Obese Female Adolescents Research Articles

Treadmill has a more beneficial effect than cycling on fat loss through myokines secretion in obese women

Obesity is a condition characterized by the excessive accumulation of body fat beyond normal limits. Irisin and IL-6 are myokines that have a function to convert white adipose tissue into brown adipose tissue, resulting in thermogenesis that induces energy expenditure and has implications for reducing excess fat accumulation. This study aims to demonstrate the response of moderate-intensity treadmill and ergo cycle exercise on fat loss and increasing myokines secretion in obese adolescent females. A total of 30 obese women met the criteria with body mass index (BMI) of 30.02±2.97 kg/m2, age 21.27±1.31 years were recruited into the study and given single session of aerobic ergo cycle exercise (AEEG) and aerobic treadmill exercise (ATEG) during 45 min. Measurement of myokines, i.e., irisin and IL-6, using Enzyme-Linked Immunosorbent Assay (ELISA) on all samples. Statistical analysis was performed using a one-way ANOVA test and Tukey's HSD post hoc test with significance at the 5% level. The results showed that the average levels of irisin post-exercise were 72.82±42.96 ng/mL at CTLG, 282.50±75.96 ng/mL at AEEG, 488.14±61.30 ng/mL at ATEG, and p = 0.000. Average levels of IL-6 post-exercise were 51.09±15.68 pg/mL at CTLG, 58.94±3.62 pg/mL at AEEG, 129.29±52.65 pg/mL at ATEG, and p = 0.000. Average ∆ FAT were -0.02±0.34 % at CTLG, -0.35±0.19 % at AEEG, -0.46±0.18 pg/mL at ATEG, and p = 0.002. Both intervention of exercise consistently increased irisin levels, while IL-6 levels were found to increase only with aerobic treadmill exercise. Likewise, body fat only decreased after one session of treadmill aerobic exercise compared to ergo cycle aerobic exercise. Keywords: Aerobic exercise, interleukin 6, irisin, obesity, metabolism

Effects of Online Nutrition Training Program About Mediterranean Diet on Anthropometric Measurements and Diet Quality in Overweight and Obese Adolescent Girls

Objective: This study was conducted to evaluate the effect of an online nutrition training program about the Mediterranean diet for 8 weeks in overweight and obese female high school students on anthropometric measurements and diet quality.
 Methods: A total of 86 students between the ages of 14-18 years were included in the study, and they were divided into two groups as nutrition training (n=44) and control groups (n=42). The Mediterranean Diet Quality Index (KIDMED) scores were calculated and anthropometric measurements of groups were taken by the dietician at the beginning and at the end of the study.
 Results: The KIDMED score of the nutrition training group was 4.59±2.40 at the beginning, later on it increased to 7.43±2.57 after the program (p= .001). After the program, it was determined that the difference between the KIDMED scores of the nutrition training and control groups were statistically significant (p= .034), however the decrease in body weight (p= .09), BMI (p= .64), and waist circumference (p= .06) were similar between groups.
 Conclusion: As a result of the study, it can be said that online nutrition training program about the Mediterranean diet for 8 weeks may affect the diet quality positively of overweight and obese female adolescents, but long-term programs should be planned to determine the effects on anthropometric measurements.

Relationship Between Central Obesity and The Risk of Hypertension in Obesity Adolescents

The increasing prevalence of central obesity in adolescents is accompanied by an increase in risk factors for cardiovascular disease. The study aims to analyze the relationship between central obesity and the risk of hypertension in obese adolescents, including both male and female subjects. This study was undertaken to provide opportunities for further exploration of the relationship between central obesity and hypertension in adolescents. The study was a retrospective observational study that utilized medical record data from a previous research project entitled "Polimorfisme Gen Adiponectin ADIPOQ +45 T>G, ADIPOQ – 11377 C>G dengan Kadar Adiponektin Pada Remaja Obesitas dan Resiko Sindrom Metabolik." This data was obtained from research conducted on obese adolescents aged 13-18 years in junior and senior high schools in Surabaya and Sidoarjo who met the criteria. The sample comprised 140 obese adolescents, who were then categorized into two groups: those without central obesity and those with central obesity. Statistical data were analyzed using SPSS with the Chi Square test. There is a very strong and significant relationship between central obesity and the risk of hypertension in obese adolescents (p = 0.000; r = 0.373); central obesity and the risk of hypertension in obese male adolescents (p = 0.001; r = 0.587); and central obesity and the risk of hypertension in obese female adolescents (p = 0.003; r = 0.300). The study found a significant relationship between central obesity and hypertension risk in obese adolescents. Adolescents with central obesity were 3.6 times more likely to develop hypertension than those without. Male adolescents with central obesity were 6.5 times more likely to develop hypertension than those without. Female adolescents with central obesity were 2.9 times more likely to develop hypertension

