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Effects of 2 Models of Aquatic Exercise Training on Cardiorespiratory Responses of Patients With Type 2 Diabetes: The Diabetes and Aquatic Training Study—A Randomized Controlled Trial

Rodrigo Sudatti Delevatti, Ana Carolina Kanitz, Cláudia Gomes Bracht, Salime Donida Chedid Lisboa, Elisa Corrêa Marson, Thaís Reichert, Vitória Bones, and Luiz Fernando Martins Kruel

Responses related to cardiorespiratory fitness (CRF) are strong mortality predictors. 1 Especially in type 2 diabetes (T2D), a low CRF is an independent risk factor for cardiovascular diseases. 2 In this sense, besides glycemic control and cardiometabolic outcomes usually considered in disease

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Impact of Embedding High-Intensity Interval Training in Schools and Sports Training on Children and Adolescent’s Cardiometabolic Health and Health-Related Fitness: Systematic Review and Meta-Analysis

Narelle Eather, Mark Babic, Nicholas Riley, Sarah A. Costigan, and David R. Lubans

a small proportion (∼6%) of older adolescents (15–17 years) considered sufficiently active ( Schranz et al., 2016 ). Furthermore, current levels of physical fitness in young people are concerning. Cardiorespiratory fitness (CRF) levels of children and adolescents have dropped by 7.3% since the 1980

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High Levels of Physical Activity and Cardiorespiratory Fitness are Associated With Good Self-Rated Health in Adolescents

Marko T. Kantomaa, Tuija Tammelin, Hanna Ebeling, Emmanuel Stamatakis, and Anja Taanila

Background:

Adolescent self-rated health is a strong predictor of future illness. In this study we investigated whether physical activity and cardiorespiratory fitness are associated with self-rated health among adolescents aged 16 years.

Methods:

The study sample comprised 7,063 adolescents from the Northern Finland Birth Cohort 1986 (NFBC 1986) who responded to a postal questionnaire in 2001 to 2002. Self-rated health was measured by a single-item question, while physical activity was evaluated by a set of questions concerning the intensity and volume of physical activity outside school hours. Cardiorespiratory fitness was measured with a submaximal cycle ergometer test. Odds ratios (OR) and their 95% confidence intervals (95% CI) for good self-rated health were obtained from multinomial logistic regression.

Results:

High levels of physical activity (boys: OR 5.50, 95% CI 3.16 to 9.58; girls: OR 4.25, 95% CI 2.37 to 7.61) and cardiorespiratory fitness (boys: OR 1.85, 95% CI 1.05 to 3.24; girls: OR 2.62, 95% CI 1.47 to 4.66) were associated with very good self-rated health in adolescents.

Conclusions:

High levels of physical activity and cardiorespiratory fitness are positively associated with adolescents’ self-rated health. Public health promotion activities that foster physical activity and cardiorespiratory fitness may benefit young people’s overall health and well-being.

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Physiological and Performance Adaptations to Varying Rest Distributions During Short Sprint Interval Training Trials in Female Volleyball Players: A Comparative Analysis of Interindividual Variability

Tao Tao, Na Zhang, Dawei Yu, and Mohsen Sheykhlouvand

with rest periods between points in female volleyball matches (∼20 [10] s). 2 Therefore, the objective of this study was to compare the adaptive responses of physiological parameters (cardiorespiratory fitness and anaerobic power output) and physical performance with sets of 5-second all-out SSIT

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Influence of Diet and/or Exercise on Body Composition and Cardiorespiratory Fitness in Obese Women

Alan C. Utter, David C. Nieman, Elizabeth M. Shannonhouse, Diane E. Butterworth, and Cathy N. Nieman

The purpose of this study was to measure the influence of diet, exercise, or both on body composition and cardiorespiratory fitness in obese women. Ninety-one obese subjects were randomized into one of four groups: diet (D) (4.19–5.44 MJ or 1,200–1,300 kcal/day), exercise (E) (five 45-min sessions at 78.5 ± 0.5% maximum heart rate), exercise and diet (ED), and controls (C). Maximal aerobic power and body composition were measured in all subjects before and after a 12-week diet intervention period. Subjects in D and ED lost 7.8 ± 0.7 and 8.1 ± 0.6 kg body mass, with no significant change for E relative to C. Losses of percent body fat and fat mass were significantly greater in D and ED but not in E relative to C. The change in VO2max was greater in ED and E but not D when compared to C. Results indicate that moderate aerobic exercise training during a 12-week period has no discernible effects on body composition but does improve cardiorespiratory fitness in dieting obese women.

