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Int J Sports Med 2010; 31(10): 679-682
DOI: 10.1055/s-0030-1261935
Physiology & Biochenistry

© Georg Thieme Verlag KG Stuttgart · New York

Role of Cardiorespiratory Fitness on the Association Between Physical Activity and Abdominal Fat Content in Adolescents: The HELENA Study

V. España-Romero1 , 2 , 3 , F. B. Ortega1 , 2 , J. R. Ruiz2 , E. G. Artero1 , D. Martínez-Gómez4 , G. Vicente-Rodriguez5a,b , D. Moliner-Urdiales5a,b , L. Gracia-Marco5a,c , D. Ciarapica6 , K. Widhalm7 , M. J. Castillo Garzon1 , M. Sjöstrom2 , L. A. Moreno5a,c
  • 1Department of Medical Physiology, School of Medicine, University of Granada, Granada, Spain.
  • 2Unit for Preventive Nutrition, Department of Biosciences and Nutrition at NOVUM, Karolinska Institutet, Huddinge, Sweden.
  • 3Exercise Science Laboratory, Northern Michigan University, Marquette, MI, USA
  • 4Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), Madrid, Spain.
  • 5GENUD ”Growth, Exercise, NUtrition and Development” Research Group. Universidad de Zaragoza, Spain. bFaculty of Health and Sport Science (FCSD), Department of Physiotherapy and Nursing. Universidad de Zaragoza, Huesca, Spain. cSchool of Health Science (EUCS), Universidad de Zaragoza, Zaragoza, Spain.
  • 6INRAN: National Research Institute for Food and Nutrition. Rome, Italy.
  • 7Department of Pediatrics and Adolescents Medicine, Division of Nutrition and Prevention Medical University of Vienna. Vienna, Austria
Further Information

Publication History

accepted after revision June 05, 2010

Publication Date:
21 July 2010 (online)

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Abstract

We examined the role of cardiorespiratory fitness (CRF) on the association between physical activity (PA) and abdominal fat content in adolescents. Abdominal fat content was measured by waist circumference, waist-to-height ratio and dual energy X-ray absorptiometry (DXA) at 3 regions (R1, R2, and R3). PA and CRF were assessed by accelerometry and the 20 m-shuttle run test, respectively. Vigorous PA was inversely associated with waist circumference and waist-to-height ratio (β from −0.149 to −0.197; p<0.05). In both CRF groups (i. e., low and high), vigorous and moderate-to-vigorous PA (also average PA in the low CRF group) were inversely associated with abdominal fat (i. e., R1, R2 and R3; β from −0.146 to −0.244; p<0.05). This association did not differ according to CRF group (P for interaction >0.05), yet the percentage of variance in abdominal fat content, when assessed by DXA, explained by PA was slightly higher in adolescents with low CRF (3–8%) compared to those with high CRF (2–4%). The findings indicate that there is not a clear interaction effect of CRF in the association between PA and abdominal fat in adolescents, yet slightly stronger association was observed in the low fit group.

Key words

abdominal fat content - adolescents - cardiorespiratory fitness - physical activity

