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Impaired metabolic health over‐time and high abdominal fat are prospectively associated with high‐sensitivity C‐reactive protein in children: The IDEFICS study
Author(s) -
GonzálezGil Esther M.,
Moreno Luis A.,
Nappo Annunziata,
Santabárbara Javier,
Wolters Maike,
Russo Paola,
De Henauw Stefaan,
Veidebaum Toomas,
Molnar Denes,
Hunsberger Monica,
Fraterman Arno,
Iacoviello Licia,
Tornaritis Michael,
Ahrens Wolfgang,
BelSerrat Silvia
Publication year - 2021
Publication title -
pediatric obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.226
H-Index - 69
eISSN - 2047-6310
pISSN - 2047-6302
DOI - 10.1111/ijpo.12817
Subject(s) - medicine , metabolic syndrome , c reactive protein , waist , abdominal obesity , body mass index , insulin resistance , obesity , prospective cohort study , inflammation
Summary Background Metabolic risk and inflammatory state have an early life onset and are associated with future diseases. Objectives To assess the association between metabolic syndrome (MetS) and metabolic health with high‐sensitive C‐reactive protein (hsCRP), cross‐sectionally and longitudinally, in children. Methods 2913 European children (2‐10 years) from eight countries from the IDEFICS study were investigated. Data were collected at baseline and 2 years later (follow‐up). A MetS z‐score was computed with waist circumference (WC), insulin resistance index, blood pressure, high‐density lipoprotein cholesterol and triglycerides. Metabolically unhealthy (MU) status was assessed. Multi‐level linear and logistic regressions were performed. Results Among the MetS markers, WC was more consistently associated with hsCRP cross‐sectional and prospectively. Baseline MetS score was significantly associated with greater risk of high hsCRP at follow‐up and with prevalence and incidence of hsCRP. Those children who became MU overtime were significantly ( P < .05) associated with future higher levels of hsCRP, independently of weight status at baseline. Conclusions Transition over time to a MU state was associated with higher levels of hsCRP at follow‐up, independent of weight status at baseline. Screening of metabolic factors and routine measurement of WC are needed to prevent inflammatory status and related chronic diseases in children.