Clarity and Confusion in the Development of Youth Aerobic Fitness

Gender Participation and Performance in Boccia International-Level Events

Background/Objectives: Boccia is an attractive and growing adapted sport. For approximately 30 years, this parasport was played together by male and female athletes, a fact that recently changed, to our best knowledge, without scientific support. Hence, this study aimed to analyse the relationship between gender participation and performance in Boccia international-level events. Methods: For data collection, four specific international-level Boccia events between 2012 and 2018 were selected as partials were available in the official competition websites (2708 partials, which represent a total of 32,496 ball throws). Results: We found that partials won by male athletes systematically increased between 2012 and 2018 but tended to stabilize between 2017 and 2018, contrary to females, with a growing trend from 2016 onwards. No differences were observed, considering the players' gender and the type of partials (adjusted, balanced, and unbalanced) in the Boccia classes BC1, BC2, and BC3. In BC4 differences were found, but with little variance or low association level (Cramer's Phi coefficient of 0.114). Conclusions: The results emphasize that based on performance, both men and woman can play Boccia together. Although, if the focus of separating genders in Boccia is toward growing and effective female participation and equal success and reward opportunities, this study highlights as a good perspective aiming regular practice of physical activity, exercise, and sport in people with disabilities, promoting their quality of life.

Childhood Physical Fitness as a Predictor of Cognition and Mental Health in Adolescence: The PANIC Study

BACKGROUND

Cognitive and mental health problems are highly prevalent in adolescence. While higher levels of physical fitness may mitigate these problems, there is a lack of long-term follow-up studies on the associations of physical fitness from childhood with cognition and mental health in adolescence.

OBJECTIVE

We investigated the associations of physical fitness from childhood to adolescence over an 8-year follow-up with cognition and mental health in adolescence.

METHODS

The participants were 241 adolescents (112 girls), who were 6-9 years at baseline and 15-17 years at 8-year follow-up. Average and change scores for cardiorespiratory fitness (maximal power output [Wmax]; peak oxygen uptake [VO2peak]), motor fitness (10 × 5-m shuttle run), and muscular fitness (standing long jump; hand grip strength) were calculated. Global cognition score was computed from six individual cognitive tasks, and perceived stress and depressive symptoms were assessed at the 8-year follow-up. The data were analysed using linear regression models adjusted for age, sex, and parental education.

RESULTS

Average motor fitness was positively associated with global cognition score (standardised regression coefficient [β] - 0.164, 95% confidence interval [CI] - 0.318 to - 0.010) and inversely with perceived stress (β = 0.182, 95% CI 0.032-0.333) and depressive symptoms (β = 0.181, 95% CI 0.028-0.333). Average cardiorespiratory fitness was inversely associated with perceived stress (Wmax: β =  - 0.166, 95% CI - 0.296 to - 0.036; VO2peak: β =  - 0.149, 95% CI - 0.295 to - 0.002) and depressive symptoms (Wmax: β =  - 0.276, 95% CI - 0.405 to - 0.147; VO2peak: β =  - 0.247, 95% CI - 0.393 to - 0.102). A larger increase in cardiorespiratory fitness was associated with lower perceived stress (Wmax: β =  - 0.158, 95% CI - 0.312 to - 0.003; VO2peak: β =  - 0.220, 95% CI - 0.395 to - 0.044) and depressive symptoms (Wmax: β =  - 0.216, 95% CI - 0.371 to - 0.061; VO2peak: β =  - 0.257, 95% CI - 0.433 to - 0.080).

CONCLUSIONS

Higher levels of motor fitness in childhood and adolescence were associated with better cognition in adolescence. Higher levels of and larger increases in cardiorespiratory fitness from childhood to adolescence were associated with better mental health in adolescence.

