Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents

Normal-weight obesity (NWO) syndrome has been shown to be associated with cardiometabolic dysfunction. However, little is known regarding this potential relationship in Latin American children and adolescents. The aim of this study was two-fold: (i) to investigate whether Colombian youth with NWO sy...

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Autores: García Hermoso, Antonio, Agostinis-Sobrinho, César, Camargo Villalba, Gloria Eugenia, González Jiménez, Nubia Mercedes, Izquierdo Redín, Mikel, Correa Bautista, Jorge Enrique, Ramírez Vélez, Robinson
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/37333
Acceso en línea:https://hdl.handle.net/2454/37333
Access Level:acceso abierto
Palabra clave:Body composition
Normal-weight obesity
Body fat
Cardiometabolic risk
Latinos
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spelling Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescentsGarcía Hermoso, AntonioAgostinis-Sobrinho, CésarCamargo Villalba, Gloria EugeniaGonzález Jiménez, Nubia MercedesIzquierdo Redín, MikelCorrea Bautista, Jorge EnriqueRamírez Vélez, RobinsonBody compositionNormal-weight obesityBody fatCardiometabolic riskLatinosNormal-weight obesity (NWO) syndrome has been shown to be associated with cardiometabolic dysfunction. However, little is known regarding this potential relationship in Latin American children and adolescents. The aim of this study was two-fold: (i) to investigate whether Colombian youth with NWO syndrome have a poorer cardiometabolic profile and physical fitness performance than normal-weight lean (NWL) peers; and (ii) to determine if physical fitness levels are related to prevalence of normal-weight obesity in youth. This was an analytical cross-sectional study of 1919 youths (9–179 years old, 53.0% girls) in the capital area of Colombia. NWO was defined as a body mass index < 25 kg/m2 and a validated body fat percentage above the sex-age-specific 90th percentile for Colombian children and adolescents. Body fat was estimated using bioelectrical impedance analysis, cardiorespiratory fitness (CRF) was estimated using the 20-meter shuttle run test, and muscular fitness with the handgrip test. Biochemical profile blood samples were collected for cardiometabolic risk factors. After adjusting for chronological age, pubertal stage, and Mediterranean diet adherence, the NWO group (boys and girls) had significantly higher values for cardiometabolic risk factors, and waist circumference (WC) than the NWL group. The prevalence of NWO was lower in youth classified with healthy CRF (boys, odds ratio (OR) = 0.54, 95% confidence interval (CI) 0.37 to 0.78; girls, OR = 0.35, 95% CI 0.24 to 0.50), p < 0.001. Our findings indicate that using only body mass index for the assessment of cardiometabolic risk likely misrepresents true adiposity and suggest the need to include the assessment of body fat in the routine clinical evaluation of individuals during childhood and adolescence.A.G.-H. is a Miguel Servet Fellow (Instituto de Salud Carlos III-FSE—CP18/0150). R.R.-V. is funded in part by a postdoctotal fellowship grant ID 420/2019 from the Universidad Pública de Navarra, Spain. M.I. is funded in part by research grant PI17/01814 from the Ministerio de Economía, Industria y Competitividad de España (ISCIII, FEDER). The FUPRECOL Study was possible due to the financial support provided by the Instituto Colombiano para el Desarrollo de la Ciencia y la Tecnología 'Francisco José de Caldas' COLCIENCIAS (Contract No. 671-2014 Code 122265743978) and Universidad de Boyacá (Code N RECT 47).MDPICiencias de la SaludOsasun ZientziakUniversidad Pública de Navarra / Nafarroako Unibertsitate Publikoa2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2454/37333reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglésinfo:eu-repo/grantAgreement/ES/1PE/TIN2016-77356-Pinfo:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016/TIN2017-89517-P© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/373332026-06-17T12:41:47Z
dc.title.none.fl_str_mv Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
title Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
spellingShingle Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
García Hermoso, Antonio
Body composition
Normal-weight obesity
Body fat
Cardiometabolic risk
Latinos
title_short Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
title_full Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
title_fullStr Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
title_full_unstemmed Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
title_sort Normal-weight obesity is associated with poorer cardiometabolic profile and lower physical fitness levels in children and adolescents
dc.creator.none.fl_str_mv García Hermoso, Antonio
Agostinis-Sobrinho, César
Camargo Villalba, Gloria Eugenia
González Jiménez, Nubia Mercedes
Izquierdo Redín, Mikel
Correa Bautista, Jorge Enrique
Ramírez Vélez, Robinson
author García Hermoso, Antonio
author_facet García Hermoso, Antonio
Agostinis-Sobrinho, César
Camargo Villalba, Gloria Eugenia
González Jiménez, Nubia Mercedes
Izquierdo Redín, Mikel
Correa Bautista, Jorge Enrique
Ramírez Vélez, Robinson
author_role author
author2 Agostinis-Sobrinho, César
Camargo Villalba, Gloria Eugenia
González Jiménez, Nubia Mercedes
Izquierdo Redín, Mikel
Correa Bautista, Jorge Enrique
Ramírez Vélez, Robinson
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ciencias de la Salud
Osasun Zientziak
Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
dc.subject.none.fl_str_mv Body composition
Normal-weight obesity
Body fat
Cardiometabolic risk
Latinos
topic Body composition
Normal-weight obesity
Body fat
Cardiometabolic risk
Latinos
description Normal-weight obesity (NWO) syndrome has been shown to be associated with cardiometabolic dysfunction. However, little is known regarding this potential relationship in Latin American children and adolescents. The aim of this study was two-fold: (i) to investigate whether Colombian youth with NWO syndrome have a poorer cardiometabolic profile and physical fitness performance than normal-weight lean (NWL) peers; and (ii) to determine if physical fitness levels are related to prevalence of normal-weight obesity in youth. This was an analytical cross-sectional study of 1919 youths (9–179 years old, 53.0% girls) in the capital area of Colombia. NWO was defined as a body mass index < 25 kg/m2 and a validated body fat percentage above the sex-age-specific 90th percentile for Colombian children and adolescents. Body fat was estimated using bioelectrical impedance analysis, cardiorespiratory fitness (CRF) was estimated using the 20-meter shuttle run test, and muscular fitness with the handgrip test. Biochemical profile blood samples were collected for cardiometabolic risk factors. After adjusting for chronological age, pubertal stage, and Mediterranean diet adherence, the NWO group (boys and girls) had significantly higher values for cardiometabolic risk factors, and waist circumference (WC) than the NWL group. The prevalence of NWO was lower in youth classified with healthy CRF (boys, odds ratio (OR) = 0.54, 95% confidence interval (CI) 0.37 to 0.78; girls, OR = 0.35, 95% CI 0.24 to 0.50), p < 0.001. Our findings indicate that using only body mass index for the assessment of cardiometabolic risk likely misrepresents true adiposity and suggest the need to include the assessment of body fat in the routine clinical evaluation of individuals during childhood and adolescence.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2454/37333
url https://hdl.handle.net/2454/37333
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv info:eu-repo/grantAgreement/ES/1PE/TIN2016-77356-P
info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2013-2016/TIN2017-89517-P
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
instname:Universidad Pública de Navarra
instname_str Universidad Pública de Navarra
reponame_str Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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