Obese Young Adults Research Articles

Which exercise interventions are more helpful in treating primary obesity in young adults? A systematic review and Bayesian network meta-analysis.

Network meta-analysis was used to evaluate the effectiveness of different exercise interventions in the treatment of obesity in young people and recommend the most suitable exercise method. We searched five electronic databases for articles on obesity treatment in the youth population from inception to April 2022. The two researchers independently retrieved and screened the articles, carried out a quality assessment and data extraction, and carried out a network meta-analysis in the Bayesian framework in Stata software. A total of 32 original studies were included in the study, all randomized controlled trials (RCTs). High-intensity aerobic exercise may be the best way to reduce the weight of obese people; high-intensity aerobic training combined with resistance training may be the best way to reduce BMI and FAT%; moderate-intensity aerobic training combined with resistance training may be the best way to reduce the waistline; high-intensity aerobic exercise may be the best way to boost VO2max. Exercise interventions such as high-intensity aerobic training combined with resistance training can be considered and promoted as a non-drug treatment for primary obesity in young adults.

Psychometric properties and measurement invariance across gender of the Italian version of the tempest self-regulation questionnaire for eating adapted for young adults.

The prevalence of overweight and obesity in young adults has increased dramatically in recent decades. The unhealthy eating habits that develop at this time can often lead to negative health consequences in the future. It is therefore important to learn about self-regulation and self-control strategies and help young adults to have healthy eating behaviours. This study aims to present an Italian version of the Tempest Self-Regulation Questionnaire for Eating (TESQ-E) adapted for young adults. The instrument assesses self-regulation and self-control strategies to counteract the desire and temptation to eat unhealthy food and to choose healthy foods. A total of 645 students (271 males and 374 females with an average age of 24.82 and SD = 4.34) took part in the study. The results of the confirmatory factor analysis supported the six first-order factors model concerning specific self-regulation strategies and a higher-order structure of the TESQ-E [χ2 (152) = 336.480, p < 0.001; CFI = 0.95; RMSEA = 0.04; SRMR = 0.04]: three correlated second-order factors (addressing the temptation directly, addressing the psychological meaning of temptation, and addressing the goal directly) and one-third-order factor (self-regulatory competence). The results also confirmed the strong measurement invariance of the TESQ-E across gender. To have reliable comparisons across males and females, the latent mean differences tests were performed on the six specific self-regulation strategies. The analysis showed that females appear to prefer strategies that directly address the goal by expressing explicit intentions or plans to eat in a healthy way. Convergence validity was tested through correlations with Eating-Self-Efficacy Brief Scale (ESEBS), Emotional Eating Scale (EES), Scale of Attitudes towards Healthy Eating (SAHE), and Body Mass Index (BMI). In conclusion, the TESQ-E appears to be a psychometrically sound questionnaire that can be effectively used with young adults to measure self-regulation strategies in eating in order to plan personalised interventions for the prevention and control of the metabolic syndrome, and to reduce a wide range of diet-related diseases.

The Relationships between Food Literacy, Health Promotion Literacy and Healthy Eating Habits among Young Adults in South Korea.

The obesity problem has reached a critical level and is threatening not only personal health but also public health systems around the world. Obesity in young adults is especially rapidly growing and many studies have confirmed that the best prevention is developing healthy eating habits with the improvement of food and health promotion literacy competencies. In this context, this study diagnoses the present levels of food literacy and health promotion literacy among young adults and explores the relationships between both literacies and their healthy eating habits. A total of 325 young adults in South Korea participated in this research, and the results are as follows. First, all food literacy components, which are food and nutrition knowledge, food skills, and resilience, are positively associated with healthy eating habits. Second, health promotion literacy is also positively associated with young adults’ healthy eating habits. Lastly, unlike the primary information sources, gender has a moderating effect on the relationships between both literacies and healthy eating habits. This indicates that the government and educational sectors should propose more policy supports and solid education systems in order to help young adults develop their food and health promotion literacies for overall well-being in the future.