Allometric exponents for scaling running economy in human samples: A systematic review and meta-analysis

Ratio-scaled VO2 is the widely used method for quantifying running economy (RE). However, this method should be criticized due to its theoretical defect and curvilinear relationship indicated by the allometric scaling, although no consensus has been achieved on the generally accepted exponent b value of body weight. Therefore, this study aimed to provide a quantitative synthesis of the reported exponents used to scale VO2 to body weight. Six electronic databases were searched based on related terms. Inclusion criteria involved human cardiopulmonary testing data, derived exponents, and reported precision statistics. The random-effects model was applied to statistically analyze exponent b. Subgroup and meta-regression analyses were conducted to explore the potential factors contributing to variation in b values. The probability of the true exponent being below 1 in future studies was calculated. The estimated b values were all below 1 and aligned with the 3/4 power law, except for the 95 % prediction interval of the estimated fat-free body weight exponent b. A publication bias and a slightly greater I2 and τ statistic were also observed in the fat-free body weight study cohort. The estimated probabilities of the true body weight exponent, full body weight exponent, and fat-free body weight exponent being lower than 1 were 93.8 % (likely), 95.1 % (very likely), and 94.5 % (likely) respectively. 'Sex difference', 'age category', 'sporting background', and 'testing modality' were four potential but critical variables that impacted exponent b. Overall, allometric-scaled RE should be measured by full body weight with exponent b raised to 3/4.

Which indices of cardiorespiratory fitness are more strongly associated with brain health in children with overweight/obesity?

PURPOSE

To compare the strength of associations between different indices of cardiorespiratory fitness (CRF) and brain health outcomes in children with overweight/obesity.

METHODS

Participants were 100 children aged 8-11 years. CRF was assessed using treadmill exercise test (peak oxygen uptake [V̇O2peak ], treadmill time, and V̇O2 at ventilatory threshold) and 20-metre shuttle run test (20mSRT, laps, running speed, estimated V̇O2peak using the equations by Léger et al., Mahar et al., and Matsuzaka et al.). Intelligence, executive functions, and academic performance were assessed using validated methods. Total gray matter and hippocampal volumes were assessed using structural MRI.

RESULTS

V̇O2peak /body mass (β = 0.18, 95% CI = 0.01-0.35) and treadmill time (β = 0.18-0.21, 95% CI = 0.01-0.39) were positively associated with gray matter volume. 20mSRT laps were positively associated with executive functions (β = 0.255, 95% CI = 0.089-0.421) and academic performance (β = 0.199-0.255, 95% CI = 0.006-0.421), and the running speed was positively associated with executive functions (β = 0.203, 95% CI = 0.039-0.367). Estimated V̇O2peak/Léger et al. was positively associated with intelligence, executive functions, academic performance, and gray matter volume (β = 0.205-0.282, 95% CI = 0.013-0.500). Estimated V̇O2peak/Mahar et al. and V̇O2peak/Matsuzaka et al. (speed) were positively associated with executive functions (β = 0.204-0.256, 95% CI = 0.031-0.436).

CONCLUSION

Although V̇O2peak is considered the gold standard indicator of CRF in children, peak performance (laps or running speed) and estimated V̇O2peak/Léger et al. derived from 20mSRT had stronger and more consistent associations with brain health outcomes than other indices of CRF in children with overweight/obesity.

Effects of adding high-intensity training during an 8-week period on maximal oxygen uptake in 12-year-old youth athletes

PURPOSE

Maximal oxygen uptake (V̇O2max ) increases during adolescence parallel to the increase in fat-free mass (FFM). How much endurance training adds to this effect is still controversial. Our aim was to investigate if inclusion of high-intensity training (HIT) during an 8-week training period was superior to low-intensity strength and coordination training in 12-year-old youth athletes concerning the effect on V̇O2max .

METHODS

Thirty-five cross-country skiers were randomized into a HIT group (ET) and a strength and coordination group (SC), while 29 less active peers served as controls for growth and maturation (C). Anthropometrics and V̇O2max were assessed before and after the training period, and level of physical activity and training were monitored with accelerometers, training logs and a questionnaire.

RESULTS

The number of weekly training sessions were higher for ET (4.6 ± 1.2) and SC (4.1 ± 1.0) compared with C (1.8 ± 2.0) (p < 0.01), with only ET conducting HIT sessions (1.9 ± 0.2 per week). C spent more time sedentary and less time in moderate and vigorous activity compared with ET (p < 0.05). All groups had a similar %-change pre-post in absolute V̇O2max (mL min-1 ) of 6% ± 6% for ET (p < 0.01), 5% ± 7 for SC (p = 0.14), and 5% ± 13% for C (p = 0.03), with no significant differences between groups. V̇O2max relative to FFM did not change significantly for any groups.

