The reciprocal relationship between body mass index categories and physical fitness: A 4-year prospective cohort study of 20 000 Chinese children.
Asian People
Body Mass Index
Body Weight
/ physiology
Cardiorespiratory Fitness
/ physiology
Child
China
Cohort Studies
Female
Follow-Up Studies
Hand Strength
/ physiology
Humans
Male
Pediatric Obesity
/ epidemiology
Physical Endurance
/ physiology
Physical Fitness
/ physiology
Prospective Studies
Risk Factors
Schools
body mass index
physical fitness
prospective cohort study
reciprocal relationship
Journal
Pediatric obesity
ISSN: 2047-6310
Titre abrégé: Pediatr Obes
Pays: England
ID NLM: 101572033
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
06
01
2020
accepted:
06
04
2020
pubmed:
13
5
2020
medline:
9
1
2021
entrez:
13
5
2020
Statut:
ppublish
Résumé
Body mass index (BMI) categories and physical fitness are associated but the reciprocal relationship between BMI categories and physical fitness has not been investigated. This study aims to investigate the longitudinal reciprocal relationship between BMI categories and physical fitness. This is a population-based 4-year cohort study in 48 elementary schools. Children aged 6 to 9 years at recruitment were included. BMI categories and physical fitness including handgrip strength, core muscle endurance, flexibility, and cardiorespiratory fitness were measured using standard equipment and protocol. Among 26 392 eligible participants, 19 504 (73.9%) were successfully followed for 3 years. Baseline obesity prevalence was 5.9%. After 3 years, those who were unfit at baseline had an increased risk of obesity (risk ratio [RR] 1.41, 95% CI 1.16-1.71, P < .001) and those who were fit at baseline had a decreased risk of obesity (RR 0.69, 95% CI 0.60-0.80, P < .001) compared with moderately fit children. Furthermore, improvement of fitness predicted decreased risk of obesity. Similarly, normal body weight also predicted better physical fitness. The path analysis confirmed a strong reciprocal relationship between physical fitness and obesity. Better physical fitness was prospectively associated with normal weight and vice versa. Physically fit children were more likely to maintain a healthy weight and those with a healthy weight were more likely to be physically fit, which is important for healthy development.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12646Informations de copyright
© 2020 World Obesity Federation.
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