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Normative Values for Cardiorespiratory Fitness Testing Among US Children Aged 6-11 years

Jaime J. Gahche, Brian K. Kit, Janet E. Fulton, Dianna D. Carroll, and Thomas Rowland

Background:

Nationally representative normative values for cardiorespiratory fitness (CRF) have not been described for US children since the mid 1980s.

Objective:

To provide sex- and age-specific normative values for CRF of US children aged 6–11 years.

Methods:

Data from 624 children aged 6–11 years who participated in the CRF testing as part of the 2012 National Health and Nutrition Examination Survey National Youth Fitness Survey, a cross-sectional survey, were analyzed. Participants were assigned to one of three age-specific protocols and asked to exercise to volitional fatigue. The difficulty of the protocols increased with successive age groups. CRF was assessed as maximal endurance time (min:sec). Data analysis was conducted in 2016.

Results:

For 6–7, 8–9, 10–11 year olds, corresponding with the age-specific protocols, mean endurance time was 12:10 min:sec (95% CI: 11:49–12:31), 11:16 min:sec (95% CI: 11:00–11:31), and 10:01 min:sec (95% CI: 9:37–10:25), respectively. Youth in the lowest 20th percentile for endurance time were more likely to be obese, to report less favorable health, and to report greater than two hours of screen time per day.

Conclusions:

These data may serve as baseline estimates to monitor trends over time in CRF among US children aged 6–11 years.

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Associations Between Cardiorespiratory Fitness and Overweight With Academic Performance in 12-Year-Old Brazilian Children

Carla Caroliny de Almeida Santana, Breno Quintella Farah, Liane Beretta de Azevedo, James O. Hill, Thrudur Gunnarsdottir, João Paulo Botero, Edna Cristina do Prado, and Wagner Luiz do Prado

Obesity has been associated with poor academic achievement, while cardiorespiratory fitness (CRF) has been linked to academic success.

Purpose:

To investigate whether CRF is associated with academic performance in Brazilian students, independently of body mass index (BMI), fatness and socioeconomic status (SES).

Methods:

392 5th and 6th grade students (193 girls) (12.11 ± 0.75 years old) were evaluated in 2012. Skinfold thickness measures were performed, and students were classified according to BMI-percentile. CRF was estimated by a 20-meter shuttle run test, and academic achievement by standardized math and Portuguese tests. Multiple linear regression analyses were conducted to explore the association between academic performance and CRF, adjusted for SES, skinfold thickness or BMI-percentile.

Results:

Among girls CRF was associated with higher academic achievement in math (β = 0.146;p = .003) and Portuguese (β = 0.129;p = .004) in crude and adjusted analyses. No significant association was found among boys. BMI was not associated with overall academic performance. There was a weak negative association between skinfold thickness and performance in mathematics in boys (β =- 0.030;p = .04), but not in girls.

Conclusion:

The results highlight the importance of maintaining high fitness levels in girls throughout adolescence a period commonly associated with reductions in physical activity levels and CRF.

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Sitting Time, Physical Activity, and Cardiorespiratory Fitness: Cooper Center Longitudinal Study Cohort

Carolyn E. Barlow, Kerem Shuval, Bijal A. Balasubramanian, Darla E. Kendzor, and Kelley Pettee Gabriel

Background:

Prolonged sitting time is associated with numerous health outcomes; however, the role of cardiorespiratory fitness (CRF) in these relationships is largely unexplored. The cross-sectional association between reported sitting time and measured CRF was examined in a large study of healthy men and women.

Methods:

The analytic sample included 4658 men and 1737 women enrolled in the Cooper Center Longitudinal Study. Unadjusted and adjusted multivariable linear regression models were constructed to examine the association between sitting time and CRF, stratified by sex and meeting (or not) meeting physical activity (PA) guidelines.