CONCLUSION

The change in V̇O2max paralleled the change in FFM for all groups, questioning the effect of HIT on V̇O2max over an 8-week period in youth athletes.

Is cardiorespiratory fitness a moderator of the relationship between sugar-sweetened beverage consumption and insulin resistance in schoolchildren?

PURPOSE

The aim of this study was to determine whether cardiorespiratory fitness (CRF) decreases the association between insulin resistance and sugar-sweetened beverage (SSB) consumption in a population-based sample of Spanish schoolchildren.

METHODS

This is a cross-sectional study including 430 schoolchildren (51.4% girls), aged 8-12 years, from 10 schools in Cuenca (Spain). Blood samples were drawn to measure fasting insulin levels. Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) was also assessed. Data on SSB consumption were gathered using the Children's Eating Habits Questionnaire, which was completed by parents. The CRF level was determined by the 20 m Shuttle Run test and a curvilinear allometric model.

RESULTS

Our conditional regression estimates showed that CRF moderated the association of SSB consumption on insulin levels or HOMA-IR. In children who had levels of CRF < 34.4 ml/kg/min ml/kg/min (for insulin levels) or < 33.6 ml/kg/min (for HOMA-IR), the association between SSB consumption and fasting insulin levels or HOMA-IR raised. Among children with CRF levels between 34.4 and 52.1 ml/kg/min (for insulin levels) or 33.6-55.4 ml/kg/min (for HOMA-IR), the association of SSB consumption on insulin level or HOMA-IR neither increased nor decreased. Among children with CRF levels > 52.1 ml/kg/min (for insulin levels) or > 55.4 ml/kg/min (for HOMA-IR), the association of SSB consumption on fasting insulin levels or HOMA-IR decreased.

CONCLUSIONS

Our results showed that certain levels of CRF moderate the association between SSB consumption and insulin resistance in a population-based sample of Spanish schoolchildren.

Physiological Variables that Contribute to Aerobic Fitness in Boys During Early Adolescence in the Context of Basketball Training and the Maturity Level

The aim of this study was to assess physiological variables that contribute to aerobic fitness in respect to basketball training and the maturity level in adolescent boys. Our subjects were 28 basketball-trained and 22 control-group boys (average age: 11.83 ± 0.43 years). An incremental treadmill running test to exhaustion was performed twice with a 1-year interval between the sessions to determine the following peak aerobic fitness variables: oxygen uptake, stroke volume, cardiac output, minute ventilation, and others. Maturity offset was used to evaluate the maturity level. The basketball-trained group exhibited a higher peak ratio-scaled oxygen uptake (1st session: 50.55 ± 6.21 and 46.57 ± 5.68 ml/kg/min in basketball and control-group boys, respectively, p = 0.024; 2nd session: 54.50 ± 6.50 and 45.33 ± 5.99 ml/kg/min, respectively, p < 0.001) during both testing sessions. During the 2nd session, the basketball-trained group also showed a significantly higher peak arteriovenous oxygen difference (basketball-trained boys: 14.02 ± 2.17 ml/100 ml; control-group boys: 12.52 ± 2.49 ml/100 ml; p = 0.027) and peak minute ventilation (basketball-trained boys: 96.08 ± 21.71 l/min; control-group boys: 83.14 ± 17.85 l/min; p = 0.028). The maturity level among the basketball-trained boys was correlated with peak variables: oxygen uptake, stroke volume, cardiac output, and minute ventilation, but not with the ratio-scaled oxygen uptake. In conclusion, basketball training at a young age among boys improved aerobic fitness compared with sedentary boys. More mature basketball players were not superior to their less mature peers regarding aerobic fitness after adjusting for body dimensions.

