Parental influence on children’s cardiometabolic risk factors and cardiorespiratory fitness

Authors

  • Andrea Casolo Catholic University of Sacred Heart, Italy
  • Stefano Nuccio University of Rome “Foro Italico”, Italy
  • Ester Tommasini Catholic University of Sacred Heart, Italy
  • Francesco Casolo Catholic University of Sacred Heart, Italy
  • Christel Galvani Catholic University of Sacred Heart, Italy https://orcid.org/0000-0002-0126-6033

Keywords:

Health-related risk factors, Physical fitness, Parental influence, School-children, Waist-to-high ratio (WHtR), Six-minute walking test (6MWT)

Abstract

The parental influence on children’s cardiometabolic risk factors (CMRF) and cardiorespiratory fitness (CRF) has been only marginally investigated. Hence, this study aimed to investigate whether parental CMRF and CRF were associated with those of their school-aged children. This cross-sectional analysis included 53 Italian school-children along with their parents. CMRF were assessed by measuring the waist circumference (WC) and by computing the waist-to-height ratio (WHtR), whereas CRF was estimated with the six-minute walking test (6MWT). A multiple stepwise backward elimination regression analysis was performed to investigate associations between parental and children’s features. Both parental WC and WHtR were associated with children’s ones (R2 = 0.28, p = .005; R2 = 0.18, p = .041). Maternal WC and WHtR strongly predicted primary-school children’s CMRF (R2 = 0.54, p = .005; R2 = 0.67, p = .001). No significant parental influence was observed for CRF. This study investigated, for the first time, the associations between parental CMRF and CRF, and those of their children. Our results suggest that children’s WC and WHtR, but not CRF, can be predicted by their parent’s parameters. Maternal CMRF may have a stronger influence on children’s ones, compared to fathers, particularly during primary-school years.

Funding

Università Cattolica del Sacro Cuore

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References

American Thoracic Society, 2002. ATS Statement: Guidelines for the Six-Minute Walk Test. Am. J. Respir. Crit. Care Med. 166, 111-117. https://doi.org/10.1164/ajrccm.166.1.at1102

Anderssen, S.A., Cooper, A.R., Riddoch, C., Sardinha, L.B., Harro, M., Brage, S., Andersen, L.B., 2007. Low cardiorespiratory fitness is a strong predictor for clustering of cardiovascular disease risk factors in children independent of country, age and sex. Eur. J. Cardiovasc. Prev. Rehabil. 14, 526-531. https://doi.org/10.1097/HJR.0b013e328011efc1

Ashwell, M., 2009. Obesity risk: importance of the waist-to-height ratio. Nurs. Stand. 23, 49-54. https://doi.org/10.7748/ns2009.06.23.41.49.c7050

Ashwell, M., Gunn, P., Gibson, S., 2012. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes. Rev. 13, 275-286. https://doi.org/10.1111/j.1467-789X.2011.00952.x

Borg, G.A.V., 1982. Psychophysical bases of perceived exertion. Med. Sci. Sports Exerc. 14, 377-381. https://doi.org/10.1249/00005768-198205000-00012

Börnhorst, C., Russo, P., Veidebaum, T., Tornaritis, M., Molnár, D., Lissner, L., Mårild, S., De Henauw, S., Moreno, L.A., Floegel, A., Ahrens, W., Wolters, M., 2020. The role of lifestyle and non-modifiable risk factors in the development of metabolic disturbances from childhood to adolescence. Int. J. Obes. https://doi.org/10.1038/s41366-020-00671-8

Bray, G.A., 2004. Don't throw the baby out with the bath water. Am. J. Clin. Nutr. 79, 347-349. https://doi.org/10.1093/ajcn/79.3.347

Casolo, A., Sagelv, E.H., Bianco, M., Casolo, F., Galvani, C., 2019. Effects of a structured recess intervention on physical activity levels, cardiorespiratory fitness, and anthropometric characteristics in primary school children. J. Phys. Educ. Sport 19, 1796-1805. https://doi.org/10.7752/jpes.2019.s5264

Chetta, A., Zanini, A., Pisi, G., Aiello, M., Tzani, P., Neri, M., Olivieri, D., 2006. Reference values for the 6-min walk test in healthy subjects 20-50 years old. Respir. Med. 100, 1573-1578. https://doi.org/10.1016/j.rmed.2006.01.001

