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The Longitudinal Association of Cardiorespiratory Fitness and Adiposity With Clustered Cardiometabolic Risk: A Mediation Analysis.
- Source :
- Pediatric Exercise Science; May2024, Vol. 36 Issue 2, p75-82, 8p
- Publication Year :
- 2024
-
Abstract
- Purpose: Previous literature has demonstrated the mediating role of adiposity in the association between cardiorespiratory fitness (CRF) and cardiometabolic risk as well as the potential role of CRF in attenuating the adverse consequences associated with excess weight. This study aimed to evaluate the mediating role of CRF and adiposity in the possible association with cardiometabolic risk. Method: Observational 3-year longitudinal study that included 420 children and adolescents (10.50 [2.05] y of age at baseline; 56.2% girls). Body mass index (BMI) was calculated, and CRF was evaluated using field assessments. A clustered cardiometabolic risk score (cMetS) was calculated from glucose, systolic blood pressure, total cholesterol/high-density lipoprotein cholesterol ratio, and triglycerides z scores. Analyses evaluated the mediating role of BMI in the association between CRF and cMetS as well as whether CRF mediated the association between BMI and cMetS. Results: BMI at baseline was directly associated with the cMetS at follow-up (0.102; 95% confidence interval, 0.020 to 0.181), independently of CRF, whereas CRF was only indirectly associated with cMetS at follow-up through BMI (−0.036; 95% confidence interval, −0.070 to −0.009), meaning that the association between CRF and cMetS was explained via the mediation role of BMI. Conclusions: BMI presented direct association with cMetS, whereas CRF exhibited indirect association with cMetS mediated via BMI. [ABSTRACT FROM AUTHOR]
- Subjects :
- BLOOD sugar analysis
CARDIOPULMONARY fitness
RISK assessment
SELF-evaluation
EFFECT sizes (Statistics)
STATISTICAL correlation
HDL cholesterol
ADIPOSE tissues
BODY mass index
T-test (Statistics)
RESEARCH funding
SCIENTIFIC observation
STATISTICAL sampling
RUNNING
QUESTIONNAIRES
CARDIOVASCULAR diseases risk factors
PATH analysis (Statistics)
DESCRIPTIVE statistics
BRAZILIANS
LONGITUDINAL method
WALKING
RESEARCH
FIELD research
CHOLESTEROL
CHILDHOOD obesity
FACTOR analysis
EXERCISE tests
DATA analysis software
CONFIDENCE intervals
SYSTOLIC blood pressure
TRIGLYCERIDES
DISEASE complications
ADOLESCENCE
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 08998493
- Volume :
- 36
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Pediatric Exercise Science
- Publication Type :
- Academic Journal
- Accession number :
- 177461978
- Full Text :
- https://doi.org/10.1123/pes.2022-0073