Structural equation model of the effect of biological maturation on metabolic syndrome risk and C-reactive protein: effect of trunk fat and sports participation

Abstract

Our aim was to analyze the association between somatic maturation and alterations in metabolic syndrome (METs) risk and C-reactive protein (CRP), focusing on the effect of changes in trunk fat and sports practice. This was a longitudinal study with a one-year follow-up. The sample was composed of 139 adolescents (46 without sports participation and 93 young athletes), aged 10–17 years. As outcomes, we adopted CRP and METs risk (triglycerides, HDL-c, fasting glucose, and mean blood pressure). Somatic maturation was estimated using Mirwald’s method. Structural equation models were used. Somatic maturation was not associated with sports practice, trunk fat, METs risk neither CRP. Sports practice was associated with a reduction in METs risk (β = −0.926; 95%CI:−1.773, −0.080) and reduction in trunk fat (−10.957; −19.630, −2.283), which was associated with increases in METs risk (0.020; 0.004, 0.036). In the CRP model, sports practice was associated with a reduction in trunk fat (−10.324; −18.637, −2.010), which in turn was associated with a reduction in CRP (0.007; 0.001, 0.013). Sports practice and lower trunk adiposity were associated with reductions in trunk fat, METs risk, and CRP through direct and indirect pathways. Our findings highlight the role of sports practice in attenuating the negative effect of trunk adiposity.