Child and Adolescent Abuse Patterns and Incident Obesity Risk in Young Adulthood

Child abuse is associated with adult obesity. Yet, it is unknown how the developmental timing and combination of abuse types affect this risk. This report examined how distinct child and adolescent abuse patterns were associated with incident obesity in young adulthood. Data came from 7,273 participants in the Growing Up Today Study, a prospective cohort study in the U.S. with 14 waves from 1996 to 2016 (data were analyzed during 2020-2021). An abuse group variable was empirically derived using latent class analysis with indicators for child (before age 11 years) and adolescent (ages 11-17 years) physical, sexual, and emotional abuse. Risk ratios for obesity developing during ages 18-30 years were estimated using modified Poisson models. Associations of abuse groups with BMI across ages 18-30 years were then examined using mixed-effects models. All models were stratified by sex. Among women, groups characterized by abuse had higher BMIs entering young adulthood and greater changes in BMI per year across young adulthood. Groups characterized by multiple abuse types and abuse sustained across childhood and adolescence had approximately twice the risk of obesity as that of women in a no/low abuse group. Associations were substantially weaker among men, and only a group characterized by physical and emotional abuse in childhood and adolescence had an elevated obesity risk (risk ratio=1.38; 95% CI=1.04, 1.83). Obesity risk in young adulthood varied by distinct abuse groups for women and less strongly for men. Women who experience complex abuse patterns have the greatest risk of developing obesity in young adulthood.

Randomized controlled trial for time-restricted eating in overweight and obese young adults

SummaryTime-restricted eating (TRE) is known to improve metabolic health, whereas very few studies have compared the effects of early and late TRE (eTRE and lTRE) on metabolic health. Overweight and obese young adults were randomized to 6-h eTRE (eating from 7 a.m. to 1 p.m.) (n = 21), 6-h lTRE (eating from 12 p.m. to 6 p.m.) (n = 20), or a control group (ad libitum intake in a day) (n = 19). After 8 weeks, 6-h eTRE and lTRE produced comparable body weight loss compared with controls. Compared with control, 6-h eTRE reduced systolic blood pressure, mean glucose, fasting insulin, insulin resistance, leptin, and thyroid axis activity, whereas lTRE only reduced leptin. These findings shed light on the promise of 6-h eTRE and lTRE for weight loss. Larger studies are needed to assess the promise of eTRE to yield better thyroid axis modulation and overall cardiometabolic health improvement.

The association between childhood trauma and overweight and obesity in young adults: the mediating role of food addiction

PurposeChildhood trauma is associated with increased risk of obesity during adulthood, which may be associated with the development of food addiction. This study examined whether food addiction mediated the relationship between childhood trauma and obesity in young adults.MethodsA sample of 512 young adults, aged 18 to 30 years, living with overweight and obesity (Body Mass Index ≥ 25 kg/m2), from the United Kingdom participated in the study. Participants completed the Childhood Trauma Questionnaire (CTQ), the Yale Food Addiction Scale, and provided their current height and weight to compute their Body Mass Index (BMI).ResultsUsing the PROCESS macro, a mediation analysis found that food addiction accounted for 45% of variance in the relationship between childhood trauma and BMI. Post hoc analyses were conducted to examine the mediating effect of food addiction across each of the five subscales of the CTQ (emotional/physical/sexual abuse and emotional/physical neglect). Food addiction accounted for 32% to 51% of the variance in the relationship between each CTQ subscale and BMI.ConclusionsThese findings suggest that experiences of childhood trauma are associated with the development of overweight and obesity during early adulthood and up to half of this relationship can be attributed to food addiction, which is likely used as a maladaptive coping mechanism in response to trauma. Young adults living with overweight and obesity who report experiences of childhood trauma may benefit from the support of clinical and counselling psychologists to improve their understanding of the underlying psychosocial factors that influence their eating behaviours.Level of evidenceLevel V, cross-sectional analytic study.

