Effect modification of cardiorespiratory fitness, obesity, and physical activity in adults

Author(s):  
Maria do Socorro Simoes ◽  
Fernando Wehrmeister ◽  
Marcello Romiti ◽  
Antonio de Toledo Gagliardi ◽  
Rodolfo Arantes ◽  
...  

We investigated if cardiorespiratory fitness modifies the association between obesity and the level of physical activity. In this cross-sectional study, we analyzed data from 746 adults, free of diagnosed cardiorespiratory or locomotor diseases. We analyzed sociodemographic and clinical information, cardiovascular risk factors, cardiorespiratory fitness, anthropometry, and level of physical activity (time spent in moderate-to-vigorous physical activity). Those that spent more time in moderate-to-vigorous physical activity were younger, male, with lower body mass index, without self-reported arterial blood hypertension, diabetes and dyslipidemia, non-smokers, and presented with better cardiorespiratory fitness. The linear regression coefficients showed that cardiorespiratory fitness changes according to the level of physical activity and body mass index (obesity in low cardiorespiratory fitness: β 6.0, p = 0.213, 95%CI -3.5 to 15.6; in intermediate cardiorespiratory fitness: β 6.3, p = 0.114, 95%CI -1.5 to 14.2; in high cardiorespiratory fitness: β -6.3, p = 0.304, 95%CI -18.4 to 5.8). This effect modification trend was present after adjusting the model by covariates. Cardiorespiratory fitness potentially modifies the association between body mass index and the level of physical activity. It should be routinely assessed to identify persons with overweight/ obesity with low/ intermediate cardiorespiratory fitness to prescribe individualized training.

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Patricia E Longmuir ◽  
Mary Corey ◽  
Guy Faulkner ◽  
Jennifer L Russell ◽  
Brian W McCrindle

Introduction: This cross-sectional study evaluated the healthy, active lifestyle capacity (daily physical activity, strength, flexibility, body composition) of children after Fontan, which was hypothesized to be lower than healthy peers. Methods: Participants (n=64, 25 female) were 9 ± 2 years of age. Fontan completion occurred at 3 ± 1 years of age. Canadian Health Measures Survey protocols assessed aerobic endurance (walking up/down steps at set pace), strength (handgrip dynamometry), flexibility (sit and reach), body composition (body mass index) and daily moderate-to-vigorous physical activity (7-day accelerometry). Participant versus published norm differences were evaluated with t-tests. Linear regression evaluated associations with age/gender/demographic factors. Results: Children after Fontan had strength scores similar (mean difference 1 kg) to their peers, were less likely to be obese (mean difference of body mass index = 1.1 ± 2.5, p=.001) and performed 50 minutes of moderate-to-vigorous activity per day. Estimated maximal aerobic endurance (mean difference = 21 ± 3 ml/kg/min or 61% of expected) and flexibility (mean difference = 9 ± 8 cm or 64% of expected) were lower than peers(p<.001). Participants performed fewer minutes of daily activity (mean difference from normal 12 ± 17 minutes/day, p<.001), but almost all (60/63) demonstrated the capacity for at least 20 minutes per day. Daily activity was higher with Fontan completion at a younger age (4 ± 2 mins/year) and for those taking antithrombotic medication (7 ± 18 and 22 ± 17 fewer minutes/day for those taking/not taking antithrombotics, respectively). Conclusions: Children after Fontan demonstrate the capacity to successfully perform the daily physical activity associated with optimal health. They have similar levels of strength and good body composition. We recommend that children after Fontan be counselled to expect that they can successfully participate in physically active peer play.


Author(s):  
Perwasha Perwasha ◽  
Imran Ahmad Khan ◽  
Noshaba Kanwal ◽  
Gul-E- Mizgan ◽  
Maliha Khalid Khan ◽  
...  

Objective: To explore the correlates directly associated with body mass index and cardiorespiratory fitness among undergraduate female physiotherapists. Methods: The cross-sectional study was conducted from October to December 2020 at Ali-Ul-Murtaza Department of Rehabilitation Sciences, Muhammad Institute of Medical and Allied Sciences, Multan, Pakistan, and comprised undergraduate female physiotherapists aged17-25 years. The subjects were assessed on the basis of Physical Activity Readiness Questioner, body mass index and standard criteria of cardiorespiratory fitness. Data was analysed using SPSS 20. ------ Continue


2017 ◽  
Vol 106 (8) ◽  
pp. 1323-1330 ◽  
Author(s):  
Irene E. Braithwaite ◽  
Alistair W. Stewart ◽  
Robert J. Hancox ◽  
Rinki Murphy ◽  
Clare R. Wall ◽  
...  

2010 ◽  
Vol 7 (1) ◽  
pp. 54-59 ◽  
Author(s):  
Luisa Aires ◽  
Pedro Silva ◽  
Gustavo Silva ◽  
Maria Paula Santos ◽  
José Carlos Ribeiro ◽  
...  

