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Lifestyle‐based subtypes of childhood obesity and their association with cardiometabolic factors: A cluster analysis.
- Source :
- Pediatric Obesity; Jul2024, Vol. 19 Issue 7, p1-11, 11p
- Publication Year :
- 2024
-
Abstract
- Summary: Background: Lifestyle factors play an important role in the development and management of childhood obesity and its related cardiometabolic complications. Objective/Methods: We aimed to explore childhood obesity subtypes based on lifestyle factors and examine their association with cardiometabolic health. We included 1550 children with obesity from the National Health and Nutrition Examination Survey. Cluster analysis identified obesity subtypes based on four lifestyle factors (physical activity, diet quality, sedentary time and smoking). Multiple linear regression assessed their association with cardiometabolic factors. Results: Five subtypes of childhood obesity were identified: unhealthy subtype (n = 571; 36.8%), physically active subtype (n = 185; 21.1%), healthy diet subtype (n = 404; 26.1%), smoking subtype (n = 125; 8.1%) and non‐sedentary subtype (n = 265; 17.1%). Compared with the unhealthy subtype, the physically active subtype had lower insulin and HOMA‐IR levels, and smoking subtype was associated with lower HDL levels. When compared with children with normal weight, all obesity subtypes had worse cardiometabolic profile, except the physically active subtype who had similar DBP, HbA1c and TC levels; smoking subtype who had similar TC levels; and healthy diet and non‐sedentary subtypes who had similar DBP levels. Conclusion: Children of different lifestyle‐based obesity subtypes might have different cardiometabolic risks. Our new classification system might help personalize assessment of childhood obesity. [ABSTRACT FROM AUTHOR]
- Subjects :
- LIFESTYLES
RISK assessment
FOOD quality
HIGH density lipoproteins
CROSS-sectional method
CLUSTER analysis (Statistics)
GLYCOSYLATED hemoglobin
RESEARCH funding
SEDENTARY lifestyles
SMOKING
MULTIPLE regression analysis
CARDIOVASCULAR diseases risk factors
DESCRIPTIVE statistics
INSULIN
CHOLESTEROL
DIASTOLIC blood pressure
CHILDHOOD obesity
PHYSICAL activity
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 20476302
- Volume :
- 19
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Pediatric Obesity
- Publication Type :
- Academic Journal
- Accession number :
- 177717372
- Full Text :
- https://doi.org/10.1111/ijpo.13127