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Role of socio-cultural factors on changes in fitness and adiposity in youth: A 6-year follow-up study
Karolinska Institutet, Huddinge, Sweden; University of Granada, Granada, Spain.
Karolinska Institutet, Huddinge, Sweden; University of Granade, Granada, Spain.
University of the Basque Country, Vitoria, Spain; Karolinska Institutet, Huddinge, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0003-1067-8627
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2013 (English)In: NMCD. Nutrition Metabolism and Cardiovascular Diseases, ISSN 0939-4753, E-ISSN 1590-3729, Vol. 23, no 9, p. 883-890Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND AIMS: Optimal cardio-respiratory fitness and adiposity levels are tightly related to health in youth. We analysed changes in fitness and adiposity in young individuals from two countries, and examined the role of maternal education in these changes.

METHODS AND RESULTS: A 6-year follow-up study was conducted on 483 Estonian children (9 years) and 466 Swedish children (9-10 years) and adolescents (15 years). Fitness was assessed by a maximal bike test, and total and central adiposity were indirectly estimated by skinfolds (Slaughter's equation for fat mass) and waist circumference. At follow-up, fitness and adiposity had increased in the children cohort (P ≤ 0.001), while small or no change occurred in the adolescent cohort. In the children cohort, Estonian participants had a lower increase in fitness and a higher increase in adiposity (total and central) than Swedish participants. Higher maternal education increased the odds of remaining fit (top quartile) by half and reduced the risk of remaining fat (top quartile) by half; odds ratios = 1.56 (1.00-2.43), 0.50 (0.32-0.77) and 0.61 (0.39-0.94) for fitness, total and central adiposity, respectively.

CONCLUSIONS: Our data suggest that the socioeconomic situation of a country might influence key cardiovascular risk factors (fitness and adiposity), being at higher risk for a low-middle income country (Estonia) than a higher income country (Sweden). The findings stress the role of socioeconomic status, particularly maternal education, in the maintenance of healthy fitness and adiposity levels from childhood into later life. Preventive efforts have to be taken from early age.

Place, publisher, year, edition, pages
2013. Vol. 23, no 9, p. 883-890
Keywords [en]
Physical fitness, Adiposity, Children, Adolescents, Follow-up
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-32162DOI: 10.1016/j.numecd.2012.05.008ISI: 000324538200013OAI: oai:DiVA.org:oru-32162DiVA, id: diva2:663679
Available from: 2013-11-12 Created: 2013-10-28 Last updated: 2018-05-21Bibliographically approved

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Hurtig-Wennlof, Anita

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