Differences in areal bone mineral density between metabolically healthy and unhealthy overweight/obese children: the role of physical activity and cardiorespiratory fitness
Metadatos
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Ubago-Guisado, Esther; Gracia Marco, Luis Andrés; Medrano, María; Cadenas-Sánchez, Cristina; Arenaza, Lide; Hidalgo Migueles, Jairo; Mora González, José Rafael; Tobalina, Ignacio; Escolano-Margarit, Maria Victoria; Oses, Maddi; Martín Matillas, Miguel; Labayen, Idoia; Ortega Porcel, Francisco BartoloméEditorial
SPRINGER NATURE in Pediatric Research
Materia
Bone mineral density Physical Activity
Fecha
2020-06Referencia bibliográfica
Ubago-Guisado E, Gracia-Marco L, Medrano M, Cadenas-Sanchez C, Arenaza L, Migueles JH, Mora-Gonzalez J, Tobalina I, Escolano-Margarit MV, Oses M, Martín-Matillas M, Labayen I, Ortega FB. Differences in areal bone mineral density between metabolically healthy and unhealthy overweight/obese children: the role of physical activity and cardiorespiratory fitness. Pediatr Res. 2020 Jun;87(7):1219-1225. doi: 10.1038/s41390-019-0708-x. Epub 2019 Dec 10. PMID: 31822016.
Patrocinador
The authors thank the staff and participants of the ActiveBrains and EFIGRO studies for their important contributions. This study has been partially funded by the University of Granada, UGR Research and Knowledge Transfer Fund (PPIT) 2016, Excellence Actions Programme: Units of Scientific Excellence; Scientific Unit of Excellence on Exercise and Health (UCEES), and by the Regional Government of Andalusia, Regional Ministry of Economy, Knowledge, Enterprises and University and European Regional Development Fund (ERDF), ref. SOMM17/6107/UGR. The ActiveBrains study was funded by the Spanish Ministry of Economy and Competitiveness (Reference DEP2013-47540, DEP2016-79512-R, and DEP2017-91544-EXP). The EFIGRO study was funded by the Spanish Ministry of Health, “Fondo de Investigación Sanitaria del Instituto de Salud Carlos III” (PI13/01335), “Fondos Estructurales de la Unión Europea (FEDER), Una manera de hacer Europa,” and by the University of the Basque Country (GIU14/21). L.G.-M. is supported by “La Caixa” Foundation within the Junior Leader fellowship programme (ID 100010434); M.M. is supported by the Spanish Ministry of Education, Culture and Sport (FPU14/03329) and EST17/00210; L.A. is supported by the Education Department of the Government of the Basque Country (PRE_2016_1_0057, PRE_2017_2_0224 and PRE_2018_2_0057); J.M.-G. and J.H.M. are supported by the Spanish Ministry of Education, Culture and Sport (FPU14/06837 and FPU15/02645, respectively).Resumen
OBJECTIVES: To examine whether areal bone mineral density (aBMD) differs between metabolically healthy (MHO) and unhealthy
(MUO) overweight/obese children and to examine the role of moderate-to-vigorous physical activity (MVPA) and cardiorespiratory
fitness (CRF) in this association.
METHODS: A cross-sectional study was developed in 188 overweight/obese children (10.4 ± 1.2 years) from the ActiveBrains and
EFIGRO studies. Participants were classified as MHO or MUO based on Jolliffe and Janssen’s metabolic syndrome cut-off points for
triglycerides, glucose, high-density cholesterol and blood pressure. MVPA and CRF were assessed by accelerometry and the 20-m
shuttle run test, respectively. Body composition was measured by dual-energy X-ray absorptiometry.
RESULTS: In model 1 (adjusted for sex, years from peak high velocity, stature and lean mass), MHO children had significantly higher
aBMD in total body less head (Cohen’s d effect size, ES = 0.34), trunk (ES = 0.43) and pelvis (ES = 0.33) than MUO children. These
differences were attenuated once MVPA was added to model 1 (model 2), and most of them disappeared once CRF was added to
the model 1 (model 3).
CONCLUSIONS: This novel research shows that MHO children have greater aBMD than their MUO peers. Furthermore, both MVPA
and more importantly CRF seem to partially explain these findings.