Sleep Quality And Body Composition Indices Of Obese Female Adolescents Improved Using Indigenous Ampe Exercise Programme

Background: Participation in the ampe exercise programme has been shown to improve the anthropometric and physiological characteristics of children, but its effectiveness on sleep quality and body composition indices of obese female adolescents is yet to be determined. This study confirms that ampe exercise programme improves sleep quality and body composition indices in obese female adolescents. Methods: The study adopted a pretest-posttest experimental design, with fifteen obese female adolescents recruited to participate in a 6-week ampe exercise programme. Before and after intervention, sleep quality, visceral fat, body mass index, and waist to hip ratio were assessed. A paired t-test and bivariate analysis were conducted between the sleep quality and body composition indices of the participants. Results: Body weight (102.33±15.80 < 96.47±15.36, P=0.000), body mass index (33.55±2.56 < 31.61±2.55, P=0.000), visceral fat (10.23±3.03 <8.47± 2.20), (P=0.003), and waist to hip ratio (0.86±0.04 < 0.83±0.05, P=0.000) decreased significantly while sleep quality (P=0.000) improved significantly after ampe exercise programme. The relationship between sleep quality and body composition indices was not significant. Conclusion: Ampe exercise programme potently improved body weight, body mass index, visceral fat, waist to hip ratio, and sleep quality in obese female adolescents. It is an effective and inexpensive therapeutic exercise programme suggested for individuals with non-communicable diseases and mental health. Further, comprehensive clinical trial studies on cardiovascular disease patients will ascertain the clinical efficacy of ampe exercise programme.

Sex Differences in Branched-chain Amino Acid and Tryptophan Metabolism and Pathogenesis of Youth-onset Type 2 Diabetes.

Insulin resistance is associated with elevations in plasma branched-chain amino acids (BCAAs). BCAAs compete with aromatic amino acids including tryptophan for uptake into β cells. To explore relationships between BCAAs and tryptophan metabolism, adiposity, and glucose tolerance, we compared urine metabolites in overweight/obese youth with type 2 diabetes (T2D) with those in nondiabetic overweight/obese and lean youth. Metabolites were measured in 24-hour and first-morning urine samples of 56 nondiabetic adolescents with overweight/obesity, 42 adolescents with T2D, and 43 lean controls, aged 12 to 21 years. Group differences were assessed by Kruskal Wallis or ANOVA. Groups were comparable for age, pubertal status, and ethnicity. Youth with T2D were predominantly female and had highest percent body fat. BCAAs, branched-chain ketoacids (BCKAs), tryptophan, and kynurenine were higher in urine of subjects with T2D. There were no differences between lean controls and nondiabetic youth with overweight/obesity. T2D was associated with diversion of tryptophan from the serotonin to the kynurenine pathway, with higher urinary kynurenine/serotonin ratio and lower serotonin/tryptophan and 5-HIAA/kynurenine ratios. Urinary BCAAs, BCKAs, tryptophan, and ratios reflecting diversion to the kynurenine pathway correlated positively with metrics of body fat and hemoglobin A1c. Increases in these metabolites in the obese T2D group were more pronounced and statistically significant only in adolescent girls. Increases in urinary BCAAs and BCKAs in adolescent females with T2D are accompanied by diversion of tryptophan metabolism from the serotonin to the kynurenine pathway. These adaptations associate with higher risks of T2D in obese adolescent females than adolescent males.