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Associations of Cardiorespiratory Fitness and Fatness With Cardiovascular Risk Factors Among Adolescents: The NHANES 1999–2002

Soyang Kwon, Trudy L. Burns, and Kathleen Janz

Background:

This study aimed to examine combined and independent effects of cardiorespiratory fitness and fatness on cardiovascular risk factors among U.S. adolescents.

Methods:

Data from adolescents age 12 to 19 years participating in the NHANES 1999 to 2002 were used. Fitness level was determined by submaximal treadmill test and was dichotomized as ‘not fit’ or ‘fit’ according to the FITNESSGRAM. Fatness level was categorized as ‘not fat’ or ‘fat’ based on the CDC BMI growth charts. Gender-specific multivariable linear regression analyses were conducted to compare age-, race/ethnicity-, fatness-, and waist circumference-adjusted means of blood pressure, lipids, lipoproteins, C-peptide, insulin, and C-reactive protein (CRP) levels.

Results:

A total of 3202 adolescents (1629 boys) were included for data analysis. Among boys, total cholesterol, tri-glycerides, insulin, and CRP mean levels were significantly higher (P < .05) in the ‘not fit’ group than in the ‘fit’ group, after adjustment for fatness level and waist circumference. Among girls, the fatness level- and waist circumference-adjusted means of total cholesterol (P < .01) and LDL-C (P < .09) were higher in the ‘not fit’ than ‘fit’ groups.

Conclusion:

Cardiorespiratory fitness, independent of fatness, may have beneficial effects on lipid profiles among girls, and on lipid profiles, insulin metabolism, and inflammation levels among boys.

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The Role of Perceived and Actual Motor Competency on Children’s Physical Activity and Cardiorespiratory Fitness During Middle Childhood

Xiangli Gu, Katherine Thomas Thomas, and Yu-Lin Chen

Purpose:

Guided by Stodden et al.’s (2008) conceptual model, the purpose of this study was to examine the associations among perceived competence, actual motor competence (MC), physical activity (PA), and cardiorespiratory fitness in elementary children. The group differences were also investigated as a function of MC levels.

Methods:

A correlational research design was used in this study. There were 262 children (Mage = 10.87, SD = .77) recruited from three schools in the southern U.S. Students’ MC was objectively measured based on a process-oriented assessment (PE Metrics, NASPE, 2010). Students self-reported perceived competence and leisure-time PA. Then, the Progressive Aerobic Cardiovascular Endurance Run (PACER) and pedometers were used to measure students’ cardiorespiratory fitness and in-class PA, respectively.

Results:

The structural equation modeling analysis supported the significant indirect effect of the MC on cardiorespiratory fitness and PA through perceived competence. The MANCOVA yielded a significant main effect for MC groups after controlling for sex [Wilks’s Lambda = .838, F = 12.15 (4, 251), p < .001, η2 = .16]. Regardless of sex, children with low MC demonstrated lower perceived competence, PA, and cardiorespiratory fitness compared with children with higher MC (p < .001).

Discussion:

Development of students’ competence beliefs in PE and certain movement patterns should be emphasized, especially during middle childhood. High quality PE programs must be aligned with national standards, with particular attention to enhancing skill acquisition (standard 1) and PE-motivation (i.e., perceived competence; standard 5).

