Muscle Fitness Cut Points for Early Assessment of Cardiovascular Risk in Children and Adolescents

Pérez‐Bey, Alejandro; Cuenca-García, Magdalena; Marcos, Ascensión; Gómez‐Martínez, Sonia; Nova, Esther; Díaz, Lozano; Zapatera, Belén; Veses, Ana M.; Hernández, Alberto; Gheorghe, Alina; Castro‐Piñero, José; Mora-Vicente, Jesus; Montesinos, José Luis González; Conde‐Caveda, Julio; Ruiz, Jonatan R.; Ortega, Francisco B.; Moledo, Carmen Padilla; Baeza, Ana Carbonell; Chillón, Palma; Fernandez, Jorge del Rosario; Galo, Ana González; Guerra, Gonzalo Bellvis; Alfonso, Alvaro Delgado; Parrilla, F.; Gomez, Roque; Gavala, Juan; Veiga, Óscar L.; Villagra, H. Ariel; del, Juan; Campo,; Cordente, Carlos A.; Diaz, Mario; Tejero, Carlos M.; Acha, Aitor; Moya, José María Benítez; Sanz, Alberto; Martínez‐Gómez, David; Cabanas‐Sánchez, Verónica; Rodríguez-Romo, Gabriel; Izquierdo, Rocio; García-Cervantes, Laura; Esteban‐Cornejo, Irene; Bandrés, Fernando; Lucía, Alejandro; Santiago, Catalina; Gómez‐Gallego, Félix

doi:10.1016/j.jpeds.2018.10.026

Cited by 45 publications

(43 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In similar studies, muscular strength has shown a stronger association with CMR score than cardiorespiratory tness has [20,21]. Similar ndings in previous work in children and adolescents have shown an independent association of muscle strength with insulin sensitivity [15] and metabolic disease risk [ 54 ].. Agostinis-Sobrinho et al [ 55 ], in another study in adolescents, indicated that persistent greater and increasing muscle strength is associated with lower levels of cardiovascular risk. The results of Schmidt et al [ 56 ] strengthen the ndings that cardiorespiratory tness has a strong association with CMR.…”

Section: Discussionsupporting

confidence: 63%

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old Children

Weisstaub

Gonzalez

Hermoso³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Obesity and lower physical fitness levels in children are related to the development of cardiometabolic risk. The objective of the study was to determine the relationship of cardio-metabolic risk and physical fitness in school children from Santiago de Chile. Methods Physical fitness was assessed as cardiorespiratory fitness and muscle strength. Fitness was measured using the six-minute-walk-test and muscle strength was assessed by hand grip and standing lung jump. Overweight (≥ 1 SD) and obesity (≥ 2 SD) were determined by body mass index. A cross sectional study was done in 452 children (185 boys and 267 girls), age range (7–9 years). Cardio-metabolic-risk (serum glucose, triglycerides, HDL, insulin) and waist for height ratio was expressed as z score. Data was analyzed using bivariate analysis and multiple and logistic regression. Results A 21% were obese and 27% overweight. Children with high body fat and low cardiorespiratory fitness and muscle strength had an OR of 6.8-fold (IC 95% 3.4 to 13.9) cardiometabolic risk z-score, compared to those most fit. Conclusion School children with higher body fat and lower physical fitness had increased cardio-metabolic-risk-score. No significant difference in cardio-metabolic risk in the non-obese children was found independent of their physical fitness.

show abstract

Section: Discussionsupporting

confidence: 63%

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old Children

Weisstaub

Gonzalez

Hermoso³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Thus, the life changing consequences of dynapenia are not limited to adult populations because muscular weakness at any age predisposes individuals to functional limitations, activityrelated injuries and adverse health outcomes. In support of these observations, dynapenia during the growing years has been found to be associated with metabolic dysfunction [36], cardiovascular risk [11], and major causes of premature death [63]. Data from a large cohort study of 1.2 million men found a strong association between muscular weakness during adolescence and all-cause disability 30 years later [38].…”

