Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk Clustering
Background: Physical fitness is an important index of health. Our aim was to assess whether cardiorespiratory and/or musculoskeletal components of physical fitness were associated with cardiometabolic risk clustering in obese youth, using adapted and validated field tests.Methods: We evaluated 252 c...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-11-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fendo.2018.00701/full |
| _version_ | 1819137982722998272 |
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| author | Giuliana Valerio Maria Rosaria Licenziati Paola Tortorelli Lidia Federica Calandriello Paola Alicante Luca Scalfi |
| author_facet | Giuliana Valerio Maria Rosaria Licenziati Paola Tortorelli Lidia Federica Calandriello Paola Alicante Luca Scalfi |
| author_sort | Giuliana Valerio |
| collection | DOAJ |
| description | Background: Physical fitness is an important index of health. Our aim was to assess whether cardiorespiratory and/or musculoskeletal components of physical fitness were associated with cardiometabolic risk clustering in obese youth, using adapted and validated field tests.Methods: We evaluated 252 children and adolescents (132 males, 120 females), mean age 10.9 ± 1.9 years with primary obesity. All subjects performed the six-minute walk test (6MWT) for assessing aerobic fitness, the standing broad jump, and the 30 s-chair stand tests for lower-body muscular strength, and the handgrip test for upper body isometric strength. Cardiometabolic risk (CMR) clustering was defined as having two or more of the following risk factors: high SBP and/or DBP, impaired fasting glucose, high triglycerides (TGs), and low HDL-Cholesterol.Results: CMR clustering was found in 44 (17.5%) obese youth. Youth with CMR clustering had a lower cardiorespiratory fitness, as assessed by 6MWT, compared to those without CMR clustering. On the contrary, no difference was found with respect to musculoskeletal fitness. The six-minute walk (6MW) distance was negatively associated with sedentary time, controlling for age and height. CMR factors clustering was significantly associated with BMI standard deviation score (SDS) and negatively with 6MW distance: for each 10-m increase in the 6MW distance, a reduction of about 9% in the prevalence of CMR clustering was expected.Conclusions: A lower performance in the 6MWT may be considered as an additional trait of CMR clustering in obese youth. The 6MWT may represent a valuable, simple and low cost test to estimate the cardiorespiratory fitness in youth with obesity. |
| first_indexed | 2024-12-22T10:59:32Z |
| format | Article |
| id | doaj.art-694880a241a0463c984567301c8a52c5 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-12-22T10:59:32Z |
| publishDate | 2018-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-694880a241a0463c984567301c8a52c52022-12-21T18:28:33ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922018-11-01910.3389/fendo.2018.00701417178Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk ClusteringGiuliana Valerio0Maria Rosaria Licenziati1Paola Tortorelli2Lidia Federica Calandriello3Paola Alicante4Luca Scalfi5Department of Movement Sciences and Wellbeing, University of Naples “Parthenope,” Naples, ItalyObesity and Endocrine Disease Unit, Department of Neuroscience, Santobono-Pausilipon Children's Hospital, Naples, ItalyDepartment of Movement Sciences and Wellbeing, University of Naples “Parthenope,” Naples, ItalyObesity and Endocrine Disease Unit, Department of Neuroscience, Santobono-Pausilipon Children's Hospital, Naples, ItalyDepartment of Public Health, School of Medicine, University of Naples Federico II, Naples, ItalyDepartment of Public Health, School of Medicine, University of Naples Federico II, Naples, ItalyBackground: Physical fitness is an important index of health. Our aim was to assess whether cardiorespiratory and/or musculoskeletal components of physical fitness were associated with cardiometabolic risk clustering in obese youth, using adapted and validated field tests.Methods: We evaluated 252 children and adolescents (132 males, 120 females), mean age 10.9 ± 1.9 years with primary obesity. All subjects performed the six-minute walk test (6MWT) for assessing aerobic fitness, the standing broad jump, and the 30 s-chair stand tests for lower-body muscular strength, and the handgrip test for upper body isometric strength. Cardiometabolic risk (CMR) clustering was defined as having two or more of the following risk factors: high SBP and/or DBP, impaired fasting glucose, high triglycerides (TGs), and low HDL-Cholesterol.Results: CMR clustering was found in 44 (17.5%) obese youth. Youth with CMR clustering had a lower cardiorespiratory fitness, as assessed by 6MWT, compared to those without CMR clustering. On the contrary, no difference was found with respect to musculoskeletal fitness. The six-minute walk (6MW) distance was negatively associated with sedentary time, controlling for age and height. CMR factors clustering was significantly associated with BMI standard deviation score (SDS) and negatively with 6MW distance: for each 10-m increase in the 6MW distance, a reduction of about 9% in the prevalence of CMR clustering was expected.Conclusions: A lower performance in the 6MWT may be considered as an additional trait of CMR clustering in obese youth. The 6MWT may represent a valuable, simple and low cost test to estimate the cardiorespiratory fitness in youth with obesity.https://www.frontiersin.org/article/10.3389/fendo.2018.00701/fullaerobic fitnesscardiometabolic riskmuscular fitnessobesitysix-minute walk testyouth |
| spellingShingle | Giuliana Valerio Maria Rosaria Licenziati Paola Tortorelli Lidia Federica Calandriello Paola Alicante Luca Scalfi Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk Clustering Frontiers in Endocrinology aerobic fitness cardiometabolic risk muscular fitness obesity six-minute walk test youth |
| title | Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk Clustering |
| title_full | Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk Clustering |
| title_fullStr | Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk Clustering |
| title_full_unstemmed | Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk Clustering |
| title_short | Lower Performance in the Six-Minute Walk Test in Obese Youth With Cardiometabolic Risk Clustering |
| title_sort | lower performance in the six minute walk test in obese youth with cardiometabolic risk clustering |
| topic | aerobic fitness cardiometabolic risk muscular fitness obesity six-minute walk test youth |
| url | https://www.frontiersin.org/article/10.3389/fendo.2018.00701/full |
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