[fr] Le sujet adulte d’âge moyen en surpoids ou obèse est caractérisé par une adiposité exagérée, généralement combinée à une aptitude physique cardio-respiratoire déficiente. La pratique régulière d’une activité physique d’endurance améliore le profil de risque cardio-métabolique dans cette tranche d’âge. Le manque d’activité physique chez les adolescents contribue à augmenter leur masse grasse et à induire des anomalies métaboliques, tandis que la sédentarité marquée des sujets âgés peut conduire à un excès de graisse combiné à une fonte musculaire (obésité sarcopénique). Dans ces deux tranches d’âge, les effets néfastes d’un excès de masse grasse (fatness) pourraient être contrecarrés, voire annulés, par la pratique régulière d’exercices musculaires conduisant à une meilleure aptitude physique (fitness). Cet article décrit les relations entre fitness et fatness, et les impacts cardio-métaboliques respectifs de ces deux composantes, d’une part, dans la population jeune (< 20 ans), d’autre part dans la population âgée (> 60 ans).
Paquot, Nicolas ; Université de Liège - ULiège > Diabétologie,nutrition, maladies métaboliques
Scheen, André ; Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Language :
French
Title :
Aptitude physique versus adiposité : impacts cardio-métaboliques respectifs chez l’enfant/adolescent et chez la personne âgée
Alternative titles :
[en] Fitness versus fatness: Respective cardiometabolic impacts in children/adolescents and in elderly people
Després J P, Lemieux I. Abdominal obesity and metabolic syndrome. Nature 2006;444:881-7.
Van Gaal L F, Mertens IL, De Block CE. Mechanisms linking obesity with cardiovascular disease. Nature 2006;444:875-80.
Blair SN, Morris JN. Healthy hearts and the universal benefits of being physically active: Physical activity and health. Ann Epidemiol 2009;19:253-6.
Fogelholm M. Physical activity, fitness and fatness: Relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev 2010;11:202-21.
Esser N, Paquot N, Scheen AJ. Aptitude physique versus adiposité: aspects physiopathologiques et impacts cardio-métaboliques chez le sujet adulte non diabétique. Médecine des maladies Métaboliques 2010;4:291-8.
Eisenmann JC. Aerobic fitness, fatness and the metabolic syndrome in children and adolescents. Acta Paediatr 2007;96:1723-9.
Sui X, La Monte MJ, Laditka JN, et al. Cardiorespiratory fitness and adiposity as mortality predictors in older adults. JAMA 2007;298:2507-16.
Esser N, Paquot N, Scheen AJ. Aptitude physique versus adiposité: impacts métaboliques respectifs chez le sujet avec une diminution de la tolérance au glucose ou un diabète de type 2. Maladies des maladies Métaboliques 2010;4: soumis.
August G P, Caprio S, Fennoy I, et al. Prevention and treatment of pediatric obesity: An endocrine society clinical practice guideline based on expert opinion. J Clin Endocrinol Metab 2008;93:4576-99.
Steinberger J, Daniels SR, Eckel RH, et al. American Heart Association Atherosclerosis, Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; and Council on Nutrition, Physical Activity, and Metabolism. Progress and challenges in metabolic syndrome in children and adolescents: A scientific statement from the American Heart Association Atherosclerosis, Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; and Council on Nutrition, Physical Activity, and Metabolism. Circulation 2009;119:628-47.
Ruiz JR, Rizzo NS, Hurtig-Wennlöf A, et al. Relations of total physical activity and intensity to fitness and fatness in children: The European Youth Heart Study. Am J Clin Nutr 2006;84:299-303
[Erratum in: Am J Clin Nutr 2009;89:656].
Platat C, Wagner A, Klumpp T, et al. Relationships of physical activity with metabolic syndrome features and low-grade inflammation in adolescents. Diabetologia 2006;49:2078-85.
Olds TS, Ridley K, Tomkinson GR. Declines in aerobic fitness: Are they only due to increasing fatness? Med Sports Sci 2007;50:226-40.
