The mediating role of physical inactivity on the relationship between inflammation and artery thickness in prepubertal adolescents

J Pediatr. 2015 Apr;166(4):924-9. doi: 10.1016/j.jpeds.2014.12.057. Epub 2015 Feb 4.

Abstract

Objective: To analyze the relationship between inflammatory markers and the lipid profile, blood flow, and artery structure in prepubertal adolescents stratified according to sports practice.

Study design: The sample was composed of 120 adolescents (57 boys and 63 girls) with a mean age of 11.7 ± 0.7 years (ranging from 11 to 13 years). Intima-media thickness (IMT) and blood flow were measured with ultrasonography. The lipid profile and high-sensitivity C-reactive protein were measured after the subjects had fasted for 12 hours overnight. Trunk fatness was measured by dual-energy x-ray absorptiometry. Organized sports participation was analyzed as a categorical variable. Biological maturation was determined via the age at peak height velocity.

Results: In the adjusted model, high-sensitivity C-reactive protein was significantly related to high-density lipoprotein-cholesterol (β = -5.797 [-11.500 to -0.093]), femoral IMT (β = 0.062 [0.008-0.116]), and the sum of femoral and carotid IMT (β = 1.107 [0.223-1.919]), but only in the group without sports participation. Slopes of the crude linear regression were greater in the group without sports participation for femoral IMT (t = 2.621; P = .009) and the sum of femoral and carotid IMT (t = 2.876; P = .004) when compared with the group with sports participation.

Conclusion: Independent of body fatness and biological maturation, inflammatory status was related to artery IMT and dyslipidemia in prepubertal adolescents, modulated by sport participation.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiposity / physiology
  • Adolescent
  • Biomarkers / metabolism
  • Blood Flow Velocity / physiology
  • C-Reactive Protein / metabolism*
  • Carotid Arteries / diagnostic imaging*
  • Carotid Arteries / physiopathology
  • Carotid Intima-Media Thickness*
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Inflammation / diagnostic imaging
  • Inflammation / metabolism*
  • Inflammation / physiopathology
  • Lipids / blood*
  • Male
  • Motor Activity / physiology*
  • Retrospective Studies

Substances

  • Biomarkers
  • Lipids
  • C-Reactive Protein