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Serum Metabolites Related to Cardiorespiratory Fitness, Physical Activity Energy Expenditure, Sedentary Time and Vigorous Activity

Angelika Wientzek, Anna Floegel, Sven Knüppel, Matthaeus Vigl, Dagmar Drogan, Jerzy Adamski, Tobias Pischon, and Heiner Boeing

The aim of our study was to investigate the relationship between objectively measured physical activity (PA) and cardiorespiratory fitness (CRF) and serum metabolites measured by targeted metabolomics in a population- based study. A total of 100 subjects provided 2 fasting blood samples and engaged in a CRF and PA measurement at 2 visits 4 months apart. CRF was estimated from a step test, whereas physical activity energy expenditure (PAEE), time spent sedentary and time spend in vigorous activity were measured by a combined heart rate and movement sensor for a total of 8 days. Serum metabolite concentrations were determined by flow injection analysis tandem mass spectrometry (FIA-MS/MS). Linear mixed models were applied with multivariable adjustment and p-values were corrected for multiple testing. Furthermore, we explored the associations between CRF, PA and two metabolite factors that have previously been linked to risk of Type 2 diabetes. CRF was associated with two phosphatidylcholine clusters independently of all other exposures. Lysophosphatidylcholine C14:0 and methionine were significantly negatively associated with PAEE and sedentary time. CRF was positively associated with the Type 2 diabetes protective factor. Vigorous activity was positively associated with the Type 2 diabetes risk factor in the mutually adjusted model. Our results suggest that CRF and PA are associated with serum metabolites, especially CRF with phosphatidylcholines and with the Type 2 diabetes protective factor. PAEE and sedentary time were associated with methionine. The identified metabolites could be potential mediators of the protective effects of CRF and PA on chronic disease risk.

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Associations Between Self-Rated Health With Cardiorespiratory Fitness and Obesity Status Among Adolescent Girls

Jorge Mota, Rute M. Santos, Pedro Silva, Luisa Aires, Clarice Martins, and Susana Vale

Background:

The main goal of this study was to analyze the associations between cardiorespiratory fitness (CRF) and body mass index (BMI) with self-rated health (SRH) of adolescent girls.

Methods:

This was a cross-sectional study of 533 adolescents girls, aged from 10 to 18 years old. CRF was predicted by maximal multistage 20-m shuttle-run test according to procedures described from FITNESSGRAM. Girls’ obesity status was classified according to International Obesity Task Force and Self-rated health (SRH) was assessed by questionnaire.

Results:

The findings showed that among adolescent girls 23.2% had negative SRH. Girls who were classified as unfit were more likely to report negative SRH in both univariate logistic (OR: 3.05; CI: 1.91−4.87; P < .05) and multivariate (OR: 2.93; CI: 1.82−4.72; P < .05) regression analyses compared with their fit peers. Obese girls were more likely to report negative SRH (OR: 2.30; CI: 1.14−4.62; P < .05) compared with their normal-weight counterparts. However such association was lost in multivariate analyses suggesting an effect of CRF.

Conclusions:

Negative perception of health was associated with lower CRF and weight status although such association it is mediated by CRF condition.

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Girls’ Physical Activity during High School Physical Education: Influences of Body Composition and Cardiorespiratory Fitness

Stuart J. Fairclough

This study assessed the physical activity levels of 20 high school girls (age 13 years, SD = 1.1) during physical education classes, over an 8-month period. Physical activity was measured by heart rate telemetry and accelerometry. Skinfold measurements were used to estimate percent body fat, and peak VO2 was assessed by maximal treadmill running. Girls engaged in moderate-to-vigorous intensity physical activity (MVPA) for 38.5% of class time and produced 961.8 vector magnitude (Vmag) counts · min−1. Body fat was inversely correlated with Vmag counts · min−1 (r = −.65, p < .01) and peak VO2 (r = −.65, p < .01). Girls’ MVPA in physical education did not meet the Healthy People 2010 50% of class time criterion. Body fat significantly predicted 42% of the variance in Vmag counts · min−1. Cardiorespiratory fitness appeared not to influence physical activity during physical education, regardless of measurement method. Girls’ physical activity in physical education may be improved if schools advocate planned lesson outcomes that aim to maximize opportunities for physical activity.