Jackson DM, Djafarian K, Stewart J, et al. Increased television viewing is associated with elevated body fatness but not with lower total energy expenditure in children. Am J Clin Nutr 2009;89:1031-6.
Aires L, Andersen LB, Mendonça D, et al. A 3-year longitudinal analysis of changes in fitness, physical activity, fatness and screen time. Acta Paediatr 2010;99:140-4
[Erratum in: Acta Paediatr 2010;99:153].
Klasson-Heggebø L, Andersen LB, Wennlöf AH, et al. Graded associations between cardiorespiratory fitness, fatness, and blood pressure in children and adolescents. Br J Sports Med 2006;40:25-9; discussion 25-9.
Nassis G P, Psarra G, Sidossis LS. Central and total adiposity are lower in overweight and obese children with high cardiorespiratory fitness. Eur J Clin Nutr 2005;59:137-41.
Winsley RJ, Amstrong N, Middlebrooke AR, et al. Aerobic fitness and visceral adipose tissue in children. Acta Paediatr 2006;95:1435-8.
Saelens BE, Seeley BE, van Schaick K, et al. Visceral abdominal fat is correlated with whole-body fat and physical activity among 8-y-old children at risk of obesity. Am J Clin Nutr 2007;85:46-53.
Krekoukia M, Nassis G P, Psarra G, et al. Elevated total and central adiposity and low physical activity are associated with insulin resistance in children. Metabolism 2007;56:206-13.
Ruiz JR, Rizzo NS, Ortega FB, et al. Markers of insulin resistance are associated with fatness and fitness in school-aged children: The European Young Heart Study. Diabetologia 2007;50:1401-8.
Gutin B, Yin Z, Humphries MC, et al. Relations of moderate and vigorous physical activity to fitness and fatness in adolescents. Am J Clin Nutr 2005;81:746-50. (Pubitemid 41724979)
Imperatore G, Cheng YJ, Williams DE, et al. Physical activity, cardiovascular fitness, and insulin sensitivity among U. S. adolescents: The National Health and Nutrition Examination Survey, 1999-2002. Diabetes Care 2006;29:1567-72. (Pubitemid 44127582)
Nassis G P, Papantakou K, Skenderi K, et al. Aerobic exercise training improves insulin sensitivity without changes in body weight, body fat, adiponectin, and inflammatory markers in overweight and obese girls. Metabolism 2005;54:1472-9.
Bell LM, Watts K, Siafarikas A, et al. Exercise alone reduces insulin resistance in obese children independently of changes in body composition. J Clin Endocrinol Metab 2007;92:4230-5.
Froberg K, Andersen LB. Mini review: Physical activity and fitness and its relations to cardiovascular disease risk factors in children. Int J Obes (Lond) 2005;29(suppl. 2):S34-9.
Eisenmann JC, Katzmarzyk PT, Perusse L, et al. Aerobic fitness, body mass index, and CVD risk factors among adolescents: The Québec family study. Int J Obes (Lond) 2005;29:1077-83.
Du Bose KD, Eisenmann JC, Donnelly JE. Aerobic fitness attenuates the metabolic syndrome score in normal-weight, at-risk-foroverweight, and overweight children. Pediatrics 2007;120: e1262-8.
Lobelo F, Pate RR, Dowda M, et al. Validity of cardiorespiratory fitness criterion-referenced standards for adolescents. Med Sci Sports Exerc 2009;41:1222-9.
Jago R, Drews KL, McMurray RG, et al; the HEALTHY Study Group. Fatness, fitness, and cardiometabolic risk factors among sixth grade youth. Med Sci Sports Exerc 2010;42:1502-10
Sacheck JM, Kuder JF, Economos CD. Physical fitness, adiposity, and metabolic risk factors in young college students. Med Sci Sports Exerc 2010;42:1039-44.
