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Changes in body fatness affect cardiovascular outcomes more than changes in physical activity

Published online by Cambridge University Press:  12 December 2016

Suziane U. Cayres*
Affiliation:
Post-Graduate Program in Movement Sciences, Sao Paulo State University (UNESP), Rio Claro, Brazil
Han C. G. Kemper
Affiliation:
Department of Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, VU University Amsterdam, Amsterdam, The Netherlands
Luiz C. M. Vanderlei
Affiliation:
Department of Physical Therapy, UNESP, Presidente Prudente, Brazil
Juliano Casonatto
Affiliation:
Department of Physical Education, Northern Parana University (UNOPAR), Londrina, Brazil
Aristides M. Machado-Rodrigues
Affiliation:
Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal
Maurício F. Barbosa
Affiliation:
Post-Graduate Program in Radiology, Federal University of São Paulo (UNIFESP), Sao Paulo, Brazil
Rômulo A. Fernandes
Affiliation:
Laboratory of Investigation in Exercise – LIVE, Department of Physical Education, UNESP, Presidente Prudente, Brazil
*
Correspondence to: S. U. Cayres, PhD Student, Department of Physical Education, Roberto Simonsen Street, 305, Presidente Prudente, São Paulo 19060900, Brazil. Tel: 18 3229 5400; E-mail: [email protected]

Abstract

Objective

The aim of this study was to analyse whether changes in physical activity and body fatness are related to modifications in cardiovascular risk factors among adolescents.

Material and methods

A sample of 89 healthy adolescents was recruited for this study. We assessed habitual physical activity, body fat percentage, arterial thickness, blood sample, and biological maturation. Multivariate models were used to analyse the relationships between independent and dependent variables.

Results

Physical activity (mean difference: 429.4 steps [95% confidence interval=−427 to 1286]) and body fatness (mean difference: −0.7% [95% confidence interval=−1.6–0.2]) remained stable during the study period. Independent of changes in physical activity, for each percentage increase in body fatness, femoral intima-media thickness increased by 0.007 mm (β=0.007 [95% confidence interval=0.001–0.013]). Longitudinal relationships were found for high-density lipoprotein-cholesterol (β=−0.477 mg/dl [95% confidence interval=−0.805 to −0.149]) and triacylglycerol (β=2.329 mg/dl [95% confidence interval=0.275–4.384]).

Conclusion

Changes in body fatness are more important than the amount of physical activity on cardiovascular and metabolic risks.

