RESUMO
BACKGROUND AND AIMS: The ideal cardiovascular health (iCVH) construct consists of 4 health behaviors (smoking status, body mass index, physical activity and diet) and 3 health factors (total cholesterol, blood pressure and fasting glucose). A greater number of iCVH components in adolescence are related to better cardiovascular health, but little is known about the correlates of iCVH in adolescents. Thus, the aim of the study was to examine correlates of iCVH in European adolescents. METHODS AND RESULTS: The study comprised 637 European adolescents with complete iCVH data. Participants were part of the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study, a cross-sectional, multicenter study conducted in 9 different European countries. Correlates investigated were sex and age, family affluence scale, maternal education, geographic location, sleep time, television viewing, duration of pregnancy, birth weight and breastfeeding. Younger adolescents, those whose mothers had medium/high education or those who watched television less than 2 h per day had a greater number of iCVH components compared to those who were older, had a mother with low education or watched television 2 h or more daily (P ≤ 0.01). CONCLUSION: Since in our study older adolescents had worse iCVH than younger adolescents, early promotion of cardiovascular health may be important. Future studies may also investigate the usefulness of limiting television viewing to promote iCVH. Finally, since adolescents of mothers with low education had poorer iCVH, it may be of special interest to tailor public health promotion to adolescents from families with low socioeconomic status.
Assuntos
Glicemia/análise , Pressão Sanguínea , Doenças Cardiovasculares/prevenção & controle , Colesterol/sangue , Indicadores Básicos de Saúde , Nível de Saúde , Estilo de Vida Saudável , Prevenção Primária/métodos , Adolescente , Comportamento do Adolescente , Fatores Etários , Biomarcadores/sangue , Doenças Cardiovasculares/sangue , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/fisiopatologia , Estudos Transversais , Dieta Saudável , Europa (Continente)/epidemiologia , Exercício Físico , Feminino , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Humanos , Peso Corporal Ideal , Masculino , Fatores de Proteção , Medição de Risco , Fatores de Risco , Fumar/efeitos adversos , Fumar/epidemiologiaRESUMO
BACKGROUND AND AIM: The body adiposity index (BAI) has been recently proposed as a new method to estimate the percentage of body fat. The association between BAI and hypertension risk has not been investigated yet. The aim of our study was to evaluate the ability of BAI to predict hypertension in males and females compared with traditional body adiposity measures. METHODS AND RESULTS: The present follow-up analysis comprised 10,309 individuals (2259 females) free of hypertension from the Aerobics Center Longitudinal Study, who completed a baseline examination between 1988 and 2003. Body adiposity measures included BAI, body mass index (BMI), waist circumference, hip circumference, percentage of body fat and waist to hip ratio (WHR). Incident hypertension was ascertained from responses to mail-back surveys between 1990 and 2004. During an average of 9.1 years of follow-up, 872 subjects (107 females) became hypertensive. Hazard ratios (HRs) and 95% confidence intervals (95% CI) showed that males in the highest categories of all body adiposity measures showed a higher incident risk of hypertension (HRs ranged from 1.37 to 2.09). Females showed a higher incident risk of hypertension only in the highest categories of BAI, BMI and WHR (HRs ranged from 1.84 to 3.36). CONCLUSION: Our results suggest that in order to predict incident hypertension BAI could be considered as an alternative to traditional body adiposity measures.
Assuntos
Adiposidade , Índice de Massa Corporal , Hipertensão/epidemiologia , Obesidade/epidemiologia , Adulto , Estudos Transversais , Exercício Físico , Feminino , Seguimentos , Humanos , Incidência , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Morbidade , Estudos Prospectivos , Circunferência da Cintura , Relação Cintura-QuadrilRESUMO
AIM: The purpose of the present study was to analyze the association between isokinetic strength and field-based muscular fitness tests in youth. METHODS: One hundred twenty-six adolescents (14.4±1.7 y) participated in the study. Upper and lower body isokinetic strength were measured at preset angular velocities of 90 º/s and 60 º/s, respectively. Muscular fitness was also assessed by means of field-based tests: handgrip strength, bent and extended arm hang tests, standing long jump, squat jump, countermovement jump and Abalakov jump. Height, weight and skinfold thickness were used to estimate body composition. RESULTS: All field-based tests were significantly associated with isokinetic peak torque and power (P<0.001 in all cases). Handgrip strength and standing long jump showed the highest associations with the isokinetic parameters (0.61≤r≤0.87; 0.39≤R2≤0.76). Weight-bearing field tests increased on average 20 % their association (R2) with isokinetic parameters when standardized by individual's body weight (test score × weight), while the average increase was 16 % when standardized by fat-free mass (test score × fat-free mass). CONCLUSION: Handgrip strength and standing long jump tests seem to be the most valid field-based muscular fitness tests when compared to isokinetic strength. These tests can be useful to assess muscular fitness in young people when laboratory methods are not feasible.