Differential Associations between Weight Status (Obesity, Overweight, and Underweight) and Substance Use in Young Adulthood

Background Past evidence suggests obesity co-occurs with tobacco/nicotine, cannabis, and alcohol use in young adulthood, but whether this relationship extends to nicotine or cannabis vaping is unclear. Furthermore, differential relationships between substance use and specific weight status categories (obesity, overweight, and underweight) have not been assessed. This study assessed prevalence of tobacco/nicotine, cannabis, and alcohol use by weight status categories in young adulthood. Methods Of the 1322 young adults (18–29 years; 20.5 ± 2.3 years; 63% female; 42% Hispanic/Latino/a/x, 30% Asian-American/Asian, 18% Caucasian/White, 7% Multiracial, and 2% African-American/Black) from a public, urban university were surveyed on their health-risk behaviors in the spring and fall of 2021. Results Multinomial logistic regression models assessed six-month follow-up substance use prevalence (never, lifetime but no past 30-d use, and past 30-d use) by baseline weight status (obese, overweight, underweight; reference: healthy weight). Obesity predicted lower odds of past 30-d nicotine vaping (aOR [95% CI] = 0.27 [0.08–0.92]). Overweight predicted higher odds of lifetime combustible cannabis (aOR [95% CI] = 1.58 [1.08–2.30]) and past 30-d binge drinking (aOR [95% CI] = 1.79 [1.12–2.85]). Underweight was associated with lower odds of lifetime cannabis vaping (aOR [95% CI] = 0.35 [0.12–0.99]) and combustible cannabis (aOR [95% CI] = 0.38 [0.16–0.87]). Conclusions Differential relationships between obesity and overweight on tobacco/nicotine, cannabis, and alcohol use suggest greater specificity is needed when evaluating relationships between higher weight status and substance use. It appears that overweight young adults may be at higher risk of substance use than obese young adults. Greater efforts to consider multiple weight status groups, not just obese, may have significant implications for tobacco/nicotine prevention and intervention efforts targeting vulnerable populations.

Oxidative Stress in Non-Obese &amp; Obese Young Healthy Adults

Introduction: Obesity causes various diseases due to systemic oxidative stress. Young healthy obese are unaware of oxidative burden in their body. Total oxidant status (TOS) is a marker of oxidative stress in obesity.&#x0D; Aims &amp; Objectives: This study was planned to determine and compare levels of TOS in young healthy non obese and obese, males and females and individuals with active versus sedentary lifestyle.&#x0D; Place and duration of study: This study was conducted over one month duration at six women and co-ed colleges of Lahore.&#x0D; Material &amp; Methods: This cross-sectional comparative study was conducted on samples collected within one month from 160 healthy males and females, aged 20 to 40 years at APWA College, Lahore College Womens University, Government College University, Gulberg College, PAC Lahore, Ameeruddin Medical College Lahore (n=30 each college). The participants were divided into two groups based on the respondents BMI. TOS was measured colorimetrically. Data was analyzed using IBM-SPSS version 25. Mann Whitney U test compared TOS levels between non obese and obese subjects.&#x0D; Results: Fifty percent of the subjects had a normal BMI while 50% were obese according to the Asian Pacific criteria for BMI.Fifty-two percent of the population were males while forty-eight percent of the population was females. Group I (non obese) consisted of 55% males and 45% females with a significant difference in the levels of TOS. The population in Group II (obese) comprised of 50% males and females each also showing significant difference. Thirty-six percent (n=58) of the total population had active lifestyle while sixty-four percent (n=102) of the population had a sedentary lifestyle. While in Group 1(non obese) (64%) had an active lifestyle whereas the rest were sedentary. In comparison only 9% of group II subjects (obese) had an active lifestyle while the remainder were sedentary. A significant difference in level of TOS were seen when compared between subjects with active versus sedentary lifestyle in respective groups. A significant difference (p=0.03) was seen when TOS was compared between subjects with Active lifestyle 4.15(3.17- 5.42) µmol/lversus subjects with sedentary lifestyle 4.9(3.70-7.22) µmol/l.&#x0D; Conclusion: Increased levels of TOS were seen in young healthy obese as compared to non-obese. Both non obese and obese females had higher levels of TOS in comparison to males due to greater levels of body fat percentage. Subjects with a sedentary lifestyle have raised levels of TOS in comparison to subjects with active lifestyle.

