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Lower Level of Physical Activity Predisposes Iranian Adolescent Girls to Obesity and its Metabolic Consequences



Naghmeh-Zahra Mirhosseini, Suzana Shahar, Noor Aini Mohd Yusoff, Majid M. Ghayour-Mobarhan, Ali Reza Derakhshan and Mohamad Taghi Shakery
 
ABSTRACT

Physical activity has been investigated among Asian populations as a factor that influences the clustering of cardiovascular risk factors. However, the magnitude of these associations has not been well studied among adolescents, particularly in Middle East countries. This study aimed to investigate associations between physical activity level, metabolic abnormalities and body composition among adolescent girls in Iran. Socio-demographic and physical activity information were assessed using self-administered questionnaire in 538 adolescent girls aged 15-18 years from Mashhad high schools. Anthropometric, blood pressure and biochemical assessment were performed. Bioelectrical Impedance Analyses was applied to measure total and regional fat mass. The prevalence of overweight, obesity and metabolic syndrome was 14.6, 3.4 and 6.5% respectively. Subjects with lower levels of physical activity had higher anthropometric indices, fat mass, fat free mass and metabolic abnormalities especially systolic blood pressure. There were inverse correlations between physical activity with hypertension, dyslipidemia and body composition parameters. Physical activity was negatively associated with weight (%R = 2.8 B = -0.168, p<0.0001), systolic blood pressure (%R = 3.9 B = -0.158, p<0.0001), triglyceride concentration (%R = 3.9 B = -0.106, p<0.018) and fat free mass (%R = 4.2 B = -0.205, p<0.0001) after adjusting for age and socioeconomic status of family. Subjects with metabolic syndrome had lower levels of physical activity (1.37 vs 1.39, p<0.05) and higher basal metabolic rate (1426 kcal vs 1360, p<0.0001). To avoid increasing risk of cardiovascular diseases, programs to promote greater physical activity should be implemented.

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  How to cite this article:

Naghmeh-Zahra Mirhosseini, Suzana Shahar, Noor Aini Mohd Yusoff, Majid M. Ghayour-Mobarhan, Ali Reza Derakhshan and Mohamad Taghi Shakery, 2011. Lower Level of Physical Activity Predisposes Iranian Adolescent Girls to Obesity and its Metabolic Consequences. Pakistan Journal of Nutrition, 10: 728-734.

DOI: 10.3923/pjn.2011.728.734

URL: https://scialert.net/abstract/?doi=pjn.2011.728.734

REFERENCES
Azizi, F., P. Salehi, A. Etemadi and S. Zahedi-Asl, 2003. Prevalence of metabolic syndrome in an urban population: Tehran lipid and glucose study. Diabetes Res. Clin. Pract., 61: 29-37.
CrossRef  |  PubMed  |  

Berkey, C.S., H.R.H. Rockett, M.W. Gillman and G.A. Colditz, 2003. One-year changes in activity and in inactivity among 10-to 15-year-old boys and girls: Relationship to change in body mass index. Pediatrics, 111: 836-843.
Direct Link  |  

Bernard, L., C. Lavallee, K. Gray-Donald and H. Delisle, 1995. Overweight in cree schoolchildren and adolescents associated with diet, low physical activity and high television viewing. J. Am. Diet. Assoc., 95: 800-802.
PubMed  |  

Bibbins-Domingo, K., P. Coxson, M.J. Pletcher, J. Lightwood and L. Goldman, 2007. Adolescent overweight and future adult coronary heart disease. N. Eng. J. Med., 357: 2371-2379.
PubMed  |  

Chi, C.H., Y. Wang, D.M. Wilson and T.N. Robinson, 2006. Definition of metabolic syndrome in preadolescent girls. J. Pediatr., 148: 788-792.
CrossRef  |  Direct Link  |  

Cook, S., M. Weitzman, P. Auinger, M. Nguyen and W.H. Dietz, 2003. Prevalence of a metabolic syndrome phenotype in adolescents: Findings from the third national health and nutrition examination survey, 1988-1994. Arch. Paediatr. Adolesc. Med., 157: 821-827.
PubMed  |  

