The role of fitness in the association between fatness and cardiometabolic risk from childhood to adolescence

Silvia Brouwer, Ronald P. Stolk, Eryn T. Liem, Koen Lemmink

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background

Fatness and fitness both influence cardiometabolic risk.

Objective

The purpose of this study was to investigate whether childhood fatness and increasing fatness from childhood to adolescence are associated with cardiometabolic risk during adolescence and how fitness affects this association.

Subjects and methods

Of 565 adolescents (283 boys and 282 girls) from the TRacking Adolescents Individual Life Survey (TRAILS) data on anthropometric parameters (age 11 and 16), metabolic parameters, and fitness (age 16) were available. Body mass index and skinfolds were used as measures for fatness. Increasing fatness was calculated by subtracting Z-scores for fatness at age 11 from Z-score fatness at age 16. Cardiometabolic risk was calculated as the average of the standardized means of mean arterial pressure, fasting serum triglycerides, high-density lipoprotein-cholesterol, glucose, and waist circumference. Insulin resistance was calculated by homeostasis model assessment-insulin resistance (HOMA-IR). Fitness was estimated as maximal oxygen consumption (VO2max) during a shuttle run test.

Results

Boys showed a higher clustered cardiometabolic risk when compared to girls (p < 0.01). Childhood fatness (age 11) and increasing fatness were independently associated with cardiometabolic risk during adolescence. In boys, high fitness was related to a reduced effect of increasing fatness on clustered cardiometabolic risk. Childhood fatness, increasing fatness, and fitness were independently associated with HOMA-IR. Moreover, in boys this association was dependent of fatness.

Conclusions

Childhood fatness and increasing fatness are associated with increased cardiometabolic risk and HOMA-IR during adolescence, but a good fitness attenuates this association especially in fat boys.

Original languageEnglish
Pages (from-to)57-65
JournalPediatric diabetes
Volume14
Issue number1
DOIs
Publication statusPublished - 25 Jul 2012

Keywords

  • bmi
  • insulin resistance
  • metabolic syndrome
  • boys

Cite this

Brouwer, Silvia ; Stolk, Ronald P. ; Liem, Eryn T. ; Lemmink, Koen. / The role of fitness in the association between fatness and cardiometabolic risk from childhood to adolescence. In: Pediatric diabetes. 2012 ; Vol. 14, No. 1. pp. 57-65.
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abstract = "BackgroundFatness and fitness both influence cardiometabolic risk.ObjectiveThe purpose of this study was to investigate whether childhood fatness and increasing fatness from childhood to adolescence are associated with cardiometabolic risk during adolescence and how fitness affects this association.Subjects and methodsOf 565 adolescents (283 boys and 282 girls) from the TRacking Adolescents Individual Life Survey (TRAILS) data on anthropometric parameters (age 11 and 16), metabolic parameters, and fitness (age 16) were available. Body mass index and skinfolds were used as measures for fatness. Increasing fatness was calculated by subtracting Z-scores for fatness at age 11 from Z-score fatness at age 16. Cardiometabolic risk was calculated as the average of the standardized means of mean arterial pressure, fasting serum triglycerides, high-density lipoprotein-cholesterol, glucose, and waist circumference. Insulin resistance was calculated by homeostasis model assessment-insulin resistance (HOMA-IR). Fitness was estimated as maximal oxygen consumption (VO2max) during a shuttle run test.ResultsBoys showed a higher clustered cardiometabolic risk when compared to girls (p < 0.01). Childhood fatness (age 11) and increasing fatness were independently associated with cardiometabolic risk during adolescence. In boys, high fitness was related to a reduced effect of increasing fatness on clustered cardiometabolic risk. Childhood fatness, increasing fatness, and fitness were independently associated with HOMA-IR. Moreover, in boys this association was dependent of fatness.ConclusionsChildhood fatness and increasing fatness are associated with increased cardiometabolic risk and HOMA-IR during adolescence, but a good fitness attenuates this association especially in fat boys.",
keywords = "metabolisch syndroom, insuline, fitheid, jongens, bmi, insulin resistance, metabolic syndrome, boys",
author = "Silvia Brouwer and Stolk, {Ronald P.} and Liem, {Eryn T.} and Koen Lemmink",
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The role of fitness in the association between fatness and cardiometabolic risk from childhood to adolescence. / Brouwer, Silvia; Stolk, Ronald P.; Liem, Eryn T.; Lemmink, Koen.