Circulating NAMPT/ PBEF /Visfatin and its cardiometabolic risk in young obese adults

Introduction and Aim: In this era of obesity pandemic, obesity related metabolic derangements has demanded more clinical attention due to its high rate of morbidity and mortality. Altered lipid profile and atherogenicity have increased the cardio metabolic risks, even in young adults and adolescents. Among various adipocytokines, visfatin/PBEF(pre-B-cell colony-enhancing factor)/NAMPT (nicotinamide phosphoribosyl transferase), predominantly secreted from the visceral fat, helps to predict the amount of fat that has a strong correlation with the derangement of cardio metabolic profile compared to the subcutaneous fat.The aim of this study is to determine the serum PBEF/visfatin levels in young obese, and to evaluate its correlation with body fat distribution, lipid parameters and the atherogenic index. Materials and Methods:The subjects were 60 young obese adults in the age group of 18-35 years and age and sex matched 30 controls. Serum visfatin, lipid parameters and anthropometric indices- weight, height, HC (Hip circumference)and WC(waist circumference) were measured and BMI (Body mass index),WHR(waist–hip ratio) andatherogenic index (log of TG/ HDL-C) was calculated. Results: NAMPT/PBEF/Serum visfatin levels, BMI, WC, WHR, TG, LDL-C was significantly higher in young obese subjects than the controls (P&lt; 0.05). The AIP - atherogenic index of plasma was also significantly higher in young obese with P value &lt; 0.01. There was positive correlation of TG, LDL-C and atherogenic index with serum NAMPT/visfatin levels. BMI also showed a significant positive correlation with r value of 0.56 (P= 0.01). Conclusion:These results highlight that serum NAMPT/visfatin levels, due to its association with the atherogenic index, as a significant marker for assessing the cardio-metabolic risks in obese subjects. Higher atherogenic index of plasma in obese individuals focuses the impact of visceral fat in the initiation of atherosclerotic plaques even at a younger age group.

Effect of Upright and Slouched Postures on the Diaphragm Strength and Chest Expansion in Obese Young Adults – An Observational Study

Context: Obese individuals are at high risk of adopting slouched posture because of their excessive body fat distribution. Moreover, excess body fat limits the action of the respiratory muscles and restricts diaphragm mobility and rib movement. Aims: The aim of this study was to study the influence of upright versus slouched posture on respiratory muscle strength and chest expansion in obese young adults. Settings and Design: The participants included in the study were young adults of all genders between the age group of 18 and 25 years with a body mass index above 27.5. Methods and Materials: It is an observational study. Thirty participants were recruited from health-care institutions. Screening was done according to the inclusion and exclusion criteria. Diaphragm strength and chest expansion were assessed in upright sitting and slouched sitting postures. Statistical analysis used: SPSS statistical package version 23 was used to analyze the data. Normality of the baseline data was checked using Student's t-test. To summarize the data, descriptive statistics (mean and standard deviation) were employed. To discover variations in maximal inspiratory pressure (MIP) scores and chest expansion between slouched and upright sitting positions, a paired t-test analysis was performed. Results: The participants showed a lower MIP score in slouched sitting as compared to an upright sitting posture. The mean difference in the MIP scores was 20.99 mmHg (P = 0.04). Chest expansion measurements also showed a significant difference between the two sitting postures. Conclusions: The lower maximal inspiratory pressure and chest expansion measures observed in this study indicate that in obese individuals, slouched sitting posture can adversely affect the diaphragm strength and the chest wall mechanics during breathing.

