Health-Related Criterion-Referenced Cut-Points for Cardiorespiratory Fitness Among Youth: A Systematic Review

2021 ◽  
Author(s):  
Scott Rollo ◽  
Brooklyn J. Fraser ◽  
Nick Seguin ◽  
Margaret Sampson ◽  
Justin J. Lang ◽  
...  
2021 ◽  
Author(s):  
Brooklyn J. Fraser ◽  
Scott Rollo ◽  
Margaret Sampson ◽  
Costan G. Magnussen ◽  
Justin J. Lang ◽  
...  

2020 ◽  
Vol 45 (9) ◽  
pp. 1007-1014
Author(s):  
Emily Wolfe Phillips ◽  
Deepa P. Rao ◽  
Leonard A. Kaminsky ◽  
Grant R. Tomkinson ◽  
Robert Ross ◽  
...  

This study aimed to develop and validate health-related criterion-referenced cut-points for the modified Canadian Aerobic Fitness Test (mCAFT), a field-based measure to predict cardiorespiratory fitness among adults (18–69 years). Criterion-referenced mCAFT cut-points were developed using nationally representative data from cycles 1 (2007–2009) and 2 (2009–2011) of the Canadian Health Measures Survey (CHMS). Receiver operating characteristic curves were used to identify age- and sex-specific cut-points for measured waist circumference, blood pressure, and high-density lipoprotein. Cut-points were validated against metabolic syndrome using a fasted subsample (n = 1093) from cycle 5 (2016–2017). For the main analyses, 4967 participants (50% women) were retained. The mCAFT cut-points ranged from 28 to 43 mL·kg–1·min–1 (area under the curve (AUC): 0.60–0.87) among men, and 23 to 37 mL·kg–1·min–1 (AUC: 0.61–0.86) among women. The likelihood of meeting the new mCAFT cut-points decreased with an increase in the presence of metabolic risk factors. In total, 54% (95% confidence interval: 42% to 67%) of Canadian adults met the new mCAFT cut-points in 2016–2017. This study developed and validated the first health-related criterion-referenced mCAFT cut-points for metabolic health among Canadian adults aged 18–69 years. These mCAFT cut-points may be useful in health surveillance, clinical, and public health settings. Novelty We developed and validated new criterion-referenced cut-points for the mCAFT to help identify adults at potential risk of poor metabolic health. These new cut-points could help support national health surveillance efforts.


PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0201048 ◽  
Author(s):  
Diego Augusto Santos Silva ◽  
Justin J. Lang ◽  
Joel D. Barnes ◽  
Grant R. Tomkinson ◽  
Mark S. Tremblay

2016 ◽  
Vol 28 (2) ◽  
pp. 312-320 ◽  
Author(s):  
Diego Augusto Santos Silva ◽  
Mark Tremblay ◽  
Andreia Pelegrini ◽  
Roberto Jeronimo dos Santos Silva ◽  
Antonio Cesar Cabral de Oliveira ◽  
...  

Purpose:Criterion-referenced cut-points for health-related fitness measures are lacking. This study aimed to determine the associations between aerobic fitness and high blood pressure levels (HBP) to determine the cut-points that best predict HBP among adolescents.Method:This cross-sectional school-based study with sample of 875 adolescents aged 14–19 years was conducted in southern Brazil. Aerobic fitness was assessed using the modified Canadian Aerobic Fitness Test (mCAFT). Systolic and diastolic blood pressure were measured by the oscillometric method with a digital sphygmomanometer. Analyses controlled for sociodemographic variables, physical activity, body mass and biological maturation.Results:Receiver Operating Characteristic (ROC) curves demonstrated that mCAFT measures could discriminate HBP in both sexes (female: AUC = 0.70; male: AUC = 0.63). The cut-points with the best discriminatory power for HBP were 32 mL·kg-1·min-1 for females and 40 mL·kg-1·min-1 for males. Females (OR = 8.4; 95% CI: 2.1, 33.7) and males (OR: 2.5; CI 95%: 1.2, 5.2) with low aerobic fitness levels were more likely to have HBP.Conclusion:mCAFT measures are inversely associated with BP and cut-points from ROC analyses have good discriminatory power for HBP.


Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 508 ◽  
Author(s):  
Daniel Humberto Prieto-Benavides ◽  
Antonio García-Hermoso ◽  
Mikel Izquierdo ◽  
Alicia María Alonso-Martínez ◽  
César Agostinis-Sobrinho ◽  
...  

Background and Objectives: A deficiency exists in the criterion-referenced cut-points for field-based cardiorespiratory fitness (CRF) in Latin American youths. The aims of the present study were two-fold: (1) To identify the ability of CRF estimated by the 20-m shuttle-run test (20mSRT) to differentiate between “healthy” and “unhealthy” phenotypes (by adiposity) in adolescents; (2) to assess the association between obesity and relative peak oxygen uptake (VO2peak) in a large and diverse sample of Latin American youths. In total, 72,505 adolescents aged between 13 and 15 years were recruited from Chile and Colombia (47.5% girls). Materials and Methods: The waist circumference (WC) and waist-to-height ratio (WHtR) were used to identify body adiposity markers. CRF was measured using the 20mSRT (VO2peak). Receiver operating characteristic curves and logistic regression were used to determine the discriminatory ability of CRF to predict body adiposity parameters. Results: For boys and girls, VO2peak showed a significant predictive capacity to detect body fat (area under the curve [AUC] > 0.62). The sensitivity of VO2peak was medium (>63%) for all age- and sex-specific cut-points, with optimal cut-points in 13- to 15-year olds for obesity identified as 43.77 mL·kg−1·min−1 and 38.53 mL·kg−1·min−1 in boys and girls, respectively. Conclusions: According to these cut-points, adolescents with low CRF were more likely to be obese either by WC or WHtR. The CRF cut-points can be used as quantitative markers for a healthier body in Latin American adolescents.


Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1046
Author(s):  
Paulina Köster ◽  
Andreas Hohmann ◽  
Claudia Niessner ◽  
Maximilian Siener

Being physically fit in younger years prevents several diseases in the presence as well as in the life course. Therefore, monitoring physical fitness and motor competence through motor testing is essential for determining developmental status and identifying health-related risks. The main objectives of this systematic review were (1) to identify currently available health-related criterion-referenced standards and cut-off points for physical fitness and motor competence test items, (2) to frame the methodological background on setting health-related criterion-referenced standards and (3) to give implications for a health-related evaluation system for physical fitness and motor competence tests. The electronic data base search (PubMed, Web of Science and SURF) yielded 2062 records in total and identified six empirical studies reporting cut-off points of motor test items for children (7–10 years), as well as 30 methodological papers discussing determination approaches to health-related criterion-referenced standards. Data collection, selection and analyses followed the PRISMA guidelines. Health-related motor test standards need to be gender- and age-specific but should refer to an absolute cut-off point rather than to relative performance in the reference group. Due to the lack of data on health-related criterion referenced standards, receiver-operating-characteristic (ROC) curves provide a tool for the determination of cut-off points and criterion referenced standards for physical fitness and motor competence tests. A standardized approach forms the fundamental base for a globally applicable evaluation of health-related fitness tests.


PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0237019 ◽  
Author(s):  
Miguel Peralta ◽  
Duarte Henriques-Neto ◽  
Élvio Rúbio Gouveia ◽  
Luís B. Sardinha ◽  
Adilson Marques

Sign in / Sign up

Export Citation Format

Share Document