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Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study

Aims/hypothesis High levels of cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a favourable metabolic risk profile. However, there has been no thorough exploration of the independent contributions of cardiorespiratory fitness and subcomponents of activity (total PA, ti... Full description

Journal Title: Diabetologia 2007, Vol.50 (9), p.1832-1840
Main Author: Ekelund, U
Other Authors: Anderssen, S. A , Froberg, K , Sardinha, L. B , Andersen, L. B , Brage, S
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Berlin: Berlin/Heidelberg : Springer-Verlag
ID: ISSN: 0012-186X
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recordid: cdi_swepub_primary_oai_DiVA_org_oru_5341
title: Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study
format: Article
creator:
  • Ekelund, U
  • Anderssen, S. A
  • Froberg, K
  • Sardinha, L. B
  • Andersen, L. B
  • Brage, S
subjects:
  • Adolescent
  • Aerobic fitness
  • Annan samhällsvetenskap
  • Biological and medical sciences
  • Body Mass Index
  • Child
  • Children
  • Cholesterol
  • Cross
  • Cross-Sectional Studies
  • Dextrose
  • Diabetes. Impaired glucose tolerance
  • Endocrine pancreas. Apud cells (diseases)
  • Endocrinopathies
  • Etiopathogenesis. Screening. Investigations. Target tissue resistance
  • Europe
  • exercise
  • Female
  • Glucose
  • Glucose metabolism
  • Health
  • Health Sciences
  • Heart
  • Heart - physiology
  • Humans
  • Hälsovetenskaper
  • Idrott
  • Idrottsvetenskap
  • INTERDISCIPLINARY RESEARCH AREAS
  • Male
  • Medical and Health Sciences
  • Medical research
  • Medical sciences
  • Medicin och hälsovetenskap
  • Medicine, Experimental
  • Metabolic diseases
  • metabolic syndrome
  • Miscellaneous
  • Motor Activity
  • Motor Activity - physiology
  • Other metabolic disorders
  • Other Social Sciences
  • Physical Fitness
  • Respiratory Physiological Phenomena
  • Respiratory Physiology
  • Risk Factors
  • Samhällsvetenskap
  • Sectional Studies
  • Smoking
  • Smoking - epidemiology
  • Social Sciences
  • Social Sciences Interdisciplinary
  • Sport and Fitness Sciences
  • Sports
  • Sports Science
  • Sports sciences
  • Triglycerides
  • TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN
  • Tvärvetenskapliga studier inom samhällsvetenskap
  • Universities and colleges
ispartof: Diabetologia, 2007, Vol.50 (9), p.1832-1840
description: Aims/hypothesis High levels of cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a favourable metabolic risk profile. However, there has been no thorough exploration of the independent contributions of cardiorespiratory fitness and subcomponents of activity (total PA, time spent sedentary, and time spent in light, moderate and vigorous intensity PA) to metabolic risk factors in children and the relative importance of these factors. Methods We performed a population-based, cross-sectional study in 9- to 10- and 15- to 16-year-old boys and girls from three regions of Europe (n = 1709). We examined the independent associations of subcomponents of PA and CRF with metabolic risk factors (waist circumference, BP, fasting glucose, insulin, triacylglycerol and HDL-cholesterol levels). Clustered metabolic risk was expressed as a continuously distributed score calculated as the average of the standardised values of the six subcomponents. Results CRF (standardised β = -0.09, 95% CI -0.12, -0.06), total PA (standardised β = -0.08, 95% CI -0.10, -0.05) and all other subcomponents of PA were significantly associated with clustered metabolic risk. After excluding waist circumference from the summary score and further adjustment for waist circumference as a confounding factor, the magnitude of the association between CRF and clustered metabolic risk was attenuated (standardised β = -0.05, 95% CI -0.08, -0.02), whereas the association with total PA was unchanged (standardised β = -0.08 95% CI -0.10, -0.05). Conclusions/interpretation PA and CRF are separately and independently associated with individual and clustered metabolic risk factors in children. The association between CRF and clustered risk is partly mediated or confounded by adiposity, whereas the association between activity and clustered risk is independent of adiposity. Our results suggest that fitness and activity affect metabolic risk through different pathways.
