Does youth adiposity, or change in adiposity from youth to adulthood, predict metabolically healthy obesity in adulthood?

Autor: Alison Venn, Costan G. Magnussen, Kylie J. Smith, Terence Dwyer, E. Bessell
Rok vydání: 2015
Předmět:
Zdroj: Pediatric Obesity. 11:349-353
ISSN: 2047-6302
DOI: 10.1111/ijpo.12065
Popis: Background: Individuals with metabolically healthy obesity (MHO) do not have the metabolic complications usually associated with obesity. Objective: To examine whether youth adiposity, or change in adiposity from youth to adulthood, predicts MHO 20 years later. Methods: A national sample of 2410 Australian participants had height, weight and waist circumference (WC) measured in 1985 (7–15 years old) and 2004–2006 (26–36 years old). A fasting blood sample was taken in 2004–2006. MHO was defined as body mass index (BMI) ≥ 30 kg m −2 , normal fasting glucose ( −1 ), triglycerides ( −1 ), high-density lipoprotein-cholesterol (> 1.036 mmol L −1 men, > 1.295 mmol L −1 women), blood pressure ( Results: In total 323 individuals were obese at follow-up, 79 (24.5%) were MHO. Adult MHO was not associated with youth BMI (RR: 1.00, 95%CI: 0.85-1.19) or WC (RR: 0.93, 95%CI: 0.79-1.11). Individuals were less likely to be MHO if they had larger increases in BMI (BMI RR: 0.74, 95%CI: 0.57-0.97) or WC (RR: 0.70, 95%CI: 0.55-0.90) from youth to adulthood. Conclusions: Change in adiposity from youth to adulthood predicted adult MHO better than youth adiposity alone.
Databáze: OpenAIRE