Obesity: Effect on sympathetic nervous system

Obesity is recognized as a major, worldwide, health problem. Excess weight greatly increases the risk for cardiovascular diseases, diabetes and renal diseases. The present study was conducted in the Department of Physiology, Index Medical College, and Indore. 50 obese (25 male and 25 female) and 50 non-obese (25 male and 25 female) were included. Sympathetic tests were performed on both the groups. All data are expressed as mean± standard deviation. Comparison between groups (obese male, non-obese male, obese female and non-obese female) was performed using the student's t-test (t-test for two independent samples / Two-tailed test). Differences was considered significance at p<0.05. It was observed that young obese adults had reduced sympathetic activity. This altered balance of the autonomic nervous system increases the risk of cardiovascular disorders.

Effects of High-Intensity Circuit Training vs. Interval Training on Body Composition and Oxygen Consumption in College Students

Objective: to identify the effects of High-Intensity Circuit Training versus Interval Training on body composition and oxygen consumption in overweight and obese young adults. Materials and Methods: quasi-experimental study. The population was made up of 106 university students, with a BMI Body Mass Index greater than 25 kg / m2. The members of the sample were randomly assigned to two groups of 15 students each: a control group (continuous training) and an experimental group (high-intensity functional training). Variables such as weight, height, body mass index, percentage of fat mass, muscle mass, bone mass, and oxygen consumption were measured. Results: the control group showed a significant decrease in body weight and BMI after the 20 training sessions; the experimental group did not show significant modifications in this variable. In relation to the percentage of body fat tissue, a statistically significant decrease in the post-test measurements was evident in the individuals of both groups. The median and interquartile ranges show better results in VO2 of the experimental group and less variability with respect to the control group in the pretest and posttest. Conclusions: High-Intensity Intermittent Training significantly reduces the percentage of body fat and oxygen consumption in people with obesity, after 20 training sessions.

Assessing the Effect of Six-Weeks of Moderate Intensity Exercise Training on Cardiovascular Fitness among Young Obese Adults

Aim – To determine the effectiveness of 6 weeks of moderate intensity exercise training &amp; To provide an appropriate measure of cardiovascular fitness. The YMCA 3minute step test is based on how quickly your heart rate recovers following a short bout of exercise. Hence the purpose was to provide a submaximal measure of cardiovascular fitness after six-weeks of moderate intensity exercise training among young obese adults. Methodology - According to simple random sampling 50 participants were included in the study after screening for the inclusion criteria. Thereafter They were explained the purpose of the study and the procedure involved in the study. Informed Consent was obtained and a YMCA 3-minute step test was done. Heart rate measures were recorded at the end of the 3-min step test Pre &amp; Post intervention. Data analysis was done at the end of the study. Results – Post intervention 10 students (20%) out of 50 had good cardiovascular fitness level, 22 students (44%) had an above average cardiovascular fitness, 13 students (26%) had average fitness &amp; 5 students (10%) had below average level of cardiovascular fitness. Conclusion- This study concluded that, six weeks of moderate intensity exercise training improved cardiovascular fitness and lowered the risk of developing cardiovascular disease in obese young adults. Keywords: Cardiovascular fitness, YMCA 3minute step test, Moderate intensity exercise training.

