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               <dc:title>Insulin resistance, C-reactive protein, diastolic to systolic blood pressure ratio and epicardial fat are related to sedentary time, and inversely related to physical activity in school-aged children</dc:title>
               <dc:creator>Vasileva, Fidanka</dc:creator>
               <dc:creator>Carreras Badosa, Gemma</dc:creator>
               <dc:creator>Bassols Casadevall, Judit</dc:creator>
               <dc:creator>Serrano Ferrer, Juan</dc:creator>
               <dc:creator>Font Lladó, Raquel</dc:creator>
               <dc:creator>López Ros, Víctor</dc:creator>
               <dc:creator>Osiniri Kippes, Inés</dc:creator>
               <dc:creator>Martínez-Calcerrada, José María</dc:creator>
               <dc:creator>San-Millán, Marta</dc:creator>
               <dc:creator>López-Bermejo, Abel</dc:creator>
               <dc:creator>Prats Puig, Anna</dc:creator>
               <dc:subject>Greix -- Metabolisme</dc:subject>
               <dc:subject>Fat -- Metabolism</dc:subject>
               <dc:subject>Sedentarisme</dc:subject>
               <dc:subject>Sedentary behavior</dc:subject>
               <dc:description>Background: Physical activity (PA) is beneficial for the overall health. Objectives are: (1) To compare metabolic (MRM) and cardiovascular-risk-markers (CRM) in children according to their PA-level; (2) to explore the associations of MRM and CRM with PA and sedentary time (ST); and (3) to identify the associations between MRM and CRM in less (LA) and more active (MA) children.&#xd;
&#xd;
Methods: A total of 238 apparently healthy school-aged children were enrolled (132 boys/106 girls; 9.1 ± 1.8 years) and body mass index standard deviation score (BMI SDS) and blood pressure were assessed. Fasting venous blood sampling was performed to assess insulin resistance (HOMA-IR) and high-sensitivity-C-reactive protein (hsCRP). Epicardial fat, interventricular septal and left ventricular posterior wall thicknesses were assessed by high-resolution ultrasonography. PA and ST were assessed by enKid-questionnaire. Children were classified based on enKid-score as being LA and MA (below and above 50th percentile for PA).&#xd;
&#xd;
Results: MA-children had lower values for: BMI SDS, diastolic-to-systolic blood pressure ratio, HOMA-IR and hsCRP (7.02 to 61.5% lower, p = 0.040 to p &lt; 0.0001) compared to LA-children. MRM and CRM were positively associated with ST (p = 0.003 to p &lt; 0.001), and negatively associated with PA (p = 0.044 to p &lt; 0.001). Finally, MRM were positively associated with CRM (p = 0.008 to p &lt; 0.0001). Interestingly, the latter associations were observed in LA-children but were not present in MA-children.&#xd;
&#xd;
Conclusion: More PA is associated with better cardio-metabolic profile in school-aged children. PA seems to modulate the associations between MRM and CRM, thus reinforcing the idea that fostering PA in children may lower the risk for development of a cardio-metabolic disease</dc:description>
               <dc:date>2024-10-29T16:14:21Z</dc:date>
               <dc:date>2024-10-29T16:14:21Z</dc:date>
               <dc:date>2024-03-20</dc:date>
               <dc:type>info:eu-repo/semantics/article</dc:type>
               <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
               <dc:type>peer-reviewed</dc:type>
               <dc:identifier>http://hdl.handle.net/10256/25172</dc:identifier>
               <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.3389/fpubh.2024.1339860</dc:relation>
               <dc:relation>info:eu-repo/semantics/altIdentifier/eissn/2296-2565</dc:relation>
               <dc:rights>Attribution 4.0 International</dc:rights>
               <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
               <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
               <dc:publisher>Frontiers Media</dc:publisher>
               <dc:source>Frontiers in Public Health, 2024, vol. 12, art. núm. 1339860</dc:source>
               <dc:source>Articles publicats (D-CM)</dc:source>
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