Assuntos
Teste de Esforço/métodos , Força Muscular/fisiologia , Aptidão Física/fisiologia , Absorciometria de Fóton , Adolescente , Antropometria , Distribuição de Qui-Quadrado , Feminino , Força da Mão/fisiologia , Humanos , Masculino , Fatores Sexuais , Dobras Cutâneas , Torque , Suporte de Carga/fisiologiaRESUMO
OBJECTIVE: to examine the association of healthrelated physical fitness with total and central body fat in adolescents. PARTICIPANTS/METHODS: the present cross-sectional study comprises 363 Spanish adolescents (186 female participants) aged 12.5-17.5 years. We assessed fitness by the 20-m shuttle run test (cardiorespiratory fitness); the handgrip strength, the standing broad jump and the Abalakov tests (muscular strength); and the 4 × 10-m shuttle run test (speed-agility). Total body fat was measured by dual energy x-ray absorptiometry (DXA), BodPod and sum of six skinfolds, and central body fat was measured by DXA at three regions (R1, R2 and R3) and waist circumference. RESULTS: the Abalakov, the standing broad jump, the 4 × 10-m shuttle run and the 20-m shuttle run tests were negatively associated with all markers of total and central body fat in men and women after controlling for age, pubertal status and objectively assessed physical activity (p<0.01). Handgrip strength test was positively associated with waist circumference (p<0.01). CONCLUSIONS: lower body muscular strength and cardiorespiratory fitness are negatively and consistently associated with total and central body fat in adolescents, whereas levels of upper body muscular strength were superior in adolescents with higher levels of central body fat.
Assuntos
Tecido Adiposo/anatomia & histologia , Exercício Físico/fisiologia , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Aptidão Física/fisiologia , Absorciometria de Fóton , Adolescente , Criança , Estudos Transversais , Teste de Esforço , Feminino , Força da Mão , Humanos , Masculino , Dobras CutâneasRESUMO
OBJECTIVE: To report sex- and age-specific physical fitness levels in European adolescents. METHODS: A sample of 3428 adolescents (1845 girls) aged 12.5-17.49 years from 10 European cities in Austria, Belgium, France, Germany, Greece (an inland city and an island city), Hungary, Italy, Spain and Sweden was assessed in the Healthy Lifestyle in Europe by Nutrition in Adolescence study between 2006 and 2008. The authors assessed muscular fitness, speed/agility, flexibility and cardiorespiratory fitness using nine different fitness tests: handgrip, bent arm hang, standing long jump, Bosco jumps (squat jump, counter movement jump and Abalakov jump), 4×10-m shuttle run, back-saver sit and reach and 20-m shuttle run tests. RESULTS: The authors derived sex- and age-specific normative values for physical fitness in the European adolescents using the LMS statistical method and expressed as tabulated percentiles from 10 to 100 and as smoothed centile curves (P5, P25, P50, P75 and P95). The figures showed greater physical fitness in the boys, except for the flexibility test, and a trend towards increased physical fitness in the boys as their age increased, whereas the fitness levels in the girls were more stable across ages. CONCLUSIONS: The normative values hereby provided will enable evaluation and correct interpretation of European adolescents' fitness status.