Results:

In men, CRF was not associated with sitting time after adjustment for potential confounders. In contrast, for women, after adjustment there was a significant association between increased sitting time and lower CRF (P for trend <.001). When stratified by meeting or not meeting PA guidelines, there was no association between sitting time and CRF in men. In women, this relationship was statistically significant regardless of PA category (both P for trend < .05).

Conclusions:

These results suggest that the association between sitting time and CRF varies by sex. Further, meeting PA guidelines does not appear to modify this relation in either sex.

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Longitudinal Study on the Association Between Cardiorespiratory Fitness, Anthropometric Parameters and Blood Lipids

Evelien Mertens, Peter Clarys, Johan Lefevre, Ruben Charlier, Sara Knaeps, and Benedicte Deforche

Background:

Longitudinal evidence concerning the association between cardiorespiratory fitness (CRF) and blood lipids and between anthropometric parameters (ANTP) and blood lipids is limited. This study aimed to investigate the association between changes in CRF and ANTP and changes in blood lipids.

Methods:

In 2002–2004 and 2012–2014, 652 participants were tested. CRF was measured as VO2peak using a maximal ergometer test. Waist circumference (WC) and Body Mass Index (BMI) were used as ANTP. Blood samples were analyzed for total cholesterol (TC), HDL cholesterol, LDL cholesterol and triglycerides. A linear regression analysis was performed to investigate associations between changes in CRF and ANTP and changes in blood lipids.

Results:

After adjustment a decrease in CRF was associated with an increase in triglycerides and a decrease in HDL cholesterol in men. An increase in WC was associated with an increase in TC, LDL cholesterol and ratio total/HDL cholesterol and a decrease in HDL cholesterol, while an increase in BMI was associated with an increase in ratio total/HDL cholesterol and a decrease in HDL cholesterol.

Conclusions:

WC and BMI were more longitudinally associated with blood lipids compared with CRF. Improving ANTP can enhance the blood lipid profile, while CRF had only limited influence.

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Association of Leisure-Time Physical Activity With Cardiorespiratory Fitness in Indian Men

Neha Singhal and Anupa Siddhu

Background:

The relationship between leisure-time physical activity (LTPA) and cardiorespiratory fitness (CRF) is not clearly understood in Indian men. It is important to elucidate whether the duration or intensity of LTPA is responsible for increasing CRF. This will help in designing better physical activity intervention strategies for improving CRF in Indian men.

Methods:

Healthy nondiabetic urban Indian men with no history of coronary heart disease (CHD) were selected (n = 603; aged 22–64 years) and their energy intake and physical activity was determined using a questionnaire. Body fat (percent) was determined by leg-to-leg bioelectrical impedance analysis while CRF was measured on multistage, continuous treadmill test using Bruce protocol.

Results:

Intensity of physical activity (METs) emerged as the best independent predictor of CRF (β = 0.217; P < .001). Using univariate General Linear Model, it was found that CRF is more a function of LTPA intensity than LTPA duration, since LTPA duration was not related to CRF when controlled for LTPA intensity. However, LTPA intensity remained significantly associated with CRF even after adjustment for LTPA duration.

Conclusion:

LTPA of preferably higher intensity should be incorporated in the lifestyle to improve CRF and prevent CHD in Indian men.

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Independent and Combined Associations of Cardiorespiratory Fitness and Fatness With Cardiovascular Risk Factors in Brazilian Youth

Gabriel Gustavo Bergmann, Mauren Lúcia de Araújo Bergmann, and Pedro C. Hallal

Background:

The purpose of this study was to examine the independent and combined influence of cardiorespiratory fitness (CRF), body mass index (BMI) and percentage of fat (% fat) on total cholesterol (TC) and blood pressure (BP) in male and female youth.

Methods:

1442 (721 girls) children and adolescents aged 7–12 years were randomly selected. CRF, BMI, % fat (predictor variables), TC, systolic (SBP) and diastolic blood pressure (DBP; outcome variables) were measured. Using standardized cut-off points, we created categories for each variable. Bivariate and multivariable analyses were used to test the independent influence of predictors on outcomes.