Andersen LB, Sardinha LB, Froberg K, et al. Fitness, fatness and clustering of cardiovascular risk factors in children from Denmark, Estonia and Portugal: The European Youth Heart Study. Int J Pediatr Obes 2008;3(suppl. 1):58-66.
Hurtig-Wennlöf A, Ruiz JR, Harro M, et al. Cardiorespiratory fitness relates more strongly than physical activity to cardiovascular disease risk factors in healthy children and adolescents: The European Youth Heart Study. Eur J Cardiovasc Prev Rehabil 2007;14:575-81.
Rizzo NS, Ruiz JR, Hurtig-Wennlöf A, et al. Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: The European youth heart study. J Pediatr 2007;150:388-94 (Pubitemid 46437328)
[Erratum in: J Pediatr 2008;153:874].
Kriemler S, Manser-Wenger S, Zahner L, et al. Reduced cardiorespiratory fitness, low physical activity and an urban environment are independently associated with increased cardiovascular risk in children. Diabetologia 2008;51:1408-15.
Weiss R, Raz I. Focus on childhood fitness, not just fatness. Lancet 2006;368:261-2.
Dominquez LJ, Barbagallo M. The cardiometabolic syndrome and sarcopenic obesity in older persons. J Cardiometab Syndr 2007;2:183-9.
Zamboni M, Mazzali G, Fantin F, et al. Sarcopenic obesity: a new category of obesity in the elderly. Nutr Metab Cardiovasc Dis 2008;18:388-95.
Bouchard DR, Dionne IJ, Brochu M. Sarcopenic/obesity and physical capacity in older men and women: data from the Nutrition as a Determinant of Successful Aging (NuAge) - the Quebec Longitudinal Study. Obesity (Silver Spring) 2009;17:2082-8.
American College of Sports Medicine, Chodzko-Zajlo WJ, Proctor DN, et al; American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc Med 2009;41:1510-30.
Kay SJ, Fiatarone Singh MA. The influence of physical activity on abdominal fat: A systematic review of the literature. Obes Rev 2006;7:183-200.
Messier V, Malita FM, Rabasa-Lhoret R, et al. Association of cardiorespiratory fitness with insulin sensitivity in overweight and obese postmenopausal women: A Montreal Ottawa New Emerging Team study. Metabolism 2008;57:1293-8.
Barone BB, Wang NY, Bacher AC, et al. Decreased exercise blood pressure in older adults after exercise training: Contributions of increased fitness and decreased fatness. Br J Sports Med 2009;43:52-6.
Stewart KJ, Bacher AC, Turner K, et al. Exercise and risk factors associated with metabolic syndrome in older adults. Am J Prev Med 2005;28:9-18.
Jenkins NT, McKenzie JA, Damcott CM, et al. Endurance exercise training effects on body fatness, VO2max, HDL-C subfractions, and glucose tolerance are influenced by a PLIN haplotype in older Caucasians. J Appl Physiol 2010;108:498-509.
Plaisance E P, Grandjean PW. Physical activity and high-sensitivity C-reactive protein. Sports Med 2006;36:443-58.
Colbert LH, Visser M, Simonsick EM, et al. Physical activity, exercise, and inflammatory markers in older adults: findings from the Health, Aging and Body Composition Study. J Am Geriatr Soc 2004;52:1098-104.
Vieira VJ, Valentine RJ, McAuley E, et al. Independent relationship between heart rate recovery and C-reactive protein in older adults. J Am Geriatr Soc 2007;55:747-51.
Stephen WC, Janssen I. Sarcopenic-obesity and cardiovascular disease risk in the elderly. J Nutr Health Aging 2009;13:460-6.
McAuley P, Pittsley J, Myers J, et al. Fitness and fatness as mortality predictors in healthy older men: the Veterans exercise testing study. J Gerontol A Biol Sci Med Sci 2009;64:695-9.
Elsawy B, Higgins KE. Physical activity guidelines for older adults. Am Fam Physician 2010;81:55-9.