Exploring the Effects of Yogic Practice and Diet Intervention on Body Composition in Obese Female Adolescents

Exploring the Effects of Yogic Practice and Diet Intervention on Body Composition in Obese Female Adolescents

Effects of a 12-Week Yoga Training Intervention on Blood Pressure and Body Composition in Obese Female Adolescents: A Randomized Controlled Pilot Study

This study delves into the pressing issue of obesity, a condition characterized by abnormal fat accumulation and a significant contributor to non-communicable diseases like diabetes, cardiovascular ailments, hypertension, and hyperlipidemia. With over 1 billion individuals globally classified as obese, addressing this epidemic is paramount. Purpose: this research aimed to evaluate the impact of a 12-week yoga training intervention on blood pressure and body composition among obese adolescents. Material & Methods: twenty four female adolescents 4 participants discared, aged 18-20 years, female adolescents were randomly assigned to two groups. One group performed yoga training interevention (YPG, n=10, age 19.2±0.4) for 12 weeks with two sessions (morning & evening) for three days a week. A second group acted as an control group (CG, 18.9±0.9). All participants completed the following tests before and after intervention; body weight, body mass index, free fat mass, body fat, systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse pressure. The results yielded promising outcomes, with all participants successfully completing the study, showcasing a 100% adherence rate without any training or test-related injuries. Results: the intervention led to significant improvements in several key parameters. In present study, body weight (p<0.001), a notable reduction in (BMI), BF% (p<0.001), SBP (p<0.001), MAP (p<0.001), and PP (p<0.001) were changed significantly. Conclusion: in conclusion, the 12-week yoga training program emerged as an effective strategy for reducing body composition indicators such as body weight, BMI, and BF%, while also positively impacting blood pressure parameters (MAP and PP) in obese female adolescents. These findings underscore the potential of yoga as a holistic approach in combating the obesity crisis and its associated health risks, offering a path toward healthier lifestyles for affected individuals.

The Relationship between Certain Parental/Household Socio-Economic Characteristics and Female Adolescent Obesity in Montenegro.

Considering that obesity is characterized today as a public health challenge and an epidemic in many countries in the world and that one of the main predictors for obesity is socio-economic status (SES), the aim of this paper was to assess the relationship between the SES of parents/guardians and female adolescent obesity in Montenegro. A stratified random probability sample method was used, and the number of participants in this study was 596, aged 15.8 ± 0.58, from all three regions in Montenegro. As SES was a factor in this research, specific SES parameters such as household wealth and parental educational level were collected for parent/guardian of each child. The following anthropometric indices were utilized to evaluate nutritional status: body mass index (BMI) and waist to height ratio (WHtR). Regarding nutritional status, it can be said that no statistically significant difference between female adolescents according to the regions of Montenegro was found. Of all the adolescents in the study, 15.4% of them were above the normal nutrition level as measured by BMI, while 12.2% were classified as obese by the WHtR. Furthermore, the study found a significant negative relationship between a mother's level of education and obesity in female adolescents, with odds ratios of 0.31 (p = 0.035) and 0.19 (p = 0.009) for secondary and high level education, respectively. This suggests that daughters of mothers with higher levels of education are less likely to be obese. In regard to the nutritional status of the respondents in this study, their values fell within the normal range compared to the European average. However, the results regarding the relationship between certain SES characteristics and obesity suggest a similarity to developed countries.

The Positive Effect of Four-Week Combined Aerobic–Resistance Training on Body Composition and Adipokine Levels in Obese Females

