Muscle Fitness Cut Points for Early Assessment of Cardiovascular Risk in Children and Adolescents - 22/02/19
on behalf of the
UP&DOWN Study Group*
Abstract |
Objectives |
To study the cross-sectional and longitudinal (2-year follow-up) association between muscle fitness and cardiovascular disease (CVD) risk factors in youth; whether there are muscle fitness cut points associated with CVD risk (cross-sectional); and whether the health-related muscle fitness cut points identified at baseline are associated with CVD risk 2 years later.
Study design |
In total, 237 children (110 girls) aged 6-10 years and 274 adolescents (131 girls) aged 12-16 years with complete data were included in the study (10.3% drop out). The handgrip strength and the standing long jump tests were used to assess muscle fitness. CVD risk score was computed with sum of 2 skinfolds, systolic blood pressure, insulin, glucose, triglycerides, and total cholesterol/high density lipoprotein cholesterol.
Results |
Muscle fitness at baseline was associated inversely with single CVD risk factors and CVD risk score at baseline and 2-year follow-up (all P < .05). Receiver operating characteristics curve analyses showed a significant discriminating accuracy of handgrip strength in identifying CVD risk in children and adolescents (boys: ≥ 0.367 and ≥0.473; girls: ≥ 0.306 and ≥0.423 kg/kg body mass, respectively, all P < .001). Similarly, the standing long jump cut points for children and adolescents were ≥104.5 and ≥140.5 in boys, and ≥81.5 and ≥120.5 cm in girls, respectively (all P < .05). These cut points were associated with CVD risk 2 years later (all P < .01).
Conclusions |
Muscle fitness is associated with present and future cardiovascular health in youth, and is independent of cardiorespiratory fitness. It should be monitored to identify youth at risk who could benefit from intervention programs.
Le texte complet de cet article est disponible en PDF.Keywords : handgrip strength, standing long jump, cardiometabolic risk, longitudinal study, children and adolescents
Abbreviations : AUC, CVD, HDL-C, HOMA-IR, SBP, TC, TG
Plan
Supported by the DEP 2010-21662-C04-00 (DEP 2010-21662-C04-01: DEP 2010-21662-C04-02: DEP 2010-21662-C04-03: DEP 2010-21662-C04-04) grant from the National Plan for Research, Development and Innovation (R + D + i) MICINN, by the FPU15/05337 grant from the Spanish Ministry of Education, and by Plan Propio de Investigación 2016 of the University of Granada (Spain), Excellence actions: Units of Excellence; Scientific Unit of Excellence on Exercise and Health (UCEES). The authors declare no conflicts of interest. |
Vol 206
P. 134 - mars 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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