Are anthropometric characteristics powerful markers to predict the Cooper Run Test? Actual Caucasian data

Background

Cardiorespiratory fitness (CRF) is a powerful marker of cardiovascular health, especially in youth. Several field tests can provide accurate measurement of CRF, the Cooper Run Test (CRT) is generally preferred by physical education (PE) teachers and trainers. The CRT performance in adolescents has been compared to reference distance values, gender and age but the differences among the anthropometric characteristics of youth has not been evaluated. For these reasons, the aim of this study was to develop reference standards for CRT and evaluate possible correlations between biometric measurements and athletic performance.

Methods

This cross-sectional study involved a total of 9,477 children (4,615 girls) aged 11-14 years, freely recruited from North Italian middle schools. Mass, height and CRT performances were assessed in the morning during PE classes as scheduled (mornings-Monday to Friday). The anthropometric measures were collected at least 20 min before the CRT run test.

Results

We found a better CRT result in boys (p < 0.001), however a smaller SD in girls suggested a more homogeneous aerobic performance for girls (i.e., 371.12 m vs 282.00 m). In addition, the Shapiro-Wilk test showed a low p-value (p < 0.001) but the effect size (0.031 for boys and 0.022 for girls) was small enough that the correction on this parameter allows a practical assumption of normality for the distributions. A visual homoskedastic distribution in both sexes is evident for both body mass index (BMI), mass and VO₂ peak with respect to CRT results. In addition, there were low linear correlation coefficients for both BMI, mass and VO₂ peak compared to the CRT results, with a R2 < 0.5 for every covariate. The only visual heteroskedastic distribution was observed in regression between distance in CRT and age at peak high velocity.

Conclusions

Our findings suggested that anthropometric characteristics are not powerful markers to predict Cooper Run Test results in a well-mixed, unpolarized and unbiased pool of middle school boys and girls. PE teachers and trainers should prefer endurance tests over the use of indirect formulas to predict performance.

Increase in peak oxygen uptake and Andersen test performance in children from age six to ten: The Health Oriented Pedagogical Project (HOPP)

The increased prevalence of non-communicable disease risk factors among children because of lack of physical activity is concerning. The Health Oriented Pedagogical Project was set up to combine learning activities and physical activity, thus reducing sedentariness during school time. The current study aimed to measure and describe the longitudinal and cross-sectional development of oxygen uptake and running performance in children at ages six and ten. The validity of the Andersen Test in predicting V̇O2peak in these age groups was also evaluated. Eighty-six children (53 boys, 33 girls) with complete datasets at ages 6 and 10 years were included in the longitudinal study, while 192 children (106 boys, 86 girls) were included in the cross-sectional analysis because they missed data from 1 year. Oxygen uptake was measured using a metabolic analyser and maximal treadmill running, while the distance covered during the AT determined running performance. Body mass, height, and waist-to-height ratios were recorded. Multiple regression analysis was used to assess the association between oxygen uptake and running performance. The cross-sectional results did not differ from the longitudinal data for anthropometrical data, oxygen uptake and running performance. Height, body mass and waist-to-height ratio did not differ between the sexes at ages six or ten. Boys had significantly higher peak oxygen uptake than girls at 6 years of age, irrespective of how oxygen uptake was expressed. Allometric scaling of oxygen uptake revealed differences between sexes at both ages. Longitudinal running performance increased in both sexes from 6 to 10 years. Boys ran significantly longer only at age ten. The association between oxygen uptake and running performance varied according to how the oxygen uptake was expressed and with sex and age. Ten-year-old girls had the highest correlations in the longitudinal investigation, from r2 = 0.48 (fV̇O2peak) to 0.65 (rV̇O2peak) between AT and V̇O2peak. The AT was found to be as valid as the 20-m shuttle run test in estimating peak oxygen uptake, with a random measurement error of approximately 11% of mean values.

Cross-sectional associations between cardiorespiratory fitness and NMR-derived metabolic biomarkers in children - the PANIC study

OBJECTIVE

Cardiorespiratory fitness has been inversely associated with cardiovascular risk across the lifespan. Some studies in adults suggest that higher cardiorespiratory fitness is associated with cardioprotective metabolite profile, but the evidence in children is lacking. Therefore, we investigated the cross-sectional association of cardiorespiratory fitness with serum nuclear magnetic resonance derived metabolic biomarkers in children.