language: eng
source:
identifier: ISSN: 0012-186X
fulltext: no_fulltext
issn:
  • 0012-186X
  • 1432-0428
  • 1432-0428
url: Link


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titleIndependent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study
creatorEkelund, U ; Anderssen, S. A ; Froberg, K ; Sardinha, L. B ; Andersen, L. B ; Brage, S
creatorcontribEkelund, U ; Anderssen, S. A ; Froberg, K ; Sardinha, L. B ; Andersen, L. B ; Brage, S ; European Youth Heart Study Group
descriptionAims/hypothesis High levels of cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a favourable metabolic risk profile. However, there has been no thorough exploration of the independent contributions of cardiorespiratory fitness and subcomponents of activity (total PA, time spent sedentary, and time spent in light, moderate and vigorous intensity PA) to metabolic risk factors in children and the relative importance of these factors. Methods We performed a population-based, cross-sectional study in 9- to 10- and 15- to 16-year-old boys and girls from three regions of Europe (n = 1709). We examined the independent associations of subcomponents of PA and CRF with metabolic risk factors (waist circumference, BP, fasting glucose, insulin, triacylglycerol and HDL-cholesterol levels). Clustered metabolic risk was expressed as a continuously distributed score calculated as the average of the standardised values of the six subcomponents. Results CRF (standardised β = -0.09, 95% CI -0.12, -0.06), total PA (standardised β = -0.08, 95% CI -0.10, -0.05) and all other subcomponents of PA were significantly associated with clustered metabolic risk. After excluding waist circumference from the summary score and further adjustment for waist circumference as a confounding factor, the magnitude of the association between CRF and clustered metabolic risk was attenuated (standardised β = -0.05, 95% CI -0.08, -0.02), whereas the association with total PA was unchanged (standardised β = -0.08 95% CI -0.10, -0.05). Conclusions/interpretation PA and CRF are separately and independently associated with individual and clustered metabolic risk factors in children. The association between CRF and clustered risk is partly mediated or confounded by adiposity, whereas the association between activity and clustered risk is independent of adiposity. Our results suggest that fitness and activity affect metabolic risk through different pathways.
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0ISSN: 0012-186X
1ISSN: 1432-0428
2EISSN: 1432-0428
3DOI: 10.1007/s00125-007-0762-5
4PMID: 17641870
languageeng
publisherBerlin: Berlin/Heidelberg : Springer-Verlag
subjectAdolescent ; Aerobic fitness ; Annan samhällsvetenskap ; Biological and medical sciences ; Body Mass Index ; Child ; Children ; Cholesterol ; Cross ; Cross-Sectional Studies ; Dextrose ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Europe ; exercise ; Female ; Glucose ; Glucose metabolism ; Health ; Health Sciences ; Heart ; Heart - physiology ; Humans ; Hälsovetenskaper ; Idrott ; Idrottsvetenskap ; INTERDISCIPLINARY RESEARCH AREAS ; Male ; Medical and Health Sciences ; Medical research ; Medical sciences ; Medicin och hälsovetenskap ; Medicine, Experimental ; Metabolic diseases ; metabolic syndrome ; Miscellaneous ; Motor Activity ; Motor Activity - physiology ; Other metabolic disorders ; Other Social Sciences ; Physical Fitness ; Respiratory Physiological Phenomena ; Respiratory Physiology ; Risk Factors ; Samhällsvetenskap ; Sectional Studies ; Smoking ; Smoking - epidemiology ; Social Sciences ; Social Sciences Interdisciplinary ; Sport and Fitness Sciences ; Sports ; Sports Science ; Sports sciences ; Triglycerides ; TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN ; Tvärvetenskapliga studier inom samhällsvetenskap ; Universities and colleges
ispartofDiabetologia, 2007, Vol.50 (9), p.1832-1840
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0Ekelund, U
1Anderssen, S. A
2Froberg, K
3Sardinha, L. B
4Andersen, L. B
5Brage, S
6European Youth Heart Study Group
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0Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study
1Diabetologia
addtitleDiabetologia
descriptionAims/hypothesis High levels of cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a favourable metabolic risk profile. However, there has been no thorough exploration of the independent contributions of cardiorespiratory fitness and subcomponents of activity (total PA, time spent sedentary, and time spent in light, moderate and vigorous intensity PA) to metabolic risk factors in children and the relative importance of these factors. Methods We performed a population-based, cross-sectional study in 9- to 10- and 15- to 16-year-old boys and girls from three regions of Europe (n = 1709). We examined the independent associations of subcomponents of PA and CRF with metabolic risk factors (waist circumference, BP, fasting glucose, insulin, triacylglycerol and HDL-cholesterol levels). Clustered metabolic risk was expressed as a continuously distributed score calculated as the average of the standardised values of the six subcomponents. Results CRF (standardised β = -0.09, 95% CI -0.12, -0.06), total PA (standardised β = -0.08, 95% CI -0.10, -0.05) and all other subcomponents of PA were significantly associated with clustered metabolic risk. After excluding waist circumference from the summary score and further adjustment for waist circumference as a confounding factor, the magnitude of the association between CRF and clustered metabolic risk was attenuated (standardised β = -0.05, 95% CI -0.08, -0.02), whereas the association with total PA was unchanged (standardised β = -0.08 95% CI -0.10, -0.05). Conclusions/interpretation PA and CRF are separately and independently associated with individual and clustered metabolic risk factors in children. The association between CRF and clustered risk is partly mediated or confounded by adiposity, whereas the association between activity and clustered risk is independent of adiposity. Our results suggest that fitness and activity affect metabolic risk through different pathways.
