Assessment of Biochemical Liver Markers, Physical Activity, Fitness and Body Mass Index For a Cardiometabolic Risk Model in Childhood

A Konidari, M K H Auth, MH Murphy, C Cunningham, L Foweather, R Gobbi, L E F Graves, N D Hopkins, G Stratton, L M Boddy

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AimTo investigate clustered cardiometabolic risk scores in healthy 10 to 12-yearolds using anthropometric characteristics, measurements of cardiorespiratory fitness (CRF) and physical activity and blood markers of metabolic disease. We also evaluated how including markers of liver cell injury would affect the clustered cardiometabolic risk assessment model.MethodsThis cross-sectional study focused on 99 children aged 10 to 12 years. The main outcome included assessing participants with increased and low cardiometabolic risk factors using a clustered risk score model that incorporated markers implicated in metabolic syndrome pathogenesis. Two clustered risk scores were calculated, one incorporating markers of liver cell injury.ResultsChildren classified as ‘increased risk’ exhibited significantly lower CRF and higher body mass index Z-scores than their ‘low risk’ peers. No significant differences in physical activity were observed. This trend remained unchanged when markers of liver injury were included in the clustered risk assessment model.ConclusionThe clustered risk score model is a scientifically robust method of cardiometabolic risk assessment, which reiterates the importance of weight reduction and CRF promotion in childhood. Liver injury markers did not make a significant contribution to our study and further research is needed to evaluate their effect on cardiometabolic risk stratification in childhood.
Original languageEnglish
JournalActa Paediatrica
Early online date11 Feb 2014
Publication statusE-pub ahead of print - 11 Feb 2014

Bibliographical note

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  • cardiorespiratory fitness
  • markers of liver cell injury
  • metabolic syndrome
  • obesity
  • physical activity


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