Comparison of body adiposity in young people with and without Down syndrome
Adiposidad corporal en jóvenes con y sin sindrome de Down
DOI:
https://doi.org/10.12873/414gomezcamposKeywords:
Adiposity, Down syndrome, YouthAbstract
Introduction: Anthropometry is a tool used to quantify the quantity and proportions of body tissue compartments, allowing nutritional evaluation and follow-up of diverse populations.
Objective: To compare body adiposity in young Chileans with and without Down syndrome (DS) using anthropometric techniques.
Methods: A comparative cross-sectional study was designed in 66 Chilean young people with and without DS. The group of young people with DS consisted of 16 males and 14 females, the control group GC (young people without DS) consisted of 18 males and 18 females. The age range ranged from 18 to 23 years. The data were grouped into three age ranges (18-19, 20-21 and 22-23 years). Weight, height, neck circumference and waist circumference were assessed. Body mass index (BMI) and waist-to-height ratio (WHR) were calculated.
Results: Young people with DS reflected greater neck circumference (~3.6 to 4.3cm), waist (~4.1 to 11.7cm) and BMI (~0.03 to 0.05) in all age ranges relative to the CG (p<0.05). There were no significant differences in BMI (p>0.05). Young women with DS had higher values in neck circumference (~3.0 to 5.8cm), waist (~11.4 to 15.1cm), BMI (~5.6 to 7.5cm) and ECI (~0.10 to 0.11) compared to CG (p<0.05).
Conclusion: The results have shown that youth with DS have elevated levels of body adiposity relative to their non-DS counterparts. These findings suggest the need to implement and encourage healthy lifestyle programs to maintain acceptable levels of body adiposity among youth.
References
Weber DR, Leonard MB, Zemel BS. Body composition analysis in the pediatric population. Pediatric endocrinology reviews. 2012; 10(1):130–139.
Laskey M, Phil D. Dual-energy x-ray absorptiometry and body composition. Nutrition. 1996; 12(1):45–51
Shepherd JA, Ng B.K, Sommer MJ, Heymsfield SB. Body composition by DXA. Bone. 2017; 104: 101–105.
Gatica-Mandiola P, Vidal-Espinoza R, Gómez-Campos R, Pacheco-Carrillo J, Pino-Valenzuela M, Cossio-Bolaños MA. Predictores de adiposidad corporal en jóvenes con síndrome de Down. Rev Esp Nutr Comunitaria 2018; 24(4), 1-9.
Gómez Campos R, Pacheco Carrillo J, Almonacid Fierro A, Urra Albornoz C, Cossío-Bolaños M. Validation of equations and proposed reference values to estimate fat mass in Chilean university students. Endocrinol Diabetes Nutr. 2018; 65(3):156-163.
Gómez-Campos R, Vidal-Espinoza R, Castelli-Correia de Campos LF, Marques de Moraes A, Lázari E, Cossio Bolaños W, Urzúa Alul L, Sulla-Torres J, Cossio Bolaños M. Estimación de la masa grasa por medio de indicadores antropométricos en jóvenes con síndrome de Down Nutr Hosp. 2021;13.
Casadei K, Kiel J. Anthropometric Measurement. 2021. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021. PMID: 30726000.
Rubin SS, Rimmer JH, Chicoine B, Braddock D, McGuire DE. Overweight prevalence in persons with Down syndrome. Ment Retard 1998; 36: 175e81.
De S, Small J, Baur LA. Overweight and obesity among children with developmental disabilities. J Intellect Dev Disabil 2008; 33: 43e7.
O' Shea M, O' Shea C, Gibson L, Leo J, Carty C. The prevalence of obesity in children and young people with Down syndrome. J Appl Res Intellect Disabil. 2018;31(6):1225-1229.
González-Agüero A, Matute-Llorente Á, Gómez-Cabello A, Vicente-Rodríguez G, Casajús JA. Percentage of body fat in adolescents with Down syndrome: Estimation from skinfolds. Disabil Health J. 2017;10(1):100-104.
Nixon DW. Down syndrome, obesity, alzheimer’s disease, and cancer: A brief review and hypothesis. Brain Sci. 2018; 8(4):1-14.
Pastore E, Marino B, Calzolari A, Digilio MC, Giannotti A, Turchetta A. Clinical and cardiorespiratory assessment in children with Down syndrome without congenital heart disease. Arch Pediatr Adolesc Med. 2000;154(4):408-10.
Martínez-Espinosa RM, Molina Vila MD, Reig García-Galbis M. Evidences from Clinical Trials in Down Syndrome: Diet, Exercise and Body Composition. International journal of environmental research and public health.2020; 17(12): 4294.
Pino M, Muñoz F, Henríquez M, Luarte Rochad C, Gomez-Campos R, Cossio Bolaños M, Castelli de Campo LF. Adiposidad corporal y resistencia muscular abdominal en jóvenes con síndrome de Down. Andes pediatr. 2021;92(4).
