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Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European youth heart study.
J Pediatr. 2007 Apr; 150(4):388-94.JPed

Abstract

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.

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Authors+Show Affiliations

Rizzo NS
Unit for Preventive Nutrition, Department of Biosciences and Nutrition, NOVUM, Karolinska Institutet, Huddinge, Sweden.
Ruiz JR
No affiliation info available
Hurtig-Wennlöf A
No affiliation info available
Ortega FB
No affiliation info available
Sjöström M
No affiliation info available

MeSH

AdiposityAdolescentAge DistributionChildComorbidityCross-Sectional StudiesFemaleHumansMaleMetabolic SyndromeMotor ActivityObesityPhysical FitnessRegression AnalysisRisk FactorsSex DistributionSweden

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17382116

Citation

Rizzo, Nico S., et al. "Relationship of Physical Activity, Fitness, and Fatness With Clustered Metabolic Risk in Children and Adolescents: the European Youth Heart Study." The Journal of Pediatrics, vol. 150, no. 4, 2007, pp. 388-94.
Rizzo NS, Ruiz JR, Hurtig-Wennlöf A, et al. Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European youth heart study. J Pediatr. 2007;150(4):388-94.
Rizzo, N. S., Ruiz, J. R., Hurtig-Wennlöf, A., Ortega, F. B., & Sjöström, M. (2007). Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European youth heart study. The Journal of Pediatrics, 150(4), 388-94.
Rizzo NS, et al. Relationship of Physical Activity, Fitness, and Fatness With Clustered Metabolic Risk in Children and Adolescents: the European Youth Heart Study. J Pediatr. 2007;150(4):388-94. PubMed PMID: 17382116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European youth heart study. AU - Rizzo,Nico S, AU - Ruiz,Jonatan R, AU - Hurtig-Wennlöf,Anita, AU - Ortega,Francisco B, AU - Sjöström,Michael, PY - 2006/05/27/received PY - 2006/10/04/revised PY - 2006/12/13/accepted PY - 2007/3/27/pubmed PY - 2007/4/12/medline PY - 2007/3/27/entrez SP - 388 EP - 94 JF - The Journal of pediatrics JO - J Pediatr VL - 150 IS - 4 N2 - 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. SN - 1097-6833 UR - https://www.unboundmedicine.com/medline/citation/17382116/Relationship_of_physical_activity_fitness_and_fatness_with_clustered_metabolic_risk_in_children_and_adolescents:_the_European_youth_heart_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3476(06)01203-0 DB - PRIME DP - Unbound Medicine ER -