METHODS

A population sample of 450 children aged 6-8 years was examined. Cardiorespiratory fitness was assessed by a maximal exercise test on a cycle ergometer and quantified as maximal power output normalised for lean body mass assessed by dual-energy X-ray absorbtiometry. Serum metabolites were assessed using a high throughput nuclear magnetic resonance platform. The data were analysed using linear regression analyses adjusted for age and sex and subsequently for body fat percentage (BF%) assessed by DXA.

RESULTS

Cardiorespiratory fitness was directly associated with high density lipoprotein (HDL) cholesterol (β=0.138, 95% CI=0.042 to 0.135, p=0.005), average HDL particle diameter (β=0.102, 95% CI=0.004 to 0.199, p=0.041), and the concentrations of extra-large HDL particles (β=0.103, 95% CI=0.006 to 0.201, p=0.038), large HDL particles (β=0.122, 95% CI=0.025 to 0.220, p=0.014), and medium HDL particles (β=0.143, 95% CI=0.047 to 0.239, p=0.004) after adjustment for age and sex. Higher cardiorespiratory fitness was also associated with higher concentrations of ApoA1 (β=0.145, 95% CI=0.047 to 0.242, p=0.003), glutamine (β=0.161, 95% CI=0.064 to 0.257, p=0.001), and phenylalanine (β=0.187, 95% CI=0.091 to 0.283, p<0.001). However, only the direct associations of cardiorespiratory fitness with the concentrations of HDL cholesterol (β=0.114, 95% CI=0.018 to 0.210, p=0.021), medium HDL particles (β=0.126, 95% CI=0.030 to 0.223, p=0.010), ApoA1 (β=0.126, 95% CI=0.030 to 0.223, p=0.011), glutamine (β=0.147, 95% CI=0.050 to 0.224, p=0.003), and phenylalanine (β=0.217, 95% CI=0.122 to 0.311, p<0.001) remained statistically significant after further adjustment for BF%.

CONCLUSIONS

Higher cardiorespiratory fitness was associated with a cardioprotective biomarker profile in children. Most associations were independent of BF% suggesting that the differences in serum metabolites between children are driven by cardiorespiratory fitness and not adiposity.

Promoting healthy lifestyle behaviours in youth: Findings from a novel intervention for children at risk of cardiovascular disease

Objectives

Obesity is the most prevalent risk factor for cardiovascular disease (CVD) in children. We developed a 2-year lifestyle intervention for youth at risk of CVD. We assessed changes in body mass index z-scores (zBMI) and key cardiometabolic risk factors, physical fitness, and capacity among those who completed the program.

Methods

The CIRCUIT program is a multidisciplinary lifestyle intervention for children aged 4 to 18 years at risk of CVD, based on a personalized plan to improve cardiometabolic outcomes by increasing physical activity and reducing sedentary behaviours. Both at baseline and 2-year follow-up, we measured zBMI, blood pressure z-scores (zBP), adiposity (%body and %trunk fat), fasting blood glucose and lipid profile, aerobic (VO2max) and anaerobic (5×5 m shuttle run test) fitness, and physical capacity indicators. Differences between baseline and follow-up were examined using paired t-tests (for age-sex standardized outcomes) and multivariable mixed effect models, adjusted for age and sex (for other outcomes).

Results

Among the 106 participants (53 males) who completed the 2-year program, mean age at baseline was 10.9 years (SD=3.2). After 2 years, zBMI and diastolic zBP decreased by 0.30SD (95% CI: −0.44; −0.16) and 0.43SD (95% CI: −0.65; −0.23), respectively. Participants improved %body and %trunk fat, lipid profile, aerobic and anaerobic fitness levels, and physical capacity (p&lt;0.02). No changes in systolic zBP nor in fasting plasma glucose were observed.

Conclusion

Our findings showed improved zBMI, cardiometabolic outcomes, physical fitness, and capacity among children at risk of CVD, suggesting that CIRCUIT is a promising intervention.