Obesity is a metabolic disease that is caused by a lack of physical activity and is associated with an increased risk of chronic inflammation. A total of 40 obese adolescent females with an average age of 21.93 ± 1.35 years and average body mass index (BMI) of 30.81 ± 3.54 kg/m2 were enrolled in this study, randomized, and divided into four groups, i.e., control (CTL; n = 10), moderate intensity aerobic training (MAT; n = 10), moderate intensity resistance training (MRT; n = 10), and moderate intensity combined aerobic-resistance training (MCT; n = 10). The enzyme-linked immunosorbent assay (ELISA) kits method was used to analyze the adiponectin and leptin levels between pre-intervention and post-intervention. Statistical analysis was conducted using a paired sample t-test, while correlation analysis between variables used the Pearson product-moment correlation test. Research data showed that MAT, MRT, and MCT significantly increased adiponectin levels and decreased leptin levels compared to the CTL (p ≤ 0.05). The results of the correlation analysis of delta (∆) data showed that an increase in adiponectin levels was significantly negatively correlated with a decrease in body weight (BW) (r = -0.671, p ≤ 0.001), BMI (r = -0.665, p ≤ 0.001), and fat mass (FM) (r = -0.694, p ≤ 0.001) and positively correlated with an increase in skeletal muscle mass (SMM) (r = 0.693, p ≤ 0.001). Whereas, a decrease in leptin levels was significantly positively correlated with a decrease in BW (r = 0.744, p ≤ 0.001), BMI (r = 0.744, p ≤ 0.001), and FM (r = 0.718, p ≤ 0.001) and negatively correlated with an increase in SMM (r = -0.743, p ≤ 0.001). In summary, it can be concluded that our data show that adiponectin levels increased and leptin levels decreased after the intervention of aerobic, resistance, and combined aerobic-resistance training.

Prevalence of nonalcoholic fatty liver disease increased with type 2 diabetes mellitus in overweight/obese youth with polycystic ovary syndrome.

Polycystic ovary syndrome (PCOS) increases non-alcoholic fatty liver disease (NAFLD) risk and severity in adults, but data in adolescents with diverse backgrounds are limited. We evaluated NAFLD prevalence and characterized NAFLD risk factors in overweight/obese adolescents by PCOS status. Retrospective study of overweight (n=52)/obese (n=271) female adolescents (12-18 years old), evaluated clinically 2012-2020, was conducted comparing PCOS patients to age-matched non-PCOS controls. NAFLD was defined as ALT≥44U/L x2 and/or≥80U/L x1, hepatic steatosis on imaging, or NAFLD on biopsy, in absence of other liver disease. Metabolic comorbidities were captured. Log-binomial regression models estimated prevalence risk ratios (PR). NAFLD prevalence was 19.1% in adolescents with PCOS (n=161), similar to those without (n=162) (16.8%, p=0.6). Adolescents with PCOS were more likely to have insulin resistance, hypercholesterolemia, and higher triglycerides (p<0.05). Those with PCOS and concomitant type 2 diabetes (T2DM) did have increased NAFLD risk (PR 2.5, p=0.04), but those with PCOS without T2DM did not (PR 0.9, p=0.8). Adolescents with PCOS and NAFLD, compared to those with PCOS without NAFLD, had a higher prevalence of metabolic comorbidities including hypercholesterolemia (77 vs. 48 %), T2DM (29 vs. 8 %), and hypertriglyceridemia (65 vs. 37 %) (p<0.01). Almost 1 in 5 overweight/obese female adolescents had NAFLD, but PCOS did not increase NAFLD risk in this diverse cohort. Among young women with PCOS, concomitant T2DM did increase the risk for NAFLD. Closer monitoring of obesity comorbidities in adolescents with PCOS is essential for optimizing health and merits updating current guidelines.

Relationship between Body Image, Body Mass Index and Self Esteem among Obese and Non Obese Female Adolescents

Purpose of this research was to study the relationship between body mass index, body image dissatisfaction and self-esteem among obese and normal weight female adolescents in district Attock. This research also aimed to study differences among obese and non-obese female adolescents on self-esteem and body image. The population of study was female adolescents. Sampling technique used for selection of sampling was purposive sampling. Sample size of this research was 200 female adolescents. Survey method was used to collect data from sample. Statistical Package for Social Science (SPSS) software was used for obtaining results of this study. Finding of this study shows that there is significant positive correlation between body image dissatisfaction and body mass index. It indicates a significant negative correlation among body mass index, self-esteem and body image dissatisfaction. Results of this research indicate that obese female adolescents have more body image dissatisfaction and low self-esteem as compared to non-obese female adolescents.

Single 30min treadmill exercise session suppresses the production of pro-inflammatory cytokines and oxidative stress in obese female adolescents.

