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Impaired metabolic health over-time and high abdominal fat are prospectively associated with high-sensitivity C-reactive protein in children: The IDEFICS study

González-Gil, E. M. (author)
Moreno, L. A. (author)
Nappo, A. (author)
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Santabárbara, J. (author)
Wolters, M. (author)
Russo, P. (author)
De Henauw, S. (author)
Veidebaum, T. (author)
Molnar, D. (author)
Hunsberger, Monica, 1973 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
Fraterman, A. (author)
Iacoviello, L. (author)
Tornaritis, M. (author)
Ahrens, W. (author)
Bel-Serrat, S. (author)
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 (creator_code:org_t)
2021-06-25
2021
English.
In: Pediatric Obesity. - : Wiley. - 2047-6302 .- 2047-6310. ; 16:11
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Metabolic risk and inflammatory state have an early life onset and are associated with future diseases. Objectives: To assess the association between metabolic syndrome (MetS) and metabolic health with high-sensitive C-reactive protein (hsCRP), cross-sectionally and longitudinally, in children. Methods: 2913 European children (2-10 years) from eight countries from the IDEFICS study were investigated. Data were collected at baseline and 2 years later (follow-up). A MetS z-score was computed with waist circumference (WC), insulin resistance index, blood pressure, high-density lipoprotein cholesterol and triglycerides. Metabolically unhealthy (MU) status was assessed. Multi-level linear and logistic regressions were performed. Results: Among the MetS markers, WC was more consistently associated with hsCRP cross-sectional and prospectively. Baseline MetS score was significantly associated with greater risk of high hsCRP at follow-up and with prevalence and incidence of hsCRP. Those children who became MU overtime were significantly (P <.05) associated with future higher levels of hsCRP, independently of weight status at baseline. Conclusions: Transition over time to a MU state was associated with higher levels of hsCRP at follow-up, independent of weight status at baseline. Screening of metabolic factors and routine measurement of WC are needed to prevent inflammatory status and related chronic diseases in children. © 2021 The Authors. Pediatric Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Keyword

abdominal fat
children
Europe
inflammation
metabolic health
metabolic syndrome

Publication and Content Type

ref (subject category)
art (subject category)

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