Crespo, C.J., E. Smit, R.P. Troiano, S.J. Bartlett, C.A. Macera and R.E. Andersen, 2001. Television watching, energy intake and obesity in US children: Results from the third national health and nutrition examination survey, 1988-1994. Arch. Paediatr. Adolesc. Med., 155: 360-365.
PubMed  |  

Cruz, M.L., M.J. Weigensberg, T.T. Huang, G. Ball, G.Q. Shaibi and M.I. Goran, 2004. The metabolic syndrome in overweight hispanic youth and the role of insulin sensitivity. J. Clin. Endocrinol. Metab., 89: 108-113.
PubMed  |  

Daniels, S.R., P.R. Khoury and J.A. Morrison, 2000. Utility of different measures of body fat distribution in children and adolescents. Am. J. Epidemiol., 152: 1179-1184.
PubMed  |  

De Onis, M., A.W. Onyango, E. Borghi, A. Siyam, C. Nishida and J. Siekmann, 2007. Development of a WHO growth reference for school-aged children and adolescents. Bull. World Health Organiz., 85: 660-667.
CrossRef  |  Direct Link  |  

Dwyer, J.T., E.J. Stone, M. Yang, H. Feldman and L.S. Webber et al., 1998. Predictors of overweight and overfatness in a multiethnic pediatric population. Child and adolescent trial for cardiovascular health collaborative research group. Am. J. Clin. Nutr., 67: 602-610.
Direct Link  |  

Esmaillzadeh, A., P. Mirmiran, L. Azadbakht and F. Azizi, 2006. Prevalence of the hypertriglyceridemic phenotype in Iranian adolescents. Am. J. Prev. Med., 30: 52-58.
PubMed  |  

Esmaillzadeh, A., P. Mirmiran, L. Azadbakht, A. Etemadi and F. Azizi, 2006. High prevalence of the metabolic syndrome in Iranian adolescents. Obesity, 14: 377-382.
CrossRef  |  PubMed  |  Direct Link  |  

Franks, P.W., U. Ekelund, S. Brage, M.Y. Wong and N.J. Wareham, 2004. Does the association of habitual physical activity with the metabolic syndrome differ by level of cardiorespiratory fitness? Diabetes Care, 27: 1187-1193.
PubMed  |  

Goran, M.I., K.D. Reynolds and C.H. Lindquist, 1999. Role of physical activity in the prevention of obesity in children. Int. J. Obes. Relat. Metab. Disord., 23: S18-S33.
PubMed  |  

Hadaegh, F., A. Zabetian, H. Harati and F. Azizi, 2007. Metabolic syndrome in normal-weight Iranian adults. Ann. Saudi. Med., 27: 18-24.
PubMed  |  

Hickman, T.B., R.R. Briefel, M.D. Carroll, B.M. Rifkind, J.I. Cleeman, K.R. Maurer and C.L. Johnson, 1998. Distributions and trends of serum lipid levels among United States children and adolescents ages 4-19 years: Data from the third national health and nutrition examination survey. Prev. Med., 27: 879-890.
PubMed  |  

ISAK, 2001. International Standards for Anthropometric Assessment (ISAK). 1st Edn., National Library of Australia, Australia..

James, W.P.T. and C. Schofield, 1990. Human Energy Requirement : A Manual for Planners and Nutritionists. Vol. 1, Food and Agriculture Organization of the United Nations. Oxford University Press, New York, ISBN: 9780192618917, Pages: 172.

