Physical activity and fitness in adolescence as predictors of self-estimated fitness in adulthood.

AIM: This study investigated how participation in leisure-time physical activity (LTPA) and physical fitness (PF) in adolescence (age 12-18) predict self-estimated physical fitness (SEF) in adulthood (age 37-43). METHODS: A 25-year longitudinal population-based sample was investigated in two assessment points. In 1976 physical fitness was measured by five field tests and self-reported weekly frequency of LTPA was obtained by questionnaire. The sum indices of PF and LTPA were calculated. In 2001 (N=1321) self-estimated fitness was estimated by the questionnaire and calculated the sum of self-estimated fitness index. After this subjects were divided into three categories according to their level of fitness and leisure-time physical activity in adolescence and self-estimated fitness in adulthood (high, average and low). RESULTS: LTPA and PF in adolescence correlated with SEF in adulthood among both males and females. In regression analyses, the odds ratio (OR) for a low fitness estimation as an adult for those who were very active in adolescence compared to those who were inactive in adolescence was 0.18 for both sexes. Among males the OR for low fitness estimation as an adult was 0.19 and females 0.14 in the highest compared to lowest fitness group in adolescence. CONCLUSION: Results indicated that associations for self-estimated fitness from adolescence to adulthood were stronger in fitness than in leisure-time physical activity. The risk of adult low self-estimated fitness level was significantly lower for subjects who were physically very active or on the high fitness level in adolescence compared to persons on the low activity or low fitness level.

Questionnaire-assessed moderate to vigorous physical activity of the Finnish youth in 1979-2005.

The purpose of the study was to investigate the time trend of questionnaire-assessed moderate to vigorous physical activity (MVPA) among 12-18-year-old Finnish boys and girls from 1979 to 2005. The MVPA was defined as "at least moderately breathtaking and sweating in leisure time physical activities more than 3 times week." Data were based on the Adolescent Health and Lifestyle Survey, which is a biannual, nation-wide survey on adolescent health and health-related lifestyle in Finland. The nationally representative samples were drawn from the Finnish Population Register Centre. The numbers of participants varied from 2832 to 8390 and the response rates from 91% (girls, 1981) to 58% (boys, 2005). The main results showed that the participation rate in MVPA increased during the study period. The increase was not continuous, but showed an upward trend during the years 2001-2005. The study also revealed that boys participated in MVPA more than girls. However, the gender difference decreased during the study period. Age differences in MVPA were rather small and they decreased during the study period. However, perceived intensity of physical activity was higher among older than younger groups, whereas participation in MVPA was more frequent in younger than older groups. The results supported the findings of some previous studies that reported that especially in Finland the vigorous physical activity among young people had consistently increased. This study gave more information about this phenomenon because the study period was longer, 26 years, and the sample also included older, 16- and 18-year-old boys and girls.

Secular trends in aerobic fitness performance in 13-18-year-old adolescents from 1976 to 2001.

OBJECTIVE: To analyse the secular trends in aerobic fitness performance and some of its determinants (body mass index (BMI) and leisure time physical activity (LTPA)) in adolescents. DESIGN: Cross-sectional population-based studies in 1976 and 2001 in Finland. A stratified random sample of Finnish 13-18-year-old adolescents was studied in 1976 (n = 717; 384 boys and 333 girls) and in 2001 (n = 558; 305 boys and 253 girls). The main outcome measure was aerobic fitness, estimated with a 2000 m (for boys) and 1500 m (for girls) running test; the weight and height of participants were also measured. Self-reported weekly frequency of LTPA of at least 30 min duration and regularity of participation in organised sport were obtained by questionnaire. Identical methods were used in 1976 and 2001. RESULTS: Running time was longer in 2001 compared to 1976 in boys (56 s, Cohen d = 0.46, medium effect size; p<0.001) and girls (29 s, d = 0.32, small; p<0.01). BMI and participation in LTPA explained more of the variance in aerobic fitness in 2001 than in 1976 in boys and girls. CONCLUSIONS: Aerobic fitness of school-aged children deteriorated between the measurement points. BMI and organised LTPA were better associated with aerobic fitness in 2001 than in 1976. An increase in overweight and obesity was associated with the decrease in aerobic fitness. Although the importance of organised LTPA to fitness increased, it is possible that the decrease in overall physical activity between 1976 and 2001 contributed most to the decrease in the level of aerobic fitness.

Relationships between standing broad jump, shuttle run and Body Mass Index in children aged three to ei.