DETERMINANTS OF NUTRITION CONSCIOUSNESS OF YOUNG ADULTS ON FOOD DELIVERY APPS: A ANALYTICAL STUDY

In India increase from 13.5 million to 21.6 million in adult female obesity and 10.3 million to 17.8 million in adult male obesity in a span from 1999 to 2015(Global Nutrition Report (GNR) - INSIGHTS, 2020)Moreover, 1.9 billion individuals are over-nourished, while 462 million are under-nourished(AIMS Institutes, 2020). The global boom in the digital industry had an impact on the Indian economy. Online food ordering businesses are sprouting in bulk(indiatimes.com, 2020). The extensively publicized trends of food delivery apps at the doorstep have increased its use to another level. Rather than leafing through the menus at restaurants, people prefer to scroll down on mobile phones and order food. The rise in malnutrition and rates of online ordering of food from food delivery apps, thus affecting the health and nutrition status of young adults, led to the formation of thisresearch into the country`s main population. The main objective of the research was to analyze the associationof socio-demographic determinants, the nutritional profile of young adults (18-30 years) with online food ordering from food delivery apps. It was highlighted that nearly half (44.9%) of the young adults were in the vicinity of undernutrition, overweight, and obesity. Only 26% of respondents were nutrition-conscious. The major reason for ordering was doorstep delivery and availability of types of food at a click. Social media played an important role in increasing the rates of ordering food online. Out of the 96 overweight students, 77.1% were not indulged in any physical activity. A significant association of obese students staying at the hostel was proven statistically (p=0.001). Another significant association of expenditure patterns of young adults residing at home was statistically proven (p=0.000). Also, a major significance between gender and appreciation of nutritional information on food delivery apps was seen (p=0.021). Findings revealed that 20% of the relevant (11% obese) young adults of the obese population pay attention to the fat content in the nutritional value of food while ordering food online. The taste of the cuisine, attractive discounts, and review of the restaurant remain the top preferred choices as per the mean score calculated.

Utilising a Real-Time Continuous Glucose Monitor as Part of a Low Glycaemic Index and Load Diet and Determining Its Effect on Improving Dietary Intake, Body Composition and Metabolic Parameters of Overweight and Obese Young Adults: A Randomised Controlled Trial.

A randomised controlled trial to measure the effects of integrating real-time continuous glucose monitor (rtCGM) into a low glycaemic index (GI) and glycaemic load (GL) dietary intervention on dietary intake, body composition and specific metabolic parameters was carried out. A total of 40 overweight young adults [(means ± SD) age: 26.4 ± 5.3 years, BMI: 29.4 ± 4.7 kg/m2] were randomised into an intervention and control groups for a period of eight weeks. Both groups received nutrition education on low GI and GL foods. The intervention group also received an rtCGM system to monitor their glucose levels 24 h a day. While controlling for physical activities and GI and GL nutrition knowledge, the results indicated that the rtCGM system further improved body weight, BMI, fat mass, fasting plasma glucose, HbA1c, total cholesterol, HDL cholesterol and LDL cholesterol in the intervention group (p < 0.05). This trial unveils the robustness of the rtCGM where non-diabetic overweight and obese young adults can benefit from this device and utilise it as a management tool for overweight and obesity and a primary prevention tool for type 2 diabetes, as it provides real-time and personalised information on physiological changes.

Rising Rates of Severe Obesity in Adults Younger Than 50 Correspond to Rise in Hospitalizations for Non-malignant Gastrointestinal Disease.

Colorectal cancer incidence is rising in adults < 50years old, possibly due to obesity. Non-malignant colorectal conditions are understudied in this population. We hypothesize that developing severe obesity in young adulthood also corresponds with increased hospitalization rates for non-malignant colorectal conditions. We examined annual percent change (APC) in the prevalence of obesity in adults < 50 using the 2009-2014 National Health and Nutrition Examination Survey. Using the 2010-2014 Nationwide Readmission Database, we then compared yearly hospitalization trends for various gastrointestinal conditions and their outcomes in adults < 50 with severe obesity vs. no obesity. The prevalence of obesity increased in adults < 50years in 2009-2014. This increase was most pronounced for severe obesity (APC of + 12.8%). The rate of patients with severe obesity < 50 who were admitted for gastrointestinal diseases has increased by 7.76% per year in 2010-2014 (p < 0.001). This increase was > 10% per year for colorectal conditions such Clostridium difficile infections (APC + 17.3%, p = 0.002), inflammatory bowel disease (APC + 13.1%, p = 0.001), and diverticulitis (APC + 12.7%, p = 0.002). The hospitalization rate for chronic liver diseases and acute pancreatitis also increased by 12.2% and 10.0% per year, respectively (p < 0.01). In contrast, young adults without obesity had lower hospitalization rate for most gastrointestinal diseases. Furthermore, adults with no obesity had lower mortality rates for appendicitis, diverticulitis, pancreatitis and chronic liver diseases than adults with severe obesity. Our data suggest that increased adiposity in young adults is associated with more hospitalization and worse outcomes for infectious/inflammatory gastrointestinal conditions. Future prevention strategies are warranted to ameliorate these trends.

