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BMI trajectory and inflammatory effects on metabolic syndrome in adolescents

Title
BMI trajectory and inflammatory effects on metabolic syndrome in adolescents
Authors
Kim U.-J.Choi E.J.Park H.Lee H.A.Park B.Min J.Park E.A.Cho S.J.Kim H.S.Lee H.Kim Y.J.Hong Y.S.Ha E.H.Jung S.
Ewha Authors
하은희박은애김영주김혜순박혜숙홍영선이화영조수진정승연이혜아
SCOPUS Author ID
하은희scopus; 박은애scopus; 김영주scopus; 김혜순scopus; 박혜숙scopusscopus; 홍영선scopus; 이화영scopus; 조수진scopus; 정승연scopus; 이혜아scopus
Issue Date
2023
Journal Title
Pediatric Research
ISSN
3139-3998JCR Link
Citation
Pediatric Research vol. 94, no. 1, pp. 153 - 160
Publisher
Springer Nature
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Background: Various life course factors can affect susceptibility to diseases during adolescence and adulthood, and those relationships are complex. However, few studies have assessed the potential mediating factors. Therefore, we assessed the mediating effects of factors related to growth and inflammation between perinatal factors and metabolic syndrome risk during adolescence. Methods: The study was conducted on adolescents who participated in the follow-up in the Ewha Birth and Growth Cohort. We considered the ponderal index (PI) as a perinatal factor and the continuous metabolic syndrome score (cMetS) as the outcome and confirmed the mediating effects of body mass index (BMI) trajectory pattern in childhood and inflammation levels by using the PROCESS macro for SAS. Results: Although the direct effect of BMI trajectory on the relationship between PI and cMetS was not significant (0.545), the indirect effect was significant (1.044). In addition, the indirect effect was statistically significant in the pathways mediating the BMI trajectory pattern and inflammation (β = 1.456). Conclusions: The direct and indirect effects on the relationship between PI and cMetS suggest that childhood factors related to growth may be involved in disease susceptibility. Therefore, appropriate interventions for the management of obesity during the growth phase are necessary. Impact: Unlike other existing studies, this study assessed multiple mediating effects by considering the BMI trajectory pattern and inflammatory indexes as mediating factors between the ponderal index and the continuous metabolic syndrome score during adolescence.We found significant indirect effects of the BMI trajectory between PI and cMetS, and also significant indirect effects in the pathways mediating the BMI trajectory and hs-CRP.The significant indirect mediating effects support that childhood factors related to growth may be involved in disease susceptibility. © 2023, The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.
DOI
10.1038/s41390-022-02461-6
Appears in Collections:
의과대학 > 의학과 > Journal papers
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