Results:

The prevalence of increased TC, SBP, and DBP were 34.4% (95% CI 31.9–37.0), 9.1% (95% CI 7.5–10.6), and 15.5% (95% CI 13.5–17.4), respectively. In multivariable analyses, CRF was a significant predictor of all outcome variables (P < .05). BMI was associated with SBP and DBP (P < .05) and % fat was associated only with SBP (P < .05). CRF had stronger associations with TC than BMI, whereas the opposite was observed for SBP and DBP.

Conclusions:

CRF and BMI are independently associated to TC and BP in male and female youth, and individuals unfit/overweight have greater likelihood of presenting these risk factors.

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Intensity of Physical Activity, Cardiorespiratory Fitness, and Body Mass Index in Youth

Luisa Aires, Pedro Silva, Gustavo Silva, Maria Paula Santos, José Carlos Ribeiro, and Jorge Mota

Background:

The purpose of this study was to analyze the relation between body mass index (BMI), Cardiorespiratory Fitness (CRF), and levels of physical activity (PA) from sedentary to very vigorous intensities, measured by accelerometry, in students from a middle and high school.

Methods:

This cross-sectional study included 111 children and adolescents, age 11 to 18 years. PA was assessed with an accelerometer for 7 consecutive days (1 minute epoch) using specific cut-points. PA components were derived using special written software (MAHUffe). CRF was assessed by maximal multistage 20m shuttle run. T-test was used to test differences between BMI groups, Pearson’s correlation, to analyze correlations between all variables and multinomial logistic regression, and to predict the value of BMI categories.

Results:

This paper provides evidence that BMI was inversely and significantly correlated with CRF. Only CRF was correlated with Vigorous and Very Vigorous PA levels and total amount of PA. Children with Overweight/Obesity were less likely to perform more laps than normal weight counterparts. The total amount or intensity level of PA did not show any influence on BMI level.

Conclusions:

Low CRF is strongly associated with obesity, which highlights the importance of increasing CRF for a protective effect even in youth. No associations were found for PA and BMI.

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Predictive Strengths of Basic Psychological Needs in Physical Education Among Hispanic Children: A Gender-Based Approach

Tsz Lun (Alan) Chu, Tao Zhang, Katherine T. Thomas, Xiaoxia Zhang, and Xiangli Gu

promote psychosocial development for the “total child” ( Le Masurier & Corbin, 2006 ). Accordingly, this study attempted to examine cardiorespiratory fitness, effort in PE, and general well-being as respective adaptive outcomes in terms of physical, cognitive, and psychological domains related to PE

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The Influence of Relative Age Effects on the Cardiorespiratory Fitness Levels of Children Age 9 to 10 and 11 to 12 Years of Age

Simon J. Roberts, Lynne M. Boddy, Stuart J. Fairclough, and Gareth Stratton

The aims of this study were firstly to examine whether there was an observed relative age effect in the cardiorespiratory fitness scores of 9-10 and 11-12 year old children, and secondly whether any observed effect was maintained after controlling for somatic maturity. Cardiorespiratory fitness data from 11,404 children aged 9-10 years and 3,911 children aged 11-12 years were obtained from a large cross-sectional field-based fitness testing program. A one-way ANOVA revealed a statistically significant relative age effect (p < .01) existed in the 20mSRT scores across all the age groups. Furthermore, ANCOVA analyses identified a statistically significant relative age effect was maintained after controlling for somatic maturation (p < .05). From a public health perspective these results confirm the existence of relative age effects for the first time and consequently may hold implications for relatively younger children in the accurate assessment of their cardiorespiratory fitness scores.

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The Physiological Characteristics of an 83-Year-Old Champion Female Master Runner

Thomas Cattagni, Vincent Gremeaux, and Romuald Lepers

seem to benefit from specific bone protection. 12 Conclusion The present single case study of a master female runner shows that remarkable cardiorespiratory fitness, associated with long-term endurance training, is not associated with a specific preservation of muscle and skeletal characteristics