References

  • 1 Bouchard C, Rankinen T. Individual differences in response to regular physical activity.  Med Sci Sports Exerc. 2001;  33 S446-S451 discussion S452–S443
    CrossrefPubMedSearch in Google Scholar
  • 2 Brambilla P, Bedogni G, Moreno LA, Goran MI, Gutin B, Fox KR, Peters DM, Barbeau P, De Simone M, Pietrobelli A. Crossvalidation of anthropometry against magnetic resonance imaging for the assessment of visceral and subcutaneous adipose tissue in children.  Int J Obes (Lond). 2006;  30 23-30
    CrossrefPubMedSearch in Google Scholar
  • 3 Cohen J. Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. Hillsdale, New Jersey; 1988
    Search in Google Scholar
  • 4 Cureton KJ, Warren GL. Criterion-referenced standards for youth health-related fitness tests: a tutorial.  Res Q Exerc Sport. 1990;  61 7-19
    PubMedSearch in Google Scholar
  • 5 Dencker M, Thorsson O, Karlsson MK, Linden C, Wollmer P, Andersen LB. Daily physical activity related to aerobic fitness and body fat in an urban sample of children.  Scand J Med Sci Sports. 2008;  18 728-735
    CrossrefPubMedSearch in Google Scholar
  • 6 Ekelund U, Anderssen SA, Froberg K, Sardinha LB, Andersen LB, Brage S. Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study.  Diabetologia. 2007;  50 1832-1840
    CrossrefPubMedSearch in Google Scholar
  • 7 Franks PW, Ekelund U, Brage S, Wong MY, Wareham NJ. Does the association of habitual physical activity with the metabolic syndrome differ by level of cardiorespiratory fitness?.  Diabetes Care. 2004;  27 1187-1193
    CrossrefPubMedSearch in Google Scholar
  • 8 Harriss DJ, Atkinson G. International Journal of Sports Medicine – Ethical Standards in Sport and Exercise Science Research.  Int J Sports Med. 2009;  30 701-702
    Search in Google Scholar
  • 9 Hintze J. PASS (Power Analysis and Sample Size, version 08.0.13). 2008 NCSS, LLC Haysville, Utah; 2008. http://www.ncss.com
    Search in Google Scholar
  • 10 Janssen I, Katzmarzyk PT, Srinivasan SR, Chen W, Malina RM, Bouchard C, Berenson GS. Combined influence of body mass index and waist circumference on coronary artery disease risk factors among children and adolescents.  Pediatrics. 2005;  115 1623-1630
    CrossrefPubMedSearch in Google Scholar
  • 11 Kamel EG, McNeill G, Van Wijk MC. Usefulness of anthropometry and DXA in predicting intra-abdominal fat in obese men and women.  Obes Res. 2000;  8 36-42
    CrossrefPubMedSearch in Google Scholar
  • 12 Kim Y, Lee S. Physical activity and abdominal obesity in youth.  Appl Physiol Nutr Metab. 2009;  34 571-581
    CrossrefPubMedSearch in Google Scholar
  • 13 Leger LA, Mercier D, Gadoury C, Lambert J. The multistage 20 m shuttle run test for aerobic fitness.  J Sports Sci. 1988;  6 93-101
    CrossrefPubMedSearch in Google Scholar
  • 14 Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, Ford E, Furie K, Go A, Greenlund K, Haase N, Hailpern S, Ho M, Howard V, Kissela B, Kittner S, Lackland D, Lisabeth L, Marelli A, McDermott M, Meigs J, Mozaffarian D, Nichol G, O'Donnell C, Roger V, Rosamond W, Sacco R, Sorlie P, Stafford R, Steinberger J, Thom T, Wasserthiel-Smoller S, Wong N, Wylie-Rosett J, Hong Y. Heart disease and stroke statistics – 2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee.  Circulation. 2009;  119 480-486
    CrossrefPubMedSearch in Google Scholar
  • 15 Moliner-Urdiales D, Ruiz JR, Vicente-Rodriguez G, Ortega FB, Rey-Lopez JP, Espana-Romero V, Casajus JA, Molnar D, Widhalm K, Dallongeville J, Gonzalez-Gross M, Castillo MJ, Sjostrom M, Moreno LA. Associations of muscular and cardiorespiratory fitness with total and central body fat in adolescents; The HELENA Study.  Br J Sports Med. 2009; 
    PubMedSearch in Google Scholar
  • 16 Moreno LA, De Henauw S, Gonzalez-Gross M, Kersting M, Molnar D, Gottrand F, Barrios L, Sjostrom M, Manios Y, Gilbert CC, Leclercq C, Widhalm K, Kafatos A, Marcos A. Design and implementation of the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study.  Int J Obes (Lond). 2008;  32 (Suppl. 5) S4-S11
    PubMedSearch in Google Scholar
  • 17 Nagy E, Vicente-Rodriguez G, Manios Y, Beghin L, Iliescu C, Censi L, Dietrich S, Ortega FB, De Vriendt T, Plada M, Moreno LA, Molnar D. Harmonization process and reliability assessment of anthropometric measurements in a multicenter study in adolescents.  Int J Obes (Lond). 2008;  32 (S 05) S58-S65
    CrossrefPubMedSearch in Google Scholar
  • 18 Nilsson A, Anderssen SA, Andersen LB, Froberg K, Riddoch C, Sardinha LB, Ekelund U. Between- and within-day variability in physical activity and inactivity in 9- and 15-year-old European children.  Scand J Med Sci Sports. 2009;  19 10-18
    CrossrefPubMedSearch in Google Scholar
  • 19 Ortega FB, Artero EG, Ruiz JR, Espana-Romero V, Jimenez-Pavon D, Vicente-Rodriguez G, Moreno LA, Manios Y, Beghin L, Ottevaere C, Ciarapica D, Sarri K, Dietrich S, Blair SN, Kersting M, Molnar D, Gonzalez-Gross M, Gutierrez A, Sjostrom M, Castillo MJ. Physical fitness levels among European adolescents: The HELENA study.  Br J Sports Med. 2010; 
    PubMedSearch in Google Scholar
  • 20 Ortega FB, Artero EG, Ruiz JR, Vicente-Rodriguez G, Bergman P, Hagstromer M, Ottevaere C, Nagy E, Konsta O, Rey-Lopez JP, Polito A, Dietrich S, Plada M, Beghin L, Manios Y, Sjostrom M, Castillo MJ. Reliability of health-related physical fitness tests in European adolescents. The HELENA Study.  Int J Obes (Lond). 2008;  32 (Suppl. 5) S49-S57
    PubMedSearch in Google Scholar
  • 21 Ortega FB, Ruiz JR, Hurtig-Wennlof A, Vicente-Rodriguez G, Rizzo NS, Castillo MJ, Sjostrom M. Cardiovascular fitness modifies the associations between physical activity and abdominal adiposity in children and adolescents. The European Youth Heart Study.  Br J Sports Med. 2010;  44 256-262
    CrossrefPubMedSearch in Google Scholar
  • 22 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
    CrossrefPubMedSearch in Google Scholar
  • 23 Ortega FB, Ruiz JR, Vicente-Rodriguez G, Sjostrom M. Central adiposity in 9- and 15-year-old Swedish children from the European Youth Heart Study.  Int J Pediatr Obes. 2008;  3 212-216
    CrossrefPubMedSearch in Google Scholar
  • 24 Ortega FB, Tresaco B, Ruiz JR, Moreno LA, Martin-Matillas M, Mesa JL, Warnberg J, Bueno M, Tercedor P, Gutierrez A, Castillo MJ. Cardiorespiratory fitness and sedentary activities are associated with adiposity in adolescents.  Obesity (Silver Spring). 2007;  15 1589-1599
    CrossrefPubMedSearch in Google Scholar
  • 25 Plasqui G, Westerterp KR. Physical activity assessment with accelerometers: an evaluation against doubly labeled water.  Obesity (Silver Spring). 2007;  15 2371-2379
    CrossrefPubMedSearch in Google Scholar
  • 26 The Cooper Institute .FITNESSGRAM Test Administration Manual. 3rd ed., Champaign, IL: Human Kinetics; 2004
    Search in Google Scholar

Correspondence

Vanesa España-Romero

Department of Medical

Physiology

School of Medicine

University of Granada

Granada

Spain

Phone: +34/958/24 3540

Fax: +34/958/24 9015

Email: vanespa@ugr.es