Metabolic syndrome and physical activity measured by pedometer among adolescents

##plugins.themes.academic_pro.article.sidebar##

Published Sep 7, 2018
Download
pdf
Vol. 96 No. 6 (2018): Issue Jun 2018

##plugins.themes.academic_pro.article.main##

Sofien Regaieg
Faten Hadj kacem
Nadia Charfi
Dorra Ghorbel
Rim Marrakchi
Sourour Yaich
Jamel Dammak
Kamel Jamoussi
Mohamed Abid

Abstract

Background: The aim of this study was to describe the prevalence of metabolic syndrome and to study the association of physical activity
measured by pedometer with the metabolic syndrome components, in a sample of overweight and obese adolescents from Sfax City.
Methods: This study concerned 51 obese and overweight adolescents (28 girls and 23 boys), between the ages of 15 and 18 years, recruited
by the unit of obesity and metabolic syndrome department of endocrinology, Hedi Chaker Hospital, University of Sfax, between december 2012
and october 2013. Metabolic syndrome was defined with the International Diabetes Federation (IDF) criteria. Physical activity was monitored
with pedometer (Digi-Walker SW-200; Yamax Co, Tokyo, Japan)
Results: The frequency of metabolic syndrome was 21.6%. It was significantly higher in obese (25%) than in overweight (15,81%) adolescents
(p=0.04). The most common component, associated with abdominal obesity, was hypoHDLemia observed in 58.8 % of the sample.
The average steps / day measured by pedometer was significantly higher in subjects without metabolic syndrome than with (9648, 25±2297,
726 vs 7365, 91±1505, 65 steps/day; p=0, 03). Pedometer determined steps/day was inversely correlated with waist circumference (P<0.05),
blood pressure (P<0.05) and triglycerides (P<0.05).
Conclusion: Metabolic syndrome is prevalent in our young population. A more physically active lifestyle appears to be associated with lower
probability of metabolic syndrome.

Keywords:

