Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-26T12:48:23.997Z Has data issue: false hasContentIssue false

Sports participation and adiposity do not mediate the relationship between birth weight and arterial thickness in adolescents: ABCD Growth Study

Published online by Cambridge University Press:  24 May 2019

Jacqueline Urban*
Affiliation:
Physiotherapy Department, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Presidente Prudente, São Paulo, Brazil
Suziane Cayres
Affiliation:
Department of Physical Education, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Presidente Prudente, São Paulo, Brazil
Jamile Codogno
Affiliation:
Department of Physical Education, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Presidente Prudente, São Paulo, Brazil
Bruna Turi-Lynch
Affiliation:
Physiotherapy Department, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Presidente Prudente, São Paulo, Brazil
Alessandra Mantovani
Affiliation:
Physiotherapy Department, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Presidente Prudente, São Paulo, Brazil
Romulo Fernandes
Affiliation:
Department of Physical Education, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Presidente Prudente, São Paulo, Brazil
*
Author for correspondence: Jacqueline Urban, Physiotherapy Department, Universidade Estadual Paulista “Júlio de Mesquita Filho”, Graduada em Fisioterapia pela FCT/UNESP, Mestra em Fisioterapia pela FCT/UNESP, Doutoranda em Fisioterapia pela FCT/UNESP, Membro do Laboratório de Investigação em Exercício (LIVE - FCT/UNESP), Membro do Grupo de Investigação, Científica, Relacionadas a Atividade Física (GICRAF - FCT/UNESP), Currículo Lattes. E-mail: [email protected]

Abstract

Objective:

To analyse the relationship of altered birth weight with metabolic and cardiovascular outcomes among adolescents, as well as to identify if sports participation is able to attenuate or even eliminate the impact of birth weight on health outcomes.

Methods:

Cross-sectional study (Analysis of Behaviours of Children During Growth [ABCD Growth Study]). Adolescents with age ranging from 11 to 18 years old (14.7±2.1) stratified according to normal (n = 230) and altered (n = 35) birth weight composed the sample. Birth weight was self-reported by adolescent’s parents. Sports participation was assessed by face-to-face interview. Carotid intima–media thickness (CIMT) and femoral intima–media thickness (FIMT) were measured using an ultrasound device. C-reactive protein levels were used to assess the inflammatory status. Blood pressure, Z score of metabolic risk (dyslipidemia and glucose), adiposity, and insulin resistance were covariates.

Results:

In the crude model, FIMT (p value = 0.037) and C-reactive protein (p value = 0.029) were affected by altered birth weight. In the adjusted models, altered birth weight affected FIMT (p value = 0.048; small effect size of 1.7%), independently of sports participation. For C-reactive protein, previous time of engagement in sports (p value = 0.001; small effect size of 4.8%) affected C-reactive protein, independently of birth weight.

Conclusion:

Vascular structure seems to be affected by birth weight in adolescents, while its impact on inflammation seems to be attenuated by the regular engagement in sports.

