Parental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equations.

IF 3.2 3区 医学 Q1 PEDIATRICS
Caroline Brand, Vanilson Batista Lemes, Ana Paula Sehn, Cesar Agostinis-Sobrinho, Fernanda Henriquez-Maquehue, Emilio Jofré-Saldía, Paulina Ibacache-Saavedra, Claudio Farias-Valenzuela, Emilio Villa-González, Cézane Priscila Reuter
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Abstract

Background: the independent association between parental obesity, sleep and lifestyle habits with cardiometabolic risk factors in children and adolescents has been widely explored in the literature. Our study represents a novel approach to comprehensively investigate a complex model encompassing various aspects associated with cardiometabolic risk in youth. Thus, the aim of the present study was to verify the relationship between parental obesity and cardiometabolic risk in children and adolescents, considering the mediator role of health indicators according to sleep time.

Methods: This cross-sectional study was conducted on 3,973 children and adolescents aged 6 to 17 years attending public and private schools in a city located in Southern Brazil. Sleep duration, lifestyle, physical activity, natural food consumption, and parental obesity were evaluated through self-reported questionnaires. Physical fitness was evaluated according to the protocols of Projeto Esporte Brasil. The body fat percentage was evaluated through the measures of tricipital and subscapular folds, and the body mass index was calculated. The clustered metabolic risk score (cMetS) considered the summing z-scores of waist circumference, systolic blood pressure, triglycerides, total cholesterol/high-density lipoprotein cholesterol ratio, and fasting glucose, divided by five. A structural equation model was applied for statistical analysis.

Results: The relationship between parental obesity and cardiometabolic risk was observed in children and adolescents with adequate sleep, being significant (p < 0.05) mediated by physical activity, natural food, physical fitness, and lifestyle. This was also observed when parental education was included in the inadequate sleep cluster model.

Conclusion: Present findings underscore the importance of sufficient sleep duration as a critical factor in understanding the complex interplay between parental obesity and cardiometabolic risk in children and adolescents.

父母肥胖、健康决定因素和学龄儿童睡眠时间的心脏代谢风险:结构方程分析。
背景:父母的肥胖、睡眠和生活习惯与儿童和青少年的心脏代谢风险因素之间的独立关联已在文献中得到广泛探讨。我们的研究采用了一种新颖的方法,全面调查了与青少年心脏代谢风险相关的各个方面的复杂模型。因此,本研究旨在验证父母肥胖与儿童和青少年心脏代谢风险之间的关系,同时考虑睡眠时间对健康指标的中介作用:这项横断面研究的对象是巴西南部城市公立和私立学校的 3,973 名 6 至 17 岁儿童和青少年。通过自我报告问卷对睡眠时间、生活方式、体育锻炼、天然食品消费和父母肥胖情况进行了评估。根据巴西运动项目(Projeto Esporte Brasil)的方案对体能进行了评估。通过测量三头肌和肩胛下皱褶评估了身体脂肪百分比,并计算了体重指数。聚类代谢风险评分(cMetS)考虑了腰围、收缩压、甘油三酯、总胆固醇/高密度脂蛋白胆固醇比率和空腹血糖的 Z 值总和除以 5。统计分析采用了结构方程模型:结果:在睡眠充足的儿童和青少年中,父母肥胖与心脏代谢风险之间的关系显著(p 结论:父母肥胖与心脏代谢风险之间的关系不显著:目前的研究结果表明,充足的睡眠时间是了解父母肥胖与儿童和青少年心脏代谢风险之间复杂相互作用的关键因素。
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来源期刊
CiteScore
6.10
自引率
13.90%
发文量
192
审稿时长
6-12 weeks
期刊介绍: Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues. The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field. Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.
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