Independent and Combined Associations of Cardiorespiratory Fitness and Fatness With Cardiovascular Risk Factors in Brazilian Youth

Bergmann, Gabriel Gustavo; Bergmann, Mauren Lúcia de Araújo; Hallal, Pedro Curi

doi:10.1123/jpah.2011-0342

Cited by 14 publications

(28 citation statements)

References 31 publications

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“…Contrary to what we hypothesized, our results showed that the association between CRF (assessed by 20‐m shuttle run test), and CVDRF‐I became non‐significant when we adjusted for BMI in both sex groups. By contrast, an independent effect of CRF and adiposity on CVD risk factors has been previously reported . Nevertheless, other part of the evidence suggest that the association between CRF and CVD risk factors does not remain significant when adiposity is taken into account …”

Section: Discussionmentioning

confidence: 99%

“…Given that CRF affects weight status, they may lay on the same causal pathway, making it difficult to determine the extent to which each variable affects CVD risk. In this sense, while some evidence suggest an independent association of CRF and weight status with CVD risk factors, other studies have found an attenuation in the association between CRF and CVD risk factors when weight status was included in the analyses . In addition, a recent study by Nyström et al concluded that the metabolic profile is negatively affected to a greater extent by obesity rather than by low CRF levels, in a sample of children aged 8 to 11 years.…”

Section: Introductionmentioning

confidence: 99%

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The influence of cardiorespiratory fitness on clustered cardiovascular disease risk factors and the mediator role of body mass index in youth: The UP&DOWN Study

et al. 2018

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Background The combined effect of cardiorespiratory fitness (CRF) and body mass index (BMI) on cardiovascular disease (CVD) risk in young people remains to be fully determined. We examined the individual and combined associations of CRF and BMI with clustered CVD risk factors, and the mediator role of BMI in the association between CRF and clustered CVD risk factors in children and adolescents. Methods 237 children (111 girls) and 260 adolescents (120 girls) were included in this cross‐sectional study. Height and weight were assessed and BMI was calculated. A CVD risk factor index (CVDRF‐I) was computed from: waist circumference, systolic blood pressure, triglycerides, high‐density lipoprotein cholesterol and glucose. CRF was assessed using the 20‐m shuttle run test. Regression analysis, analysis of covariance and mediation analysis (Baron and Kenny procedures) were used to test the independent and combined effect of CRF and BMI on CVDRF‐I, and to test mediation hypothesis, respectively. Results CRF was negatively associated with CVDRF‐I (all P < 0.05); however, after adjusting for BMI the associations were no longer significant in children and adolescents of both sex groups. Contrary, the association between BMI and CVDRF‐I was independent of CRF (all P < 0.001). The effect of CRF on CVDRF‐I was mediated by BMI. The percentage of the total effect of CRF on CVDRF‐I mediated by BMI for boys and girls children and boys and girls adolescents were 79.5%, 100%, 81.2% and 55.7%, respectively. Conclusions BMI is an independent predictor of CVDRF‐I and a mediator of the association between CRF and CVDRF‐I in children and adolescents. These results help to clarify the associations between CRF, weight status and cardiovascular health, suggesting that future CVD health would benefit from maintaining an optimal weight status.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The influence of cardiorespiratory fitness on clustered cardiovascular disease risk factors and the mediator role of body mass index in youth: The UP&DOWN Study

et al. 2018

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“…Firstly, in combining low physical fitness with indicators of high adiposity, there is an increase in cardiovascular risk in comparison with the separate outcomes. 26,27 Secondly, cardiorespiratory fitness, muscle strength and low adiposity are independently associated with cardiometabolic risk [28][29][30] and thus, it is desirable that young people should fulfill all of these health criteria. Thus, the results showed that engagement in physical education classes was associated with higher probability of achievement of combined health criteria among participants who were not sports practitioners.…”

Section: Discussionmentioning

confidence: 99%

Engagement in physical education classes and health among young people: does sports practice matter? A cross-sectional study

Coledam

Ferraiol

2017

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: Physical education classes aim to promote health but it is unknown whether benefits occur independently of sports practice. The purpose of this study was to examine associations between engagement in physical education classes and physical fitness and obesity according to sports practice among Brazilian students. DESIGN AND SETTING: Cross-sectional school-based study involving 737 students aged 10-17 years in southern Brazil. METHODS: Engagement in physical education classes and sports practice were analyzed using a self-report questionnaire. The health indicators analyzed were cardiorespiratory fitness, muscle strength, obesity and combinations thereof. The covariates were sex, age, socioeconomic status, physical activity and sedentary behavior. Prevalence ratios (PR) adjusted for confounding variables were estimated using Poisson regression. Analyses were stratified according to sports practice. RESULTS: Engagement in physical education classes was associated with achievement of health-related criteria for cardiorespiratory fitness (PR = 1.52), muscle strength (PR = 1.55), obesity + cardiorespiratory fitness (PR = 1.51), obesity + muscle strength (PR = 1.70), cardiorespiratory fitness + muscle strength (PR = 2.60) and the three outcomes combined (PR = 2.43), only among non-sports practitioners, all P < 0.05. Engagement in physical education classes was not associated with obesity (PR = 1.00, P > 0.05). No associations were found for sports practitioners (P > 0.05).

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“…8,30 Considerando que a melhoria da ApC é mediada pelo prática de AF, 29 conclui-se que o aprimoramento deste componente da aptidão física deve ser estimulado entre os adolescentes. Para isto, similar ao discutido anteriormente, espaços para a prática e programas de AF devem ser disponibilizados para esta população.…”

Section: Variáveisunclassified

Pressão arterial elevada em adolescentes e fatores associados: um estudo de base escolar em Uruguaiana, Rio Grande do Sul, 2011

Bergmann

Graup

Bergmann

2015

Rev. Bras. Saude Mater. Infant.

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Objectives: to identify the prevalence of high arterial blood pressure (ABP) , respectively. The factors that remained associated with high systolic and diastolic ABP in the final model were: perceiving oneself to be less fit than one's peers (systolic OR: 2.27; diastolic OR: 2.99;) and overweight and obesity (systolic OR: 9.29; diastolic OR: 4.70; 16,4% (IC95%: 14,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]4) e de 18,5% (IC95%: 16,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]6), respectivamente. Permaneceram associados à PA sistólica e diastólica elevadas no modelo final: se perceber menos em forma que seus pares (sistólica OR: 2,27; IC95%: 1,23; diastólica OR: 2,99; IC95%: 1,70) e o sobrepeso e obesidade (sistólica OR: 9,29; IC95%: 4,69; diastólica OR: 4,70; IC95%: 2,45

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Independent and Combined Associations of Cardiorespiratory Fitness and Fatness With Cardiovascular Risk Factors in Brazilian Youth

Abstract: CRF and BMI are independently associated to TC and BP in male and female youth, and individuals unfit/overweight have greater likelihood of presenting these risk factors.

Cited by 14 publications

References 31 publications

The influence of cardiorespiratory fitness on clustered cardiovascular disease risk factors and the mediator role of body mass index in youth: The UP&DOWN Study

The influence of cardiorespiratory fitness on clustered cardiovascular disease risk factors and the mediator role of body mass index in youth: The UP&DOWN Study

Engagement in physical education classes and health among young people: does sports practice matter? A cross-sectional study

Pressão arterial elevada em adolescentes e fatores associados: um estudo de base escolar em Uruguaiana, Rio Grande do Sul, 2011

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