AIM: The aim of this study was to investigate the association between Body Mass Index (BMI) and performance in standing broad jump and shuttle run in young children and whether this association is similar during the age range studied and in both sexes. METHODS: A total of 1 197 Finnish children aged three to eight years participated in this cross-sectional study. Height and weight measuring and the standing broad jump (SBJ) and shuttle run tests were used. RESULTS: The age- and sex-adjusted correlation of BMI with both the SBJ (r=-0.20, P<0.001) and shuttle run test (SHR) (r=0.17, P<0.001) test results was significant. In the three to four-year-olds, children in the middle BMI tertile achieved better results in the SBJ test compared with those in the lowest BMI tertile (P<0.05). Among both 5 to 6- (P<0.01) and seven to eight-year-olds (P<0.001) the children in the highest BMI tertile had weaker SBJ results compared with those in the lowest and middle BMI tertiles. Subjects in the highest BMI tertile achieved lower SHR results than those in the middle BMI tertile in the age groups of five to six-year-old (P<0.05) and seven to eight-year-old children (P<0.001). Among the seven to eigth-year-olds the lowest BMI tertile also had better SHR results than the highest BMI tertile (P<0.001). All the trends were rather similar to boys and girls. CONCLUSIONS: High proportional body weight was associated with low performances in the standing broad jump and shuttle run tests among the five to eight-year-olds studied.

Adolescent flexibility, endurance strength, and physical activity as predictors of adult tension neck, low back pain, and knee injury: a 25 year follow up study.

OBJECTIVE: To examine whether adolescent flexibility, endurance strength, and physical activity can predict the later occurrence of recurrent low back pain, tension neck, or knee injury. METHODS: In 1976, 520 men and 605 women participated in a sit and reach test (flexibility) and a 30 second sit up test (endurance strength). In 1976 and 2001 (aged 37 and 42 years) they completed a questionnaire. Lifetime occurrence and risk of self reported low back pain and self reported, physician diagnosed tension neck and knee injury were calculated for subjects divided into tertiles by baseline results of strength and flexibility tests. RESULTS: Men from the highest baseline flexibility tertile were at lower risk of tension neck than those from the lowest tertile (odds ratio (OR) 0.51, 95% confidence interval (CI) 0.28 to 0.93). Women from the highest baseline endurance strength tertile were at lower risk of tension neck than those from the lowest tertile (OR 0.60, 95% CI 0.40 to 0.91). Men from the highest baseline endurance strength tertile were at higher risk of knee injury than those from the lowest tertile (OR 1.96, 95% CI 1.05 to 3.64). Men who at school age participated in physical activity were at lower risk of recurrent low back pain (OR 0.61; 95% CI 0.42 to 0.88) than those who did not. CONCLUSIONS: Overall good flexibility in boys and good endurance strength in girls may contribute to a decreased risk of tension neck. High endurance strength in boys may indicate an increased risk of knee injury.

Associations between self-estimated and measured physical fitness among 40-year-old men and women.

The aim was to evaluate whether 40-year-old men and women are able to estimate their level of fitness compared with actual measured physical fitness. Twenty-nine men and 35 women first completed a questionnaire at home and then their physical fitness was measured at laboratory. The index of self-estimated physical fitness was calculated by summing up the scores of self-estimated endurance, strength, speed and flexibility. The index of self-estimated endurance was calculated by summing up the scores of self-estimated endurance and those of the self-estimated distance they could run, cycle, ski and walk. The index of measured physical fitness was calculated by summing up the z-scores of a submaximal bicycle ergometer test, ergojump tests (counter-movement jump and jumping in 15 s), a 30-s sit-up test, hand-grip tests and a sit-and-reach test. The correlation (Spearman) between the indices of self-estimated and measured physical fitness was 0.54 for both sexes, and that between self-estimated endurance and measured endurance was 0.53 for both sexes. Maximal oxygen uptake estimated based on submaximal ergometer test was higher among those with longer self-estimated distance of running, cycling, skiing and walking (P for linear trend <0.001). Our study shows that 40-year-old adults can estimate at group level their fitness according to different categories moderately well. They can also estimate at group level their endurance moderately well by estimating the distance they can run, cycle, ski or walk. However, in some individuals self-estimation of fitness is not in agreement with the results of fitness tests.

Endurance running ability at adolescence as a predictor of blood pressure levels and hypertension in men: a 25-year follow-up study.

The aim was to study whether aerobic fitness measured by a maximal endurance running test at adolescence predicts prevalence of hypertension or blood pressure levels in adulthood. From the 413 (197 slow runners and 216 fast runners) participating in a 2000-meter running test at adolescence in 1976 and responding to a health and fitness questionnaire in 2001, 29 subjects (15 very slow runners and 14 very fast runners) participated in a clinical follow-up study in 2001. Compared to those who were fast runners in adolescence, those who were slow runners tended to have higher age-adjusted risk of hypertension at follow-up (OR 2.7, 95 % CI 0.9 to 7.5; p=0.07). The result persisted after further adjustment for body mass index at follow-up (OR 2.9, 95 % CI 1.0 to 8.3; p=0.05). Diastolic blood pressure was higher for very slow runners at adolescence compared to very fast runners, the age-adjusted mean diastolic blood pressure being 90 mm Hg (95 % CI 86 to 93) vs. 83 mm Hg (95 % CI 80 to 87), age-adjusted p=0.013. High endurance type fitness in adolescence predicts low risk of hypertension and low resting diastolic blood pressure levels in adult men.