Cargando…
Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children
Childhood obesity in Chile is one of the highest in the world. The objective of this study was to assess the impact of excessive weight gained or maintained over a 3-year period, on markers of metabolic homeostasis in young children. This is a longitudinal study which includes 243 children followed...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214876/ https://www.ncbi.nlm.nih.gov/pubmed/30406008 http://dx.doi.org/10.1016/j.pmedr.2018.10.004 |
_version_ | 1783368026186317824 |
---|---|
author | Vasquez, Fabian Corvalan, Camila Uauy, Ricardo Kain, Juliana |
author_facet | Vasquez, Fabian Corvalan, Camila Uauy, Ricardo Kain, Juliana |
author_sort | Vasquez, Fabian |
collection | PubMed |
description | Childhood obesity in Chile is one of the highest in the world. The objective of this study was to assess the impact of excessive weight gained or maintained over a 3-year period, on markers of metabolic homeostasis in young children. This is a longitudinal study which includes 243 children followed from 4 to 7 years. We assessed BMI, body fat percentage, waist circumference (WC), waist-hip ratio (WHR), waist-height (WH) and trunk fat as well as the following metabolic parameters: glucose, insulin, triglycerides, total cholesterol, LDL, HDL and metabolic risk score. Kruskal- Wallis was used to assess differences in metabolic markers by nutritional status and logistic regression to determine the effect of maintaining or gaining excess weight over the 3-year period, compared with children who maintained a normal weight. Children who were obese at both ages compared with those who were normal weight, had a significantly higher WC, serum concentrations of total fat, total cholesterol, triglycerides, LDL cholesterol and metabolic risk score (P < 0.05). Children who were overweight or obese at 4 and 7 years, had a greater risk of having a high WC (OR: 3.37; P = 0.03), total cholesterol (OR: 4.17; P < 0.003), triglycerides (OR: 1.96; P = 0.04); thus a higher metabolic risk score (OR: 3.21; P = 0.003). Excess weight maintained over time in early childhood, significantly increases the risk of having higher serum biomarkers of cardiovascular risk, which in turn determines the magnitude of cardiovascular and metabolic risks later in life. |
format | Online Article Text |
id | pubmed-6214876 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-62148762018-11-07 Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children Vasquez, Fabian Corvalan, Camila Uauy, Ricardo Kain, Juliana Prev Med Rep Regular Article Childhood obesity in Chile is one of the highest in the world. The objective of this study was to assess the impact of excessive weight gained or maintained over a 3-year period, on markers of metabolic homeostasis in young children. This is a longitudinal study which includes 243 children followed from 4 to 7 years. We assessed BMI, body fat percentage, waist circumference (WC), waist-hip ratio (WHR), waist-height (WH) and trunk fat as well as the following metabolic parameters: glucose, insulin, triglycerides, total cholesterol, LDL, HDL and metabolic risk score. Kruskal- Wallis was used to assess differences in metabolic markers by nutritional status and logistic regression to determine the effect of maintaining or gaining excess weight over the 3-year period, compared with children who maintained a normal weight. Children who were obese at both ages compared with those who were normal weight, had a significantly higher WC, serum concentrations of total fat, total cholesterol, triglycerides, LDL cholesterol and metabolic risk score (P < 0.05). Children who were overweight or obese at 4 and 7 years, had a greater risk of having a high WC (OR: 3.37; P = 0.03), total cholesterol (OR: 4.17; P < 0.003), triglycerides (OR: 1.96; P = 0.04); thus a higher metabolic risk score (OR: 3.21; P = 0.003). Excess weight maintained over time in early childhood, significantly increases the risk of having higher serum biomarkers of cardiovascular risk, which in turn determines the magnitude of cardiovascular and metabolic risks later in life. Elsevier 2018-10-23 /pmc/articles/PMC6214876/ /pubmed/30406008 http://dx.doi.org/10.1016/j.pmedr.2018.10.004 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Regular Article Vasquez, Fabian Corvalan, Camila Uauy, Ricardo Kain, Juliana Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children |
title | Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children |
title_full | Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children |
title_fullStr | Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children |
title_full_unstemmed | Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children |
title_short | Impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: A longitudinal study in Chilean children |
title_sort | impact of gaining or maintaining excessive weight in infancy on markers of metabolic homeostasis in young children: a longitudinal study in chilean children |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214876/ https://www.ncbi.nlm.nih.gov/pubmed/30406008 http://dx.doi.org/10.1016/j.pmedr.2018.10.004 |
work_keys_str_mv | AT vasquezfabian impactofgainingormaintainingexcessiveweightininfancyonmarkersofmetabolichomeostasisinyoungchildrenalongitudinalstudyinchileanchildren AT corvalancamila impactofgainingormaintainingexcessiveweightininfancyonmarkersofmetabolichomeostasisinyoungchildrenalongitudinalstudyinchileanchildren AT uauyricardo impactofgainingormaintainingexcessiveweightininfancyonmarkersofmetabolichomeostasisinyoungchildrenalongitudinalstudyinchileanchildren AT kainjuliana impactofgainingormaintainingexcessiveweightininfancyonmarkersofmetabolichomeostasisinyoungchildrenalongitudinalstudyinchileanchildren |