Is there really a proportional relationship between VO2max and body weight? A review article

Maximum oxygen uptake (VO_2max) is a “gold standard” in aerobic capacity assessment, playing a vital role in various fields. However, ratio scaling (VO2maxbw), the present method used to express relative VO_2max, should be suspected due to its theoretical deficiencies. Therefore, the aim of the study was to revise the quantitative relationship between VO_2max and body weight (bw). Dimensional analysis was utilized to deduce their theoretical relationship, while linear or nonlinear regression analysis based on four mathematical models (ratio scaling, linear function, simple allometric model and full allometric model) were utilized in statistics analysis to verify the theoretical relationship. Besides, to investigate the effect of ratio scaling on removing body weight, Pearson correlation coefficient was used to analyze the correlation between VO2maxbw and bw. All the relevant data were collected from published references. Dimensional analysis suggested VO_2max be proportional to bw23. Statistics analysis displayed that four mathematical expressions were VO_2max = 0.047bw (p<0.01, R² = 0.68), VO_2max = 0.036bw+0.71 (p<0.01, R² = 0.76), VO_2max = 0.10bw^0.82 (p<0.01, R² = 0.93) and VO_2max = 0.23bw^0.66–0.48 (p<0.01, R² = 0.81) respectively. Pearson correlation coefficient showed a significant moderately negative relation between VO2maxbw and bw (r = -0.42, p<0.01), while there was no correlation between VO2maxbw0.82 and bw (r = 0.066, p = 0.41). Although statistics analysis did not fully verify the theoretical result, both dimensional and statistics analysis suggested ratio scaling distort the relationship and power function be more appropriate to describe the relationship. Additionally, we hypothesized that lean mass, rather than body weight, plays a more essential role in eliminating the gap between theoretical and experimental b values, and is more appropriate to standardize VO_2max, future studies can focus more on it.

Relating cardiorespiratory responses to work rate during incremental ramp exercise on treadmill in children and adolescents: sex and age differences

PURPOSE

Evaluation of cardiopulmonary exercise testing (CPET) slopes such as [Formula: see text] (cardiac/skeletal muscle function) and [Formula: see text] (O2 delivery/utilization), using treadmill protocols is limited because the difficulties in measuring the total work rate ([Formula: see text]). To overcome this limitation, we proposed a new method in quantifying [Formula: see text] to determine CPET slopes.

METHODS

CPET's were performed by healthy patients, (n = 674, 9-18 year) 300 female (F) and 374 male (M), using an incremental ramp protocol on a treadmill. For this protocol, a quantitative relationship based on biomechanical principles of human locomotion, was used to quantify the [Formula: see text] of the subject. CPET slopes were determined by linear regression of the data recorded until the gas exchange threshold occurred.

RESULTS

The method to estimate [Formula: see text] was substantiated by verifying that: [Formula: see text] for treadmill exercise corresponded to an efficiency of muscular work similar to that of cycle ergometer; [Formula: see text] (mL min-1 W-1) was invariant with age and greater in M than F older than 12 years old (13-14 years: 9.6 ± 1.5(F) vs. 10.5 ± 1.8(M); 15-16 years: 9.7 ± 1.7(F) vs. 10.6 ± 2.2(M); 17-18 years: 9.6 ± 1.7(F) vs. 11.0 ± 2.3(M), p < 0.05); similar to cycle ergometer exercise, [Formula: see text] was inversely related to body weight (BW) (r = 0.71) or [Formula: see text] (r = 0.66) and [Formula: see text] was not related to BW (r = - 0.01), but had a weak relationship with [Formula: see text] (r = 0.28).

CONCLUSION

The proposed approach can be used to estimate [Formula: see text] and quantify CPET slopes derived from incremental ramp protocols at submaximal exercise intensities using the treadmill, like the cycle ergometer, to infer cardiovascular and metabolic function in both healthy and diseased states.

Cross-sectional and prospective associations between aerobic fitness and lipoprotein particle profile in a cohort of Norwegian schoolchildren

BACKGROUND AND AIMS

The associations between aerobic fitness and traditional measures of lipid metabolism in children are uncertain. We investigated whether higher levels of aerobic fitness benefit lipoprotein metabolism by exploring associations with a comprehensive lipoprotein particle profile.