Preliminary Results of the Comparison of Social Jetlag, Sleep Hygiene and Diet Quality of Obese and Nonobese Young Adults

ObjectivesThis study aimed to compare social jetlag exposure, sleep hygiene, and diet quality in obese and nonobese young adults. MethodsThis study was conducted with obese and nonobese young adults. To determine the social jetlag, as more than 1h was accepted between the sleep midpoints between school days and holidays. The physical activity levels and sleep parameters were objectively followed for 5 days with an activity tracker on school days and holidays. The sleep hygiene scores were determined by the sleep hygiene index, 3-day 24-hour dietary recall were recorded on both days. The energy and macronutrient intakes during school and holidays were determined by the software, and diet quality scores were determined by Healthy Eating Index-2015(HEI-2015). ResultsThis study includes the preliminary results of 70 individuals (22.06 ± 1.76 years) with an equal number of obese and nonobese individuals. While social jetlag was detected in 57.9% of obese individuals; 21.6% in nonobese individuals (p < 0.001). Obese individuals had more inadequate sleep hygiene status (38.47 ± 6.4 vs 24.92 ± 4.66, p < 0.001). While the difference between the sleep midpoints of obese individuals on school days and holidays were 1:27 ± 00:54 minutes; 00:49 ± 00:32 minutes in nonobese individuals (p < 0.001). Obese individuals had a shorter sleep duration on the school day (–0:42 ± 0:15 min, p < 0.001); on holidays, sleep durations were found to be similar (8:31 ± 1:49 vs 8:14 ± 1.05, p > 0.05). Obese individuals had higher energy intake both on holidays and on school days (school day 1649.4 ± 514 vs 1752.9 ± 467 kcal p < 0.05; holiday 1599.2 ± 406 vs 1867.2 kcal, p < 0.05). Obese individuals had higher saturated fat (25.3 ± 11.4 g vs 37.4 ± 12g, p < 0.05) and carbohydrate intake (177.2 ± 8.2 vs 212.2 ± 18.2 g, p < 0.05) on holidays. According to HEI-2015, obese individuals had lower diet quality on school days (63.6 ± 3.3 vs 69.4 ± 1.5 points, p < 0.05) and holidays (56.9 ± 3.4 vs 73.4 ± 1.5 points, p < 0.05). ConclusionsAs a result, decreased social jetlag exposure and increased sleep hygiene in obese individuals also help improving diet quality and thus may help controlling of body weight. It is necessary to conduct longitudinal studies and to identify vulnerable groups in terms of social jetlag exposure. Funding SourcesThis study was supported by the TUBITAK 2209-Research Project Support Programme for Undergraduate Students.

