Cardiorespiratory Fitness and Cardiometabolic Risk Factors in Children and Adolescents From Southwest Colombia: Association Patterns Considering Adiposity.

Autor: Agredo-Zuñiga RA; Research Group Into Human Movement and Health. Research Coordination, Faculty of Health Sciences, Universidad de San Buenaventura Cartagena, Cartagena, Colombia., Parra DC; Prevention Research Center, Brown School at Washington University in St. Louis, St. Louis, Missouri, USA., Ortega-Ávila JG; Department of Basic Sciences, Faculty of Heatlh Sciences, Pontificia Universidad Javeriana Seccional Cali, Cali, Colombia., Suarez-Ortegon MF; Department of Food and Nutrition, Faculty of Health Sciences, Pontificia Universidad Javeriana Seccional Cali, Cali, Colombia.
Jazyk: angličtina
Zdroj: American journal of human biology : the official journal of the Human Biology Council [Am J Hum Biol] 2024 Nov; Vol. 36 (11), pp. e24163. Date of Electronic Publication: 2024 Oct 01.
DOI: 10.1002/ajhb.24163
Abstrakt: Background: Little is known about the cardiorespiratory fitness (CRF)-cardiometabolic risk relationship in Latin American pediatric populations across different age/sex groups, especially when considering the potential effects of adiposity on the association. We evaluated cross-sectional associations between VO 2max and cardiometabolic risk variables (CMRV), and verified whether the associations were independent of adiposity markers in school-aged children and adolescents from Cali, Colombia.
Methods: The sample consisted of 1206 children aged 5-17 years. CMRV were fasting glucose, HDL and LDL cholesterol, triglycerides, systolic, and diastolic pressure. Logistic regressions were conducted for associations of age/sex-specific tertiles of VO 2max with age/sex-specific highest tertiles of CMRV (except HDL-C, lowest tertile) and a CMR cluster (> 2 CMRV in extreme tertiles), adjusting for socioeconomic stratum, and adiposity markers (BMI, body fat percentage, and waist circumference).
Results: Overweight/obesity ranged from 15% to 18% with no difference by sex. In children aged 5-11 years, high VO 2max (highest tertile vs. lowest) was inversely associated with the CMR cluster [Odds ratio (95% confidence interval): 0.18 (0.06-0.47), p < 0.05] independently of adjustment for any adiposity marker in boys but not in girls. In the age group of 12-17 years, there were initially significant VO 2max - CMR cluster and VO 2max - CMRV associations but attenuated by adiposity adjustment. In girls, high VO 2max was inversely associated with high systolic blood pressure regardless of adjustment for adiposity markers.
Conclusion: VO 2max is inversely associated with cardiometabolic risk, but adiposity influences the association. The adiposity-independent association among younger boys requires further research. Interventions to tackle cardiometabolic risk in childhood may primarily focus on reducing excess adiposity, and secondarily on improvement of CRF.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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