Regular treadmill exercise may result in changes in pro-inflammatory cytokines and oxidative stress. However, the way acute treadmill exercise mechanisms affect the changes in pro-inflammatory cytokines and oxidative stress in obese has not been comprehensively exposed. This study aimed to analyze the pro-inflammatory cytokines and oxidative stress between 30min before treadmill exercise and 24h after treadmill exercise in obese adolescents. A total of 20 obese females aged 19-24years were recruited from female students and given one session of treadmill exercise with an intensity of 60-70% HRmax. Thiobarbituric acid reactive substance (TBARS) was used to analyze serum levels of MDA, while enzyme-linked immunosorbent assay (ELISA) was used to analyze serum levels of TNF-α and IL-6. Moreover, the independent samples t-test with a significance level of 5% was employed to have the statistical analysis. The results on 24h after treadmill exercise and delta (Δ) between CTRL and TREG showed a significant difference (p<0.001). This study found a decrease in pro-inflammatory cytokines and oxidative stress 24h after treadmill exercise in obese adolescents. Therefore, treadmill exercise can be a promising strategy for preventing adolescents from obesity as well as preventing disease risks associated with oxidative stress and chronic inflammation.

Comparison of patellar anchor fixation graft and graft through patellar tunnel reconstruction of medial patellofemoral ligament in the treatment of recurrent patellar dislocation: A protocol for a meta-analysis of comparative studies.

Recurrent patellar dislocation (RPD) occurs in people who have their own patellofemoral dysplasia and who have not been properly treated after their first patellar dislocation. For RPD where conservative treatment is ineffective, medial patellofemoral ligament (MPFL) reconstruction is the first choice for surgical treatment, but there are various and controversial ways of MPFL reconstruction and fixation. Initially, more scholars adopted the patellar lateral tunneling (PT) approach to contain and stabilize the graft, but with the newer materials and techniques, some experts adopted the lateral patellar anchor fixation (AF) of the graft, which can avoid the collateral damage caused by the patellar lateral tunneling and can obtain the same definite efficacy. Therefore, a meta-analysis must be performed to provide evidence whether there is a difference between AF and PT reconstruction of the MPFL in the treatment of RPD. We will search, with no time restriction, without any restriction of language and status, the time from the establishment of the database to October 2022, on the following databases: PubMed (MEDLINE), Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, Chinese National Knowledge Infrastructure (CNKI), Wanfang Data (WF), Chinese Scientific Journals Database (VIP), and Chinese databases SinoMed (CBM) electronic databases. The electronic database search will be supplemented by a manual search of the reference lists of included articles. We will apply the risk-of-bias tool of the Cochrane Collaboration for randomized controlled trials to assess the methodological quality. Risk-of-Bias Assessment Tool for Non-randomized Studies was used to evaluate the quality of comparative studies. Statistical analysis will be conducted using RevMan 5.4 software. This systematic review and meta-analysis will evaluate the functional outcomes of the two fixation modalities, AF and PT, in reconstructing MPFL for RPD. The findings of this study will provide a basis for clinical judgment of whether there is a difference between the two forms of AF and PT reconstructed MPFL for RPD.

A Cross-Sectional Study of Obesity Determinants in Female Adolescents at the Gontor Islamic Boarding School for Girls

BACKGROUND: The prevalence of obesity in adolescents has increased worldwide for recent years. Body mass index (BMI)/age, waist circumference (WC), and waist-to-height Ratio (WHtR) are commonly used for assessment of nutritional status. Daily intake of fruits and vegetables and eating time of fruits inversely associated with obesity. AIM: This study aimed to investigate the associations of daily intake of fruits and vegetables and eating time of fruits with obesity in female adolescents at the Gontor Islamic boarding school for girls. MATERIALS AND METHODS: This cross-sectional study recruited 245 female adolescents from the Gontor Islamic Boarding School for girls, which were selected with a purposive sampling technique. They were eligible to follow this study if aged 12–16 years old and were healthy. Data of daily intake of fruits and vegetables were collected using the modified semi quantitative food frequency questionnaire. Anthropometric data consisted of body weight, height, and WC were measured using the standard measurements. Associations of individual variables with anthropometric parameters were analyzed using the Chi-square test. The multiple logistic regression tests were, then, used to analyze associations of independent variables and confounding factors together with BMI/age, WC, and WHtR with a 95% significant level. RESULTS: The prevalence of overweight and obese was 31 and 2% among female adolescents, respectively. Intake of fruits and vegetables associated with BMI/age (p = 0.001), WC (p = 0.039), and WHtR (p = 0.024). Eating time of fruits had no associations with BMI/age (p = 0.207), WC (p = 0.551), and WHtR (p = 0.132). Inadequate intake of fruits and vegetables inversely associated with BMI/age (OR = 2.60; p = 0.002), WC (OR = 1.86; p = 0.047), and WHtR (OR = 1.92; p = 0.039). CONCLUSION: Daily intake of fruits and vegetables inversely associates with BMI/age, WC, and WHtR but not for eating time of fruits among female adolescents in the Gontor Islamic Boarding School for girls.

