Cardiorespiratory Fitness, Physical Activity, and Indicators of Adiposity in Brazilian Adolescents

• Authors: Viviane Schultz Straatmann , Gloria Valeria da Veiga
• Languages of publication: EN

Abstracts

EN

Purpose. In view of the increasing prevalence of overweight at early ages and its possible association with physical inactivity, investigations into the best method to assess physical inactivity and its association with excess weight in epidemiological studies are required. This study aimed to examine the associations between cardiorespiratory fitness and physical activity with indicators of adiposity in an adolescent population. Methods. This cross-sectional study involved a random sample of 697 students aged 12-19 years from public schools in the metropolitan area of Rio de Janeiro, Brazil. Overweight was classified according to body mass index. Body fat was measured by bioelectrical impedance, cardiorespiratory fitness by a 9 min run/walk test (T9), and physical activity by the International Physical Activity Questionnaire (IPAQ). Odds ratios and 95% confidence intervals (CI) were used to verify the magnitude of the associations. Results. Adolescents with poor T9 performance were more likely to be overweight (OR = 2.9, 95% CI 1.2-7.0) and have excess body fat (OR = 2.2, 95% CI 1.1-4.3) than those with better performance. Those classified as moderately active by the IPAQ were more likely to have excess body fat than those classified as active (OR = 1.8, 95% CI 1.2-2.8). Conclusions. Because of the greater magnitude of the association between cardiorespiratory fitness, as assessed by using the T9, with being overweight and having excess body fat, the T9 may serve as a valuable instrument in the school environment to identify inactive adolescents who are at risk of developing obesity.

Keywords

EN

physical fitness; motor activity; adiposity; adolescents

• Publisher: De Gruyter Open
• Journal: Human Movement
• Year: 2015
• Volume: 16
• Issue: 2
• Pages: 64-70

Dates

published

1 - 6 - 2015

received

23 - 3 - 2015

online

27 - 8 - 2015

accepted

30 - 6 - 2015

Contributors

author

Viviane Schultz Straatmann

• Department of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
• Department of Epidemiology, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