1127-P: Diabetes Risk in Marginalized Urban Settings in Mexico City

Type 2 diabetes (T2D) is a leading cause of morbidity and mortality in Mexico. Routine identification of persons with high risk for developing T2D is poorly executed in low- and middle-income countries. Thus, we aimed to analyze the characteristics of participants of a public health initiative to identify diabetes risk (SaludEnTuVida/Health In Your Life) in habitants of the mayoralty of Iztapalapa in Mexico City. The mayoralty of Iztapalapa is characterized by being a densely populated area, with a high index of marginalization, and adverse determinants of health. FINDRISC score (FDS) was used to assess the risk of T2D in adults over 20 years of age from September to December 2021. Data from 15,271 participants was analyzed. The mean age of participants was 46.3±15.4 years, most participants were woman (67%) , and with secondary or less education (59.8%) . The following proportions of risk factors were reported: first degree familiar history of T2D in 52.6%, overweight in 41.3%, obesity in 32%, and hypertension in 14.4%. Low risk with FDS &amp;lt;7 was observed in 22.1% of the sample (BMI 24.5±3.2 kg/m2, female 55.7%) compared to 77.9% in the greater risk (GR) group with FDS ≥7 (BMI 29.1± kg/m2, female 70.3%, p&amp;lt;0.0001, p&amp;lt;0.00 respectively) . Among GR group, there were variable T2D risk levels; slightly elevated 31.9%, moderately elevated 32.6%, and highly elevated 13.3%. GR risk for T2D were observed in women (OR 1.88 95%IC 1.7-2.1) and in participants with secondary or less education (OR 1.91 95%IC 1.72-2.12) . The prevalence of overweight and obesity in young adults (&amp;lt;40 years old) was 66.6%, and 62% were found with increased risk for T2D. These results show a higher risk of T2D in the population evaluated compared to the reported in national health surveys. Our findings enhances the need for the implementation of preventive public health care policies in high risk populations, including binding actions to diagnosis and to prevention care programs, particularly in women, people with low education, and young adults of marginalized urban settings. Disclosure R.Silva-tinoco: n/a. J.Ochoa-moreno: n/a. J.Serna: None. O.Lopez-arellano: None. S.Bouchan-delino: None. L.Revuelta-lara: None. D.Trejo: None. G.Arista: None. N.Martinez-santana: None. A.Núñez-rodríguez: n/a. T.Gutierrez: None. E.León-garcía: None.

MAT PILATES EXERCISE IMPROVES STATIC BALACE OF YOUNG ADULTS WITH OBESITY

Background: The prevalence of obesity in women in Semarang at the age over 18 is 29.93%. This high prevalence rate of obesity can have a negative impact on individual health. The condition of obesity is closely related to its complications that can occur in various aspects of the body's physiology, in the example it can reduce functional abilities such as static balance which can interfere with activities and decrease quality of life. One of the methods that can be used to improve static balance is mat pilates. Mat pilates prioritizes stretching and strengthening core muscles with controlled and precise movements so that mat pilates exercises can improve static balance. However, no studies have yet discussed the effect of mat pilates exercise on static balance in obese young adults Aim: To prove that mat pilates exercise can increase static balance of female aged 18-23 years old with obesity. Methods: This study used quasi experimental pre and post-test design and was done in August-October 2020. The subjects were 33 female students of Medical Faculty of Diponegoro University aged 18-23 years with BMI over 27 kg/m², divided in 2 groups. Treatment group (n=15) was instructed to do 8 weeks of mat pilates exercise (3 times a week) and control group (n=18) was instructed to not do any exercise. Static balace was measured with Flamingo Balance Test (FBT). Data’s significance was analyzed with paired t test and independent t test. Results : There’s a significant decrease (p&lt;0,001; paired t test) in FBT score before and after of the mat pilates treatment group from 12,31 ± 5,15 to 10,09 ± 5,59. An insignificant increase (p=0,798; paired t test) found in FBT score before and after of the control group from 12,74 ± 4,65 to 12,93 ± 6,29. The score difference of FBT test of the mat pilates treatment group and control group shows significant result (p=0,013). Conclusion: There is an improvement of static balance after mat pilates exercise intervention on female aged 18-23 years old with obesity

The five keys for successful management of sarcopenic obesity in young adults

The five keys for successful management of sarcopenic obesity in young adults