Francesco Martino1, Paolo Emilio Puddu2, Feliciana Lamacchia3, Chiara Colantoni4, Cristina Zanoni5, Francesco Barillà6, Eliana Martino7, Francesco Angelico8. 1. Department of Pediatrics and Child Neuropsychiatry, Sapienza University of Rome, Rome, Italy. Electronic address: francesco.martino30@tin.it. 2. Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, Sapienza University of Rome, Rome, Italy. Electronic address: paoloemilio.puddu@uniroma1.it. 3. Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy. Electronic address: lamacchia.feliciana@gmail.com. 4. Department of Pediatrics and Child Neuropsychiatry, Sapienza University of Rome, Rome, Italy. Electronic address: chiara.colantoni@gmail.com. 5. Department of Pediatrics and Child Neuropsychiatry, Sapienza University of Rome, Rome, Italy. Electronic address: cristina.zanoni@yahoo.it. 6. Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, Sapienza University of Rome, Rome, Italy. Electronic address: francesco.barilla@uniroma1.it. 7. Department of Pediatrics and Child Neuropsychiatry, Sapienza University of Rome, Rome, Italy. Electronic address: elianamartino@inwind.it. 8. Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy. Electronic address: francesco.angelico@uniroma1.it.
Abstract
OBJECTIVES: The aim of this study was to assess the impact of Mediterranean diet (MD) and physical activity on metabolic syndrome (MS) prevalence in children and adolescents. MATERIAL AND METHODS: This cross-sectional study was carried out in 863 boys and 780 girls, 6-14years old, from primary and secondary schools in a 14-town Southern Italian community. We modified the KIDMED questionnaire to adapt it to the local reality. RESULTS: Poor adherence to MD was seen in 18.4% of children and adolescents, while 81.6% had a medium-high compliance and the prevalence of MS was 6.6% and 3.7% respectively (OR: 1.8; 95% C.I.: 1.06-3.11; p=0.013). When participants had less physical activity, MS was more frequent as compared to those more active (5.3% versus 2.3%; OR: 2.3; 95% C.I.: 1.3-4.3; p=0.0068) which had a parallel counterpart when comparing those accustomed to seeing television for less or more than 5h per day and MS prevalence was 12.3% versus 3.8% (OR: 3.38; 95% C.I.: 1.66-6.86, p=0.0008), respectively. Finally, there was a specific abnormality in triglyceride levels, both in girls and boys, when participants were classified according to bad lifestyles, based on the combined evaluation of scarce adherence to MD and less extracurricular physical activity, accompanied by a 7-fold increased prevalence of MS as compared to those with the best lifestyle (11.0% versus 1.6%; p=0.025). CONCLUSIONS: There is an apparent importance of healthier lifestyle habits including physical activity and adherence to the MD also among children and adolescents.
OBJECTIVES: The aim of this study was to assess the impact of Mediterranean diet (MD) and physical activity on metabolic syndrome (MS) prevalence in children and adolescents. MATERIAL AND METHODS: This cross-sectional study was carried out in 863 boys and 780 girls, 6-14years old, from primary and secondary schools in a 14-town Southern Italian community. We modified the KIDMED questionnaire to adapt it to the local reality. RESULTS: Poor adherence to MD was seen in 18.4% of children and adolescents, while 81.6% had a medium-high compliance and the prevalence of MS was 6.6% and 3.7% respectively (OR: 1.8; 95% C.I.: 1.06-3.11; p=0.013). When participants had less physical activity, MS was more frequent as compared to those more active (5.3% versus 2.3%; OR: 2.3; 95% C.I.: 1.3-4.3; p=0.0068) which had a parallel counterpart when comparing those accustomed to seeing television for less or more than 5h per day and MS prevalence was 12.3% versus 3.8% (OR: 3.38; 95% C.I.: 1.66-6.86, p=0.0008), respectively. Finally, there was a specific abnormality in triglyceride levels, both in girls and boys, when participants were classified according to bad lifestyles, based on the combined evaluation of scarce adherence to MD and less extracurricular physical activity, accompanied by a 7-fold increased prevalence of MS as compared to those with the best lifestyle (11.0% versus 1.6%; p=0.025). CONCLUSIONS: There is an apparent importance of healthier lifestyle habits including physical activity and adherence to the MD also among children and adolescents.
Authors: Pablo Galan-Lopez; Raúl Domínguez; Maret Pihu; Thordis Gísladóttir; Antonio J Sánchez-Oliver; Francis Ries Journal: Int J Environ Res Public Health Date: 2019-11-14 Impact factor: 3.390
Authors: Claudia Börnhorst; Paola Russo; Toomas Veidebaum; Michael Tornaritis; Dénes Molnár; Lauren Lissner; Staffan Mårild; Stefaan De Henauw; Luis A Moreno; Anna Floegel; Wolfgang Ahrens; Maike Wolters Journal: Int J Obes (Lond) Date: 2020-09-17 Impact factor: 5.095
Authors: Jane West; Debbie A Lawlor; Gillian Santorelli; Paul Collings; Peter H Whincup; Naveed A Sattar; Diane Farrar; John Wright Journal: Sci Rep Date: 2018-06-12 Impact factor: 4.379