Cardiopulmonary Capacity in Overweight and Obese Children and Adolescents: A Cross-Sectional Study

Grzyb, Agata; Domagalska-Szopa, Małgorzata; Siwiec, Andrzej; Kwiecień-Czerwieniec, Ilona; Szopa, Andrzej

doi:10.3389/fphys.2021.671827

Cited by 8 publications

(5 citation statements)

References 40 publications

(64 reference statements)

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“…This data strengthens our findings, which are novel due to the young adolescent age of the case participant. Significant differences in cardiorespiratory fitness have been found in children and adolescents when comparing those with normal weight to those with obesity ( 16 ). Usually, these studies focus on peak V̇O 2 as the primary outcome and do not assess for abnormal patterns that may reveal disease states, as we did in ours.…”

Section: Discussionmentioning

confidence: 99%

Case report: A proposed role for cardiopulmonary exercise testing in detecting cardiac dysfunction in asymptomatic at-risk adolescents

Edwards

Tas

Leclerc³

et al. 2023

Front. Pediatr.

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Noninvasive cardiopulmonary exercise testing (CPET) provides the valuable capacity to analyze pulmonary gas exchange and cardiovascular responses that can be used to differentiate normal cardiopulmonary responses from abnormal. This case report highlights a proposed role for CPET in identifying potential cardiac pathologies in at-risk adolescents. An abnormal CPET response in an asymptomatic adolescent revealed a family history of early-age CAD. The significance of the abnormal CPET response was further supported by the presence of an elevated concentration of circulating high sensitivity C-reactive protein (hs-CRP). These findings emphasize the importance of a thorough clinical evaluation in at-risk adolescents, as CPET can aid in the early detection and management of cardiac pathologies, especially when combined with other relevant biomarkers such as plasma hs-CRP concentration, which can further suggest underlying pathology. Management considerations using serial CPET evaluations are recommended. Thus, CPET abnormalities combined with elevated hs-CRP should be taken seriously and provide justification for further evaluation and monitoring in adolescents at risk for cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Case report: A proposed role for cardiopulmonary exercise testing in detecting cardiac dysfunction in asymptomatic at-risk adolescents

Edwards

Tas

Leclerc³

et al. 2023

Front. Pediatr.

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“…Nevertheless, little is known regarding the association of overweight/obesity with CRF, namely VO 2 max. In 2021, Grzyb et al have shown that children and adolescents with obesity demonstrated similar VO 2 max values compared to those with overweight, but significantly greater than children of normal weight [ 54 ]. There is evidence that augmentation of VO 2 max in adults is related to lower FM and WC [ 8 , 9 , 10 ], but in the case of children, data are still limited.…”

Section: Discussionmentioning

confidence: 99%

Eating Behavior and Factors of Metabolic Health in Primary Schoolchildren: A Cross-Sectional Study in Greek Children

Gioxari,

Amerikanou,

Peraki

et al. 2023

Nutrients

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Childhood obesity has been associated with altered blood lipids and bad eating habits. In this cross-sectional study, we assessed cardiorespiratory fitness and metabolic health markers in regard to weight status and dietary habits in schoolchildren. In 134 children (6–11 years), we conducted: (1) Anthropometry, namely z-score BMI (z-BMI), waist-to-height ratio (WHtR), and body composition analysis. (2) Measurements of handgrip strength (HGS), resting metabolic rate (RMR) and VO2max. (3) Quantification of blood lipids and antioxidant vitamins A, E, C. (4) Eating breakfast assessment. About 35% of children were overweight/obese. The z-BMI positively correlated with WHtR (r = 0.637, p < 0.001), and adversely correlated with fat-free mass (r = −0.728, p < 0.001) and vitamin E (r = −0.286, p < 0.001). RMR and VO2max were greater in normal weight children compared to those with overweight/obesity (p < 0.001). HGS did not differ between these groups, but was negatively correlated with dyslipidemia as shown by TG/HDL-C ratio (r = −0.224, p = 0.037). According to regression analysis, eating breakfast routinely at home was positively associated with RMR and adversely associated with z-BMI. Hence, regular breakfast consumption at home may improve RMR in kids. Cardiorespiratory fitness and physical strength are key modulators of metabolic health in Greek children added to a social determinant of health i.e., eating breakfast at home.

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“…The possible covariates contained age, gender, race, educational level, BMI (kg/m 2 ), waist circumference (cm), poverty-to-income ratio, household smoke exposure, family history of asthma, total energy (kcal), vitamin C intake (mg/1,000 kcal), vitamin E intake (mg/1,000 kcal), zinc intake (mg/1,000 kcal), selenium intake (μg/ 1,000 kcal). Overweight was defined as a BMI for age and gender over the 85th according to the World Health Organization Growth Reference in this study [18]. The intake of all nutrients was calculated by adding up the dietary and supplemental intakes in this study.…”

Section: Covariatesmentioning

confidence: 99%

Interaction between Serum Cotinine and Magnesium Intake with Childhood Asthma: A Cross-Sectional Study

Cao,

Liu,

Wang

et al. 2023

Int Arch Allergy Immunol

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Introduction: Serum cotinine and magnesium intake are often associated with childhood asthma. This study evaluated the interaction between serum cotinine and magnesium intake and childhood asthma. Methods: This cross-sectional study included 14,159 subjects from the National Health and Nutrition Examination Survey 2005–2018. Serum cotinine levels were classified according to the lower quartile: ≤0.2089 ng/mL as low level and >0.2089 ng/mL as high level. Magnesium intake was categorized as high (>98 mg/1,000 kcal) or low level (≤98 mg/1,000 kcal) based on the upper quartile. Weighted logistic regression analyses were adopted to analyze the association between cotinine, magnesium intake, and childhood asthma. Additionally, the combined effect of cotinine and magnesium intake on childhood asthma risk was examined. The stratified analyses were based on gender, body mass index, and family history of asthma to further examine the relationship between cotinine, magnesium intake, and childhood asthma. Results: The prevalence of asthma was approximately 17.56%. Compared to low-level cotinine, high-level cotinine was associated with asthma (odds ratio [OR] = 1.25, 95% confidence interval (CI): 1.04–1.50). Low-level magnesium intake was related to asthma compared with high-level magnesium intake (OR = 1.21, 95% CI: 1.04–1.40). Using interaction analysis, we also found that the combined effect of cotinine and magnesium intake was associated with childhood asthma risk, and the interaction between high-level cotinine and low-level magnesium intake was associated with the highest risk of childhood asthma (OR = 1.35, 95% CI: 1.04–1.74). Additionally, this interaction was also found in males, overweight/non-overweight, and those with family history of asthma. Conclusion: There was an interaction between serum cotinine and magnesium intake on childhood asthma. The results suggested that implementing smoking bans in certain settings (e.g., communities, schools) and promoting the consumption of magnesium-rich foods may be effective strategies for preventing childhood asthma.

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Cardiopulmonary Capacity in Overweight and Obese Children and Adolescents: A Cross-Sectional Study

Cited by 8 publications

References 40 publications

Case report: A proposed role for cardiopulmonary exercise testing in detecting cardiac dysfunction in asymptomatic at-risk adolescents

Case report: A proposed role for cardiopulmonary exercise testing in detecting cardiac dysfunction in asymptomatic at-risk adolescents

Eating Behavior and Factors of Metabolic Health in Primary Schoolchildren: A Cross-Sectional Study in Greek Children

Interaction between Serum Cotinine and Magnesium Intake with Childhood Asthma: A Cross-Sectional Study

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