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

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 encompas...

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Main Authors: 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
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Italian Journal of Pediatrics
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Online Access:https://doi.org/10.1186/s13052-024-01800-z
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author 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
author_facet 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
author_sort Caroline Brand
collection DOAJ
description 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.
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spelling doaj-art-642e32d468084a8aa67d4aea5b6ee3d22025-08-20T02:13:26ZengBMCItalian Journal of Pediatrics1824-72882024-11-0150111410.1186/s13052-024-01800-zParental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equationsCaroline Brand0Vanilson Batista Lemes1Ana Paula Sehn2Cesar Agostinis-Sobrinho3Fernanda Henriquez-Maquehue4Emilio Jofré-Saldía5Paulina Ibacache-Saavedra6Claudio Farias-Valenzuela7Emilio Villa-González8Cézane Priscila Reuter9IRyS Group, Physical Education School, Pontificia Universidad Católica de ValparaísoSchool of Physical Education, Physiotherapy and Dance. Graduate Program in Human Movement Sciences, Federal University of Rio Grande do Sul (UFRGS)Graduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC)Faculty of Health Science, Klaipeda UniversityFacultad de Salud y Ciencias Sociales, Universidad de Las AmericasEscuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile USACHExercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres BelloFacultad de Ciencias para el Cuidado de la Salud, Universidad San SebastiánDepartment of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Insitute (iMUDS), University of GranadaGraduate Program in Health Promotion, University of Santa Cruz do Sul (UNISC)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.https://doi.org/10.1186/s13052-024-01800-zPhysical fitness, lifestylePhysical activityChildrenAdolescents
spellingShingle 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
Parental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equations
Italian Journal of Pediatrics
Physical fitness, lifestyle
Physical activity
Children
Adolescents
title Parental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equations
title_full Parental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equations
title_fullStr Parental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equations
title_full_unstemmed Parental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equations
title_short Parental obesity, health determinants, and cardiometabolic risk according to sleep duration in schoolchildren: analysis through structural equations
title_sort parental obesity health determinants and cardiometabolic risk according to sleep duration in schoolchildren analysis through structural equations
topic Physical fitness, lifestyle
Physical activity
Children
Adolescents
url https://doi.org/10.1186/s13052-024-01800-z
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