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Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European youth heart study
Örebro University, Department of Clinical Medicine.ORCID iD: 0000-0003-1067-8627
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2007 (English)In: Journal of Pediatrics, ISSN 0022-3476, E-ISSN 1097-6833, Vol. 150, no 4, p. 388-394Article in journal (Refereed) Published
Abstract [en]

Objectives To examine the associations of physical activity (PA) at different levels and intensities and cardiorespiratory fitness (CRF) with a clustering of metabolic risk factors in children and adolescents with special consideration of body fat. Study design Total PA and intensity levels were measured by accelerometry in children (9 years, n = 273) and adolescents (15 years, n = 256). CRF was measured with a maximal ergometer bike test. Measured outcomes included fasting insulin, glucose, triglycerides, total and high-density lipoprotein cholesterol, blood pressure, and body fat. A metabolic risk score (MRS) was computed as the mean of the standardized outcome scores. A “non-obesity-MRS” was computed omitting body fat from the MRS. Analysis of variance and multiple regressions were used in the analysis. Results Total and vigorous PA was inversely significantly associated with MRS in adolescent girls, the group with lowest PA, becoming insignificant when CRF was introduced in the analysis. Significant regression coefficients of total PA and CRF on non-obesity–MRS diminished when body fat was entered in the analysis. Conclusions CRF is more strongly correlated to metabolic risk than total PA, whereas body fat appears to have a pivotal role in the association of CRF with metabolic risk.

Place, publisher, year, edition, pages
St. Louis, Mo: Mosby , 2007. Vol. 150, no 4, p. 388-394
Keywords [en]
Adiposity, Adolescent, Age Distribution, Child, Comorbidity, Cross-Sectional Studies, Female, Humans, Male, Metabolic Syndrome X/*epidemiology, Motor Activity, Obesity/epidemiology, Physical Fitness, Regression Analysis, Risk Factors, Sex Distribution, Sweden/epidemiology
National Category
Medical and Health Sciences Clinical Medicine Pediatrics
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-4207DOI: 10.1016/j.jpeds.2006.12.039PubMedID: 17382116OAI: oai:DiVA.org:oru-4207DiVA, id: diva2:138506
Available from: 2007-12-05 Created: 2007-12-05 Last updated: 2017-12-14Bibliographically approved

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Hurtig-Wennlöf, Anita

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