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Changes in BMI and physical activity from youth to adulthood distinguish normal-weight, metabolically obese adults from those who remain healthy.
Viitasalo, A; Pahkala, K; Lehtimäki, T; Viikari, Jsa; Tammelin, T H; Raitakari, O; Kilpeläinen, T O.
Afiliação
  • Viitasalo A; Institute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Finland.
  • Pahkala K; Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.
  • Lehtimäki T; Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.
  • Viikari J; Paavo Nurmi Centre & Unit for Health and Physical Activity, University of Turku, Turku, Finland.
  • Tammelin TH; Department of Clinical Chemistry, Fimlab Laboratories, Tampere, Finland.
  • Raitakari O; Faculty of Medicine and Health Technology, Finnish Cardiovascular Research Center, Tampere University, Tampere, Finland.
  • Kilpeläinen TO; Department of Medicine, University of Turku and Division of Medicine, Turku University Hospital, Turku, Finland.
Front Endocrinol (Lausanne) ; 13: 923327, 2022.
Article em En | MEDLINE | ID: mdl-36034437
Highlights: Adults with MONW have a lower BMI during youth until young adulthood, but higher BMI after this than adults with metabolically healthy normal weight. Adults with MONW have a greater decrease in physical activity from youth to adulthood than other adults. Healthy lifestyle is important in the prevention of metabolic disorders, particularly in individuals who are slim in childhood. Background: Individuals with metabolically obese normal-weight (MONW) have higher risk of cardiovascular events than those with obesity but a metabolically healthy status. Etiological factors leading to MONW are not well known. We hypothesized distinct trajectories of changes in BMI and physical activity may modify metabolic risk and distinguish individuals with MONW from those who remain healthy. Methods: We compared the mean levels of BMI and physical activity at eight time points (1980, 1983, 1986, 1989, 1992, 2001, 2007, 2011) between MONW and healthy normal-weight adults using linear mixed-model analysis. The analyses included 1180 participants of the Cardiovascular Risk in Young Finns study, a population-based study that represents six different age cohorts 3, 6, 9, 12, 15 and 18 years of age at baseline. Results: Individuals with adult MONW had significantly lower BMI in childhood and young adulthood, but their BMI increased more than in other adults after this age (p<0.001for interaction between time and MONW status). Physical activity decreased relatively more since youth in individuals with adult MONW (p<0.001). Conclusions: Relative leanness in youth and subsequent weight gain in young adulthood, and a gradual decrease in physical activity levels from youth to adulthood, predispose normal-weight individuals to metabolic impairments. The results highlight the importance of a healthy lifestyle in the prevention of metabolic disorders, particularly in individuals who are slim in childhood.
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Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Doenças Metabólicas / Obesidade Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Adolescent / Adult / Humans Idioma: En Revista: Front Endocrinol (Lausanne) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Finlândia

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Doenças Metabólicas / Obesidade Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Adolescent / Adult / Humans Idioma: En Revista: Front Endocrinol (Lausanne) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Finlândia