Type
Original Article
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barker, DJ, Winter, PD, Osmond, C, Margetts, B, Simmonds, SJ. Weight in infancy and death from ischaemic heart disease. Lancet 1989; 2: 577580.CrossRefGoogle ScholarPubMed
Hanson, MA, Gluckman, PD. Early developmental conditioning of later health and disease: physiology or pathophysiology? Physiol Rev 2014; 94: 10271076.CrossRefGoogle ScholarPubMed
Yuan, Z, Yang, M, Liang, L, et al. Possible role of birth weight on general and central obesity in Chinese children and adolescents: a cross-sectional study. Ann Epidemiol 2015 Oct; 25: 748752.CrossRefGoogle ScholarPubMed
Balte, P, Karmaus, W, Roberts, G, Kurukulaaratchy, R, Mitchell, F, Arshad, H. Relationship between birth weight, maternal smoking during pregnancy and childhood and adolescent lung function: a path analysis. Respir Med 2016; 121: 1320.CrossRefGoogle ScholarPubMed
Tam, CHT, Wang, Y, Luan, J, et al. Non-linear relationship between birthweight and cardiometabolic risk factors in Chinese adolescents and adults. Diabet Med 2015; 32: 220225.CrossRefGoogle ScholarPubMed
Kuh, D, Hardy, R, Chaturvedi, N, Wadsworth, ME. Birth weight, childhood growth and abdominal obesity in adult life. Int J Obes Relat Metab Disord 2002; 26: 4047.CrossRefGoogle ScholarPubMed
Malina, RM, Katzmarzyk, PT, Beunen, G. Birth weight and its relationship to size attained and relative fat distribution at 7 to 12 years of age. Obes Res 1996; 4: 385390.CrossRefGoogle ScholarPubMed
Velazquez-Bautista, M, López-Sandoval, JJ, González-Hita, M, Vázquez-Valls, E, Cabrera-Valencia, IZ, Torres-Mendoza, BM. Asociación el síndrome metabólico com bajo peso al nacimiento, consumo de dietas hipercalóricas y acantosis nigricans em escolares y adolescentes com sobrepeso y obesidad. Endocrinol Diabetes Nutr 2017; 64: 1117.CrossRefGoogle Scholar
Tikanmäki, M, Tammlin, T, Vääräsmaki, M, et al. Prenatal determinants of physical activity and cardiorespiratory fitness in adolescence – Northern Finland Birth Cohort 1986 study. BMC Public Health 2017; 17: 346.CrossRefGoogle ScholarPubMed
Rossi, P, Tauzin, L, Marchand, E, Boussuges, A, Gaudart, J, Frances, Y. Respective roles of preterm birth and fetal growth restriction in blood pressure and arterial stiffness in adolescence. J Adolesc Health 2011; 48: 520522.CrossRefGoogle ScholarPubMed
Sass, A, Gravena, AAF, Pelloso, SM, Marcon, SS. Perinatal outcomes in the extremes of reproductive age and factors associated with low weight at birth. Rev Gaúcha Enferm 2011; 32: 352358.Google ScholarPubMed
McCloskey, K, Burgner, D, Carlin, JB, et al. Infant adiposity at birth and early postnatal weight gain predict increased aortic intima-media thickness at 6 weeks of age: a population-derived cohort study. Clin Sci 2016; 130: 443450.CrossRefGoogle ScholarPubMed
Dratva, J, Breton, CV, Hodis, HN, et al. Birth weight and carotid artery intima-media thickness. J Pediatr 2013; 162: 906911.CrossRefGoogle ScholarPubMed
Cayres, SU, Urban, JB, Fernandes, RA. Physical activity and skipping breakfast have independent effects on body fatness among adolescents. J Pediatr Gastroenterol Nutr 2018; 67: 666670.CrossRefGoogle ScholarPubMed
Duncan, S, Duncan, EK, Fernandes, RA, et al. Modifiable risk factors for overweight and obesity in children and adolescents from São Paulo, Brazil. BMC Public Health 2011; 11: 585.CrossRefGoogle ScholarPubMed
Werneck, AO, da Silva, DRP, Fernandes, RA, Ronque, ERV, Coelho-E-Silva, MJ, Cyrino, ES. Sport participation and metabolic risk during adolescent years: a structured equation model. Int J Sports Med 2018; 39: 674681.Google ScholarPubMed
Cayres, SU, de Lira, FS, Kemper, HCG, Codogno, JS, Barbosa, MF, Fernandes, FA. Sport-based physical activity recommendations and modifications in C-reactive protein and arterial thickness. Eur J Pediatr 2018; 177: 551.CrossRefGoogle ScholarPubMed
Hallal, PC, Dumith, SC, Ekelund, U, et al. Infancy and childhood growth and physical activity in adolescence: prospective birth cohort study from Brazil. Int J Behav Nutr Phys Act 2012; 9: 82.CrossRefGoogle ScholarPubMed
