Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African Region

We assessed the association between several cardiometabolic risk factors (CRFs) (blood pressure, LDL-cholesterol, HDL-cholesterol, triglycerides, uric acid, and glucose) in 390 young adults aged 19-20 years in Seychelles (Indian Ocean, Africa) and body mass index (BMI) measured either at the same ti...

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Main Authors: Tanica Lyngdoh, Bharathi Viswanathan, Edwin van Wijngaarden, Gary J. Myers, Pascal Bovet
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/801832
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author Tanica Lyngdoh
Bharathi Viswanathan
Edwin van Wijngaarden
Gary J. Myers
Pascal Bovet
author_facet Tanica Lyngdoh
Bharathi Viswanathan
Edwin van Wijngaarden
Gary J. Myers
Pascal Bovet
author_sort Tanica Lyngdoh
collection DOAJ
description We assessed the association between several cardiometabolic risk factors (CRFs) (blood pressure, LDL-cholesterol, HDL-cholesterol, triglycerides, uric acid, and glucose) in 390 young adults aged 19-20 years in Seychelles (Indian Ocean, Africa) and body mass index (BMI) measured either at the same time (cross-sectional analysis) or at the age of 12–15 years (longitudinal analysis). BMI tracked markedly between age of 12–15 and age of 19-20. BMI was strongly associated with all considered CRFs in both cross-sectional and longitudinal analyses, with some exceptions. Comparing overweight participants with those having a BMI below the age-specific median, the odds ratios for high blood pressure were 5.4/4.7 (male/female) cross-sectionally and 2.5/3.9 longitudinally (P<0.05). Significant associations were also found for most other CRFs, with some exceptions. In linear regression analysis including both BMI at age of 12–15 and BMI at age of 19-20, only BMI at age of 19-20 remained significantly associated with most CRFs. We conclude that CRFs are predicted strongly by either current or past BMI levels in adolescents and young adults in this population. The observation that only current BMI remained associated with CRFs when including past and current levels together suggests that weight control at a later age may be effective in reducing CRFs in overweight children irrespective of past weight status.
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spelling doaj-art-a6df21b9f7cb4efe9a3409a40d1951392025-02-03T01:01:06ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/801832801832Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African RegionTanica Lyngdoh0Bharathi Viswanathan1Edwin van Wijngaarden2Gary J. Myers3Pascal Bovet4Institute of Social and Preventive Medicine, Lausanne University Hospital, CH-1010 Lausanne, SwitzerlandSection of Noncommunicable Diseases, Ministry of Health, Victoria, SeychellesDepartment of Community and Preventive Medicine, University of Rochester Medical Center, Rochester, NY, USADepartments of Neurology, Pediatrics, and Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USAInstitute of Social and Preventive Medicine, Lausanne University Hospital, CH-1010 Lausanne, SwitzerlandWe assessed the association between several cardiometabolic risk factors (CRFs) (blood pressure, LDL-cholesterol, HDL-cholesterol, triglycerides, uric acid, and glucose) in 390 young adults aged 19-20 years in Seychelles (Indian Ocean, Africa) and body mass index (BMI) measured either at the same time (cross-sectional analysis) or at the age of 12–15 years (longitudinal analysis). BMI tracked markedly between age of 12–15 and age of 19-20. BMI was strongly associated with all considered CRFs in both cross-sectional and longitudinal analyses, with some exceptions. Comparing overweight participants with those having a BMI below the age-specific median, the odds ratios for high blood pressure were 5.4/4.7 (male/female) cross-sectionally and 2.5/3.9 longitudinally (P<0.05). Significant associations were also found for most other CRFs, with some exceptions. In linear regression analysis including both BMI at age of 12–15 and BMI at age of 19-20, only BMI at age of 19-20 remained significantly associated with most CRFs. We conclude that CRFs are predicted strongly by either current or past BMI levels in adolescents and young adults in this population. The observation that only current BMI remained associated with CRFs when including past and current levels together suggests that weight control at a later age may be effective in reducing CRFs in overweight children irrespective of past weight status.http://dx.doi.org/10.1155/2013/801832
spellingShingle Tanica Lyngdoh
Bharathi Viswanathan
Edwin van Wijngaarden
Gary J. Myers
Pascal Bovet
Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African Region
International Journal of Endocrinology
title Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African Region
title_full Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African Region
title_fullStr Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African Region
title_full_unstemmed Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African Region
title_short Cross-Sectional and Longitudinal Associations between Body Mass Index and Cardiometabolic Risk Factors in Adolescents in a Country of the African Region
title_sort cross sectional and longitudinal associations between body mass index and cardiometabolic risk factors in adolescents in a country of the african region
url http://dx.doi.org/10.1155/2013/801832
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