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1Aerobic fitness
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3Biological and medical sciences
4Body Mass Index
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7Cholesterol
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16exercise
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18Glucose
19Glucose metabolism
20Health
21Health Sciences
22Heart
23Heart - physiology
24Humans
25Hälsovetenskaper
26Idrott
27Idrottsvetenskap
28INTERDISCIPLINARY RESEARCH AREAS
29Male
30Medical and Health Sciences
31Medical research
32Medical sciences
33Medicin och hälsovetenskap
34Medicine, Experimental
35Metabolic diseases
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37Miscellaneous
38Motor Activity
39Motor Activity - physiology
40Other metabolic disorders
41Other Social Sciences
42Physical Fitness
43Respiratory Physiological Phenomena
44Respiratory Physiology
45Risk Factors
46Samhällsvetenskap
47Sectional Studies
48Smoking
49Smoking - epidemiology
50Social Sciences
51Social Sciences Interdisciplinary
52Sport and Fitness Sciences
53Sports
54Sports Science
55Sports sciences
56Triglycerides
57TVÄRVETENSKAPLIGA FORSKNINGSOMRÅDEN
58Tvärvetenskapliga studier inom samhällsvetenskap
59Universities and colleges
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titleIndependent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study
authorEkelund, U ; Anderssen, S. A ; Froberg, K ; Sardinha, L. B ; Andersen, L. B ; Brage, S
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3Biological and medical sciences
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7Cholesterol
8Cross
9Cross-Sectional Studies
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11Diabetes. Impaired glucose tolerance
12Endocrine pancreas. Apud cells (diseases)
13Endocrinopathies
14Etiopathogenesis. Screening. Investigations. Target tissue resistance
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16exercise
17Female
18Glucose
19Glucose metabolism
20Health
21Health Sciences
22Heart
23Heart - physiology
24Humans
25Hälsovetenskaper
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27Idrottsvetenskap
28INTERDISCIPLINARY RESEARCH AREAS
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30Medical and Health Sciences
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abstractAims/hypothesis High levels of cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a favourable metabolic risk profile. However, there has been no thorough exploration of the independent contributions of cardiorespiratory fitness and subcomponents of activity (total PA, time spent sedentary, and time spent in light, moderate and vigorous intensity PA) to metabolic risk factors in children and the relative importance of these factors. Methods We performed a population-based, cross-sectional study in 9- to 10- and 15- to 16-year-old boys and girls from three regions of Europe (n = 1709). We examined the independent associations of subcomponents of PA and CRF with metabolic risk factors (waist circumference, BP, fasting glucose, insulin, triacylglycerol and HDL-cholesterol levels). Clustered metabolic risk was expressed as a continuously distributed score calculated as the average of the standardised values of the six subcomponents. Results CRF (standardised β = -0.09, 95% CI -0.12, -0.06), total PA (standardised β = -0.08, 95% CI -0.10, -0.05) and all other subcomponents of PA were significantly associated with clustered metabolic risk. After excluding waist circumference from the summary score and further adjustment for waist circumference as a confounding factor, the magnitude of the association between CRF and clustered metabolic risk was attenuated (standardised β = -0.05, 95% CI -0.08, -0.02), whereas the association with total PA was unchanged (standardised β = -0.08 95% CI -0.10, -0.05). Conclusions/interpretation PA and CRF are separately and independently associated with individual and clustered metabolic risk factors in children. The association between CRF and clustered risk is partly mediated or confounded by adiposity, whereas the association between activity and clustered risk is independent of adiposity. Our results suggest that fitness and activity affect metabolic risk through different pathways.
copBerlin
pubBerlin/Heidelberg : Springer-Verlag
pmid17641870
doi10.1007/s00125-007-0762-5
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