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Comparative evaluation of obesity-related parameters in junior sumo wrestlers and children with obesity

  • Ogawa, Miori (Sports Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba) ;
  • Sagayama, Hiroyuki (Faculty of Health and Sports Sciences, University of Tsukuba) ;
  • Tamai, Shinsuke (Sports Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba) ;
  • Momma, Reiko (Sports Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba) ;
  • Hoshi, Daisuke (Sports Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba) ;
  • Uchizawa, Akiko (Sports Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba) ;
  • Ichikawa, Go (Department of Pediatrics, Nasu Red Cross Hospital) ;
  • Arisaka, Osamu (Department of Pediatrics, Nasu Red Cross Hospital) ;
  • Watanabe, Koichi (Faculty of Health and Sports Sciences, University of Tsukuba)
  • Received : 2021.08.26
  • Accepted : 2021.09.29
  • Published : 2021.09.30

Abstract

[Purpose] Exercise is a key factor in preventing obesity and metabolic syndrome. Sumo wrestlers increase their body size from childhood for athletic advantage; however, the risk of metabolic syndrome in junior sumo wrestlers is undetermined. Preventive measures against pediatric obesity should be initiated during childhood to prevent obesity in adulthood, considering its high global incidence. We comparatively evaluated the risk factors for metabolic syndrome in junior sumo wrestlers and children with obesity. [Methods] We enrolled 70 male children (age 9-17 years [sumo group, n = 14] and 9-14 years [other sports and non-exercise groups, n = 28 each]) and evaluated their anthropometric parameters (height, weight, body mass index z-score, obesity rate, waist circumference, waist to height ratio) and hematological parameters (total, low-density, high-density, and non-high-density lipoprotein-cholesterol; triglycerides; plasma glucose, and glycated hemoglobin levels). [Results] The BMI z-score, obesity rate, waist circumference (p < 0.05, along with the non-exercise group), and systolic blood pressure were significantly higher and the high-density cholesterol level was lower in the sumo group than in the other sports group (p < 0.05). The waist to height ratio was significantly higher in the non-exercise group than in the other sports group (p < 0.05). No significant difference was found in other blood lipid, plasma glucose (significantly lower level than the reference range in the sumo group, p < 0.05), and glycated hemoglobin (within the reference range in all groups) levels among the three groups. [Conclusion] Junior sumo wrestlers had a larger body size and higher blood pressure than children with obesity who exercised regularly. This provides direction for future research into targeted preventive interventions against metabolic syndrome for junior sumo wrestlers with large body size.

Keywords

Acknowledgement

We wish to thank the volunteers who participated in this study and their coaches. Data analysis and draft writing were supported by JSPS KAKENHI (Grant Number 20K19563; to HS).

