Physical Activity and Sedentary Patterns among Metabolically Healthy Individuals Living with Obesity

Winter, Marika de; Rioux, Brittany V.; Boudreau, Jonathan; B̀ouchard, Danielle R.; Sénéchal, Martin

doi:10.1155/2018/7496768

Cited by 20 publications

(19 citation statements)

References 44 publications

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“…Another factor that could have contributed to the absence of association was not including cardiorespiratory fitness in the MHO definition, which one study suggested doing, as cardiorespiratory fitness has been shown to attenuate cardiometabolic related risk among MHO individuals 39,40 . Contrary results from our group suggest no significant difference between MHO and Non-MHO adults for bouts of MVPA once confounders were adjusted for 41 . Furthermore, perhaps fitness is a better predictor of MHO likelihood and cardiometabolic risk than time spent in physical activity, as several studies have found that MHO individuals have higher fitness levels than their metabolically unhealthy counterparts 1,6,42 .…”

Section: Discussioncontrasting

confidence: 93%

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

MacLeod

B̀ouchard

Hébert

et al. 2020

Sci Rep

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physical activity (pA) and sedentary behavior are associated with metabolic health in overweight and obese individuals. However, the role of comprehensive health-related movement guidelines on pA, recreational screen time, and sleep among Metabolically Healthy overweight-obese (MHo) individuals is unknown. We investigated differences in comprehensive movement assessment scores between adults classified as MHO or Non-MHO. The sample included 513 adults (46.2% male), aged 19 to 85 years, body mass index (BMI) ≥ 25, from cycle 2005-2006 of the National Health and Nutrition Examination Survey. Comprehensive movement assessment outcomes were defined as meeting modified 24-Hour Movement Guidelines criteria, with thresholds adapted for adults. 13.8% of participants were MHo (normal serum glucose, triglycerides, HDL-cholesterol, and systolic and diastolic blood pressure). Only 1.4% of MHO participants met all guidelines. MHO and Non-MHO participants had similar comprehensive movement assessment scores (MHO: 18.3% vs. Non-MHO: 10.9%; p = 0.072). MHO individuals had less continuous recreational screen time than Non-MHO individuals (1.8 ± 1.4 hrs/day vs. 2.5 ± 1.6 hrs/day; p < 0.001). Meeting the recreational screen time recommendation was the only variable associated with the MHO phenotype (OR:4.84 95%CI: 2.33-10.07). This association remained after adjusting for age, sex, ethnicity, education, and BMI (OR: 3.53 95%CI: 1.72-7.24). Our results suggest the importance of limiting recreational screen time in adults to optimize cardiometabolic risk profile in individuals living with overweight or obesity. Using movement guidelines with a screen time component to assess the risk associated with health outcomes in adults appears to provide a better assessment. The increasing prevalence of obesity has prompted further research on the risks related to excessive adiposity. Obesity is associated with adverse cardiometabolic risk factors, including dyslipidemia, insulin resistance, hypertension, and metabolic syndrome 1,2. However, some data suggests that a subgroup of overweight and obese individuals do not display typical cardiometabolic risk factors and are at lower risk of cardiovascular diseases and Type 2 diabetes 3. These individuals are termed Metabolically healthy overweight-obese (MHO). The prevalence of MHO varies between 7-74% in youth and adult populations, depending on the definition used 4-6. MHO Individuals usually have a favorable metabolic profile, characterized by high insulin sensitivity, greater peripheral body fat, and low systemic inflammation, as well as normal blood pressure, lipid profile, and hepatic triglycerides content 1,7-9. Physical activity (PA) has been associated with the MHO phenotype; however, a study has suggested that sedentary behavior, defined as any activity with an intensity of ≤1.5 Metabolic Equivalent Tasks, is an independent risk factor for the development of cardiometabolic risk factors 10,11. In fact, substituting sedentary behavior with light PA is associated with decreased waist circum...