Communication Preferences of Obese Female Adolescents with Clinicians

Communication Preferences of Obese Female Adolescents with Clinicians

RISIKO PERILAKU SEDENTARI TERHADAP OBESITAS PADA REMAJA PUTRI KOTA MAKASSAR

This study aims to assess the risk of sedentary behavior to obesity in young women in Makassar , this research is an observational study with a cross-sectional study approach, the variables studied in this study are physical activity, TV viewing habits and the habit of using a gadget on obesity in female adolescents. , a total sample of 67 samples was taken using a proportional stratified random sampling technique using a measurement questionnaire by WHO's Antro Plus. Data processing and analysis used the chi square statistical test. The results showed that there was a significant relationship between physical activity and obesity with a p value (0.012) &lt; 0.05, the habit of watching TV has a p value (0.031) &gt; 0.05 and the use of gedjet has a p value (0.031) &lt; 0.05. This shows that there is a significant relationship between sedentary behavior and the risk of obesity in young women so that it is hoped that young women can make changes from negative behavior to positive behavior.

Association between lifestyle-related, psychosocial factors and obesity among female adolescents in Taiwan

PurposeTo examine a wide range of potential contributors to the risk of obesity in female adolescents. Design and methodsData for this study were collected using a cross-sectional design. A group of 175 female adolescents were recruited, and information on their demographic characteristics, lifestyle-related behaviors, and psychosocial factors was collected using a self-administered questionnaire during September 2018 to January 2019. Data were analyzed using SPSS 24.0. ResultsAn overestimation of body weight was negatively correlated with overweight in the female adolescents. Age at menarche was negatively correlated with the arisk of overweight. Adolescents who slept for >7 h on weekend nights were less likely to be overweight. Eating more cheese, fish, seafood, and organ meats was negatively correlated with obesity risk. The female adolescents were more likely to become overweight if they ate dinners prepared by family and experienced more disturbances from parents and other family members. ConclusionsFemale adolescents are a unique population affected by obesity. Although incorporating both lifestyle-related behavioral and psychosocial factors in future investigations and developing multicomponent interventions for obesity prevention are crucial, female adolescents should receive the utmost attention from researchers to alleviate the health burden of obesity. Practice implicationsThe intertwined nature of obesity-related factors warrants future investigations to elaborate their roles interplaying with the risk of obesity. Multicomponent interventions should be developed, and nurses and health-care providers should target their efforts on obesity prevention for this specific population.

Pattern of serum brain-derived neurotrophic factor levels after acute interval exercise versus acute continuous exercise in obese adolescent females