References

  1. Salazar ML, Eiland LS. Childhood obesity: a new menace. J Pediatr Pharmacol Ther. 2007;12:23-38. https://doi.org/10.5863/1551-6776-12.1.23
  2. Becton LJ, Shatat IF, Flynn JT. Hypertension and obesity: epidemiology, mechanisms and clinical approach. Indian J Pediatr. 2012;79:1056-61. https://doi.org/10.1007/s12098-012-0777-x
  3. Farpour-Lambert NJ, Aggoun Y, Marchand LM, Martin XE, Herrmann FR, Beghetti M. Physical activity reduces systemic blood pressure and improves early markers of atherosclerosis in pre-pubertal obese children. J Am Coll Cardiol. 2009;54:2396-406. https://doi.org/10.1016/j.jacc.2009.08.030
  4. Gungor NK. Overweight and obesity in children and adolescents. J Clin Res Pediatr Endocrinol. 2014;6:129-43. https://doi.org/10.4274/Jcrpe.1471
  5. Stayne DM, Arslanian SA, Connor EL, Faroogi IS, Murad MH, Silverstein JH, Yanovski JA. Pediatric obesity-assessment, treatment, and prevention: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2017;102:709-57. https://doi.org/10.1210/jc.2016-2573
  6. Arisaka O, Ichikawa G, Koyama S, Sairenchi T. Childhood obesity: rapid weight gain in early childhood and subsequent cardiometabolic risk. Clin Pediatr Endocrinol. 2020;29:135-42. https://doi.org/10.1297/cpe.29.135
  7. Okada T, Arisaka O. Guidelines for the management of obesity disease in children and adolescents 2017. Tokyo, Japan. Lifesciense. 2020;6-56.
  8. Hara M. The concept of "obesity disease", and the diagnostic criterion of metabolic syndrome in Japanese children. The Journal of the Japan Pediatric Association. 2017;56:69-72.
  9. Saelens BE, Grow HM, Stark LJ, Seely RJ, Roehrig H. Efficacy of increasing physical activity to reduce children's visceral fat: a pilot randomized controlled trial. Int J Pediatr Obes. 2011;6:102-12. https://doi.org/10.3109/17477166.2010.482157
  10. Oguri K, Tachi T, Matsuoka T. Body composition, skeletal muscle and body fat mass in the body trunk and extremities in male obese children without habitual physical activity. Studies of growth and development. 2013;59:12-9.
  11. Japan Sumo Federation [Internet]. Tokyo; 2012-. Kitei, Dohyo kitei; [cited 2021 Aug 14], Available from: http://nihonsumo-renmei.jp.
  12. Kuzuya T. Matsuda A, Irie M, Hayashi E, Hoshi M. Follow-up sumo-wrestlers for 5-14 years. relationship of development of diabetes mellitus with blood glucose and insulin levels of the initial glucose tolerance test. J Japan Diab Soc. 1984;27:59-64.
  13. Nishizawa T, Akaoka I, Nishida Y, Kawaguchi Y, Hayashi E, Yoshimura T. Some factors related to obesity in the Japanese sumo wrestler. Am J Clin Nutr. 1976;29:1167-74. https://doi.org/10.1093/ajcn/29.10.1167
  14. Midorikawa T, Kondo M, Beekley M, Koizumi K, Abe T. High REE in sumo wrestlers attributed to large organ-tissue mass. Med Sci Sports Exerc. 2007;39:688-693. https://doi.org/10.1249/mss.0b013e31802f58f6
  15. The Japan Society for Pediatric Endocrinology [Internet]. Kyoto; [cited 2021 Aug 22], Available from: http://jspe.umin.jp/ medical/chart_dl.html.
  16. Brown RE, Kuk JL, Lee S. Measurement site influences abdominal subcutaneous and visceral adipose tissue in obese adolescents before and after exercise. Pediatr Obes. 2015;10:98-104. https://doi.org/10.1111/j.2047-6310.2014.224.x
  17. Davis CL, Pollock NK, Waller JL, Allison JD, Dennis BA, Bassali RB, Melendez A, Boyle CA, Gower BA. Exercise dose and diabetes risk in overweight and obese children. JAMA. 2012;308:1103-12. https://doi.org/10.1001/2012.jama.10762
  18. Miyake N. Exercise and metabolic syndrome. Current review of clinical pathology. 2006;137:47-52.
  19. Niedfeldt MW. Managing hypertension in athletes and physically active patients. Am Fam Physician. 2002;66:445-52.
  20. Caselli S, Sequi AV, Lemme E, Quattrini F, Milan A, D'Ascenzi F, Spataro A, Pelliccia A. Prevalence and management of systemic hypertension in athletes. J Am Coll Cardiol. 2017;119:1616-22. https://doi.org/10.1016/j.amjcard.2017.02.011
  21. Kropa J, Close J, Shipon D, Hufnagel E, Terry C, Oliver J, Jhonson B. High prevalence of obesity and high blood pressure in urban student-athletes. J Pediatr. 2016;178:194-9. https://doi.org/10.1016/j.jpeds.2016.07.006
  22. Schleich KT, Smoot MK, Ernst ME. Hypertension in athletes and active populations. Curr Hypertens Rep. 2016;18:77-84. https://doi.org/10.1007/s11906-016-0685-y
  23. Karpinos AR, Roumie CL, Nian H, Diamond AB, Rothman RL. High prevalence of hypertension among collegiate football athletes. Circ Cardiovasc Qual Outcomes. 2013;6:716-23. https://doi.org/10.1161/CIRCOUTCOMES.113.000463
  24. Berge HM, Isern CB, Berge E. Blood pressure and hypertension in athletes: a systematic review. Br J Sports Med. 2015;49:716-23. https://doi.org/10.1136/bjsports-2014-093976
  25. Hoshi A, Inaba Y. Risk factors for mortality and mortality rate of sumo wrestlers. Jpn J Hyg. 1995;50:730-6. https://doi.org/10.1265/jjh.50.730
  26. Saito K, Yamamoto Y, Tohno T, Mochida N, Katagiri T, Umeda T, Nakaji S, Sugawara K. A study on relationship between serum lipid levels and body fat mass in college judoists. Bulletin of Nippon Sport Science University. 1999;29:51-5.
  27. Kakutani Y, Ueshima S, Kawanishi M, Tokimoto M, Matunami T, Sagawa K, Myojin C. Body composition, blood profile and dietary intake in college American football players: the differences between the positions. J Phys Fit Sports Med. 2013;62:413-23. https://doi.org/10.7600/jspfsm.62.413
  28. Nakamura H, Ishikawa T, Suzuki N, Nagano M, Miyazima E, Hayashi Y, Hayashi E, Ehata Y. Plasma lipids among sumo-wrestler-special references to hdl-cholesterol. J Atheroscler Thromb. 1980;7:765-9.
  29. Evans PL, McMillin SL, Weyrauch LA, Witczak CA. Regulation of skeletal muscle glucose transport and glucose metabolism by exercise training. Nutrients. 2019;11:1-24. https://doi.org/10.3390/nu11010001
  30. Hargreaves M, Spriet LL. Exercise metabolism: fuels for the fire. Cold Spring Harb Perspect Med. 2018;8:1-15.