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Section: Discussioncontrasting

confidence: 93%

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

MacLeod

B̀ouchard

Hébert

et al. 2020

Sci Rep

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“…However, the self-report questionnaire was used to collect the sedentary time in the present study. Thus, recall bias and length of sedentary bouts in the present study could be contributed to the differences ( 43 ) .…”

Section: Discussionmentioning

confidence: 76%

Prevalence and risk factors of impaired fasting glucose and diabetes among Chinese children and adolescents: a national observational study

et al. 2018

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The prevalence of impaired fasting glucose (IFG) and diabetes mellitus (DM) has reportedly increased significantly among Chinese children and adolescents. We aimed to examine the prevalence of IFG and DM, the disparities in sex and region and related risk factors among Chinese children and adolescents. A total of 16 434 Chinese children aged 6-17 years were selected from a national cross-sectional survey, and fasting glucose was measured for all participants. Overall, mean fasting plasma glucose (FPG) concentration was (4·64 (sd 0·51)) mmol/l, and the prevalence of DM and IFG was 0·10 and 1·89 %, respectively. Compared with girls, boys had higher FPG concentration (4·69 v. 4·58 mmol/l, r 0·107, P<0·001) and IFG prevalence (2·67 v. 1·07 %, r φ 0·059, P<0·001). Compared with rural children and adolescents, urban children and adolescent had higher FPG concentration (4·65 v. 4·62 mmol/l, r 0·029, P<0·001) and DM prevalence (0·15 v. 0·05 %, r φ 0·016, P<0·01). In addition, self-reported fried foods intake and overweight/obesity were positively associated with IFG, and the proportion of consuming fried foods more than or equal to once per week and overweight/obesity prevalence in boys and urban children and adolescents were significantly higher than girls and rural children and adolescents, respectively (P<0·05). Although the prevalence of IFG and DM was relatively low in Chinese children and adolescents, sex and region disparities were observed, which may be associated with differences in overweight/obesity prevalence and dietary factors.

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“…Therefore, based on the definition of obesity, metabolic markers, and their cut-off point criteria, the prevalence of MHP varies significantly among the adult U.S. population and ranges from 3.3 to 57.5% [ 3 , 9 ]. A recent study by Al-Khalidi et al and Winter et al defined MHP as obese individuals with zero metabolic abnormality [ 9 , 10 ]. Some studies have also included deficiencies of plasma vitamin D and ferritin levels as part of MetS classification, and both plasma vitamin D and ferritin are found be inversely associated with MHP [ 9 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Correlations between Coffee Consumption and Metabolic Phenotypes, Plasma Folate, and Vitamin B12: NHANES 2003 to 2006

2021

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Metabolic syndrome (MetS) is prevalent not only among the overweight and obese but also normal weight individuals, and the phenotype is referred to as a metabolically unhealthy phenotype (MUHP). Besides normal weight individuals, overweight/obese individuals are also protected from MetS, and the phenotype is known as a metabolically healthy phenotype (MHP). Epidemiological studies indicate that coffee and micronutrients such as plasma folate or vitamin B12 (vit. B12) are inversely associated with MetS. However, correlations among coffee consumption metabolic phenotypes, plasma folate, and vit. B12 remain unknown. Our objective was to investigate the correlation between coffee consumption, metabolic phenotypes, plasma folate, and vit. B12 as well as to understand associations between plasma folate, vit. B12, and metabolic phenotypes. Associations among coffee consumption metabolic phenotypes, plasma folate, and vit. B12 were assessed in a cross-sectional study of 2201 participants, 18 years or older, from 2003–2004 and 2005–2006 National Health and Nutrition Examination Surveys (NHANES). MUHP was classified as having > three metabolic abnormalities. Coffee consumption was not associated with metabolic phenotypes, but negatively correlated with several metabolic variables, including BMI (p < 0.001). Plasma folate was positively associated with MUHP (p < 0.004), while vit. B12 was inversely associated with MUHP (p < 0.035). Our results suggest the potential protective impact of coffee on individual components of MetS and indicate a positive correlation between coffee consumption and MUHP among overweight individuals. Identifying possible dietary factors may provide practical and low-cost dietary intervention targets, specifically for early intervention. Larger and randomized intervention studies and prospective longitudinal studies are required to further evaluate these associations.

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Physical Activity and Sedentary Patterns among Metabolically Healthy Individuals Living with Obesity

Cited by 20 publications

References 44 publications

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

Association Between a Comprehensive Movement Assessment and Metabolically Healthy Overweight Obese Adults

Prevalence and risk factors of impaired fasting glucose and diabetes among Chinese children and adolescents: a national observational study

Correlations between Coffee Consumption and Metabolic Phenotypes, Plasma Folate, and Vitamin B12: NHANES 2003 to 2006

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