Weight loss induced by 6-month lifestyle intervention improves early endothelial activation and fibrinolysis in obese adolescents

Background  Adolescent obesity is associated with an increased risk of adult obesity and subsequent cardiovascular diseases. The present study aimed to assess the effect of weight loss after 6‐month lifestyle intervention in obese adolescents on biomarkers of endothelial activation and fibrinolytic...

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Veröffentlicht in:Child : care, health & development health & development, 2011-05, Vol.37 (3), p.377-384
Hauptverfasser: Huang, F., del-Río-Navarro, B. E., de Castro, G. T. M., Alcántara, S. T., Sienra Monge, J. J. L., Ontiveros, J. A. P., Olivos, E. N., Barron, M. F., Lopéz, A. R., Villafaña, S., Hong, E.
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container_end_page 384
container_issue 3
container_start_page 377
container_title Child : care, health & development
container_volume 37
creator Huang, F.
del-Río-Navarro, B. E.
de Castro, G. T. M.
Alcántara, S. T.
Sienra Monge, J. J. L.
Ontiveros, J. A. P.
Olivos, E. N.
Barron, M. F.
Lopéz, A. R.
Villafaña, S.
Hong, E.
description Background  Adolescent obesity is associated with an increased risk of adult obesity and subsequent cardiovascular diseases. The present study aimed to assess the effect of weight loss after 6‐month lifestyle intervention in obese adolescents on biomarkers of endothelial activation and fibrinolytic system. Methods  Eighty‐five obese adolescents aged 10 to 16 years were assigned to a 6‐month lifestyle intervention and 61 completed the programme. We examined the effect of the intervention on adhesion molecules (selectin E, soluble intercellular adhesion molecule 1 and soluble vascular adhesion molecule 1) and fibrinolytic parameters [plasminogen activator inhibitor‐1 (PAI‐1) and fibrinogen]. Thirty‐six lean adolescents were studied only at baseline as a comparison group. Results  Compared with lean participants, obese adolescents at baseline demonstrated significantly higher levels of triglycerides, glucose, insulin, homeostasis model assessment, soluble intercellular adhesion molecule 1, PAI‐1 and fibrinogen. After 6‐month lifestyle intervention, those obese adolescents with decreased standard deviation score‐body mass index (SDS‐BMI) displayed significant decreases in insulin (19.2 ± 11.2 vs. 26.8 ± 13.2 mU/L, P≤ 0.01), homeostasis model assessment (4.24 ± 3.19 vs. 6.58 ± 4.08, P≤ 0.01), selectin E (100.2 ± 60.9 vs. 116.0 ± 69.0 ng/mL, P≤ 0.01) and PAI‐1 (39.6 ± 38.0 vs. 51.8 ± 25.6 ng/mL, P≤ 0.05) with respect to the baseline levels. No changes in these parameters were observed in the obese adolescents with stable or increased SDS‐BMI. The changes of triglycerides after intervention in subgroup with decreased SDS‐BMI were significantly greater than those in subgroup with stable SDS‐BMI. Conclusions  The present study demonstrated increased endothelial activation and impairment of the fibrinolytic system in early life, which is in part reversible by a 6‐month lifestyle intervention.
doi_str_mv 10.1111/j.1365-2214.2010.01173.x
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E. ; de Castro, G. T. M. ; Alcántara, S. T. ; Sienra Monge, J. J. L. ; Ontiveros, J. A. P. ; Olivos, E. N. ; Barron, M. F. ; Lopéz, A. R. ; Villafaña, S. ; Hong, E.</creator><creatorcontrib>Huang, F. ; del-Río-Navarro, B. E. ; de Castro, G. T. M. ; Alcántara, S. T. ; Sienra Monge, J. J. L. ; Ontiveros, J. A. P. ; Olivos, E. N. ; Barron, M. F. ; Lopéz, A. R. ; Villafaña, S. ; Hong, E.</creatorcontrib><description>Background  Adolescent obesity is associated with an increased risk of adult obesity and subsequent cardiovascular diseases. The present study aimed to assess the effect of weight loss after 6‐month lifestyle intervention in obese adolescents on biomarkers of endothelial activation and fibrinolytic system. Methods  Eighty‐five obese adolescents aged 10 to 16 years were assigned to a 6‐month lifestyle intervention and 61 completed the programme. We examined the effect of the intervention on adhesion molecules (selectin E, soluble intercellular adhesion molecule 1 and soluble vascular adhesion molecule 1) and fibrinolytic parameters [plasminogen activator inhibitor‐1 (PAI‐1) and fibrinogen]. Thirty‐six lean adolescents were studied only at baseline as a comparison group. Results  Compared with lean participants, obese adolescents at baseline demonstrated significantly higher levels of triglycerides, glucose, insulin, homeostasis model assessment, soluble intercellular adhesion molecule 