Assuntos
Exercício Físico/fisiologia , Aptidão Física/fisiologia , Adolescente , Peso Corporal/fisiologia , Estudos Transversais , Teste de Esforço , Feminino , Humanos , Masculino , Força Muscular/fisiologia , Músculo Esquelético/fisiologiaRESUMO
The objective of this systematic review was to study the reliability of the existing field-based fitness tests intended for use with children and adolescents. The medical electronic databases MEDLINE, SCOPUS and SPORTS DISCUS were screened for papers published from January 1990 to December 2009. Each study was classified as high, low or very low quality according to the description of the participants, the time interval between measurements, the description of the results and the appropriateness of statistics. 3 levels of evidence were constructed according to the number of studies and the consistency of the findings. 32 studies were finally included in the present review. The reliability of tests assessing cardiorespiratory fitness (9 studies), musculoskeletal fitness (12 studies), motor fitness (3 studies), and body composition (10 studies) was investigated. Although some fitness components warrant further investigation, this review provides an evidence-based proposal for most reliable field-based fitness tests for use with children and adolescents: 20-m shuttle run test to measure cardiorespiratory fitness; handgrip strength and standing broad jump tests to measure musculoskeletal fitness; 4×10 m shuttle run test for motor fitness; and height, weight, BMI, skinfolds, circumferences and percentage body fat estimated from skinfold thickness to measure body composition.
Assuntos
Composição Corporal/fisiologia , Teste de Esforço/normas , Destreza Motora/fisiologia , Fenômenos Fisiológicos Musculoesqueléticos , Aptidão Física/fisiologia , Adolescente , Análise de Variância , Fenômenos Fisiológicos Cardiovasculares , Criança , Prática Clínica Baseada em Evidências , Nível de Saúde , Humanos , Atividade Motora/fisiologia , Reprodutibilidade dos Testes , Fenômenos Fisiológicos RespiratóriosRESUMO
This study investigated differences in health-related fitness (20-m shuttle run, handgrip, bent arm hang, standing long jump, shuttle run 4 x 10 m and sit and reach tests) in 2474 Spanish adolescents (1196 boys and 1278 girls; age 13-18.5 years) classed as underweight, normal weight, overweight or obese according to body mass index. Body fat and fat-free mass were derived from skinfold thickness. The prevalence of underweight was higher than obesity in girls (4.8% vs 3.0%, respectively; P<0.05) and the opposite in boys (3.9% vs 5.8%, respectively; P<0.05). Underweight was associated with a higher performance in the bent arm hang test in girls (P<0.05) and a lower performance in handgrip in both genders (P<0.01) compared with normal weight. Overweight and obese adolescents presented a lower performance in 20-m shuttle run, bent arm hang, standing long jump and shuttle run 4 x 10 m tests (P<0.001), but a higher performance in handgrip strength (P<0.001) compared with normal weight. In weight-bearing tests, the association became non-significant after adjusting for fat mass. In conclusion, not only overweight and obesity but also underweight seem to be determinants of health-related fitness in adolescents. The associations could be related to differences in body composition.
Assuntos
Sobrepeso/epidemiologia , Aptidão Física/fisiologia , Magreza/epidemiologia , Adolescente , Estudos Transversais , Teste de Esforço , Feminino , Humanos , Masculino , Espanha/epidemiologiaRESUMO
The objective of this systematic review was to comprehensively study the criterion-related validity of the existing field-based fitness tests used in children and adolescents. The studies were scored according to the number of subjects, description of the study population and statistical analysis. Each study was classified as high, low and very low quality. Three levels of evidence were constructed: strong evidence, when consistent findings were observed in three or more high quality studies; moderate evidence, when consistent findings were observed in two high quality studies; and limited evidence when consistency of findings and/or the number of studies did not achieve the criteria for moderate. The results of 73 studies (50 of high quality) addressing the criterion-related validity of field-based fitness tests in children and adolescents indicate the following: that there is strong evidence indicating that the 20 m shuttle run test is a valid test to estimate cardiorespiratory fitness, that the hand-grip strength test is a valid measure of musculoskeletal fitness, that skin fold thickness and body mass index are good estimates of body composition, and that waist circumference is a valid measure to estimate central body fat. Moderate evidence was found that the 1-mile run/walk test is a valid test to estimate cardiorespiratory fitness. A large number of other field-based fitness tests presented limited evidence, mainly due to a limited number of studies (one for each test). The results of the present systematic review should be interpreted with caution due to the substantial lack of consistency in reporting and designing the existing validity studies.
