Physical activity and physical fitness in obese, overweight, and normal-weight children

Physical activity and physical fitness in obese, overweight, and normal-weight children

Background/aim: The aim was to assess the differences between physical activity and physical fitness in obese, overweight, and normalweight children. Materials and methods: The cross-sectional study was accomplished using cluster sampling method at 3 Lithuanian schools. An analysis of anthropometric data for 532 Lithuanian children was performed. Height, weight, waist and hip circumferences, and skinfold thickness were measured. Body mass index, waist-to-hip ratio, and body fat percentage were calculated. The Youth Physical Activity Questionnaire and a 6-min walk test (6MWT) were administered to evaluate physical activity and physical fitness. Maximal oxygen consumption was calculated to assess the children s aerobic capacity. Correlations among anthropometric data, 6MWT-walked distance, and moderate-vigorous physical activity duration were analyzed. Results: The study showed that 20.1% of the studied children were obese or overweight. They engaged in moderate-to-vigorous physical activity 22.4 min less per day and walked 50.9 m less on average during a 6-min test than normal-weight children. Physical fitness parameters correlated with daily moderate-vigorous physical activity duration and with most of the children s anthropometric parameters. Conclusion: Obese and overweight children were less physically active and had lower physical fitness than normal-weight children. The findings underline the need for interventions to increase physical activity and improve fitness in obese and overweight children.

