Purpose:To determines whether adolescents who are fit with overweight/obesity are similar in their metabolic profile to adolescents who are fit and normal weight.
Methods:Adolescents participated in 3 sessions: (1) resting vitals and anthropometrics; (2) maximal aerobic treadmill test (V̇O 2max ) to determine physical fitness; and (3) dual-energy x-ray absorptiometry and fasting laboratory draw for analysis of insulin, glucose, high-density lipoprotein, triglycerides, and C-reactive protein.
Results:Of the 30 fit adolescents who are normal weight and 16 adolescents who are fit and overweight/obese (OW/OB), metabolic syndrome was apparent in 1 adolescent who are normal weight and 4 adolescents who are OW/OB. Metabolic syndrome severity was positively associated with body mass index, waist circumference, total body fat, insulin resistance, and C-reactive protein but inversely associated with peak relative, but not lean V̇O 2max .
Conclusions:Despite good physical fitness, adolescents who are OW/OB demonstrated greater metabolic syndrome than adolescents who are normal weight. Future intervention research is necessary to explore the relation between physical fitness and metabolic syndrome.Additional body composition measurements were completed using total body DXA scans via the Lunar GE Prodigy (GE, Madison, Wisconsin) bone densitometer. Scans were analyzed using Lunar GE Prodigy pediatric software to quantify total body fat (%), total lean mass, and trunk fat mass. Total body fat z scores for age and sex were determined via pediatric body composition reference charts. Tanner Staging Each adolescent completed a Tanner Staging questionnaire to self-report pubertal stage (Stage I [prepubertal], Stages II-IV [peripubertal], and Stage V [full maturity]). Abbreviations: BMI, body mass index; BP, blood pressure; CRP, C-reactive protein; HDL, high-density lipoprotein; HOMA-IR, Homeostatic Model Assessment of Insulin Resistance; NS, nonsignificant.