author

Gloria Valeria da Veiga

• Department of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

References

• 1. Ng M., Fleming T., Robinson M., Thomson B., Graetz N., Margono C. et al., Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 2014, 384 (9945), 766-781, doi: 10.1016/ S0140-6736(14)60460-8.[Crossref][WoS]
• 2. Vissers D., Hens W., Taeymans J., Baeyens J.-P., Poortmans J., Van Gaal L., The effect of exercise on visceral adipose tissue in overweight adults: a systematic review and meta-analysis. PLoS One, 2013, 8 (2), e56415, doi: 10.1371/journal.pone.0056415.[Crossref][WoS]
• 3. Dobbins M., Husson H., DeCorby K., LaRocca R.L., School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database of Systematic Reviews, 2013, 2, doi: 10.1002/14651858.CD007651.pub2.[Crossref]
• 4. Ortega F.B., Tresaco B., Ruiz J.R., Moreno L.A., Martin- Matillas M., Mesa J.L. et al., Cardiorespiratory fitness and sedentary activities are associated with adiposity in adolescents. Obesity, 2007, 15 (6), 1589-1599, doi: 10.1038/oby.2007.188.[Crossref][WoS]
• 5. Antonogeorgos G., Papadimitriou A., Panagiotakos D.B., Priftis K.N., Nikolaidou P., Physical activity patterns and obesity status among 10- to 12-year-old adolescents living in Athens, Greece. J Phys Act Health, 2010, 7 (5), 633-640.
• 6. Basterfield L., Jones A.R., Parkinson K.N., Reilly J., Pearce M.S., Reilly J.J. et al., Physical activity, diet and BMI in children aged 6-8 years: a cross-sectional analysis. BMJ Open, 2014, 4 (6), e005001, doi: 10.1136/bmjopen-2014-005001.[Crossref]
• 7. Aires L., Silva P., Silva G., Santos M.P., Ribeiro J.C., Mota J., Intensity of physical activity, cardiorespiratory fitness, and body mass index in youth. J Phys Act Health, 2010, 7 (1), 54-59.
• 8. Ribeiro J., Guerra S., Pinto A., Oliveira J., Duarte J., Mota J., Overweight and obesity in children and adolescents: relationship with blood pressure, and physical activity.Ann Hum Biol, 2003, 30 (2), 203-213.[Crossref]
• 9. Metcalf B.S., Hosking J., Jeffery A.N., Voss L.D., Henley W., Wilkin T.J., Fatness leads to inactivity, but inactivity does not lead to fatness: a longitudinal study in children (Early Bird 45). Arch Dis Child, 2011, 96 (10), 942-947, doi: 10.1136/adc.2009.175927.[Crossref][WoS]
• 10. Hallal P.C., Reichert F.F., Ekelund U., Dumith S.C., Menezes A.M., Victora C.G. et al., Bidirectional cross-sectional and prospective associations between physical activity and body composition in adolescence: Birth cohort study. J Sports Sci, 2012, 30 (2), 185-192, doi: 10.1080/02640414.2011.631570.[WoS][Crossref]
• 11. Ainsworth B.E., Caspersen C.J., Matthews C.E., Masse L.C., Baranowski T., Zhu W., Recommendations to improve the accuracy of estimates of physical activity derived from self report. J Phys Act Health, 2012, 9 (Suppl. 1), S76-S84.
• 12. American College of Sports Medicine, ACSM’s guidelines for exercise testing and prescription. 7th edition.Lippincott Williams & Wilkins, Philadelphia 2006.
• 13. Rauner A., Mess F., Woll A., The relationship between physical activity, physical fitness and overweight in adolescents: a systematic review of studies published in or after 2000. BMC Pediatr, 2013, 13, 19, doi: 10.1186/1471-2431-13-19.[Crossref]
• 14. Straatmann V.S., Santos L.A.V., Palma A., Veiga G.V., Cardiorespiratory fitness and physical activity level in adolescents. Rev Bras Cineantropom Desempenho Hum, 2015, 17 (1), 21-30, doi: 10.5007/1980-0037.2015v17n1p21.[Crossref]
• 15. Barros E.G., Pereira R.A., Sichieri R., Veiga G.V., Variation of BMI and anthropometric indicators of abdominal obesity in Brazilian adolescents from public schools 2003-2008. Public Health Nutr, 2014, 17 (2), 345-352, doi: 10.1017/S1368980012005198.[Crossref][WoS]
• 16. Gordon C.C., Chumlea W.C., Roche A.F., Stature, recumbent length, and weight. In: Lohman T.G., Roche A.F., Martorell R. (eds.), Anthropometric standardization reference manual. Human Kinetics Books, Champaign 1988, 3-8.
• 17. Onis M., Onyango A.W., Borghi E., Siyam A, Nishida C., Siekmann J., Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ, 2007, 85 (9), 660-667, doi: 10.1590/ S0042-96862007000900010.[Crossref]
• 18. Callaway C.W., Chumlea W.C., Bouchard C., Himes J.H., Lohman T.G., Martin A.D. et al., Circumferences In: Lohman T.G., Roche A.F., Martorell R. (eds.), Anthropometric standardization reference manual. Human Kinetics Books, Champaign 1988, 39-54.
