Associação do status de atividade física e peso dos pais com os indicadores de obesidade e risco metabólico dos filhos

Werneck, André Oliveira; Silva, Danilo Rodrigues Pereira da; Silva, Ellen Caroline Mendes da; Collings, Paul; Ohara, David; Fernandes, Rômulo Araújo; Barbosa, Décio Sabbatini; Ronque, Enio Ricardo Vaz; Sardinha, Luís Bettencourt; Cyrino, Edilson Serpeloni

doi:10.1590/1413-81232022272.06182021

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FREE THEMES • Ciênc. saúde coletiva 27 (02) • Fev 2022 • https://doi.org/10.1590/1413-81232022272.06182021 copiar

Associação do status de atividade física e peso dos pais com os indicadores de obesidade e risco metabólico dos filhos

Autoria SCIMAGO INSTITUTIONS RANKINGS

Resumo

Nosso objetivo foi analisar a associação combinada entre características dos pais e indicadores de adiposidade dos filhos com o risco metabólico em adolescentes. Foi realizado estudo transversal com 972 adolescentes e seus pais. Observamos que adolescentes com sobrepeso que possuem mãe com peso normal apresentaram menor risco metabólico em comparação com seus pares com mães que apresentam sobrepeso. Concluímos que o status de peso da mãe modera a relação entre indicadores de obesidade e risco metabólico dos adolescentes.

Palavras-chave:
Obesidade infantil; Pais; Síndrome metabólica

	Boys (n = 408) Median (IQR)	Girls (n = 564) Median (IQR)	p
Chronological age, years	13.0 (2.2)	12.6 (2.2)	0.011
Age of peak height velocity, years	14.3 (0.9)	12.3 (0.8)	< 0.001
BMI, kg/m²	19.0 (4.5)	19.2 (4.8)	0.280
Waist circumference, cm	66.5 (10.3)	64.3 (9.1)	< 0.001
Body fat, %	16.9 (10.2)	25.3 (6.2)	< 0.001
Systolic blood pressure, mmHg	111 (16)	110 (13)	0.011
Diastolic blood pressure, mmHg	62 (12)	64 (10)	< 0.001
Fasting glucose, mg/dl	90.0 (8.0)	89.0 (8.0)	< 0.001
HDL-C, mg/dl	50.0 (16.0)	50.0 (15.0)	0.192
Triglycerides, mg/dl	52.5 (33.0)	60.0 (37.0)	< 0.001
Maternal BMI, kg/m²	25.5 (6.6)	25.7 (6.3)	0.586
Paternal BMI, kg/m²	26.0 (5.2)	25.9 (4.9)	0.506
Maternal physical activity, % active	22.8	22.0	0.718
Paternal physical activity, % active	22.3	23.2	0.560
Low socio-economic status, %	65.5	68.3	0.332

	Metabolic risk score
	Rho	p-value
Covariates
Sex (male/female)	0.003	0.936
Chronological age, years	0.095	0.003
Age of peak height velocity, years	-0.066	0.039
Socio-economic status (classes)	0.057	0.100
Adolescents’ level
BMI, kg/m²	0.188	< 0.001
Waist circumference, cm	0.175	< 0.001
Body fat, %	0.137	< 0.001
Parents’ level
Maternal BMI, kg/m²	0.109	0.003
Paternal BMI, kg/m²	0.060	0.137
Maternal physical activity (active/inactive)	0.003	0.936
Paternal physical activity (active/inactive)	0.011	0.769

	EMM	CI 95%	Interactions
	EMM	CI 95%	Wald	p
Body mass index
Normal + active mother	-0.050	-0.141 to 0.042	BMI vs maternal PA
Normal + inactive mother	-0.107	-0.153 to -0.062	1.465	0.226
Overweight + active mother	0.204	0.045 to 0.363
Overweight + inactive mother	0.275	0.178 to 0.371
Normal + active father	-0.457	-0.154 to 0.063	BMI vs paternal PA
Normal + inactive father	-0.088	-0.138 to -0.039	0.669	0.414
Overweight + active father	0.216	0.028 to 0.0403
Overweight + inactive father	0.273	0.172 to 0.374
Normal + normal weight mother	-0.102	-0.162 to -0.042	BMI vs maternal BMI
Normal + overweight mother	-0.086	-0.144 to -0.027	7.291	0.007
Overweight + normal weight mother	0.073	-0.064 to 0.210
Overweight + overweight mother	0.347	0.244 to 0.450
Normal + normal weight father	-0.030	-0.099 to 0.039	BMI vs paternal BMI
Normal weight + overweight father	-0.095	-0.158 to -0.033	0.279	0.597
Overweight + normal weight father	0.269	0.099 to 0.439
Overweight + overweight father	0.263	0.152 to 0.374
Waist circumference
Normal + active mother	-0.043	-0.132 to 0.046	WC vs maternal PA
Normal + inactive mother	-0.098	-0.143 to -0.053	0.809	0.369
High + active mother	0.250	0.073 to 0.426
High + inactive mother	0.300	0.193 to 0.403
Normal + active father	-0.054	-0.156 to 0.048	WC vs paternal PA
Normal + inactive father	-0.073	-0.121 to -0.025	0.183	0.669
High + active father	0.347	0.132 to 0.562
High + inactive father	0.271	0.162 to 0.379
Normal + normal weight mother	-0.098	-0.157 to -0.039	WC vs maternal BMI
Normal + overweight mother	-0.068	-0.125 to -0.011	7.340	0.007
High + normal weight mother	0.073	-0.071 to 0.216
High + overweight mother	0.375	0.260 to 0.491
Normal + normal weight father	-0.029	-0.096 to 0.038	WC vs paternal BMI
Normal + overweight father	-0.073	-0.134 to -0.012	0.026	0.871
High + normal weight mother	0.315	0.134 to 0.497
High + overweight father	0.252	0.130 to 0.374
% fat
Normal + active mother	-0.041	-0.131 to 0.048	% fat vs maternal PA
Normal + inactive mother	-0.086	-0.132 to -0.041	0.209	0.647
High + active mother	0.228	0.061 to 0.396
High + inactive mother	0.234	0.132 to 0.336
Normal + active father	-0.052	-0.157 to 0.052	% fat vs paternal PA
Normal + inactive father	-0.063	-0.111 to -0.015	0.083	0.773
High + active father	0.288	0.087 to 0.489
High + inactive father	0.240	0.132 to 0.348
Normal + normal weight mother	-0.093	-0.153 to -0.032	% fat vs maternal BMI
Normal + overweight mother	-0.064	-0.120 to -0.007	8.611	0.003
High + normal weight mother	0.033	-0.096 to 0.163
High + overweight mother	0.346	0.233 to 0.460
Normal + normal weight father	-0.028	-0.098 to 0.042	% fat vs paternal BMI
Normal + overweight father	-0.064	-0.124 to -0.003	0.007	0.935
High + normal weight father	0.275	0.113 to 0.437
High + overweight father	0.230	0.101 to 0.359

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[1] Collaborations

AO Werneck: conceptualization, formal analysis, validation, writing - original draft, visualization. DRP Silva: conceptualization, validation, writing original draft, investigation, visualization. ECM Silva: validation, writing - original draft, visualization. P Collins and D Ohara: validation, visualization, writing - review and editing. RA Fernandes and DS Barbosa: validation, visualization, writing - review and editing, project administration. ERV Ronque and ES Cyrino: validation, visualization, writing - review and editing, project administration, supervision. LB Sardinha: validation, visualization, writing - review and editing, supervision.