METHODS

In our prospective cohort study, we used targeted proton nuclear magnetic resonance (¹H NMR) spectroscopy to profile 57 measures of lipoprotein metabolism from fasting serum samples of 858 fifth-grade Norwegian schoolchildren (49.0% girls; mean age 10.0 years). Aerobic fitness was measured using an intermittent shuttle run aerobic fitness test. We used multiple linear regression adjusted for potential confounders to examine cross-sectional and prospective associations between aerobic fitness and lipoprotein particle profile.

RESULTS

Higher levels of aerobic fitness were associated with a favourable lipoprotein particle profile in the cross-sectional analysis, which included inverse associations with all measures of very low-density lipoprotein (VLDL) particles (e.g., -0.06 mmol·L^-1 or -0.23 SD units; 95% CI = -0.31, -0.16 for VLDL cholesterol concentration). In the prospective analysis, the favourable pattern of associations persisted, though the individual associations tended to be more consistent with those of the cross-sectional analysis for the VLDL subclass measures compared to the low-density lipoproteins and high-density lipoproteins. Adjustment for adiposity attenuated the associations in both cross-sectional and prospective models. Nevertheless, an independent effect of aerobic fitness remained for some measures.

CONCLUSIONS

Improving children's aerobic fitness levels should benefit lipoprotein metabolism, though a concomitant reduction in adiposity would likely potentiate this effect.

Field-Based Health-Related Physical Fitness Tests in Children and Adolescents: A Systematic Review

Physical fitness (PF) is a multi-component construct and a biomarker of health. Worse PF is related to vulnerability and predicts worse academic achievements. Thus, assessing PF is important to monitor health in youth. This systematic review aimed to identify and inform physical education, health professionals and entities about existing PF batteries and field-tests that can be used in school settings. A comprehensive literature search was carried out in five electronic databases (Academic Search Complete, Education Resources Information Center, PubMed, Scopus, and Web of Science) to identify PF battery protocols that can be carried out in the school setting. Overall, 24 PF batteries were identified. Regarding the PF components assessed, only cardiorespiratory fitness and upper body strength were contemplated in all batteries. Middle-body strength and lower body strength were presented in most batteries (21 and 19 of 24, respectively). Agility (16 of 24) and body composition (16 of 24) were also considered in several batteries, although to a lesser extent. Flexibility (14 of 24) and speed (12 of 24) were the PF components less represented in the batteries. Among the 24 identified PF batteries, 81 PF tests assessing the different PF components were encountered. The advances in the PF field-based assessment in school settings and health in youth resulted in the amplification of the number of existing batteries. Considering the connection between PF and health and the opportunity that the school setting provides to assess fitness in children and adolescents, there is a need for standardization and a consensus of PF assessments in this specific setting.

Bidirectional associations between fitness and fatness in youth: A longitudinal study

The aim was to examine the bidirectional association between cardiorespiratory fitness (CRF) and fatness in a 2-year longitudinal study conducted in young people. A total of 1082 children (512 females) and 727 adolescents (342 females) with complete data at baseline and follow-up were included. CRF was determined by the 20-m shuttle run test. Height and weight were measured, and body mass index and fat mass index (kg/m² ) were calculated. Triceps and subscapular skinfolds were assessed to compute body fat percentage. Bidirectionality was tested by including CRF and each fatness index as exposures and outcomes, alternatively, in different regression models. CRF was prospectively associated with fatness index levels (ß from -0.186 to -0.528; P < .001), remaining significant in children after adjusting for baseline fatness indices. Fatness indices were prospectively associated with CRF (ß from -0.207 to -0.479; P < .001), with no substantial changes observed in children and female adolescents when baseline CRF was considered. Changes in CRF were prospectively associated with several fatness indices, regardless of body fatness at baseline (ß from -0.062 to -0.220; P < .05). Body fatness changes were associated with future CRF levels, independently of baseline CRF, especially in children of both sexes and male adolescents (ß from -0.079 to -0.260; P < .05). Overall, a bidirectional association was observed between CRF and fatness in children and adolescents. The attainment of optimal CRF and fatness levels in early ages should be promoted since it could result in favorable future fatness and CRF levels, respectively, which are two key determinants of health status.