Background:The purpose of this study was to analyze the relation between body mass index (BMI), Cardiorespiratory Fitness (CRF), and levels of physical activity (PA) from sedentary to very vigorous intensities, measured by accelerometry, in students from a middle and high school.Methods:This cross-sectional study included 111 children and adolescents, age 11 to 18 years. PA was assessed with an accelerometer for 7 consecutive days (1 minute epoch) using specific cut-points. PA components were derived using special written software (MAHUffe). CRF was assessed by maximal multistage 20m shuttle run. T-test was used to test differences between BMI groups, Pearson’s correlation, to analyze correlations between all variables and multinomial logistic regression, and to predict the value of BMI categories.Results:This paper provides evidence that BMI was inversely and significantly correlated with CRF. Only CRF was correlated with Vigorous and Very Vigorous PA levels and total amount of PA. Children with Overweight/Obesity were less likely to perform more laps than normal weight counterparts. The total amount or intensity level of PA did not show any influence on BMI level.Conclusions:Low CRF is strongly associated with obesity, which highlights the importance of increasing CRF for a protective effect even in youth. No associations were found for PA and BMI.


Author(s):  
Yangchang Zhang ◽  
Yang Xiong ◽  
Jia Dong ◽  
Tingting Guo ◽  
Xiaoman Tang ◽  
...  

Background: This paper investigates the problems regarding caffeinated drinks intake, late chronotype, and increased body mass index (BMI) among medical students at a Chinese university. Methods: This cross-sectional study was conducted in 2018 with 616 medical students from Chongqing Medical University in Chongqing, China, whose information were collected by a self-reported questionnaire that included four sections: Demographic characteristics; Caffeinated drinks intake and physical state; Morningness-Eveningness Questionnaire; Depression Anxiety Stress Scale 21. Multiple mediation analyses were conducted to test the impact of late chronotype on increased BMI through caffeinated drinks consumption through two models. Results: The significantly mediated effect of caffeinated drinks consumption was revealed (estimate: −0.01, SE = 0.01, 95% CI [−0.02, −0.01]), and which played a positive role in linking late chronotype (B = −0.01, SE = 0.01, p < 0.001) and increased BMI (B = 1.37, SE = 0.21, p < 0.01), but their significant association did not be found in reversed model. In addition, physical activity and inactivity times demonstrated significant indirect effects in the two models. Conclusions: Interventions should focus on reducing caffeinated drinks intake and sedentary behavior time, enhancing physical activity among medical students.


2021 ◽  
Vol 1 (3) ◽  
pp. 72-78
Author(s):  
Herman Yosef Limpat Wihastyoko ◽  
Dorothea R. Kusumaningrat ◽  
Ellenora R. Mustikaningrat ◽  
Gisella S. Wruhastanti ◽  
Edith S. Rinhastyanti

COVID-19 pandemic has become the major problem over the world since 2019. This spreading has affected every section in Indonesia. Therefore, social distancing and restriction have been the primary solution this far. However, this policy trigger high sedentary behavior and could affect Body Mass Index (BMI) profile. This study aimed to investigate the correlation between Work From Home (WFH) frequency and BMI profile during COVID-19 based on physical activity. A total of 205 participants aged 18 and over who were students, private and government employees were participated in a cross-sectional study. Participants were given a questionnaire through google form online and completed the questions about duration of WFH, BMI status, and physical activity. All of the variables were analyzed. Participants engaged in this study were 40% students, 33% private employees, 27% government employees. The majority of the population had overweight BMI status (39.2%). Furthermore, most participants were doing light physical activity (74.5%). About 46.1 % of the participants rarely doing WFH (1-2 days). On the other side, a population with overweight BMI status were often doing WFH. Based on the research about the effect of pandemic on BMI profile, it can be concluded that the BMI status of the majority of respondents is overweight, and most of the respondent’s physical activity are rare. The amount of WFH frequencies can affect BMI status profile.


Author(s):  
Matthew Hobbs ◽  
Stuart J.H. Biddle ◽  
Andrew P. Kingsnorth ◽  
Lukas Marek ◽  
Melanie Tomintz ◽  
...  

Background: This study investigates the association between television (TV) viewing and child adiposity and if parental education and child ethnicity moderate this association. Method: Cross-sectional, pooled (2013/2014–2016/2017) adult and child New Zealand Health Survey were matched resulting in 13,039 children (2–14 y) and parent dyads. Child TV viewing was estimated using self-reported time for each weekday and weekend. The height (in centimeters), weight (in kilograms), and waist circumference of parents and children were measured. Childhood body mass index and obesity were defined using the International Obesity Task Force cutoff values. Effect modification was assessed by interaction and then by stratifying regression analyses by parent education (low, moderate, and high) and child ethnicity (Asian, European/other, Māori, and Pacific). Results: Overall, watching ≥2 hours TV on average per day in the past week, relative to <2 hours TV viewing, was associated with a higher odds of obesity (adjusted odds ratio = 1.291 [1.108–1.538]), higher body mass index z score (b = 0.123 [0.061–0.187]), and higher waist circumference (b = 0.546 [0.001–1.092]). Interactions considering this association by child ethnicity and parent education revealed little evidence of effect modification. Conclusion: While TV viewing was associated with child adiposity, the authors found little support for a moderating role of parental education and child ethnicity.


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