scholarly journals Cardiorespiratory fitness in children: Evidence for criterion-referenced cut-points

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

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.


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.


2020 ◽  
Vol 21 (2) ◽  
pp. 32-41
Author(s):  
Gustavo Aires de Arruda ◽  
Diogo Henrique Constantino Coledam ◽  
João Greca ◽  
Marcio Teixeira ◽  
Raymundo Júnior ◽  
...  

2008 ◽  
Vol 5 (s1) ◽  
pp. S126-S139 ◽  
Author(s):  
C. Tudor-Locke ◽  
D.R. Bassett ◽  
W.J. Rutherford ◽  
B.E. Ainsworth ◽  
C.B. Chan ◽  
...  

Background:The goal of this study was to establish preliminary criterion-referenced cut points for adult pedometer-determined physical activity (PA) related to weight status defined by body mass index (BMI).Methods:Researchers contributed directly measured BMI and pedometer data that had been collected (1) using a Yamax-manufactured pedometer, (2) for a minimum of 3 days, (3) on ostensibly healthy adults. The contrasting groups method was used to identify age- and gender-specific cut points for steps/d related to BMI cut points for normal weight and overweight/obesity (defined as BMI <25 and ≥25 kg/m2, respectively).Results:Data included 3127 individuals age 18 to 94 years (976 men, age = 46.8 ± 15.4 years, BMI = 27.3 ± 4.9; 2151 women, age = 47.4 ± 14.9 years, BMI = 27.6 ± 6.4; all gender differences NS). Best estimated cut points for normal versus overweight/obesity ranged from 11,000 to 12,000 steps/d for men and 8000 to 12,000 steps/d for women (consistently higher for younger age groups).Conclusions:These steps/d cut points can be used to identify individuals at risk, or the proportion of adults achieving or falling short of set cut points can be reported and compared between populations. Cut points can also be used to set intervention goals, and they can be referred to when evaluating program impact, as well as environmental and policy changes.


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.


2009 ◽  
Vol 41 (6) ◽  
pp. 1222-1229 ◽  
Author(s):  
FELIPE LOBELO ◽  
RUSSELL R. PATE ◽  
MARSHA DOWDA ◽  
ANGELA D. LIESE ◽  
JONATAN R. RUIZ

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

2017 ◽  
Vol 53 (15) ◽  
pp. 953-958 ◽  
Author(s):  
Justin J Lang ◽  
Mark S Tremblay ◽  
Francisco B Ortega ◽  
Jonatan R Ruiz ◽  
Grant R Tomkinson

PurposeTo identify criterion-referenced standards for cardiorespiratory fitness (CRF); to estimate the percentage of children and youth that met each standard; and to discuss strategies to help improve the utility of criterion-referenced standards for population health research.MethodsA search of four databases was undertaken to identify papers that reported criterion-referenced CRF standards for children and youth generated using the receiver operating characteristic curve technique. A pseudo-dataset representing the 20-m shuttle run test performance of 1 142 026 children and youth aged 9–17 years from 50 countries was generated using Monte Carlo simulation. Pseudo-data were used to estimate the international percentage of children and youth that met published criterion-referenced standards for CRF.ResultsTen studies reported criterion-referenced standards for healthy CRF in children and youth. The mean percentage (±95% CI) of children and youth that met the standards varied substantially across age groups from 36%±13% to 95%±4% among girls, and from 51%±7% to 96%±16% among boys. There was an age gradient across all criterion-referenced standards where younger children were more likely to meet the standards compared with older children, regardless of sex. Within age groups, mean percentages were more precise (smaller CI) for younger girls and older boys.ConclusionThere are several CRF criterion-referenced standards for children and youth producing widely varying results. This study encourages using the interim international criterion-referenced standards of 35 and 42 mL/kg/min for girls and boys, respectively, to identify children and youth at risk of poor health—raising a clinical red flag.


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