Type
Original Articles
Copyright
© Cambridge University Press 2016 

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References

1. Booth, FW, Laye, MJL, Lees, SJ, Rector, RS, Thyfault, JP. Reduced physical activity and risk of chronic disease: the biology behind the consequences. Eur J Appl Physiol 2008; 102: 381390.Google Scholar
2. Rubin, DA, Hackney, AC. Inflammatory cytokines and metabolic risk factors during growth and maturation: influence of physical activity. Med Sport Sci 2010; 55: 4355.Google Scholar
3. Kemper, HC, Twisk, JW, van Mechelen, W. Changes in aerobic fitness in boys and girls over a period of 25 years: data from the Amsterdam growth and health longitudinal study revisited and extended. Pediatr Exerc Sci 2013; 25: 524535.Google Scholar
4. Knittle, JL, Timmers, K, Ginsberg-Fellner, F, Brown, RE, Katz, DP. The growth of adipose tissue in children and adolescents. Cross-sectional and longitudinal studies of adipose cell number and size. J Clin Invest 1979; 63: 239246.Google Scholar
5. Herouvi, D, Karanasios, E, Karayianni, C, Karavanaki, K. Cardiovascular disease in childhood: the role of obesity. Eur J Pediatr 2013; 172: 721732.CrossRefGoogle ScholarPubMed
6. Huang, PL. eNOS. Metabolic syndrome and cardiovascular disease. Trends Endocrinol Metab 2009; 20: 295302.Google Scholar
7. Hansson, GK. Inflammation, atherosclerosis, and coronary artery disease. N Engl J Med 2005; 352: 16851695.Google Scholar
8. Lira, FS, Rosa Neto, JC, Antunes, BM, Fernandes, RA. The relationship between inflammation, dyslipidemia and physical exercise: from the epidemiological to molecular approach. Curr Diabetes Rev 2014; 10: 391396.CrossRefGoogle ScholarPubMed
9. Fernandes, RA, Coelho-E-Silva, MJ, Spiguel Lima, MC, Cayres, SU, Codogno, JS, Lira, FS. Possible underestimation by sports medicine of the effects of early physical exercise practice on the prevention of diseases in adulthood. Curr Diabetes Rev 2015; 11: 201205.Google Scholar
10. Zago, AS, Zanesco, A. Nitric oxide, cardiovascular disease and physical exercise. Arq Bras Cardiol 2006; 87: e264e270.Google Scholar
11. Pahkala, K, Laitinen, TT, Heinonen, OJ, et al. Association of fitness with vascular intima-media thickness and elasticity in adolescence. Pediatrics 2013; 132: 7784.Google Scholar
12. Cayres, SU, de Lira, FS, Machado-Rodrigues, AM, Freitas Júnior, IF, Barbosa, MF, Fernandes, RA. The mediating role of physical inactivity on the relationship between inflammation and artery thickness in prepubertal adolescents. J Pediatr 2015; 166: 924929.Google Scholar
13. Laskey, MA, Crisp, AJ, Cole, TJ, Compston, JE. Comparison of the effect of different reference data on Lunar DPX and HologicQDR-1000 dual-energy X-rayabsorptiometers. Br J Radiol 1992; 65: 11241129.Google Scholar
14. Silva, CE, Tasca, R, Weitzel, LH, et al. Standardization of equipment and techniques for conducting echocardiographic examinations. Arq Bras Cardiol 2004; 82: 110.Google Scholar
15. Pickering, TG, Hall, JE, Appel, LJ, et al. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation 2005; 111: 697716.Google Scholar
16. Gordon, CC, Chumlea, WC, Roche, AF. Stature, recumbent length, and weight. In: Lohman TG, Roche AF, Martorell R, (eds) Anthropometric Standardization Reference Manual. Human Kinetics Books, Champaign, IL, 1998: 38.Google Scholar
17. Katzmarzyk, PT, Srinivasan, SR, Chen, W, et al. Body mass index, waist circumference, and clustering of cardiovascular risk factors in a biracial sample of children and adolescents. Pediatrics 2004; 114: 198205.Google Scholar
18. Mirwald, RL, Baxter-Jones, AD, Bailey, DA, Beunen, GP. An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc 2002; 34: 689694.Google Scholar
19. da Silva, DF, Bianchini, JA, Antonini, VD, et al. Parasympathetic cardiac activity is associated with cardiorespiratory fitness in overweight and obese adolescents. Pediatr Cardiol 2014; 35: 684690.Google Scholar
20. Gutin, B, Yin, Z, Humphries, MC, Barbeau, P. Relations of moderate and vigorous physical activity to fitness and fatness in adolescents. Clin Nutr 2005; 81: 746750.Google Scholar
21. Kostka, T, Furgal, W, Gawronski, W, et al. Recommendations of the Polish Society of Sports Medicine on age criteria while qualifying children and youth for participation in various sports. Br J Sports Med 2012; 46: 159162.Google Scholar
22. Ekelund, U, Brage, S, Froberg, K, et al. TV viewing and physical activity are independently associated with metabolic risk in children: the European Youth Heart Study. PLoS Med 2006; 3: e488.Google Scholar
23. Yuhanna, IS, Zhu, Y, Cox, BE, et al. High-density lipoprotein binding to scavenger receptor-BI activates endothelial nitric oxide synthase. Nat Med 2001; 7: 853857.CrossRefGoogle ScholarPubMed
24. Kraus, WE, Houmard, JA, Duscha, BD, et al. Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med 2002; 347: 14831492.CrossRefGoogle ScholarPubMed
25. Jourdan, C, Wühl, E, Litwin, M, et al. Normative values for intima–media thickness and distensibility of large arteries in healthy adolescents. J Hypertens Suppl 2005; 2: 17071715.Google Scholar
26. Rothwell, PM. The interrelation between carotid, femoral and coronary artery disease. Eur Heart J Suppl 2001; 22: 1114.Google Scholar
27. Wu, SP, Ringgaard, S, Oyre, S, Hansen, MS, Rasmus, S, Pedersen, EM. Wall shear rates differ between the normal carotid, femoral, and brachial arteries: an in vivo MRI study. J Magn Reson Imaging 2004; 19: 188193.CrossRefGoogle ScholarPubMed
28. Tudor-Locke, C, Bassett, DR Jr. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med 2004; 34: 18.Google Scholar
29. Machado-Rodrigues, AM, Leite, N, Coelho-e-Silva, MJ, et al. Metabolic risk and television time in adolescent females. Int J Public Health 2015; 60: 157165.Google Scholar
30. Christofaro, DG, Fernandes, RA, Gerage, AM, Alves, MJ, Polito, MD, Oliveira, AR. Validation of the Omron HEM 742 blood pressure monitoring device in adolescents. Arq Bras Cardiol 2009; 92: 1015.CrossRefGoogle ScholarPubMed