ENS. Encuesta Nacional de Salud 2016-2017. Departamento de Epidemiología/División de Planificación Sanitaria/Subsecretaría de Salud Pública.. Ministerio de Salud/Gobierno de Chile. 2017 [consultado 19 Ago 2020]. Disponible en https://www.minsal.cl/wp-content/uploads/2017/11/ENS2016-17 PRIMEROS-RESULTADOS.pdf.
Ross WD, Marfell-Jones M J. Kinanthropometry. In: MacDougall JD, Wenger HA, Geeny HJ. (Eds.), Physiological testing of eliteathlete. London: Human Kinetics. 1991;223:308–314.
Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ, 1988; Lawrence Erlbaum
Malt EA, Dahl RC, Haugsand TM, Ulvestad IH, Emilsen NM, Hansen B, Cardenas YE, Skøld RO, Thorsen AT, Davidsen EM. Health and disease in adults with Down syndrome. Tidsskr Nor Laegeforen. 2013;133(3):290-4. English, Norwegian.
Mancini MC, Aloe F, Tavares S. Apnéia do sono em obesos. Arq Bras Endocrinol Metab. 2000;44:81-90.
Jehan S, Myers AK, Zizi F, Pandi-Perumal SR, Jean-Louis G, McFarlane SI. Obesity, obstructive sleep apnea and type 2 diabetes mellitus: Epidemiology and pathophysiologic insights. Sleep medicine and disorders: international journal. 2018; 2(3): 52–58.
Humphries K, Traci MA, Seekins T. Nutrition and adults with intellectual or developmental disabilities: Systematic literature review results. Intellectual and Developmental Disabilities. 2009;47: 163-185.
Rossato M, Dellagrana RA, da Costa RM, Bezerra ED, Otacílio J, dos Santos L, Rech CR. The accuracy of anthropometric equations to assess body fat in adults with Down syndrome. Journal of Applied Research in Intellectual Disabilities. 2018; 31: 193-199.
Martínez-Espinosa RM, Molina Vila MD, Reig García-Galbis M. Evidences from Clinical Trials in Down Syndrome: Diet, Exercise and Body Composition. International journal of environmental research and public health. 2020; 17(12): 4294.
González-Aguëro A, Ara I, Moreno LA, Vicente-Rodríguez G, Casajús JA. Fat and lean masses in youths with Down syndrome: gender diferences. Res Dev Disabil 2011; 32: 1685–1693
Pitchford EA, Adkins C, Hasson RE, Hornyak JE, Ulrich DA. Association between physical activity and adiposity in adolescents with Down syndrome. Medicine & Science in Sports & Exercise. 2018;50(4):667-674.
Pitetti K, Baynard T, Agiovlasitis S. Children and adolescents with Down syndrome, physical fitness and physical activity. Journal of Sport and Health Science. 2013; 2(1): 47-57.
Baptista F, Varela A, Sardinha LB. Bone mineral mass in males and females with and without Down syndrome. Osteoporosis International. 2005;16(4):380-388.
Izquierdo-Gomez R, Martínez-Gómez D, Fernhall B, Sanz A, Veiga Ó. The role of fatness on physical fitness in adolescents with and without Down syndrome: The UP&DOWN study. International Journal of Obesity. 2016;40(1): 22-27.
Bittles AH, Glasson EJ. Clinical, social, and ethical implications of changing life expectancy in Down syndrome. Dev Med Child Neurol. 2004;46(4):282–286.
Izquierdo-Gomez R, Martínez-Gómez D, Acha A, Veiga OL, Villagra A, Diaz-Cueto M. Objective assessment of sedentary time and physical activity throughout the week in adolescents with Down syndrome. The UP & DOWN study. Research in Developmental Disabilities. 2014;35(2):482-489.
Farías-Valenzuela C, Cofré-Bolados C, Ferrari G, Espoz-Lazo S, Arenas-Sánchez G, Álvarez-Arangua S, Espinoza Salinas A, Valdivia-Moral P. Effects of Motor-Games-Based Concurrent Training Program on Body Composition Indicators of Chilean Adults with Down Syndrome. Sustainability. 2021;13: 5737.
Wong C, Dwyer J, Holland M. Overcoming Weight Problems in Adults With Down Syndrome. . Nutr Today. 2014;49(3):109Y119
Cooper SA, Melville C, Morrison J. People with intellectual disabilities. BMJ (Clinical research ed). 2004; 329(7463):414–415.
Song B, Ru P, Manfredi P, Souza I. Estado nutricional de niños y adolescentes con síndrome de Down: una revisión integradora. Revista Científica Multidisciplinar Núcleo do Conhecimento. 2020;19: 55-70.
Downloads
Published
How to Cite
License
Copyright (c) 2021 Nutrición Clínica y Dietética Hospitalaria
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los lectores pueden utilizar los textos publicados de acuerdo con la definición BOAI (Budapest Open Access Initiative)