

Kubo, Toshio; Furujo, Mahoko; Ueda, Yuko; Imai, Ken; Tsukahara, Kohei; Morita, Hirosuke; Ogura, Kunihiro; Kimura, Takehide; Shimizu, Junya; Fukuhara, Shinichi; Koyama, Teruhisa; Kanadani, Tomohisa; Saito, Hiroshi

doi:10.1111/j.1440-1754.2007.01166.x

Cited by 9 publications

(16 citation statements)

References 16 publications

(40 reference statements)

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“…The treatment of obesity, as a health disturbance due to excess weight after later childhood, is the third prevention strategy. We previously reported that 30% or less of women who were overweight at 3 and 6 years old continued to be overweight in adulthood (Table 8), and also showed that adiposity rebound (AR) generally occurred at the age of 7 in Japanese women (6). Moreover, an increase in BMI between 7 and 8 years of age showed a positive correlation with adult BMI.…”

Section: Prophylaxismentioning

confidence: 79%

“…BMI is considered to be a very simple measurement because it is calculated as body weight (kg)/height 2 (m 2 ). However, due to age-dependent variations in the BMI, as shown in Figure 3 (6) it is difficult to examine time-dependent changes based on absolute values. BMI percentiles and standard deviations specific to Japanese people have recently been determined (7,8).…”

Section: Indices To Measure Being Overweight and Obesitymentioning

confidence: 99%

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Common approach to childhood obesity in Japan

Kubo

2014

Journal of Pediatric Endocrinology and Metabolism

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Although the prevalence of childhood obesity is plateauing, it remains a social concern. The Japan Society for the Study of Obesity devised criteria for obesity disease as a morbid state that requires medical treatment in 2002. Moreover, the Japanese Ministry of Health, Labour and Welfare announced diagnostic criteria for childhood metabolic syndrome in 2010 because of the increasing number of children with lifestyle-related diseases. The treatment of obesity needs to be prioritized, and three principles, other than behavioral therapy, have been introduced in this study for the general medical treatment of obesity without underlying diseases: (1) diet therapy, (2) exercise, and (3) no pharmacotherapy. However, preventing obesity is more important than its treatment. A previous study reported the tracking of an overweight status from infancy; therefore, it is important to prevent infants from becoming overweight. The concept of the developmental origins of health and disease has been attracting more attention in recent years; however, preventative measures prior to birth should also be considered to reduce the incidence of obesity. Although the methods used to approach the treatment of childhood obesity change with differences in race or lifestyle, those who are engaged in the medical treatment of childhood obesity worldwide can contribute to its treatment and prevention by a mutual exchange of information.

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Section: Prophylaxismentioning

confidence: 79%

Section: Indices To Measure Being Overweight and Obesitymentioning

confidence: 99%

Common approach to childhood obesity in Japan

Kubo

2014

Journal of Pediatric Endocrinology and Metabolism

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“…Many studies have firmly recognized obesity as an independent determinant of cardiovascular diseases (CVD) [2]–[5]. Body mass index (BMI) and waist circumference (WC) are commonly recommended for the assessment of obesity [6], [7]. However, recent studies have challenged the relationship between obesity assessed by BMI or WC and CVD [8], [9].…”

Section: Introductionmentioning

confidence: 99%

Visceral Adiposity Index May Be a Surrogate Marker for the Assessment of the Effects of Obesity on Arterial Stiffness

Yang

Wang

et al. 2014

PLoS ONE

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ObjectiveThe relationship between obesity and cardiovascular disease (CVD) remains unclear. This study aims to describe the relationship between arterial stiffness and obesity in order to investigate the effects of obesity on CVD.MethodsWe collected data from 5,158 individuals over 40 years of age from a cross-sectional study in Nanjing, China. Anthropometric, demographic, hemodynamic measurements and arterial stiffness measured through brachial-ankle pulse wave velocity (baPWV) were obtained. Subjects were grouped by body mass index (BMI), waist circumference (WC) and visceral adiposity index (VAI), a sex-specific index based on BMI, WC, triglyceride (TG) and high-density lipoprotein cholesterol (HDL-C).ResultsThe multivariate regression analysis revealed a negative but weak effect of BMI (β = −0.047, P<0.001) on baPWV, but failed to demonstrate any significant effect of WC on baPWV while VAI was a positive independent indicator of baPWV (β = 0.023, P = 0.022). The unadjusted baPWV significantly increased across groups with higher obesity categories (P<0.01). Although the positive association was lost after adjustments for confounding factors in the BMI or WC categories (P>0.05), it was still obtained between baPWV and VAI quartile (P<0.01). No differences were observed among the metabolically healthy groups or the metabolically abnormal groups in the BMI and WC categories (P>0.05). However, baPWV significantly increased across groups with higher VAI categories even in the same metabolic category (P<0.01).ConclusionsThis study supports the concept of heterogeneity of metabolic status among individuals within the same obesity range. Obese individuals are at an increased risk of arterial stiffness regardless of their metabolic conditions. VAI may be a surrogate marker for the assessment of obesity and the effects of obesity on arterial stiffness.

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“…The prevalence of type 2 diabetes is expanding more rapidly in Asian than in Western countries, this is particularly so in younger age groups . In addition, a strong association between high body mass index (BMI) during childhood and obesity during adult life has been established .…”

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confidence: 99%