Objective To analyze the relationship between inflammatory markers and the lipid profile, blood flow, and artery structure in prepubertal adolescents stratified according to sports practice.
Study designThe sample was composed of 120 adolescents (57 boys and 63 girls) with a mean age of 11.7 AE 0.7 years (ranging from 11 to 13 years). Intima-media thickness (IMT) and blood flow were measured with ultrasonography. The lipid profile and high-sensitivity C-reactive protein were measured after the subjects had fasted for 12 hours overnight. Trunk fatness was measured by dual-energy x-ray absorptiometry. Organized sports participation was analyzed as a categorical variable. Biological maturation was determined via the age at peak height velocity.Results In the adjusted model, high-sensitivity C-reactive protein was significantly related to high-density lipopro- H igh-sensitivity C-reactive protein (hsCRP) is an acute-phase protein produced by the liver in response to interleukin-6, which is directly related to vascular inflammation.1,2 During the atherosclerotic process, hsCRP is associated with greater permeability of the intima layer through stimuli of intercellular/vascular cell adhesion molecules. hsCRP also acts in processes related to oxidation of lipoproteins in the vascular wall.2,3 Strategies to counteract inflammation status commonly include both pharmacologic and nonpharmacologic strategies. In the latter, lifestyle changes frequently are used, especially improved diet, giving up smoking, and practicing physical exercise.
4
Q5Indeed, physical exercise at moderate intensity plays an anti-inflammatory role. 4,5 Its prolonged practice has been linked to the control the progression of intima-media thickness (IMT) in hypertensive adults 6 and also in healthy adolescents.
7,8Recently, studies have reported that behavioral variables can modulate the relationship between the progression of artery IMT and its risk factors.9,10 For instance, smoking exacerbates the relationship between age and the metabolic syndrome components and age and carotid IMT (cIMT) in young adults. 10 In contrast, the same harmful effect related to age has been observed relating to physical inactivity.9 However, physical inactivity seems to exacerbate the relationship between cIMT
Q6and overweight, blood pressure, and dyslipidemia in adults.
9The objective of the present study was to analyze the relationship between hsCRP and the lipid profile, blood flow, and artery IMT in prepubertal adolescents who were stratified according to their engagement in sports practice. It was hypothesized that inflammation would be positively and strongly related to cardiovascular/metabolic outcomes in inactive youth compared with the active ones, independent of body fatness and biological maturation.