Strength and cardiometabolic risk in young adults: The mediator role of aerobic fitness and waist circumference

Díez‐Fernández, Ana; Martínez‐Vizcaíno, Vicente; Torres‐Costoso, Ana; García-Prieto, Jorge Cañete; Franquelo-Morales, Pablo; Sánchez‐López, Mairena

doi:10.1111/sms.13077

Cited by 28 publications

(27 citation statements)

References 35 publications

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“…Recent studies have shown that grip strength and other muscle strengths as well as various strength trainings have positive effects on cardiometabolic outcomes [33,34,35,36]. Therefore, in this study, improvement in the strength of the lower extremities (measured by the wall sit test in the exercise group after the intervention) could be expected to have a positive effect on cardiometabolic outcomes, in addition to the effect of weight control in obese children and adolescents.…”

Section: Discussionmentioning

confidence: 87%

The Effect of a Multidisciplinary Lifestyle Intervention on Obesity Status, Body Composition, Physical Fitness, and Cardiometabolic Risk Markers in Children and Adolescents with Obesity

et al. 2019

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This study aimed to develop a multidisciplinary lifestyle intervention program targeted at children and adolescents with moderate to severe obesity, and assess the additional effects of exercise intervention when compared to usual care. Overall, the 103 enrolled participants were ≥85th percentile of age and sex-specific body mass index (BMI). Participants were divided into groups that received 16 weeks of either usual care or exercise intervention. The BMI z-score of the overall completers decreased by about 0.05 after the 16-week intervention (p = 0.02). After the intervention, only the exercise group had a significantly lower BMI z-score than the baseline score by about 0.1 (p = 0.03), but no significant group by time interaction effects were observed. At the 16-week follow-up, significant group by time interaction effects were observed in percentage body fat (%BF) (β = −1.52, 95%CI = −2.58–−0.45), lean body mass (LM) (β = 1.20, 95%CI = 0.12–2.29), diastolic blood pressure (β = −5.24, 95%CI = −9.66–−0.83), high-sensitivity C-reactive protein (β = −1.67, 95%CI = −2.77–−1.01), and wall sit test score (β = 50.74, 95%CI = 32.30–69.18). We developed a moderate-intensity intervention program that can be sustained in the real-world setting and is practically applicable to both moderate and severe obesity. After interventions, the exercise group had lower %BF and cardiometabolic risk markers, and higher LM and leg muscle strength compared to the usual care group.

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Section: Discussionmentioning

confidence: 87%

The Effect of a Multidisciplinary Lifestyle Intervention on Obesity Status, Body Composition, Physical Fitness, and Cardiometabolic Risk Markers in Children and Adolescents with Obesity

et al. 2019

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“…The participants were selected from three primary schools in Shanghai (China). A sampling of schools was stratified according to physical fitness with three levels, with the first quartile being the lowest, followed by second and third quartiles, and the highest being the fourth quartile, as described and used in previous studies ( 32 , 33 ). The current three schools were chosen for their representativeness of each level, considering the accessibility to our research team and the availability of the teachers to assist with logistics.…”

Section: Methodsmentioning

confidence: 99%

Association Between Physical Fitness and Anxiety in Children: A Moderated Mediation Model of Agility and Resilience

Xia

Meng

et al. 2020

Front. Public Health

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Background: Anxiety is one of the most prevalent mental health problems in children. Although physical fitness as a predictor of mental health, the mechanisms underlying any association between physical fitness and anxiety in children have been understudied. Thus, the aim of the present study was to determine whether an association exists between physical fitness and anxiety and to explore the roles of agility and resilience in such an association. Methods: This cross-sectional study investigated 269 children aged 7 to 12 years from three public primary schools in Shanghai (China). Physical fitness and agility were objectively measured, and resilience and anxiety were assessed using self-reported questionnaires. The moderated mediation model was examined using the SPSS PROCESS macro, in which the moderator variable was agility, and the mediator variable was resilience. Results: Physical fitness was inversely associated with anxiety. Resilience partially and indirectly mediated this association, and agility moderated the association between physical fitness and resilience. Physical fitness had a greater impact on resilience in children with higher agility levels. Conclusions: Agility moderated the mediation of resilience on the indirect, inverse association between physical fitness and anxiety; thus, incorporating methods to develop agility and resilience may lead to better outcomes for physical fitness programs designed to prevent or alleviate anxiety in children.

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“…It has been documented, for example, that physical inactivity substantially increases the risk for developing major chronic diseases, including cardiovascular disease, type 2 diabetes, or certain types of cancer . The degree of cardiorespiratory fitness (CRF) is commonly used as an objective and reproducible marker of physical activity habits and regarded as an independent predictor of mortality—much stronger than other well‐recognized risk factors, such as smoking or obesity . Public health guidelines recommend that adults should accumulate a minimum volume of 150 minutes of moderate physical activity or 75 minutes of vigorous aerobic exercise per week in order to maintain and/or improve CRF and other health outcomes …”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of dropout from high‐intensity interval training in sedentary individuals: A meta‐analysis

Reljic

Lampe

Wolf

et al. 2019

Scandinavian Med Sci Sports

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Recent evidence suggests that high-intensity interval training (HIIT) is an effective method to improve fitness and various health markers. However, the tolerability and acceptability of HIIT among sedentary individuals is currently controversially discussed. Therefore, our objective was to investigate the prevalence and predictors of dropout among sedentary individuals in HIIT-based exercise interventions. MEDLINE/PubMed, SPORTDiscus, and Web of Science were searched systematically for relevant articles until 06/2018. Studies included were required to (a) be written in English, (b) include sedentary healthy adults, (c) use some form of HIIT without any complementary intervention, (d) last ≥4 weeks, (e) report detailed description of the applied HIIT protocol, and (f) report data that allow calculation of a dropout rate. Fifty-five studies reporting results from 67 HIIT interventions with 1318 participants met the eligibility criteria. The trim and fill adjusted pooled dropout rate across all interventions was 17.6% (95% confidence interval 14.2-21.5%). Dropout rates were significantly lower in cycling-based interventions compared with studies using running/walking as exercise modality (P < 0.001). Longer session time (β = 0.02, P < 0.05), higher time effort/week (β = 0.005, P < 0.05), and overall time effort/intervention (β = 0.0003, P < 0.05) predicted greater dropout. Exercise intensity was not related to dropout. Our data suggest that HIIT-based interventions are tolerable and acceptable for previously sedentary individuals, exhibiting generally lower dropout rates than commonly reported for traditional exercise programs. Given the association between HIIT volume and dropouts, future studies should further focus on identifying the minimally effective dose of practical HIIT for improving health status. Such efforts would be important to increase implementation and public health impact of HIIT. K E Y W O R D S cardiorespiratory fitness, exercise adherence, feasibility, health promotion, public health, sprint interval training | 1289 RELJIC Et aL.

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Strength and cardiometabolic risk in young adults: The mediator role of aerobic fitness and waist circumference

Cited by 28 publications

References 35 publications

The Effect of a Multidisciplinary Lifestyle Intervention on Obesity Status, Body Composition, Physical Fitness, and Cardiometabolic Risk Markers in Children and Adolescents with Obesity

The Effect of a Multidisciplinary Lifestyle Intervention on Obesity Status, Body Composition, Physical Fitness, and Cardiometabolic Risk Markers in Children and Adolescents with Obesity

Association Between Physical Fitness and Anxiety in Children: A Moderated Mediation Model of Agility and Resilience

Prevalence and predictors of dropout from high‐intensity interval training in sedentary individuals: A meta‐analysis

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