Preview

Cardiovascular Therapy and Prevention

Advanced search

Overweight prognostic value in adolescent boys: 10-year prospective study

Abstract

Aim. To assess dynamics, stability, and prognostic value of overweight (OW) in adolescent boys.
Material and methods. This prospective study included 376 adolescent boys. During 10-year follow-up, five clinical examinations were performed (at the age of 12, 13, 15, 17, and 22 years). Examination program included measuring body weight and height, body mass index (BMI), subscapular, abdominal, and triceps skin fold thickness, pubescence assessment.
Results. In pubescence period, anthropometry dynamics demonstrated formation of adult obesity type, with central subcutaneous adiposity. OW and obesity prevalence increased as early as in late pubertal period (after 15 years). More than in 50% of the adolescent boys, OW was registered in early adulthood period. Among 22-year-olds, 54,5% suffered from OW or obesity in early adolescence. BMI increase in adolescence was associated with its later stabilization (tracking) and increased risk of OW and obesity in early adulthood. OW and obesity in early adulthood were observed in adolescent boys with OW or high-normal BMI.
Conclusion. The observed age dynamics of anthropometric parameters points to the need for early preventive measures in risk groups and general population, starting in pre-pubertal or early pubertal periods.

About the Authors

V. B. Rozanov
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow
Russian Federation


A. A. Alexandrov
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow
Russian Federation


E. N. Shugaeva
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow
Russian Federation


G. Ya. Maslennikova
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow
Russian Federation


S. G. Smirnova
State Research Center for Preventive Medicine, State Federal Agency for Health and Social Development, Moscow
Russian Federation


References

1. Шальнова С.А., Деев А.Д., Оганов Р.Г. Факторы, влияющие на смертность от сердечно-сосудистых заболеваний в российской популяции. Кардиоваск тер профил 2005; 4: 4-9.

2. Jackson-Leach R, Lobstein T. Estimated burden of paediatric obesity and co-morbidities in Europe. Part 1. The increase in the prevalence of child obesity in Europe is itself increasing. Int J Pediatr Obes 2006; 1: 26-32.

3. Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA 2006; 295: 1549-55.

4. Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr 2002; 75: 971-7.

5. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240-3.

6. Blondell RD, Foster MB, Dave KC. Disorders of puberty. Am Fam Physician 1999; 60: 209-24.

7. Altman DG. Practical Studies for Medical Research. Chapman & Hall: London; 1991: 404-7.

8. Клиорин А.И. Ожирение в детском возрасте. 2-е изд. пере- раб. и доп. Ленинград «Медицина» 1989; 256 с.

9. Challengо eds. WHO 2007.

10. Денисова Д.В., Завьялова Л.Г. Классические факторы риска ИБС у подростков Новосибирска: распространенность и многолетние тренды. Бюллетень СО РАМН 2006; 122: 40-51.

11. Бутрова C.А., Дедов И.И., Кучма В.Р. и др. Половое развитие детей и подростков Московского региона: влияние ожирения. РМЖ 2006; 14: 1872-7.

12. Franklin M. Comparison of weight and height relations in boys from 4 countries. Am J Clin Nutr 1999; 70(Suppl. 1): 157S-62.

13. Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr 2002; 76: 653-8.

14. McCarthy HD, Ellis SM, Cole TJ. Central overweight and obesity in British youth aged 11-16 years: cross sectional surveys of waist circumference. BMJ 2003; 326: 624.

15. Daniels SR, Morrison JA, Sprecher DL, et al. Association of body fat distribution and cardiovascular risk factors in children and adolescents. Circulation 1999; 99: 541-5.

16. Kissebah AH, Vydelingum N, Murray R, et al. Relationship of body fat distribution to metabolic complications of obesity. J Clin Endocrinol Metab 1982; 54: 254-60.

17. Maffeis C, Tato L. Long-Term Effects of Childhood Obesity on Morbidity and Mortality. Hormone Res 2001; 55: 42-5.

18. Power C, Lake JK and Cole TJ. Measurement and long-term health risks of child and adolescent fatness. Int J Obes 1997; 21: 507-26.

19. Freedman DS, Khan LK, Serdula MK, et al. The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics 2005; 115: 22-7.

20. Lenthe FJ van, Kemper HCG, Mechelen W van, Twisk JWR. Development and Tracking of Central Patterns of Subcutaneous Fat in Adolescence and Adulthood: The Amsterdam Growth and Health Study. Int J Obesity 1996; 25: 1162-71.

21. Clarke WR, Lauer RM. Does childhood obesity track into adulthood? Crit Rev Food Sci Nutr 1993; 33: 423-30.

22. Demerath EW, Schubert CM, Maynard LM, et al. Do changes in body mass index percentile reflect changes in body composition in children? Data from the Fels Longitudinal Study. Pediatrics 2006; 117: e487-95.

23. Wright CM, Parker L, Lamont D, Craft AW. Implications of childhood obesity for adult health: findings from thousand families cohort study. BMJ 2001; 323: 1280-4.

24. Wells JC, Coward WA, Cole TJ, Davies PS. The contribution of fat and fat-free tissue to body mass index in contemporary children and the reference child. Int J Obes 2002; 26: 1323-8.

25. Deshmukh-Taskar P, Nicklas TA, Morales M, et al. Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr 2006; 60: 48-57.

26. Sachdev HS, Fall CH, Osmond C, et al. Anthropometric indicators of body composition in young adults: relation to size at birth and serial measurements of body mass index in childhood in the New Delhi birth cohort. Am J Clin Nutr 2005; 82: 456-66.


Review

For citations:


Rozanov V.B., Alexandrov A.A., Shugaeva E.N., Maslennikova G.Ya., Smirnova S.G. Overweight prognostic value in adolescent boys: 10-year prospective study. Cardiovascular Therapy and Prevention. 2007;6(4):72-79. (In Russ.)

Views: 5942


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)