1, PAI‐1 and fibrinogen. After 6‐month lifestyle intervention, those obese adolescents with decreased standard deviation score‐body mass index (SDS‐BMI) displayed significant decreases in insulin (19.2 ± 11.2 vs. 26.8 ± 13.2 mU/L, P≤ 0.01), homeostasis model assessment (4.24 ± 3.19 vs. 6.58 ± 4.08, P≤ 0.01), selectin E (100.2 ± 60.9 vs. 116.0 ± 69.0 ng/mL, P≤ 0.01) and PAI‐1 (39.6 ± 38.0 vs. 51.8 ± 25.6 ng/mL, P≤ 0.05) with respect to the baseline levels. No changes in these parameters were observed in the obese adolescents with stable or increased SDS‐BMI. The changes of triglycerides after intervention in subgroup with decreased SDS‐BMI were significantly greater than those in subgroup with stable SDS‐BMI. Conclusions  The present study demonstrated increased endothelial activation and impairment of the fibrinolytic system in early life, which is in part reversible by a 6‐month lifestyle intervention.</description><identifier>ISSN: 0305-1862</identifier><identifier>EISSN: 1365-2214</identifier><identifier>DOI: 10.1111/j.1365-2214.2010.01173.x</identifier><identifier>PMID: 21198775</identifier><identifier>CODEN: CCHDDH</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adolescents ; Amine Oxidase (Copper-Containing) - blood ; Atherosclerosis - blood ; Atherosclerosis - prevention &amp; control ; Biomarkers ; Biomarkers - blood ; Body Composition ; Cardiovascular disease ; Case-Control Studies ; Cell Adhesion Molecules - blood ; Child ; Diet, Reducing ; E-Selectin - blood ; Exercise - physiology ; Female ; Fibrinogen ; Fibrinolysis - physiology ; Homeostasis ; Humans ; intercellular adhesion molecule 1 ; Intervention ; Life Style ; Lifestyle ; Lifestyles ; Male ; Molecules ; Obesity ; Obesity - blood ; Obesity - therapy ; Parameters ; Plasminogen Activator Inhibitor 1 - blood ; plasminogen activator inhibitor-1 ; Risk assessment ; Scientific Concepts ; selectin E ; Teenagers ; vascular adhesion molecule 1 ; Weight Loss - physiology</subject><ispartof>Child : care, health &amp; development, 2011-05, Vol.37 (3), p.377-384</ispartof><rights>2010 Blackwell Publishing Ltd</rights><rights>2010 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. May 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5313-f3718ae84d16c050a610912781c20befe2e71dc950f0a1a59c4ff0debac047863</citedby><cites>FETCH-LOGICAL-c5313-f3718ae84d16c050a610912781c20befe2e71dc950f0a1a59c4ff0debac047863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2214.2010.01173.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2214.2010.01173.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,30986,30987,45561,45562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21198775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, F.</creatorcontrib><creatorcontrib>del-Río-Navarro, B. E.</creatorcontrib><creatorcontrib>de Castro, G. T. M.</creatorcontrib><creatorcontrib>Alcántara, S. T.</creatorcontrib><creatorcontrib>Sienra Monge, J. J. L.</creatorcontrib><creatorcontrib>Ontiveros, J. A. P.</creatorcontrib><creatorcontrib>Olivos, E. N.</creatorcontrib><creatorcontrib>Barron, M. F.</creatorcontrib><creatorcontrib>Lopéz, A. R.</creatorcontrib><creatorcontrib>Villafaña, S.</creatorcontrib><creatorcontrib>Hong, E.</creatorcontrib><title>Weight loss induced by 6-month lifestyle intervention improves early endothelial activation and fibrinolysis in obese adolescents</title><title>Child : care, health &amp; development</title><addtitle>Child Care Health Dev</addtitle><description>Background  Adolescent obesity is associated with an increased risk of adult obesity and subsequent cardiovascular diseases. The present study aimed to assess the effect of weight loss after 6‐month lifestyle intervention in obese adolescents on biomarkers of endothelial activation and fibrinolytic system. Methods  Eighty‐five obese adolescents aged 10 to 16 years were assigned to a 6‐month lifestyle intervention and 61 completed the programme. We examined the effect of the intervention on adhesion molecules (selectin E, soluble intercellular adhesion molecule 1 and soluble vascular adhesion molecule 1) and fibrinolytic parameters [plasminogen activator inhibitor‐1 (PAI‐1) and fibrinogen]. Thirty‐six lean adolescents were studied only at baseline as a comparison group. Results  Compared with lean participants, obese adolescents at baseline demonstrated significantly higher levels of triglycerides, glucose, insulin, homeostasis model assessment, soluble intercellular adhesion molecule 1, PAI‐1 and fibrinogen. After 6‐month lifestyle intervention, those obese adolescents with decreased standard deviation score‐body mass index (SDS‐BMI) displayed significant decreases in insulin (19.2 ± 11.2 vs. 26.8 ± 13.2 mU/L, P≤ 0.01), homeostasis model assessment (4.24 ± 3.19 vs. 6.58 ± 4.08, P≤ 0.01), selectin E (100.2 ± 60.9 vs. 116.0 ± 69.0 ng/mL, P≤ 0.01) and PAI‐1 (39.6 ± 38.0 vs. 51.8 ± 25.6 ng/mL, P≤ 0.05) with respect to the baseline levels. No changes in these parameters were observed in the obese adolescents with stable or increased SDS‐BMI. The changes of triglycerides after intervention in subgroup with decreased SDS‐BMI were significantly greater than those in subgroup with stable SDS‐BMI. 