Christofaro, D.G.D., Andersen, L.B., Andrade, S.M. de, Barros, M.V.G. de, Saraiva, B.T.C., Fernandes, R.A., Ritti‐Dias, R.M., 2018. Adolescents' physical activity is associated with previous and current physical activity practice by their parents. J. Pediatr. (Versão em Port. 94, 48-55. https://doi.org/10.1016/j.jpedp.2017.08.003

Cleland, V., Venn, A., Fryer, J., Dwyer, T., Blizzard, L., 2005. Parental exercise is associated with Australian children's extracurricular sports participation and cardiorespiratory fitness: A cross-sectional study. Int. J. Behav. Nutr. Phys. Act. 2, 1-9. https://doi.org/https://doi.org/10.1186/1479-5868-2-3

Cole, T.J., 2000. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 1240-1240. https://doi.org/10.1136/bmj.320.7244.1240

Cole, T.J., Flegal, K.M., Nicholls, D., Jackson, A.A., 2007. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ 335, 194. https://doi.org/10.1136/bmj.39238.399444.55

Farajian, P., Panagiotakos, D.B., Risvas, G., Malisova, O., Zampelas, A., 2014. Hierarchical analysis of dietary, lifestyle and family environment risk factors for childhood obesity: the GRECO study. Eur. J. Clin. Nutr. 68, 1107-1112. https://doi.org/10.1038/ejcn.2014.89

Farrell, S.W., Braun, L., Barlow, C.E., Cheng, Y.J., Blair, S.N., 2002. The Relation of Body Mass Index, Cardiorespiratory Fitness, and All-Cause Mortality in Women. Obes. Res. 10, 417-423. https://doi.org/10.1038/oby.2002.58

Farrell, S.W., Finley, C.E., Radford, N.B., Haskell, W.L., 2013. Cardiorespiratory Fitness, Body Mass Index, and Heart Failure Mortality in Men. Circ. Hear. Fail. 6, 898-905. https://doi.org/10.1161/CIRCHEARTFAILURE.112.000088

Geiger, R., Strasak, A., Treml, B., Gasser, K., Kleinsasser, A., Fischer, V., Geiger, H., Loeckinger, A., Stein, J.I., 2007. Six-Minute Walk Test in Children and Adolescents. J. Pediatr. 150, 395-399.e2. https://doi.org/10.1016/j.jpeds.2006.12.052

Han, T.S., Hart, C.L., Haig, C., Logue, J., Upton, M.N., Watt, G.C.M., Lean, M.E.J., 2015. Contributions of maternal and paternal adiposity and smoking to adult offspring adiposity and cardiovascular risk: the Midspan Family Study. BMJ Open 5, e007682. https://doi.org/10.1136/bmjopen-2015-007682

Jago, R., Baranowski, T., Watson, K., Baranowski, J.C., Nicklas, T., Zakeri, I.F., 2004. Relationships Between Maternal and Child Cardiovascular Risk Factors. Arch. Pediatr. Adolesc. Med. 158, 1125. https://doi.org/10.1001/archpedi.158.12.1125

Janssen, I., Katzmarzyk, P.T., Ross, R., Leon, A.S., Skinner, J.S., Rao, D.C., Wilmore, J.H., Rankinen, T., Bouchard, C., 2004. Fitness Alters the Associations of BMI and Waist Circumference with Total and Abdominal Fat. Obes. Res. 12, 525-537. https://doi.org/10.1038/oby.2004.60

Jelastopulu, E., Kallianezos, P., Merekoulias, G., Alexopoulos, E.C., Sapountzi-Krepia, D., 2012. Prevalence and risk factors of excess weight in school children in West Greece. Nurs. Health Sci. 14, 372-380. https://doi.org/10.1111/j.1442-2018.2012.00691.x

Koster, A., Leitzmann, M.F., Schatzkin, A., Mouw, T., Adams, K.F., van Eijk, J.T.M., Hollenbeck, A.R., Harris, T.B., 2008. Waist Circumference and Mortality. Am. J. Epidemiol. 167, 1465-1475. https://doi.org/10.1093/aje/kwn079

Lee, C.Y., Ledoux, T.A., Johnston, C.A., Ayala, G.X., O'Connor, D.P., 2019. Association of parental body mass index (BMI) with child's health behaviors and child's BMI depend on child's age. BMC Obes. 6, 11. https://doi.org/10.1186/s40608-019-0232-x

