دورية أكاديمية

Associations Among Physical Activity, Adiposity, and Insulin Resistance in Children Exposed In Utero to Maternal Obesity With and Without Gestational Diabetes.

التفاصيل البيبلوغرافية
العنوان: Associations Among Physical Activity, Adiposity, and Insulin Resistance in Children Exposed In Utero to Maternal Obesity With and Without Gestational Diabetes.
المؤلفون: Moore, Bethany A., Callahan, Makenzie L., Martin, Samantha L., Everett, Alysha, Garvey, W. Timothy, Chandler-Laney, Paula
المصدر: Pediatric Exercise Science; Aug2023, Vol. 35 Issue 3, p165-173, 9p, 1 Diagram, 1 Chart, 3 Graphs
مصطلحات موضوعية: OBESITY risk factors, HOMEOSTASIS, BODY weight, ANTHROPOMETRY, PREGNANT women, REGRESSION analysis, PRENATAL exposure delayed effects, PHYSICAL activity, RISK assessment, ACCELEROMETRY, ANALYSIS of covariance, DESCRIPTIVE statistics, RESEARCH funding, OBESITY in women, GESTATIONAL diabetes, BODY mass index, INSULIN resistance, SECONDARY analysis
مستخلص: Purpose: Investigate whether obesity risk and current weight status are independently associated with physical activity (PA) and whether PA is associated with adiposity and insulin resistance (homeostatic model assessment of insulin resistance) among children with high versus low obesity risk based on in utero exposure to maternal overweight/obesity with gestational diabetes mellitus (GDM; high risk) or without GDM (overweight/obesity; high risk) or maternal normal weight without GDM (low risk). Method: Secondary analysis of data from children born to women with overweight/obesity and GDM, overweight/obesity without GDM, or normal weight without GDM. PA was assessed with accelerometry, percentage of body fat derived from anthropometrics, and homeostatic model assessment of insulin resistance calculated from glucose and insulin. Results: Among 4- to 10-year-old children (N = 163), analyses of covariance showed that children with a current BMI ≥85th percentile had less vigorous PA than those with BMI <85th percentile, but in utero exposure was not an independent predictor of PA. In linear regression modeling, moderate to vigorous PA was inversely associated with percentage of body fat and homeostatic model assessment of insulin resistance independent of age, Tanner stage, and accelerometer wear time, with stronger associations in high-risk groups. Conclusions: Children's PA is related to current weight status but not underlying risk for obesity but may be especially important to reduce obesity and insulin resistance in high-risk children. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:08998493
DOI:10.1123/pes.2021-0222