Assuntos
Aptidão Física/fisiologia , Adolescente , Composição Corporal/fisiologia , Índice de Massa Corporal , Fenômenos Fisiológicos Cardiovasculares , Criança , Teste de Esforço/métodos , Feminino , Força da Mão/fisiologia , Nível de Saúde , Humanos , Masculino , Fenômenos Fisiológicos Musculoesqueléticos , Dobras Cutâneas , Circunferência da CinturaRESUMO
The aim of this study was to determine the reliability, feasibility and safety of a health-related fitness test battery administered by Physical Education (PE) teachers in the school setting. Six PE teachers, from three primary schools and three secondary schools, assessed twice (7 days apart) the 20 m shuttle run, handgrip and standing long jump tests, as well as weight, stature, triceps and subscapular thickness and waist circumference in 58 children (age: 6-11 yr) and 80 adolescents (age: 12-18 yr). Feasibility and safety were assessed by researches by means of direct observation. Significant inter-trial differences were found for the standing long jump test (3.8+/-12.7 cm, P<0.05) and for stature (0.73+/-0.8 cm, P<0.001) in children, and for waist circumference in both children and adolescents (-0.82+/-1.2 cm and -0.35+/-0.8 cm respectively, P=0.001). The feasibility and safety items assessed presented a successful answer. Therefore, the results indicate that health-related fitness tests administered by PE teachers are reliable, feasible and safe to be performed in the school setting.
Assuntos
Teste de Esforço/métodos , Educação Física e Treinamento/métodos , Aptidão Física , Adolescente , Fatores Etários , Criança , Estudos de Viabilidade , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Instituições Acadêmicas , Estudantes , Circunferência da CinturaRESUMO
We examined the role of cardiorespiratory fitness (CRF) on the association between physical activity (PA) and abdominal fat content in adolescents. Abdominal fat content was measured by waist circumference, waist-to-height ratio and dual energy X-ray absorptiometry (DXA) at 3 regions (R1, R2, and R3). PA and CRF were assessed by accelerometry and the 20 m-shuttle run test, respectively. Vigorous PA was inversely associated with waist circumference and waist-to-height ratio (ß from -0.149 to -0.197; p<0.05). In both CRF groups (i. e., low and high), vigorous and moderate-to-vigorous PA (also average PA in the low CRF group) were inversely associated with abdominal fat (i. e., R1, R2 and R3; ß from -0.146 to -0.244; p<0.05). This association did not differ according to CRF group (P for interaction >0.05), yet the percentage of variance in abdominal fat content, when assessed by DXA, explained by PA was slightly higher in adolescents with low CRF (3-8%) compared to those with high CRF (2-4%). The findings indicate that there is not a clear interaction effect of CRF in the association between PA and abdominal fat in adolescents, yet slightly stronger association was observed in the low fit group.
Assuntos
Gordura Abdominal/metabolismo , Atividade Motora/fisiologia , Aptidão Física/fisiologia , Absorciometria de Fóton , Adolescente , Criança , Feminino , Humanos , Masculino , Circunferência da CinturaRESUMO
INTRODUCTION: The influence of socioeconomic status on health-related fitness is not clear. AIM: To examine the influence of socioeconomic status on health-related fitness in adolescents. METHODS: A total of 3,259 adolescents (15.0 +/- 1.3 y) from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study (HELENA-CSS) participated in the study. Socioeconomic status was assessed by the family affluence scale (FAS). Speed-agility, muscular strength and cardiorespiratory fitness were assessed. Covariates included total body fat, physical activity and pubertal status. RESULTS: Adolescents with high FAS had significantly higher fitness levels than their peers of lower FAS categories except for speed-agility and handgrip in boys. Overall, the associations observed presented a medium to large effect size. CONCLUSION: These results suggest that socioeconomic status is positively associated with physical fitness in European adolescents independently of total body fat and habitual physical activity.