Obesity has been linked to lower cognitive function, while exercise is known to be beneficial in enhancing the cognitive function. Exercise is also known to increase brain-derived neurotrophic factor (BDNF), as the biological marker of cognitive function. This study aimed to analyse the pattern of serum BDNF levels after acute interval exercise (MIE) versus acute continuous exercise (MCE) in obese adolescent females. A total of 24 obese females were enrolled in this study and given acute interval exercise and acute continuous exercise with moderate intensity. The serum level of BDNF in all samples was quantified using ELISA. Statistical analysis was performed using two-way repeated measures ANOVA, and LSD post-hoc test with a 5% significance level. The results revealed pre-exercise mean serum BDNF levels of 254.17±86.90 pg/ml (Control), 263.21±79.82 pg/ml (MIE) and 266.01±33.29 pg/ml (MCE) (P=0.948). The mean serum BDNF levels at 10 min post-exercise were 248.84±44.42 pg/ml (Control), 397.00±31.36 pg/ml (MIE), and 582.82±79.24 pg/ml (MCE) (P=0.000). The mean serum BDNF levels at 6 h post-exercise were 250.05±70.44 pg/ml (Control), 344.50±68.84 pg/ml (MIE), and 364.42±100.87 pg/ml (MCE) (P=0.029). The mean serum BDNF levels at 24 h post-exercise were 244.20±48.55 pg/ml (Control), 252.49±89.11 pg/ml (MIE), and 250.99±65.86 pg/ml (MCE) (P=0.986). It was concluded that serum BDNF in obese adolescent females increased but transiently. Serum BDNF levels increased by acute exercise in both MIE and MCE at 10 min and 6 h post-exercise. However, serum BDNF level at 24 h post-exercise decreased close to the pre-exercise serum BDNF level in all groups. Further research is needed studying the effect of chronic exercise on the kinetics of serum BDNF levels in obese adolescent females.

RELATION BETWEEN SCREEN TIME AND SLEEPING QUALITY TO OBESITY INCIDENCE IN FEMALE ADOLESCENTS IN BANTUL DISTRICT DURING COVID-19 PANDEMIC

Abstract: Background: The prevalence number of obesity nutritional status in Bantul disctrict in 2018 was 13.32%. The status in adolescents is caused by various factors such as poor sleeping quality which increases screen time exposure in adolescents. Objective: The study is to investigate the relation of screen time and sleeping quality to obesity incidence in female adolescents in Bantul disctrict. Method: The study used quantitative method with case control design. The samples in the study were 13 – 18 years old female adolescents in Bantul district taken randomly by using Cluster Random Sampling technique based on sub-district resulted in 288 female adolescents data consisting of 73 groups of case and 215 control groups. The instruments of the study were questionnaire of respondents’ characteristics, QueST questionnaire, PSQI questionnaire, and antropometri measurement and the data were analyzed by using Chi-square. Result: The result of the study showed that there was no significant relation between screen time and obesity incidence in female adolescents in Bantul district (p= 0.967; OR = 1.12; 95%CI = 0.634-1.978) and there was no significant relation between sleeping quality and obesity in female adolescents in Bantul district (p= 0.672; OR = 0.98; 95%CI = 0.551-1.756). Conclusion: The study concludes that there is no significant relation between screen time and sleeping quality and obesity incidence in female adolescents in Bantul district during Covid-19 pandemic.

Visceral Adiposity Index and Lipid Accumulation Product Related to Insulin Resistance and Metabolic Syndrome in Obese College Students

BACKGROUND: Visceral obesity in adolescent girls increased the risk of cardiometabolic disease. A simple indicator has been developed to assess metabolic risk through visceral adiposity index (VAI) and lipid accumulation product (LAP) in people with visceral obesity. AIM: This study analyzed the relationship between VAI and LAP with insulin resistance (IR) and metabolic syndrome (MS) in obese female adolescents. METHODS: An observational study was conducted on 120 students at Universitas Diponegoro. VAI was obtained from calculation formulations which includes body mass index, waist circumference (WC), triglycerides (TGs), and High-density lipoprotein (HDL) cholesterol. LAP was obtained from calculation formulation which include WC and TGs. IR values were obtained based on the calculation of homeostasis for assessment models IR. The metabolic syndrome score (cMetS) was obtained by the calculation of components of WC, blood pressure, fasting blood glucose, TG, and HDL cholesterol. Bivariate analysis using the Spearman Rank correlation test. RESULTS: We found that 40% of subjects had a VAI score that was considered at risk. As many as 20.8% of obese adolescent girls experience MetS while the other 79.2% are pre-metabolic syndrome and 83.3% of subjects have experienced IR. VAI showed a significant relationship with IR (p ≤ 0.001; r = 0.667) and cMetS (p = 0.007; p = 0.245). LAP showed a significant relationship with IR (p &lt; 0,001; r = 0,385) and MS (p &lt; 0,001; r = 0.372). CONCLUSION: We found that VAI and LAP could be an indicator for estimating IR and MS in obese female adolescent.