• 19. Houtkooper L.B., Going S.B., Lohman T.G., Roche A.F., Van Loan M., Biolectrical impedance estimation of fatfree body mass index in children and youth: a crossvalidation study. J Appl Physiol, 1992, 72 (1), 366-373.
• 20. Williams D.P., Going S.B., Lohman T.G., Harsha D.W., Srinivasan S.R., Webber L.S. et al., Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. Am J Public Health, 1992, 82 (3), 358-363.[Crossref]
• 21. Tanner J.M., Growth at adolescence. 2nd edition. Blackwell Scientific Publication, Oxford 1962.
• 22. Saito M.I., Sexual maturation: Self-assessment teenager [in Portuguese]. Pediat (Sao Paulo), 1984, 6, 111-115.
• 23. Project Sport Brazil - PROESP manual. Available from: http://www.proesp.ufrgs.br, Accessed on: July 9, 2011.
• 24. Guedes D.P., Lopes C.C., Guedes J.E.R.P., Reproducibility and validity of the International Physical Activity Questionnaire in adolescents. Rev Bras Med Esporte, 2005, 11 (2), 147e-154e.
• 25. Ottevaere C., Huybrechts I., De Bourdeaudhuij I., Sjöström M., Ruiz J.R., Ortega F.B. et al., Comparison of the IPAQ-A and actigraph in relation to VO2max among European adolescents: the HELENA study. J Sci Med Sport, 2011, 14 (4), 317-324, doi: 10.1016/j.jsams.2011.02.008.[Crossref][WoS]
• 26. Rangul V., Holmen T.L., Kurtze N., Cuypers K, Midthjell K., Reliability and validity of two frequently used self-administered physical activity questionnaires in adolescents. BMC Med Res Methodol, 2008, 8, 47, doi: 10.1186/1471-2288-8-47.[Crossref][WoS]
• 27. Matsudo S.M., Matsudo V.R., Araújo T., Andrade D., Andrade E., Oliveiraet L. et al., Physical activity level of São Paulo State population: an analysis based on gender, age, socio-economic status, demographics and knowledge. Rev Bras Cien e Mov, 2002, 10 (4), 41-50.
• 28. Patterson E., Guidelines for data processing and analysis of the International Physical Activity Questionnaire - IPAQ (GDPA-IPAQ), 2005. Available from: http:// www.ipaq.ki.se/scoring.pdf, Accessed on: July 9, 2011.
• 29. Ainsworth B.E., Haskell W.L., Whitt M.C., Irwin M.L., Swartz A.M., Strath S.J. et al., Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc, 2000, 32 (9), S498-516.[Crossref][WoS]
• 30. Lee H.P., Macfarlane D.J., Lam T.H., Stewart S.M., Validate of International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act, 2011, 8, 115, doi: 10.1186/1479-5868-8-115.[Crossref][WoS]
• 31. Mota J., Ribeiro J.C., Carvalho J., Santos M.P., Martins J., Cardiorespiratory fitness status and body mass index change over time: a 2-year longitudinal study in elementary school children. Int J Pediatr Obes, 2009, 4 (4), 338-342, doi: 10.3109/17477160902763317. [WoS]
• 32. Andreasi V., Michelin E., Rinaldi A.E., Burini R.C., Physical fitness and associations with anthropometric measurements in 7 to 15-year-old school children. J Pediatr (Rio J), 2010, 86 (6), 497-502, doi: 10.2223/JPED.2041.[Crossref][WoS]
• 33. Rodrigues A.N., Perez A.J., Carletti L., Bissoli N.S., Abreu G.R., The association between cardiorespiratory fitness and cardiovascular risk in adolescents [in Portugese].J Pediatr (Rio J), 2007, 83 (5), 429-435, doi: 10.2223/JPED.1696.[Crossref]
• 34. Shobha R., Priti A., Physical Activity, Adiposity and Blood Pressure Levels among Urban Affluent Adolescents in India. J Obes Weight Loss Ther, 2012, 2, 137, doi: 10.4172/2165-7904.1000137.[Crossref]
• 35. Farias E.S., Santos A.P., Farias-Junior J.C., Ferreira C.R.T., Carvalho W.R.G., Gonçalves E.M. et al., Excess weight and associated factors in adolescents. Rev Nutr, 2012, 25 (2), 229-236, doi: 10.1590/S1415-52732012000200005.[Crossref]
• 36. Matos C.M., Sanchez M.E.D., Rodríguez G.M.P., Tuero B.B., Javier D.H., López V.M., Lifestyles, overweight and obesity in population of adolescents from Havana [in Spanish]. Rev Esp Nutr Hum Diet, 2012, 16 (2), 45-53.
• 37. Pierine D.T., Carrascosa A.P.M., Fornazari A.C., Watanabe M.T., Catalani M.C.T., Fukuju M.M. et al., Body composition, physical activity and food intake of students in elementary and high school. Motriz: J Phys Ed, 2006, 12 (2), 113-124.
• 38. Romanzini M., Pelegrini A., Petroski E.L., Prevalence of abdominal obesity and associated factors in adolescents. Rev Paul Pediatr, 2011, 29 (4), 546-552, doi: 10.1590/ S0103-05822011000400012. [Crossref]

Identifiers

DOI

10.1515/humo-2015-0028