Jessup, A. and J.S. Harrell, 2005. The metabolic syndrome: Look for it in children and adolescents, too. J. Clin. Diabetes, 23: 26-32.
CrossRef  |  

Kimm, S.Y, N.W. Glynn, A.M. Kriska, B.A. Barton and S.S. Kronsberg et al., 2002. Decline in physical activity in black girls and white girls during adolescence. N. Eng. J. Med., 347: 709-715.
PubMed  |  

Kimm, S.Y., B.A. Barton, E. Obarzanek, R.P. McMahon and Z.I. Sabry et al., 2001. Racial divergence in adiposity during adolescence: The NHLBI growth and health study. Paediatrics, 107: E34-E34.
PubMed  |  

Kulsoom, B. and S.H. Nazrul, 2006. Association of serum C-reactive protein and LDL: HDL with myocardial infarction. J. Pak. Med. Assoc., 56: 318-322.
PubMed  |  

Leon, A.S., 1997. NIH Consensus Statement in Physical Activity and Cardiovascular Health. Human Kinetics. Champaign, Illinois..

Lohman, T.G., K. Ring, K.H. Schmitz, M.S. Treuth and M. Loftin et al., 2006. Associations of body size and composition with physical activity in adolescent girls. Med. Sci. Sports Exercise, 38: 1175-1181.
PubMed  |  

McMurray, R.G., J.S. Harrell, S. Deng, C.B. Bradley, L.M. Cox and S.I. Bangdiwala, 2000. The influence of physical activity, socioeconomic status and ethnicity on the weight status of adolescents. Obes. Res., 8: 130-139.
CrossRef  |  PubMed  |  Direct Link  |  

McMurray, R.G., S.I. Bangdiwala, J.S. Harrell and L.D. Amorim, 2008. Adolescents with metabolic syndrome have a history of low aerobic fitness and physical activity levels. Dyn. Med., 7: 5-5.
PubMed  |  

Mirhosseini, N.Z., N.A. Yusoff, S. Shahar, S.M. Parizadeh, M.G. Mobarhen and M.T. Shakery, 2009. Prevalence of the metabolic syndrome and its influencing factors among adolescent girls in Mashhad, Iran. Asia. Pac. J. Clin. Nutr., 18: 131-136.
PubMed  |  

Must, A. and D.J. Tybor, 2005. Physical activity and sedentary behaviour: A review of longitudinal studies of weight and adiposity in youth. Int. J. Obes., 29: S84-S96.

Obarzanek, E., G.B. Schreiber, P.B. Crawford, S.R. Goldman, P.M. Barrier, M.M. Frederick and E. Lakatos, 1994. Energy intake and physical activity in relation to indexes of body fat: The national heart, lung and blood institute growth and health study. Am. J. Clin. Nutr., 60: 15-22.
Direct Link  |  

Reilly, J.J., E. Methven, Z.C. McDowell, B. Hacking, D. Alexander, L. Stewart and C.J. Kelnar, 2003. Health consequences of obesity. Arch. Dis. Child., 88: 748-752.
CrossRef  |  PubMed  |  Direct Link  |  

Rowlands, A.V., R.G. Eston and D.K. Ingledew, 1999. Relationship between activity levels, aerobic fitness and body fat in 8- to 10-yr-old children. J. Applied Physiol., 86: 1428-1435.
PubMed  |  Direct Link  |  

Shahbazpour, N., 2003. Prevalence of overweight and obesity and their relation to hypertension in adult male university students in Kerman, Iran. Int. J. Endocrinol. Metab., 2: 55-60.

Tamsma, J.T., I.M. Jazet, E.D. Beishuizen, A.J. Fogteloo, A.E. Meinders and M.V. Huisman, 2005. The metabolic syndrome: A vascular perspective. Eur. J. Int. Med., 16: 314-320.
Direct Link  |  

Vasconcellos, M.T. and L.A. Anjo, 2003. A simplified method for assessing physical activity level values for a country or study population. Eur. J. Clin. Nutr., 57: 1025-1033.
PubMed  |  

Ventura, A.K., E. Loken and L.L. Birch, 2006. Risk profiles for metabolic syndrome in a nonclinical sample of adolescent girls. Paediatrics, 118: 2434-2442.
PubMed  |  

Ward, D.S., M. Dowda, S.G. Trost, M.G. Felton, R.K. Dishman and R.R. Pate, 2006. Physical activity correlates in adolescent girls who differ by weight status. Obesity, 14: 97-105.
PubMed  |  

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