In: Pediatric diabetes, Vol. 14, No. 1, 25.07.2012, p. 57-65.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The role of fitness in the association between fatness and cardiometabolic risk from childhood to adolescence

AU - Brouwer, Silvia

AU - Stolk, Ronald P.

AU - Liem, Eryn T.

AU - Lemmink, Koen

PY - 2012/7/25

Y1 - 2012/7/25

N2 - BackgroundFatness and fitness both influence cardiometabolic risk.ObjectiveThe purpose of this study was to investigate whether childhood fatness and increasing fatness from childhood to adolescence are associated with cardiometabolic risk during adolescence and how fitness affects this association.Subjects and methodsOf 565 adolescents (283 boys and 282 girls) from the TRacking Adolescents Individual Life Survey (TRAILS) data on anthropometric parameters (age 11 and 16), metabolic parameters, and fitness (age 16) were available. Body mass index and skinfolds were used as measures for fatness. Increasing fatness was calculated by subtracting Z-scores for fatness at age 11 from Z-score fatness at age 16. Cardiometabolic risk was calculated as the average of the standardized means of mean arterial pressure, fasting serum triglycerides, high-density lipoprotein-cholesterol, glucose, and waist circumference. Insulin resistance was calculated by homeostasis model assessment-insulin resistance (HOMA-IR). Fitness was estimated as maximal oxygen consumption (VO2max) during a shuttle run test.ResultsBoys showed a higher clustered cardiometabolic risk when compared to girls (p < 0.01). Childhood fatness (age 11) and increasing fatness were independently associated with cardiometabolic risk during adolescence. In boys, high fitness was related to a reduced effect of increasing fatness on clustered cardiometabolic risk. Childhood fatness, increasing fatness, and fitness were independently associated with HOMA-IR. Moreover, in boys this association was dependent of fatness.ConclusionsChildhood fatness and increasing fatness are associated with increased cardiometabolic risk and HOMA-IR during adolescence, but a good fitness attenuates this association especially in fat boys.

AB - BackgroundFatness and fitness both influence cardiometabolic risk.ObjectiveThe purpose of this study was to investigate whether childhood fatness and increasing fatness from childhood to adolescence are associated with cardiometabolic risk during adolescence and how fitness affects this association.Subjects and methodsOf 565 adolescents (283 boys and 282 girls) from the TRacking Adolescents Individual Life Survey (TRAILS) data on anthropometric parameters (age 11 and 16), metabolic parameters, and fitness (age 16) were available. Body mass index and skinfolds were used as measures for fatness. Increasing fatness was calculated by subtracting Z-scores for fatness at age 11 from Z-score fatness at age 16. Cardiometabolic risk was calculated as the average of the standardized means of mean arterial pressure, fasting serum triglycerides, high-density lipoprotein-cholesterol, glucose, and waist circumference. Insulin resistance was calculated by homeostasis model assessment-insulin resistance (HOMA-IR). Fitness was estimated as maximal oxygen consumption (VO2max) during a shuttle run test.ResultsBoys showed a higher clustered cardiometabolic risk when compared to girls (p < 0.01). Childhood fatness (age 11) and increasing fatness were independently associated with cardiometabolic risk during adolescence. In boys, high fitness was related to a reduced effect of increasing fatness on clustered cardiometabolic risk. Childhood fatness, increasing fatness, and fitness were independently associated with HOMA-IR. Moreover, in boys this association was dependent of fatness.ConclusionsChildhood fatness and increasing fatness are associated with increased cardiometabolic risk and HOMA-IR during adolescence, but a good fitness attenuates this association especially in fat boys.

KW - metabolisch syndroom

KW - insuline

KW - fitheid

KW - jongens

KW - bmi

KW - insulin resistance

KW - metabolic syndrome

KW - boys

U2 - 10.1111/j.1399-5448.2012.00893.x

DO - 10.1111/j.1399-5448.2012.00893.x

M3 - Article

VL - 14

SP - 57

EP - 65

JO - Pediatric diabetes

JF - Pediatric diabetes

SN - 1399-543X

IS - 1

ER -