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  • 1. Rokholm B, Baker JL, Sørensen TI. The levelling off of the obesity epidemic since the year 1999 - a review of evidence and perspectives. Obes Rev 2010; 11: 835–846.
  • 2. Romon M, Lommez A, Tafflet M, Basdevant A, Oppert JM, Bresson JL, Ducimetiere P, Charles MA, Borys JM. Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes. Public Health Nutr 2009; 12: 1735–1742.
  • 3. Pearson S, Hansen B, Sørensen TIA, Baker JL. Overweight and obesity trends in Copenhagen schoolchildren from 2002 to 2007. Acta Paediatr 2010; 99: 1675–1678.
  • 4. Lissner L, Sohlström A, Sundblom E, Sjöberg A. Trends in overweight and obesity in Swedish schoolchildren 1999–2005: has the epidemic reached a plateau? Obes Rev 2009; 11: 553– 559.
  • 5. Skelton JA, Cook SR, Auinger P, Klein JD, Barlow SE. Prevalence and trends of severe obesity among US children and adolescents. Acad Paediatr 2009; 9: 322–329.
  • 6. The NS, Richardson AS, Gordon-Larsen P. Timing and duration of obesity in relation to diabetes: findings from an ethnically diverse, nationally representative sample. Diabetes Care 2013; 36: 865–872.
  • 7. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS. Prevalence of obesity, diabetes, and obesityrelated health risk factors, 2001. JAMA 2003; 289: 76–79. 
  • 8. Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr 2007; 150: 12–17.
  • 9. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. Risk factors and adult body mass index among overweight children: the Bogalusa Heart Study. Pediatrics 2009; 123: 750–757.
  • 10. Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA 2003; 289: 187–193.
  • 11. The NS, Suchindran C, North KE, Popkin BM, Gordon-Larsen P. Association of adolescent obesity with risk of severe obesity in adulthood. JAMA 2010; 304: 2042–2047.
  • 12. Sharma AM, Padwal R. Obesity is a sign - over-eating is a symptom: an aetiological framework for the assessment and management of obesity. Obes Rev 2010; 11: 362–370.
  • 13. Burgi F, Meyer U, Granacher U, Schindler C, Marques-Vidal P, Kriemler S, Puder JJ. Relationship of physical activity with motor skills, aerobic fitness and body fat in preschool children: a cross-sectional and longitudinal study (Ballabeina). Int J Obes 2011; 35: 937–944.
  • 14. Dencker M, Bugge A, Hermansen B, Andersen LB. Objectively measured daily physical activity related to aerobic fitness in young children. J Sports Sci 2010; 28: 139–145.
  • 15. DuBose KD, Eisenmann JC, Donnelly JE. Aerobic fitness attenuates the metabolic syndrome score in normal-weight, atrisk-for-overweight, and overweight children. Pediatrics 2007; 120: 1262–1268.
  • 16. Tanha T, Wollmer P, Thorsson O, Karlsson MK, Linden C, Andersen LB, Dencker M. Lack of physical activity in young children is related to higher composite risk factor score for cardiovascular disease. Acta Paediatr 2011; 100: 717–721.
  • 17. Dencker M, Wollmer P, Karlsson MK, Linden C, Andersen LB, Thorsson O. Body fat, abdominal fat and body fat distribution related to cardiovascular risk factors in prepubertal children. Acta Paediatr 2012; 101: 852–857.
  • 18. EU Platform on Diet, Physical Activity and Health: Working Paper on Physical Activity and Health. Brussels, Belgium: EU; 2008.
  • 19. Vanhelst J, Fardy PS, Salleron J, Beghin L. The six-minute walk test in obese youth: reproducibility, validity, and prediction equation to assess aerobic power. Disabil Rehabil 2013; 35: 479–482.
  • 20. Kristensen PL, Moeller NC, Korsholm L, Kolle E, Wedderkopp E, Froberg K, Andersen LB. The association between aerobic fitness and physical activity in children and adolescents: the European youth heart study. Eur J Appl Physiol 2010; 110: 267–275.
  • 21. Rauner A, Mess F, Woll A. The relationship between physical activity, physical fitness and overweight in adolescents: a systematic review of studies published in or after 2000. BMC Pediatr 2013; 13: 19.
  • 22. World Health Organization. Growth Reference 5-19 Years. Geneva, Switzerland, WHO; 2007.
  • 23. Seidel HM, Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Mosby’s Guide to Physical Examination. 7th ed. St. Louis, MO, USA: Mosby; 2011.
  • 24. Lohman T, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Champaign, IL, USA: Human Kinetics Books; 1988.
  • 25. Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, Bemben DA. Skinfold equations for estimation of body fatness in children and youth. Hum Biol 1988; 60: 709–723.
  • 26. Corder K, van Sluijs EM, Wright A, Whincup P, Wareham NJ, Ekelund U. Is it possible to assess free-living physical activity and energy expenditure in young people by self-report? Am J Clin Nutr 2009; 89: 862–870.
  • 27. Ridley K, Ainsworth BE, Olds TS. Development of a compendium of energy expenditures for youth. Int J Behav Nutr Phys Act 2008; 5: 45.
  • 28. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166: 111–117.
  • 29. Jakimaviciene EM, Tutkuviene J. Trends in body mass index, prevalence of overweight and obesity in preschool Lithuanian children, 1986-2006. Coll Antropol 2007; 31: 79–88.
  • 30. Currie C, Zanotti C, Morgan A, Currie D, De Looze M, Roberts C, Samdal O, Smith O, Barnekow V, editors. Social Determinants of Health and Well-Being among Young People: Health Behaviour in School-Aged Children (HBSC) Study: International Report from the 2009/2010 Survey. Copenhagen, Denmark: WHO Regional Office for Europe; 2012.
  • 31. Han JC, Lawlor DA, Kimm SY. Childhood obesity. Lancet 2010; 375: 1737–1748.
  • 32. Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev 2012; 33: 48–70.
  • 33. Bundak R, Furman A, Gunoz H, Darendeliler F, Bas F, Neyzi O. Body mass index references for Turkish children. Acta Paediatr 2006; 95: 194–198.
  • 34. Neyzi O, Furman A, Bundak R, Günöz H, Darendeliler F, Bas F. Growth references for Turkish children aged 6 to 18 years. Acta Paediatr 2007; 95: 1635–1641.
  • 35. WHO. Global Recommendations on Physical Activity for Health. Geneva, Switzerland: World Health Organization; 2010.
  • 36. Collings PJ, Brage S, Ridgway CL, Harvey NC, Godfrey KM, Inskip HM, Cooper C, Wareham NJ, Ekelund U. Physical activity intensity, sedentary time, and body composition in preschoolers. Am J Clin Nutr 2012; 97: 1020–1028.
  • 37. Olds TS, Maher CA, Ridley K, Kittel DM. Descriptive epidemiology of screen and non-screen sedentary time in adolescents: a cross sectional study. Int J Behav Nutr Phys Act 2010; 7: 92.
  • 38. Soric M, Misigoj-Durakovic M. Physical activity levels and estimated energy expenditure in overweight and normalweight 11-year-old children. Acta Paediatr 2010; 99: 244–250.
  • 39. Maher C, Olds TS, Eisenmann JC, Dollman J. Screen time is more strongly associated than physical activity with overweight and obesity in 9 to 16-year-old Australians. Acta Paediatr 2012; 101: 1170–1174.
  • 40. Mitchell JA, Pate RR, Beets MW, Nader PR. Time spent in sedentary behavior and changes in childhood BMI: a longitudinal study from ages 9 to 15 years. Int J Obes (Lond) 2013; 37: 54–60.
  • 41. Ortega FB, Ruiz JR, Sjostrom M. Physical activity, overweight and central adiposity in Swedish children and adolescents: the European Youth Heart Study. Int J Behav Nutr Phys Act 2007; 4: 61.
  • 42. Kwon S, Burns TL, Levy SM, Janz KF. Which contributes more to childhood adiposity-high levels of sedentarism or low levels of moderate-through-vigorous physical activity? The Iowa Bone Development Study. J Pediatr 2013; 162: 1169–1174.
  • 43. Palgi Y, Gutin B, Young J, Alejandro D. Physiologic and anthropometric factors underlying endurance performance in children. Int J Sports Med 1984; 5: 67–73.
  • 44. Taylor RW, Gold E, Manning P, Goulding A. Gender differences in body fat content are present well before puberty. Int J Obes Relat Metab Disord 1997; 21: 1082–1084.
  • 45. He QQ, Wong TW, Du L, Jiang ZQ, Yu TS, Qiu H, Gao Y, Liu WJ, WU JG. Physical activity, cardiorespiratory fitness, and obesity among Chinese children. Prev Med 2011; 52: 109–113.
  • 46. Llorente-Cantarero FJ, Gil-Campos M, Benitez-Sillero JD, Munoz-Villanueva MC, Tunez I, Perez-Navero JL. Prepubertal children with suitable fitness and physical activity present reduced risk of oxidative stress. Free Radic Biol Med 2012; 53: 415–420.
  • 47. Yosmaoğlu HB, Baltacı G, Derman O. Effectiveness of home based walking program on body composition in obese adolescents. Turkiye Klinikleri J Sports Sci 2011; 3: 56–61.
  • 48. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu. Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı (2013-2017). 3rd ed. Ankara, Turkey: Sağlık Bakanlığı; 2013 (in Turkish).
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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