Section: Pediatric Dynapeniamentioning

confidence: 89%

“…By definition, pediatric dynapenia is an identifiable and treatable condition in youth characterized by low levels of muscular strength and power and consequent functional limitations not caused by neurologic or muscular disease [27]. Since weaker youth may be less likely to participate in outdoor play, exercise and sport activities with competence and confidence, they may be more prone to suffer adverse health consequences associated with muscle disuse and physical inactivity [11,26,54]. To alter the current trajectory towards physical inactivity and related morbidities, structured programs that target strength deficits are needed to manage youth before they develop unhealthy physical activity behaviors and become resistant to exercise interventions later in life.…”

Section: Introductionmentioning

confidence: 99%

Resistance Exercise for the Prevention and Treatment of Pediatric Dynapenia

Faigenbaum

Rebullido²,

Peña

et al. 2019

J. of SCI. IN SPORT AND EXERCISE

View full text Add to dashboard Cite

Temporal trends of youth muscular fitness (i.e., muscular strength, muscular power and local muscular endurance) indicate that contemporary children and adolescents are weaker and slower than previous generations. Consequently, this generation of millennials appear to be just as vulnerable as older adults to the inevitable consequences of muscle disuse and neuromuscular dysfunction. The modern-day construct of pediatric dynapenia describes an identifiable and treatable condition in youth characterized by low levels of muscular strength and power and consequent physical and psychosocial limitations not caused by neurologic or muscular disease. An interaction of modifiable physical and psychosocial factors can influence the development and progression of pediatric dynapenia. Without structured interventions that target strength deficits and build strength reserves in a supporting environment, the divergence in performance between weaker and stronger children may persist into adolescence because weaker youth may be unable to break through a so-called strength barrier. Regular participation in a well-designed youth resistance training program provides an opportunity for youth to enhance their health and fitness while acquiring the physical skills and behaviors that support an active lifestyle. New insights have highlighted the importance of initiating strength-building interventions early in life to optimize performance gains in other important components of physical fitness. Developmentally appropriate resistance training should be integrated into school-and community-based youth fitness programs and strength-building activities should take a more prominent position in public health physical activity recommendations for children and adolescents.

show abstract

“…Castro-Piñero and colleagues examined the cross-sectional and longitudinal association between muscle fitness (assessed with the handgrip strength and standing long jump) and CVD risk factors in Spanish children and adolescents over a 2-year period (30). They found that poor levels of muscular fitness in children and adolescents were associated with a higher risk of CVD at baseline and 2 years later.…”

Section: Commentarymentioning

confidence: 99%

Expert’s Choice: 2018’s Most Exciting Research in the Field of Pediatric Exercise Science

Eliakim

Falk

Armstrong

et al. 2019

Pediatric Exercise Science

View full text Add to dashboard Cite

This commentary highlights 23 noteworthy publications from 2018, selected by leading scientists in pediatric exercise science. These publications have been deemed as significant or exciting in the field as they (a) reveal a new mechanism, (b) highlight a new measurement tool, (c) discuss a new concept or interpretation/application of an existing concept, or (d) describe a new therapeutic approach or clinical tool in youth. In some cases, findings in adults are highlighted, as they may have important implications in youth. The selected publications span the field of pediatric exercise science, specifically focusing on: aerobic exercise and training; neuromuscular physiology, exercise, and training; endocrinology and exercise; resistance training; physical activity and bone strength; growth, maturation, and exercise; physical activity and cognition; childhood obesity, physical activity, and exercise; pulmonary physiology or diseases, exercise, and training; immunology and exercise; cardiovascular physiology and disease; and physical activity, inactivity, and health.

show abstract

Muscle Fitness Cut Points for Early Assessment of Cardiovascular Risk in Children and Adolescents

Cited by 45 publications

References 31 publications

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old Children

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old Children

Resistance Exercise for the Prevention and Treatment of Pediatric Dynapenia

Expert’s Choice: 2018’s Most Exciting Research in the Field of Pediatric Exercise Science

Contact Info

Product

Resources

About

Muscle Fitness Cut Points for Early Assessment of Cardiovascular Risk in Children and Adolescents

Cited by 45 publications

References 31 publications

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old&nbsp;Children

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old&nbsp;Children

Resistance Exercise for the Prevention and Treatment of Pediatric Dynapenia

Expert’s Choice: 2018’s Most Exciting Research in the Field of Pediatric Exercise Science

Contact Info

Product

Resources

About

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old Children

Physical Fitness and Cardiometabolic Risk in Seven to Nine Year Old Children