Assuntos
Aptidão Física , Tecido Adiposo , Adolescente , Criança , Estudos Transversais , Europa (Continente) , Feminino , Humanos , Masculino , Atividade Motora , Fatores Socioeconômicos , Saúde da População UrbanaRESUMO
OBJECTIVES: To examine the association of objectively assessed physical activity (PA) with markers of total and central body fat in adolescents, and to determine whether meeting the current PA recommendations (> or = 60 min day(-1) of at least moderate intensity PA) is associated with reduced levels of total and central body fat. SUBJECTS/METHODS: A total of 365 Spanish adolescents aged 12.5-17.5 years participated in this cross-sectional study. PA was assessed by accelerometry and expressed as average PA (counts per minute), and min day(-1) of light, moderate, moderate to vigorous (MVPA) and vigorous PA. MVPA was dichotomized into < 60 min day(-1) and > or = 60. Total body fat was measured by DXA, BodPod and the sum of six skinfolds. Central body fat was measured by DXA at three regions (R1, R2 and R3), and waist circumference. RESULTS: All markers of central body fat were negatively associated with vigorous PA (P < 0.01) after controlling for sex, age and pubertal status. Abdominal adiposity measured at R1, R2 and R3 was also negatively associated with MVPA (P < or = 0.001), and with average PA (P < 0.01). All markers of total body fat were negatively associated with vigorous PA (P < 0.01), MVPA (P < 0.01) and average PA (P < 0.05). Adolescents engaged on at least 60 min day(-1) MVPA presented lower levels of total (P < 0.05) and central body fat (P < or = 0.01). CONCLUSIONS: The results suggest that vigorous PA may have a greater effect on preventing obesity in adolescents than does PA of lower intensity, whereas both average PA and at least moderate PA may have an impact on total and central body fat in youth.
Assuntos
Tecido Adiposo/diagnóstico por imagem , Atividade Motora/fisiologia , Obesidade , Aptidão Física/fisiologia , Absorciometria de Fóton , Tecido Adiposo/fisiologia , Adiposidade , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Obesidade/diagnóstico por imagem , Obesidade/fisiopatologia , Obesidade/prevenção & controle , Puberdade/fisiologia , Cintilografia , Circunferência da CinturaRESUMO
This study examined differences in the oxygenation kinetics and strength and endurance characteristics of boulderers and lead sport climbers. Using near infrared spectroscopy, 13-boulderers, 10-lead climbers, and 10-controls completed assessments of oxidative capacity index and muscle oxygen consumption (mâ©O2) in the flexor digitorum profundus (FDP), and extensor digitorum communis (EDC). Additionally, forearm strength (maximal volitional contraction MVC), endurance (force-time integral FTI at 40% MVC), and forearm volume (FAV and ΔFAV) was assessed. MVC was significantly greater in boulderers compared to lead climbers (mean difference = 9.6, 95% CI 5.2-14â kg). FDP and EDC oxidative capacity indexes were significantly greater (p = .041 and .013, respectively) in lead climbers and boulderers compared to controls (mean difference = -1.166, 95% CI (-3.264 to 0.931â s) and mean difference = -1.120, 95% CI (-3.316 to 1.075â s), respectively) with no differences between climbing disciplines. Climbers had a significantly greater FTI compared to controls (mean difference = 2205, 95% CI= 1114-3296 and mean difference = 1716, 95% CI = 553-2880, respectively) but not between disciplines. There were no significant group differences in ΔFAV or mâ©O2. The greater MVC in boulderers may be due to neural adaptation and not hypertrophy. A greater oxidative capacity index in both climbing groups suggests that irrespective of climbing discipline, trainers, coaches, and practitioners should consider forearm specific aerobic training to aid performance.