Lee, S., Kuk, J.L., Katzmarzyk, P.T., Blair, S.N., Church, T.S., Ross, R., 2005. Cardiorespiratory Fitness Attenuates Metabolic Risk Independent of Abdominal Subcutaneous and Visceral Fat in Men. Diabetes Care 28, 895-901. https://doi.org/10.2337/diacare.28.4.895

Li, A.M., 2005. The six-minute walk test in healthy children: reliability and validity. Eur. Respir. J. 25, 1057-1060. https://doi.org/10.1183/09031936.05.00134904

Lo, K., Wong, M., Khalechelvam, P., Tam, W., 2016. Waist-to-height ratio, body mass index and waist circumference for screening paediatric cardio-metabolic risk factors: a meta-analysis. Obes. Rev. 17, 1258-1275. https://doi.org/10.1111/obr.12456

Magnússon, K.T., Sveinsson, T., Arngrímsson, S.Á., Johannsson, E., 2008. Predictors of fatness and physical fitness in nine-year-old Icelandic school children. Int. J. Pediatr. Obes. 3, 217-225. https://doi.org/10.1080/17477160802169482

McCarthy, H., Jarrett, K., Crawley, H., 2001a. The development of waist circumference percentiles in British children aged 5.0-16.9 y. Eur. J. Clin. Nutr. 55, 902-907. https://doi.org/10.1038/sj.ejcn.1601240

McCarthy, S. N., Harrington, K. E., Kiely, M., Flynn, A., Robson, P. J., Livingstone, M. B., Gibney, M. J., 2001b. Analyses of the anthropometric data from the North/South Ireland Food Consumption Survey. Public Health Nutr. 4(5A), 1099–1106. https://doi.org/10.1079/phn2001191

Ortega, F.B., Tresaco, B., Ruiz, J.R., Moreno, L.A., Martin-Matillas, M., Mesa, J.L., Warnberg, J., Bueno, M., Tercedor, P., Gutiérrez, Á., Castillo, M.J., 2007. Cardiorespiratory Fitness and Sedentary Activities Are Associated with Adiposity in Adolescents*. Obesity 15, 1589-1599. https://doi.org/10.1038/oby.2007.188

Parrett, A.L., Valentine, R.J., Arngrímsson, S.Á., Castelli, D.M., Evans, E.M., 2011. Adiposity and aerobic fitness are associated with metabolic disease risk in children. Appl. Physiol. Nutr. Metab. 36, 72-79. https://doi.org/10.1139/H10-083

Qin, Y.-Y., Steier, J., Jolley, C., Moxham, J., Zhong, N.-S., Luo, Y.-M., 2010. Efficiency of Neural Drive During Exercise in Patients With COPD and Healthy Subjects. Chest 138, 1309-1315. https://doi.org/10.1378/chest.09-2824

Schoeppe, S., Röbl, M., Liersch, S., Krauth, C., Walter, U., 2016. Mothers and Fathers Both Matter: The Positive Influence of Parental Physical Activity Modeling on Children's Leisure-Time Physical Activity. Pediatr. Exerc. Sci. 28, 466-472. https://doi.org/10.1123/pes.2015-0236

Unnithan, V.B., Murray, L.A., Timmons, J.A., Buchanan, D., Paton, J.Y., 1995. Reproducibility of cardiorespiratory measurements during submaximal and maximal running in children. Br. J. Sports Med. 29, 66-71. https://doi.org/10.1136/bjsm.29.1.66

Vandoni, M., Correale, L., Puci, M.V., Galvani, C., Codella, R., Togni, F., La Torre, A., Casolo, F., Passi, A., Orizio, C., Montomoli, C., 2018. Six minute walk distance and reference values in healthy Italian children: A cross-sectional study. PLoS One 13, e0205792. https://doi.org/10.1371/journal.pone.0205792

Wang, Y., Lobstein, T., 2006. Worldwide trends in childhood overweight and obesity. Int. J. Pediatr. Obes. 1, 11-25. https://doi.org/10.1080/17477160600586747

World Health Organization, 2000. The Asia-Pacific perspective: redefining obesity and its treatment.

Published

2020-12-22

How to Cite

Casolo, A., Nuccio, S., Tommasini, E., Casolo, F., & Galvani, C. (2020). Parental influence on children’s cardiometabolic risk factors and cardiorespiratory fitness. Journal of Human Sport and Exercise, 15(4proc), S1354-S1366. Retrieved from https://www.jhse.ua.es/article/view/2020-v15-n4-proc-parental-influence-children-s-cardiometabolic-r