Relationship Between Obesity, Physical Activity, and Cardiorespiratory Fitness Levels in Children and Adolescents in Bosnia and Herzegovina: An Analysis of Gender Differences - PubMed (original) (raw)

Relationship Between Obesity, Physical Activity, and Cardiorespiratory Fitness Levels in Children and Adolescents in Bosnia and Herzegovina: An Analysis of Gender Differences

Haris Pojskic et al. Front Physiol. 2018.

Abstract

This study aimed to examine: (i) the level of physical activity (PA), obesity indices and cardiorespiratory fitness (CRF) among boys and girls in primary school, and (ii) to determine the association of obesity indices and PA with CRF for the total number of participants, and then separately for boys and girls. 753 sixth to ninth grade girls and boys aged 10-14 years took part in this cross-sectional study. The PA was assessed by the "Physical Activity Questionnaire - Children" and CRF was assessed by the Maximal multistage a 20 m shuttle run test. Body mass index (BMI), waist circumferences (WC), and waist to height ratio (WHtR) were considered as obesity indices. Multiple linear regression analyses were performed to explore correlates of CRF. The results obtained showed the prevalence of general overweight and obesity was 25.5% in our sample which was lower than that in the regional estimate (e.g., ∼28%) for Eastern Europe. Among all participants, CRF was associated with male sex, older age, a lower WC percentile, higher WHtR, and higher level of PA. The model accounted for 24% of the variance. CRF was associated with older age and higher level of PA among girls and boys. Lower WC percentile was a significant determinant of CRF among boys. In conclusion, general overweight/obesity was not independently associated with CRF. Those with better CRF were more likely to be male and older, had a higher level of PA and lower central adiposity. These findings emphasize the importance of supporting school age children to take a part in programmed physical activity regardless of their body composition.

Keywords: BMI; VO2max; overweight; shuttle run test; waist circumference.

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Figures

FIGURE 1

FIGURE 1

Differences in aerobic fitness level across age and sex. ∗Indicates values significantly different from those obtained in 14 years old boys at p < 0.05; †Indicates values significantly different from those obtained in 13 years old boys at p < 0.05; formula imageIndicates significant differences between boys and girls in accompanied age group at p < 0.05.

FIGURE 2

FIGURE 2

Differences in aerobic fitness level across body weight categories and sex. ∗Indicates values significantly different from those obtained in obese weight category among boys at p < 0.05; formula imageIndicates significant differences between boys and girls in accompanied body weight category at p < 0.05.

FIGURE 3

FIGURE 3

Differences in physical activity level across age and sex. formula imageIndicates significant differences between boys and girls in accompanied age group at p < 0.05.

FIGURE 4

FIGURE 4

Differences in physical activity level across body weight categories and sex. ∗Indicates values significantly different from those obtained in obese weight category among boys at p < 0.05; formula imageIndicates significant differences between boys and girls in accompanied body weight category at p < 0.05.

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