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R.</creatorcontrib><creatorcontrib>Villafaña, S.</creatorcontrib><creatorcontrib>Hong, E.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><jtitle>Child : care, health &amp; development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, F.</au><au>del-Río-Navarro, B. E.</au><au>de Castro, G. T. M.</au><au>Alcántara, S. T.</au><au>Sienra Monge, J. J. L.</au><au>Ontiveros, J. A. P.</au><au>Olivos, E. N.</au><au>Barron, M. F.</au><au>Lopéz, A. R.</au><au>Villafaña, S.</au><au>Hong, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Weight loss induced by 6-month lifestyle intervention improves early endothelial activation and fibrinolysis in obese adolescents</atitle><jtitle>Child : care, health &amp; development</jtitle><addtitle>Child Care Health Dev</addtitle><date>2011-05</date><risdate>2011</risdate><volume>37</volume><issue>3</issue><spage>377</spage><epage>384</epage><pages>377-384</pages><issn>0305-1862</issn><eissn>1365-2214</eissn><coden>CCHDDH</coden><abstract>Background  Adolescent obesity is associated with an increased risk of adult obesity and subsequent cardiovascular diseases. The present study aimed to assess the effect of weight loss after 6‐month lifestyle intervention in obese adolescents on biomarkers of endothelial activation and fibrinolytic system. Methods  Eighty‐five obese adolescents aged 10 to 16 years were assigned to a 6‐month lifestyle intervention and 61 completed the programme. We examined the effect of the intervention on adhesion molecules (selectin E, soluble intercellular adhesion molecule 1 and soluble vascular adhesion molecule 1) and fibrinolytic parameters [plasminogen activator inhibitor‐1 (PAI‐1) and fibrinogen]. Thirty‐six lean adolescents were studied only at baseline as a comparison group. Results  Compared with lean participants, obese adolescents at baseline demonstrated significantly higher levels of triglycerides, glucose, insulin, homeostasis model assessment, soluble intercellular adhesion molecule 1, PAI‐1 and fibrinogen. After 6‐month lifestyle intervention, those obese adolescents with decreased standard deviation score‐body mass index (SDS‐BMI) displayed significant decreases in insulin (19.2 ± 11.2 vs. 26.8 ± 13.2 mU/L, P≤ 0.01), homeostasis model assessment (4.24 ± 3.19 vs. 6.58 ± 4.08, P≤ 0.01), selectin E (100.2 ± 60.9 vs. 116.0 ± 69.0 ng/mL, P≤ 0.01) and PAI‐1 (39.6 ± 38.0 vs. 51.8 ± 25.6 ng/mL, P≤ 0.05) with respect to the baseline levels. No changes in these parameters were observed in the obese adolescents with stable or increased SDS‐BMI. The changes of triglycerides after intervention in subgroup with decreased SDS‐BMI were significantly greater than those in subgroup with stable SDS‐BMI. Conclusions  The present study demonstrated increased endothelial activation and impairment of the fibrinolytic system in early life, which is in part reversible by a 6‐month lifestyle intervention.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21198775</pmid><doi>10.1111/j.1365-2214.2010.01173.x</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Adolescents
Amine Oxidase (Copper-Containing) - blood
Atherosclerosis - blood
Atherosclerosis - prevention & control
Biomarkers
Biomarkers - blood
Body Composition
Cardiovascular disease
Case-Control Studies
Cell Adhesion Molecules - blood
Child
Diet, Reducing
E-Selectin - blood
Exercise - physiology
Female
Fibrinogen
Fibrinolysis - physiology
Homeostasis
Humans
intercellular adhesion molecule 1
Intervention
Life Style
Lifestyle
Lifestyles
Male
Molecules
Obesity
Obesity - blood
Obesity - therapy
Parameters
Plasminogen Activator Inhibitor 1 - blood
plasminogen activator inhibitor-1
Risk assessment
Scientific Concepts
selectin E
Teenagers
vascular adhesion molecule 1
Weight Loss - physiology
title Weight loss induced by 6-month lifestyle intervention improves early endothelial activation and fibrinolysis in obese adolescents
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