@article{cd8d783a43ae4781b21f4d238df8dc60,
title = "Sex differences in metabolic syndrome components in adolescent military dependents at high-risk for adult obesity",
abstract = "Background: Metabolic syndrome in adolescence has been associated with adverse cardiometabolic outcomes in adulthood. Preliminary data suggest that boys may have worsened metabolic syndrome components compared to girls. Yet, little is known about the physical health of military dependents, a potentially at-risk population. Objective: Examine sex differences in metabolic syndrome components in a sample of adolescent military dependents. Methods: Participants were adolescents (N = 139; 14.4 ± 1.6 years; 45.3% male; 41.0% non-Hispanic White, 19.4% non-Hispanic Black; BMI-z: 1.9 ± 0.4) at-risk for adult obesity and binge-eating disorder due to an age- and sex-adjusted BMI ≥85th percentile and loss-of-control eating and/or elevated anxiety. A multivariate analysis of covariance was conducted to compare objectively measured metabolic syndrome components across boys and girls. Covariates were age, race, loss-of-control eating status, anxiety symptoms, and BMI-z. Results: Metabolic syndrome components differed by sex (P =.01). Boys had higher systolic blood pressure (P =.049), lower high-density lipoprotein cholesterol (P =.01), and higher glucose (P =.001) than girls. Waist circumference, diastolic blood pressure, and triglycerides did not differ between boys and girls (P >.05). Conclusions: Future research should prospectively examine these relationships into adulthood. If the current findings are supported, prevention programs should consider targeting cardiometabolic health particularly among male adolescent military dependents.",
keywords = "adolescents, metabolic syndrome, military, obesity, overweight, sex differences",
author = "Shank, {Lisa M.} and {Higgins Neyland}, {M. Katy} and Lavender, {Jason M.} and Rachel Schindler and Senait Solomon and Kathrin Hennigan and William Leu and Schvey, {Natasha A.} and Tracy Sbrocco and Sarah Jorgensen and Mark Stephens and Olsen, {Cara H.} and Mark Haigney and Klein, {David A.} and Jeffrey Quinlan and Yanovski, {Jack A.} and Marian Tanofsky-Kraff",
note = "Funding Information: L.M.S., M.T.K., M.K.H.N., and J.L. contributed to study design; all authors contributed to data collection; L.M.S. conducted data analysis and interpretation, completed the literature search, generated the figures and together with M.T.K. and M.K.H.N. wrote the first draft of the manuscript. All authors were involved in writing the paper and had final approval of the submitted and published versions. This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases [grant number 1R01DK104115‐01 to MTK] and the Defense Health Agency [number MED 83‐10180 to MH]. JAY is supported by the Intramural Research Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development [grant number ZIA‐HD‐00641]. The funding sources had no involvement in study design, in the collection, analysis and interpretation of data, in the writing of the report, or in the decision to submit the article for publication. The opinions and assertions expressed herein are those of the authors and are not to be construed as reflecting the views of Uniformed Services University of the Health Sciences or the United States Department of Defense. Funding Information: L.M.S., M.T.K., M.K.H.N., and J.L. contributed to study design; all authors contributed to data collection; L.M.S. conducted data analysis and interpretation, completed the literature search, generated the figures and together with M.T.K. and M.K.H.N. wrote the first draft of the manuscript. All authors were involved in writing the paper and had final approval of the submitted and published versions. This work was supported by the National Institute of Diabetes and Digestive and Kidney Diseases [grant number 1R01DK104115-01 to MTK] and the Defense Health Agency [number MED 83-10180 to MH]. JAY is supported by the Intramural Research Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development [grant number ZIA-HD-00641]. The funding sources had no involvement in study design, in the collection, analysis and interpretation of data, in the writing of the report, or in the decision to submit the article for publication. The opinions and assertions expressed herein are those of the authors and are not to be construed as reflecting the views of Uniformed Services University of the Health Sciences or the United States Department of Defense. Publisher Copyright: {\textcopyright} 2020 World Obesity Federation",
year = "2020",
month = aug,
day = "1",
doi = "10.1111/ijpo.12638",
language = "English",
volume = "15",
journal = "Pediatric Obesity",
issn = "2047-6302",
number = "8",
}