A lower cardiorespiratory fitness is associated to an unhealthy status among children and adolescents from Bogotá, Colombia

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• 作者：Juliá ; n Alberto Gualteros^a ; Jorge André ; s Torres^a ; Luz Marina Umbarila-Espinosa^a ; Francisco Javier Rodrí ; guez-Valero^a ; Robinson Ramí ; rez-Vé ; lez^a ; ^b ; ^{robin640@hotmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Children ; Adolescents ; Prevention ; Cardiovascular disease ; Health ; Colombia
• 刊名：Endocrinología y Nutrición (English Edition)
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：62
• 期：9
• 页码：437-446
• 全文大小：762 K

文摘

Several studies have shown that low cardiorespiratory fitness (CRF) is a significant independent risk factor for future cardiometabolic disease in adult life. The aim of this study was to examine the relationship between CRF and health status in children and adolescents in Bogotá, Colombia.

Methods

A cross-sectional study was conducted in 921 children and adolescents aged 9–17 years living in the metropolitan area of the District of Bogotá, Colombia (2480 m asl). CRF was assessed with the 20 m shuttle run test (Course-Navette) according to ALPHA-FITNESS and FITNESSGRAM standards. Blood pressure, waist circumference, hip circumference, body composition (body fat percentage, fat body mass, and fat-free mass by bioimpedance), skin fold calipers, body mass index, and sexual maturity (Tanner) were used as indicators of physical health.

Results

After adjusting for sex, age, and sexual maturity, significant inverse relationships were seen between CRF and body mass index (r = −0.107), body fat percentage (r = −0.197), fat body mass (r = −0.159), skin fold (r = −0.246), and waist circumference (r = −0.169); P < .001. Schoolchildren with low CRF levels showed OR 6.06 (95% CI 3.98–9.24) increase in body fat by bioimpedance; OR 4.04 (95% CI 1.83–9.11) risk of overweight/obese by body mass index and OR 2.47 (95% CI 1.14–5.37) abdominal obesity due to increased waist circumference.

Conclusion

Approximately two thirds of participants had a CRF level suggesting future cardiovascular disease. Early identification of children and adolescents with low CRF levels will allow for implementing interventions to prevent cardiometabolic disease in adulthood.