Assuntos
Antebraço/fisiologia , Hemodinâmica , Montanhismo/fisiologia , Força Muscular , Músculo Esquelético/fisiologia , Consumo de Oxigênio , Resistência Física , Adulto , Dedos/fisiologia , Força da Mão , Humanos , Masculino , Espectroscopia de Luz Próxima ao Infravermelho , Adulto JovemRESUMO
BACKGROUND: Muscular fitness, cardiorespiratory fitness (CRF) and fatness are mutually related with chronic inflammation. PURPOSE: To examine the independent association of muscular fitness with inflammatory biomarkers in adolescents from nine European countries. METHODS: A total of 639 adolescents (296 boys) aged from 12.5 to 17.5 year were included in this report. Data collection took place in 2006-2007 and analyses in 2012. A muscular fitness score was computed from handgrip strength and standing long jump. CRF was measured using the 20 m shuttle run test. Z-scores of C-reactive protein, complement factors C3 and C4, leptin and white blood cell counts were summed to create a cluster of inflammatory biomarkers. Sex, age, pubertal stage and centre were used as main confounders. Additional models were further adjusted for insulin resistance (HOMA-IR) and sum of four skinfolds. RESULTS: Muscular fitness was negatively associated with single and clustered inflammatory biomarkers (standardized ß from -0.399 to -0.100, all P-values < 0.05). Additional adjustments for CRF and HOMA-IR weakened the associations, but they still remained significant. The association was no longer significant when adjusting for skinfolds. Decreasing values of inflammatory score were observed across incremental levels of muscular fitness in both non-overweight and overweight adolescents (P ≤ 0.05). CONCLUSIONS: Adolescents with higher levels of muscular fitness present a lower chronic inflammation, and this seems to be explained by lower levels of fatness. Yet, overweight and obese adolescents may exhibit a less adverse profile if they maintain appropriate levels of muscular fitness.
Assuntos
Inflamação/fisiopatologia , Atividade Motora , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Resistência Física/fisiologia , Aptidão Física/psicologia , Adolescente , Biomarcadores/sangue , Pressão Sanguínea , Doenças Cardiovasculares/fisiopatologia , Colesterol/sangue , Estudos Transversais , Exercício Físico , Teste de Esforço , Feminino , Força da Mão , Humanos , Resistência à Insulina , Leptina/sangue , Lipoproteínas HDL/sangue , Masculino , Sobrepeso/fisiopatologia , Fatores de RiscoRESUMO
OBJECTIVE: The purpose of this study is to determine whether time spent in objectively measured physical activity is associated with change in body mass index (BMI) from ages 9 to 15. DESIGN AND METHODS: The participants were enrolled in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (n = 938). At ages 9, 11, 12, and 15 the time spent in moderate-to-vigorous physical activity (MVPA) was objectively measured, and BMI was calculated (kg/m(2) ). Longitudinal quantile regression was used to analyze the data. The 10th, 25th, 50th, 75th, and 90th BMI percentiles were modeled as the dependent variables with age and MVPA (h/day) modeled as predictors. Adjustment was also made for gender, race, sleep, healthy eating score, maternal education, and sedentary behavior. RESULTS: A negative association between MVPA and change in BMI was observed at the 90th BMI percentile (-3.57, 95% CI -5.15 to -1.99 kg/m(2) per hour of MVPA). The negative association between time spent in MVPA and change in BMI was progressively weaker toward the 10th BMI percentile (-0.27, 95% CI -0.62 to 0.07 kg/m(2) per hour of MVPA). The associations remained similar after adjusting for the covariates, and when the analyses were stratified by gender. CONCLUSION: Time spent in MVPA was negatively associated with change in BMI from age 9 to 15. The association was strongest at the upper tail of the BMI distribution, and increasing time spent in MVPA could help reduce the prevalence of childhood obesity.
Assuntos
Índice de Massa Corporal , Atividade Motora , Obesidade/epidemiologia , Obesidade/prevenção & controle , Adolescente , Estatura , Peso Corporal , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Prevalência , Comportamento Sedentário , Estados Unidos/epidemiologiaRESUMO
Hereby we summarize the work developed by the ALPHA (Assessing Levels of Physical Activity) Study and describe the tests included in the ALPHA health-related fitness test battery for children and adolescents. The evidence-based ALPHA-Fitness test battery include the following tests: 1) the 20 m shuttle run test to assess cardiorespiratory fitness; 2) the handgrip strength and 3) standing broad jump to assess musculoskeletal fitness, and 4) body mass index, 5) waist circumference; and 6) skinfold thickness (triceps and subscapular) to assess body composition. Furthermore, we include two versions: 1) the high priority ALPHA health-related fitness test battery, which comprises all the evidence-based fitness tests except the measurement of the skinfold thickness; and 2) the extended ALPHA health-related fitness tests battery for children and adolescents, which includes all the evidence-based fitness tests plus the 4 x 10 m shuttle run test to assess motor fitness.