Obesity, adolescent, metabolic syndrome, physical activity, pedometer

##plugins.themes.academic_pro.article.details##

References

  1. Beilin L, Huang RC. Childhood obesity, hypertension, the metabolic syndrome and adultcardiovascular disease. ClinExpPharmacol Physiol. 2008; 35:409-411.
  2. Kelishadi R .Childhood Overweight, Obesity, and the Metabolic Syndrome in Developing Countries.Epidemiol Rev. 2007;29:62-76.
  3. Zimmet P, Alberti G, Kaufman F, Tajima N, Silink M, Arslanian S et al. The metabolic syndrome in children and adolescents. Lancet. 2007; 369:2059-2061.
  4. Ekelund U1, Anderssen S, Andersen LB, Riddoch CJ, Sardinha LB, Luan J et al. Prevalence and correlates of the metabolic syndrome in a population-based sample of European youth. Am J ClinNutr. 2009; 89:90-96.
  5. Weiss R, Dziura J, Burgert TS, Tamborlane WV, Taksali SE, Yeckel CW et al.Obesity and the metabolic syndrome in children and adolescents. N Engl J Med. 2004; 350:2362-74.
  6. Andersen LB, Harro M, Sardinha LB, Froberg K, Ekelund U, Brage S et al. Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet. 2006; 368:299-304.
  7. Kelishadi R, Razaghi EM, Gouya MM, Ardalan G et al.CASPIAN Study Group. Association of physical activity and the metabolic syndrome in children and adolescents: CASPIAN Study. Horm Res. 2007;67:46-52.
  8. Jago R1, Wedderkopp N, Kristensen PL, Møller NC, Andersen LB, Cooper AR et al. Six-year change in youth physical activity and effect on fasting insulin and HOMA-IR.Am J PrevMed. 2008; 35:554-60.
  9. Strath S, Swartz A, Parker S, Miller N, and Cieslik L. Walking and Metabolic Syndrome in Older Adults. J Phys Act Health. 2007; 4: 397-410.
  10. Regaieg S, Charfi N, Kamoun M, Ghroubi S, Rebai H, Elleuch H et al. The effects of an exercise training program on body composition and aerobic capacity parameters in Tunisian obese children. Indian J EndocrinolMetab. 2013; 17:1040-5.
  11. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Estabiliching a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000; 320: 1240-1243.
  12. Rolland-Cachera MF, Deheeger M, Bellisle F. Waist circumference values in French boys and girls aged 6 to 16 years. Int J Obesity. 2001;25:132.
  13. Tudor-Locke C, Lee SM, Morgan CF, Beighle A, Pangrazi RP. Children's pedometer-determined physical activity during the segmented school day. Med Sci Sports Exerc. 2006; 38: 1732-38.
  14. Tudor-Locke C, McClain JJ, Hart TL, Sisson SB, Washington TL: Expected values for pedometer-determined physical activity in youth. Res Q Exerc Sport. 2009; 80:164-74.
  15. Jamoussi H, Mahjoub F, Sallemi H, Berriche O, Ounaissa K, Amrouche C et al. Metabolic syndrome in Tunisian obese children and adolescents.Tun Med 2012; 90: 36 - 40.
  16. Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Arch PediatrAdolesc Med 2003; 157, 821-827.
  17. Singh R, Bhansali A, Sialy R, Aggarwal A. Prevalence of metabolic syndrome in adolescents from a north Indian population. Diabet Med2007;24:195-9.
  18. Li Y, Yang X, Zhai F, Kok FJ, Zhao W, Piao J et al. Prevalence of the metabolic syndrome in Chinese adolescents. Br J Nutr 2008; 99:565-570.
  19. Nasreddine L, Ouaijan K, Mansour M, Adra N, Sinno D, Hwalla N. Metabolic syndrome and insulin resistance in obese prepubertal children in Lebanon: A primary health concern. Ann NutrMetab 2010; 57:135-42.
  20. Regaieg S, Charfi N, Trabelsi L, Kamoun M, Feki H, Yaich S et al. Prevalence and risk factors of overweight and obesity in a population of school children in urban areas Sfax, Tunisia.Pan Afr Med J 2014; 25: 17- 57.
  21. Ben Romdhane H, Haouala H, Belhani A, Drissa H, Kafsi N, Boujnah R et al. Epidemiological transition and health impact of cardiovascular disease in Tunisia. Tun Med 2005; 83:1-7.
  22. Tudor-Locke C, Bassett DR. How Many steps/day are enough? Preliminary Pedometer indices for public health. Sports Med 2004; 3: 1-8.
  23. Tudor-Locke C, Craig C, Beets M, Belton S, Cardon G, Duncan S et al. How many steps/day are enough? For children and adolescents. Int J BehavNutrPhys Act 2011; 8- 78.
  24. Adams MA, Caparosa S, Thompson S, Norman GJ. Translating physical activity recommendations for overweight adolescents to steps per day.Am J Prev Med 2009; 37:137-40.
  25. Dubose K.D, AddyC.L , AinsworthB.E. , HandG.A , DurstineJ.L. The relationship between leisure-time physical activity & the metabolic syndrome: An examination of NHANES III, 1988-1994.J PhysAct Health 2005; 2:470-487.
  26. Palaniappan L, Carnethon MR, Wang Y, et al. Predictors of the incident metabolic syndrome in adults:the Insulin Resistance Atherosclerosis Study. Diabetes Care 2004;27:788-93.
  27. Villanova N, Pasqui F, Burzacchini S, Forlani G, Manini R, Suppini A et al. A physical activity program to reinforce weight maintenance following a behavior program in overweight/obese subjects. International Journal of Obesity 2006; 30: 697-703.
  28. Tudor-Locke C.E, Bassett D.R et al. A preliminary study of one year of pedometer self-monitoring. Annals of Behavioral Medicine 2004; 28: 158-62.
  29. Katzmarzyk PT, Leon AS, Wilmore JH, Skinner JS, RaoDC, Rankinen T et al . Targeting the metabolic syndrome with exercise: evidence from the HERITAGE Family Study. Med Sci Sports Exerc 2003; 35:1703-9.
  30. Chan CB, Ryan DAJ, Tudor-Locke C.Health benefits of a pedometer-based physical activity intervention in sedentary workers. Preventive medicine 2004; 39: 1215-22.
  31. Christiansen T, PaulsenSK, Bruun JM, Overgaard K, Ringgaard S, Pedersen SB et al. Comparable reduction of the visceral adipose tissue depot after a diet-induced weight loss with or without aerobic exercise in obese subjects: a 12-week randomized intervention study. Eur. J. Endocrinol 2009 ; 160:759-6.
  32. Johnson JL, Slentz CA, Houmard JA, et al. Exercise training amount and intensity effects on metabolic syndrome (from studies of a targeted risk reduction intervention through defined exercise). Am J Cardiol 2007; 100 : 1759-66.
  33. Giannopoulou I, Ploutz-Snyder LL, Carhart R, Weinstock RS, Fernhall B, Goulopoulou S, Kanaley JA. Exercise is required for visceral fat loss in postmenopausal women with type 2 diabetes. J. Clin. Endocrinol. Metab. 2005; 90(3):1511-8.
  34. Kelley GA, Kelley KS, Vu Tran Z. Aerobic exercise, lipids and lipoproteins in overweight and obese adults: a meta-analysis of randomized controlled trials. Int J Obes (Lond). 2005; 29(8):881-93.
  35. Hardman AE. Physical activity, obesity and blood lipids. Int. J. Obes. Relat. Metab. Disord. 1999;23Suppl 3:S64-71.
  36. Halverstadt A, Phares DA, Ferrell RE, Wilund KR, Goldberg AP, Hagberg JM. High-density lipoprotein-cholesterol, its subfractions, and responses to exercise training are dependent on endothelial lipase genotype. Metabolism. 2003; 52(11):1505-11.
  37. Fagard RH. Physical activity in the prevention and treatment of hypertension in the obese. Med Sci Sports Exerc. 1999; 31(11 Suppl):S624-30
  38. Swartz AM, Stath SJ, Bassett Jr DR, Moore JB, Redwine BA, Groër M, Thompson DL. Increasing daily walking improves glucose tolerance in overweight women. Preventive medicine. 2003; 37(4): 356-362
  39. Mercier J, Perez-Martin A, Bigard X, Ventura R. Muscle plasticity and metabolism: effects of exercise and chronic diseases. Molecular Aspects of Medicine.1999; 20(6):319-73.
  40. Guinhouya BC, Samouda H, Zitouni D, Vilhelm C, Hubert H. Evidence of the influence of physical activity on the metabolic syndrome and/or on insulin resistance in pediatric populations: a systematic review. Int J PediatrObes. 2011;6 (5-6):361-88.