Hildebrand, M, Kolle, E, Hansen, BH, et al. Association between birth weight and objectively measured sedentary time is mediated by central adiposity: data in 10,793 youth from the International Children’s Accelerometry Database. Am J Clin Nutr 2015; 101: 983990.CrossRefGoogle ScholarPubMed
Askari, G, Heidari-Beni, M, Mansourian, M, Esmaeil-Motlagh, M, Kelishadi, R. Interaction of lipoprotein lipase polymorphisms with body mass index and birth weight to modulate lipid profiles in children and adolescents: the CASPIAN-III study. Sao Paulo Med J 2016; 134: 121129.CrossRefGoogle ScholarPubMed
Simiyu, IN, Mchaile, DN, Katsongeri, K, Philemon, RN, Msuya, SE. Prevalence, severity and early outcomes of hypoxic ischemic encephalopathy among newborns at a tertiary hospital, in northern Tanzania. BMC Pediatr 2017; 17: 131.CrossRefGoogle Scholar
Jourdan, C, Wühl, E, Litwin, M, et al. Normative values for intima–media thickness and distensibility of large arteries in healthy adolescents. J Hypertens 2005; 23: 17071715.CrossRefGoogle ScholarPubMed
Stein, JH, Korcarz, CE, Hurst, RT, et al. Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk: a consensus statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force endorsed by the society for vascular medicine. J Am Soc Echocardiogr 2008 Feb; 21: 93111.CrossRefGoogle ScholarPubMed
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, 1988: 38.Google Scholar
Antunes, BMM, Rossi, FE, Inoue, DS, Rosa Neto, JC, Lira, FS. Immunometabolism and exercise: new avenues. Motricidade 2017; 13: 8598.CrossRefGoogle Scholar
Dowd, JB, Zajacova, A, Aiello, AE. Predictors of inflammation in U.S. children aged 3-16 years. Am J Prev Med 2010; 39: 314320.CrossRefGoogle ScholarPubMed
Labayen, I, Ortega, FB, Sjöström, M, Ruiz, JR. Early life origins of low-grade inflammation and atherosclerosis risk in children and adolescents. J Pediatr 2009; 155: 673677.CrossRefGoogle ScholarPubMed
Kaijser, M, Bonamy, AE, Akre, O, et al. Perinatal risk factors for diabetes in later life. Diabetes 2009; 58: 523526.CrossRefGoogle ScholarPubMed
Huang, P. eNOS, metabolic syndrome and cardiovascular disease. Trends Endocrinol Metab 2009; 20: 295302.CrossRefGoogle ScholarPubMed
Li, Q, Atochin, D, Satoshi Kashiwagi, S, et al. Deficient eNOS phosphorylation is a mechanism for diabetic vascular dysfunction contributing to increased stroke size. Stroke 2013; 44: 31833188.CrossRefGoogle ScholarPubMed
Raaijmakers, A, Jacobs, L, Rayyan, M, et al. Catch-up growth in the first two years of life in Extremely Low Birth Weight (ELBW) infants is associated with lower body fat in young adolescence. PLoS One 2017; 12: e0173349.CrossRefGoogle ScholarPubMed
Würtz, P, Wand, Q, Niiromen, M, et al. Metabolic signatures of birthweight in 18288 adolescents and adults. Int J Epidemiol 2016; 45: 15391550.CrossRefGoogle Scholar
Cayres, SU, Kemper, HCG, Vanderlei, LCM, et al. Changes in body fatness affect cardiovascular outcomes more than changes in physical activity. Cardiol Young 2017; 27: 10601067.CrossRefGoogle ScholarPubMed
Trevisanuto, D, Doglioni, N, Altinier, S, Zaninotto, M, Plebani, M, Zanardo, V. High-sensitivity C-reactive protein in umbilical cord of small-for-gestational-age neonates. Neonatology 2007; 91: 186189.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
Ferreira, VR, Jardim, TV, Póvoa, TR, et al. Birth weight and its association with blood pressure and nutritional status in adolescents. J Pediatr (Rio J) 2017; 94: 184191.CrossRefGoogle ScholarPubMed
Harville, EW, Jounala, M, Viikari, JSA, Kähönen, M, Raitakari, OT. Pregnancy complications and later vascular ultrasound measures: a cohort study. Pregnancy Hypertens 2017; 10: 171176.CrossRefGoogle ScholarPubMed
Rothwell, PM. The interrelation between carotid, femoral and coronary artery disease. Eur Heart J 2001; 22: 1114.CrossRefGoogle ScholarPubMed
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 Scholar
Bassareo, PP, Marras, AR, Pasqualucci, D, Mercuro, G. Increased arterial rigidity in children affected by Cushing’s syndrome after successful surgical cure. Cardiol Young 2010; 20: 610614.CrossRefGoogle ScholarPubMed