Assuntos
Atividade Motora/fisiologia , Aptidão Física/fisiologia , Adolescente , Composição Corporal , Índice de Massa Corporal , Criança , Força da Mão/fisiologia , Nível de Saúde , Humanos , Fenômenos Fisiológicos Musculoesqueléticos , Corrida/fisiologia , Dobras Cutâneas , Circunferência da CinturaRESUMO
OBJECTIVES: To examine whether different sedentary behaviours are associated with the risk of low bone mineral content in adolescents, and if so, whether extracurricular physical-sporting activity influences this association. MATERIALS AND METHODS: A total of 277 adolescents from Zaragoza (168 females and 109 males) aged 13.0-18.5 yr within frame work of the multicentre AVENA study participated in this study. Bone mineral content (BMC), lean mass, and fat mass were measured with DXA. Physical activity and sedentary independent variables: participation in extracurricular physical-sporting activity (PA), h/d of television watching, playing video/computer games during school days and on weekend days and doing homework/studying. They all were assessed by questionnaire. The main outcome was low BMC, as defined by BMC Z-score for age and sex < percentile 10. Logistic regression was used to test the interaction and association of PA and sedentary variables with low BMC, after controlling for confounders like height, maturational status or lean mass. RESULTS: Among the sedentary variables studied, only television watching > or =3 h/d was associated with an increased risk for low BMC in males (OR, 95% CI: 7.01, 1.73 to 28.40), after controlling for sexual maturation. When PA was in the models, television watching was not any longer associated with low BMC, while PA was so (OR, 95% CI: 0.23, 0.09 to 0.55). Involvement in such activity reduced the risk of low bone mass by 76% (P<0.01) independently of body mass, height and fat mass, but not of the lean mass. CONCLUSION: Watching television for 3 or more h/d seems to be associated with an increased risk for low BMC in male adolescents. However, this association is mediated by participation in PA, suggesting that negative consequences of excessive television watching on adolescent bone health could be counteracted by sport participation. Longitudinal data and randomized controlled trials will confirm or contrast our findings.
Assuntos
Osso e Ossos/anatomia & histologia , Atividade Motora/fisiologia , Televisão , Adiposidade/fisiologia , Adolescente , Antropometria , Estatura , Peso Corporal , Densidade Óssea/fisiologia , Intervalos de Confiança , Feminino , Humanos , Masculino , Razão de Chances , Tamanho do Órgão/fisiologia , Comportamento SedentárioRESUMO
En el presente estudio describe el trabajo desarrollado para la creación de la batería ALPHA-Fitness de test decampo para la evaluación de la condición física relacionada con la salud en niños y adolescentes. La batería ALPHA-Fitness basada en la evidencia incluye los siguientes test: 1) test de ida y vuelta de 20 metros para evaluar la capacidad aeróbica, 2) test de fuerza de prensión manual y 3) test de salto de longitud a pies juntos para evaluar la capacidad músculo-esquelética, y 4) el IMC, 5) el perímetro de la cintura, y 6) los pliegues cutáneos (tríceps y subscapular) para evaluar la composición corporal. Además, se incluyen 2 variantes: i) batería ALPHA-Fitness de alta prioridad. Esta variante incluye todos los tests excepto la medida de pliegues cutáneos, yii) la batería ALPHA-Fitness extendida, que incluye todos los test y además del test de velocidad y agilidad de4 x 10 m (AU)
Hereby we summarize the work developed by the ALPHA (Assessing Levels of Physical Activity) Study and describe the tests included in the ALPHA health-related fitness test battery for children and adolescents. The evidence-based ALPHA-Fitness test battery include the following tests: 1) the 20 m shuttle run test to assess cardio respiratory fitness; 2) the handgrip strength and 3)standing broad jump to assess musculoskeletal fitness, and 4) body mass index, 5) waist circumference; and 6)skinf old thickness (triceps and subscapular) to assess body composition. Furthermore, we include two versions:1) the high priority ALPHA health-related fitness test battery, which comprises all the evidence-based fitness tests except the measurement of the skinf old thickness; and 2) the extended ALPHA health-related fitness tests battery for children and adolescents, which includes all the evidence-based fitness tests plus the 4 x 10 m shuttle run test to assess motor fitness (AU)
Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Condicionamento Físico Humano , Nível de Saúde , Estado Nutricional , Ergometria/métodos , Estilo de Vida Saudável , Teste de Esforço/métodosRESUMO
Introduction: The influence of socioeconomic status on health-related fitness is not clear. Aim: To examine the influence of socioeconomic status on health-related fitness in adolescents. Methods: A total of 3,259 adolescents (15.0 ± 1.3 y) from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study (HELENA-CSS) participated in the study. Socioeconomic status was assessed by the family affluence scale (FAS). Speed-agility, muscular strength and cardiorespiratory fitness were assessed. Covariates included total body fat, physical activity and pubertal status. Results: Adolescents with high FAS had significantly higher fitness levels than their peers of lower FAS categories except for speed-agility and handgrip in boys. Overall, the associations observed presented a medium to large effect size. Conclusion: These results suggest that socioeconomic status is positively associated with physical fitness in European adolescents independently of total body fat and habitual physical activity (AU)
Introducción: La influencia del estatus socioeconómico sobre la condición física en relación con la salud no está clara. Objetivo: Examinar la influencia del estatus socioeconómico sobre la condición física en relación con la salud en adolescentes. Metodología: Un total de 3259 adolescentes (15,0 ± 1,3 años) del "Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study" (HELENA-CSS) participaron en el estudio. El estatus socioeconómico fue medido con una escala de riqueza familiar "family affluence scale (FAS)". Se midieron velocidad-agilidad, fuerza muscular y capacidad aeróbica. Las covariables incluidas fueron grasa corporal total, actividad física y estadio madurativo. Resultados: Los adolescentes con alto FAS tuvieron significativamente mayores niveles de condición física que aquellos con bajo FAS exceptuando los tests de velocidad-agilidad y fuerza de prensión manual en chicos. En general, las asociaciones observadas presentaron un efecto del tamaño de la muestra (effect size) entre medio y largo. Conclusión: Estos resultados sugieren que el estatus socioeconómico esta positivamente asociado con la condición física en adolescentes Europeos independientemente de la grasa corporal total y el nivel de actividad física (AU)
Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Condicionamento Físico Humano , Tecido Adiposo , Estudos Transversais , Europa (Continente) , Atividade Motora , Fatores Socioeconômicos , Saúde da População UrbanaRESUMO
El consumo máximo de oxígeno (VO2max) es un factor clave del rendimiento aeróbico. Sin embargo, en la elite, los atletas poseen VO2max similares, siendo también determinante la economía de carrera. Para evaluar dicho parámetro existen diversas metodologías y formas de tratar los datos. El objetivo del presente trabajo fue comparar distintas metodologías de selección de cargas y tratamiento de los datos, para medir la economía de carrera. 15 estudiantes de educación física participaron en el estudio. Se realizó una prueba incremental en tapiz y un test submáximo repetido 3 veces para medir economía de carrera. Los resultados no mostraron diferencias en cuanto a la estabilidad de las mediciones según las distintas metodologías, difiriendo éstas únicamente en la discriminación del corredor más eficiente. Se concluye que, salvo para establecer un ranking de eficiencia, las distintas metodologías son igualmente adecuada (AU)
Maximal oxygen uptake (VO2max) is a key factor affecting aerobic performance. However, among elite runners, there are similar VO2max. Running economy, thus, is also determining. There are several methodologies to asses and process running economy results. The aim of the present study was to compare different methodologies of selecting loads and processing data, in order to asses running economy. 15 physical education college students participated in the study. An incremental treadmill test and a submaximal test were performed. The submaximal test was repeated 3 times. Results show differences in the discrimination of the most efficient runner regarding methodology. There were no differences in measurements stability. It was conclude that, except to establish an efficiency ranking, the different methodologies to asses running economy were equally adequate (AU)