Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.

<h4>Objective</h4>Overweight and obesity in preschoolers might develop into childhood and even adulthood obesity. Overweight and obesity have been shown to be negatively related with cardiorespiratory fitness (CRF) in children and adults but few studies did among preschoolers. We aimed t...

Full description

Bibliographic Details
Main Authors: Sheng-Hui Tuan, Chien-Hui Li, Shu-Fen Sun, Min-Hui Li, I-Hsiu Liou, Tzu-Ping Weng, I-Hsuan Chen, Ko-Long Lin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0223907
_version_ 1818725000397455360
author Sheng-Hui Tuan
Chien-Hui Li
Shu-Fen Sun
Min-Hui Li
I-Hsiu Liou
Tzu-Ping Weng
I-Hsuan Chen
Ko-Long Lin
author_facet Sheng-Hui Tuan
Chien-Hui Li
Shu-Fen Sun
Min-Hui Li
I-Hsiu Liou
Tzu-Ping Weng
I-Hsuan Chen
Ko-Long Lin
author_sort Sheng-Hui Tuan
collection DOAJ
description <h4>Objective</h4>Overweight and obesity in preschoolers might develop into childhood and even adulthood obesity. Overweight and obesity have been shown to be negatively related with cardiorespiratory fitness (CRF) in children and adults but few studies did among preschoolers. We aimed to evaluate whether excess body adipose is negatively associated with CRF in both the submaximal and maximal effort of preschool children in exercise testing and to examine if there is difference to achieve maximal effort during exercise testing between preschoolers with normal and excess body adipose.<h4>Methods</h4>Data of 106 preschoolers aged 4-6 that received symptom-limited treadmill exercise testing was analyzed. Anthropometry was measured by vector bioelectrical impedance analysis. Excess body adipose was defined as (1) 'overweight' and 'obesity' by body mass index (BMI), (2) fat mass index (FMI) greater than the sex- and age-specific 75th percentile of whole subjects, and (3) fat-free mass index (FFMI) smaller than the sex- and age-specific 25th percentile. CRF was indicated by metabolic equivalent (MET) at anaerobic threshold (AT MET), peak MET, oxygen uptake efficiency slope (OUES) calculated by the 50% (OUES-50) and the entire (OUES-100) duration of the exercise testing.<h4>Results</h4>Preschoolers with excess body adipose by three different definitions (BMI, FMI, and FFMI) all had poorer ability to perform maximal effort (p = 0.004, 0.043, and 0.007, respectively). Preschoolers with excess body adipose by BMI and FFMI classifications had lower OUES-50 (p = 0.018, and 0.001, respectively), and lower OUES-100 (p = 0.004, and 0.001, respectively) than peers with normal body adipose during exercise testing while those with excess body adipose by FMI classification showed no significant differences from peers with normal body adipose in both OUES-50 and OUES-100.<h4>Conclusions</h4>Preschoolers with excess body adipose had lower CRF significantly during treadmill exercise testing. Weight control and health promotion should start as early as possible.
first_indexed 2024-12-17T21:35:21Z
format Article
id doaj.art-4103b26e2efd461b9d267e5fb516d85f
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-17T21:35:21Z
publishDate 2019-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-4103b26e2efd461b9d267e5fb516d85f2022-12-21T21:31:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-011410e022390710.1371/journal.pone.0223907Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.Sheng-Hui TuanChien-Hui LiShu-Fen SunMin-Hui LiI-Hsiu LiouTzu-Ping WengI-Hsuan ChenKo-Long Lin<h4>Objective</h4>Overweight and obesity in preschoolers might develop into childhood and even adulthood obesity. Overweight and obesity have been shown to be negatively related with cardiorespiratory fitness (CRF) in children and adults but few studies did among preschoolers. We aimed to evaluate whether excess body adipose is negatively associated with CRF in both the submaximal and maximal effort of preschool children in exercise testing and to examine if there is difference to achieve maximal effort during exercise testing between preschoolers with normal and excess body adipose.<h4>Methods</h4>Data of 106 preschoolers aged 4-6 that received symptom-limited treadmill exercise testing was analyzed. Anthropometry was measured by vector bioelectrical impedance analysis. Excess body adipose was defined as (1) 'overweight' and 'obesity' by body mass index (BMI), (2) fat mass index (FMI) greater than the sex- and age-specific 75th percentile of whole subjects, and (3) fat-free mass index (FFMI) smaller than the sex- and age-specific 25th percentile. CRF was indicated by metabolic equivalent (MET) at anaerobic threshold (AT MET), peak MET, oxygen uptake efficiency slope (OUES) calculated by the 50% (OUES-50) and the entire (OUES-100) duration of the exercise testing.<h4>Results</h4>Preschoolers with excess body adipose by three different definitions (BMI, FMI, and FFMI) all had poorer ability to perform maximal effort (p = 0.004, 0.043, and 0.007, respectively). Preschoolers with excess body adipose by BMI and FFMI classifications had lower OUES-50 (p = 0.018, and 0.001, respectively), and lower OUES-100 (p = 0.004, and 0.001, respectively) than peers with normal body adipose during exercise testing while those with excess body adipose by FMI classification showed no significant differences from peers with normal body adipose in both OUES-50 and OUES-100.<h4>Conclusions</h4>Preschoolers with excess body adipose had lower CRF significantly during treadmill exercise testing. Weight control and health promotion should start as early as possible.https://doi.org/10.1371/journal.pone.0223907
spellingShingle Sheng-Hui Tuan
Chien-Hui Li
Shu-Fen Sun
Min-Hui Li
I-Hsiu Liou
Tzu-Ping Weng
I-Hsuan Chen
Ko-Long Lin
Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.
PLoS ONE
title Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.
title_full Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.
title_fullStr Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.
title_full_unstemmed Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.
title_short Comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose ~ An observational study.
title_sort comparison of cardiorespiratory fitness between preschool children with normal and excess body adipose an observational study
url https://doi.org/10.1371/journal.pone.0223907
work_keys_str_mv AT shenghuituan comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy
AT chienhuili comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy
AT shufensun comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy
AT minhuili comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy
AT ihsiuliou comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy
AT tzupingweng comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy
AT ihsuanchen comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy
AT kolonglin comparisonofcardiorespiratoryfitnessbetweenpreschoolchildrenwithnormalandexcessbodyadiposeanobservationalstudy