Musa Danladi Ibrahim, Okuneye Rafiu O, Momoh Joseph Ibrahim, Darma Musa Haladu, Onoja-Alexander Mary O, Mwangi Francis M
Department of Human Kinetics and Health Education, Kogi State University, Anyigba 272102, Kogi, Nigeria.
Department of Human Kinetics, Sports and Health Education, Lagos State University, Ojo Lagos 102003, Lagos, Nigeria.
World J Clin Pediatr. 2024 Dec 9;13(4):97105. doi: 10.5409/wjcp.v13.i4.97105.
The global rise in the prevalence of type 2 diabetes mellitus (T2DM) in children and adolescents is partly linked to the increasing rates of childhood obesity and physical inactivity.
To explore the independent relationships of visceral adiposity index (VAI) and cardiorespiratory fitness (CRF) with fasting plasma glucose (FPG) in adolescents.
This descriptive cross-sectional study included 403 adolescents (202 boys and 201 girls) aged 11-19 years. Participants were evaluated for VAI, CRF, and FPG. Regression models, adjusted for age and maturity status, were used to assess the associations between VAI, CRF, and FPG.
The prevalence of T2DM risk was 15.3% (girls = 7.4%; boys = 7.9%). In boys, high VAI was positively associated with FPG ( = 0.190, = 0.009), while low CRF was negatively associated with FPG ( = -0.206, = 0.010). These associations persisted even after adjusting for CRF and VAI. However, no significant associations between VAI, CRF, and FPG were observed in girls ( > 0.05). Adolescents with high VAI and low fitness levels demonstrated poorer glycemic profiles.
Among boys, both VAI and CRF were independently associated with T2DM risk, with CRF showing a stronger association. These associations were not observed in girls. Promoting regular aerobic exercise and healthy diets may serve as essential public health promotion strategies in preventing and managing T2DM risk in adolescents.
全球儿童和青少年2型糖尿病（T2DM）患病率的上升部分与儿童肥胖率和身体活动不足的增加有关。
探讨青少年内脏脂肪指数（VAI）和心肺适能（CRF）与空腹血糖（FPG）之间的独立关系。
这项描述性横断面研究纳入了403名11至19岁的青少年（202名男孩和201名女孩）。对参与者进行了VAI、CRF和FPG评估。采用经年龄和成熟状态调整的回归模型来评估VAI、CRF和FPG之间的关联。
T2DM风险患病率为15.3%（女孩 = 7.4%；男孩 = 7.9%）。在男孩中，高VAI与FPG呈正相关（ = 0.190， = 0.009），而低CRF与FPG呈负相关（ = -0.206， = 0.010）。即使在调整CRF和VAI后，这些关联仍然存在。然而，在女孩中未观察到VAI、CRF和FPG之间的显著关联（ > 0.05）。VAI高且体能水平低的青少年血糖状况较差。
在男孩中，VAI和CRF均与T2DM风险独立相关，CRF的关联更强。在女孩中未观察到这些关联。促进定期有氧运动和健康饮食可能是预防和管理青少年T2DM风险的重要公共卫生促进策略。
