Relationships among cardiorespiratory fitness, muscular fitness, and cardiometabolic risk factors in Japanese adolescents: Niigata screening for and preventing the development of non‐communicable disease study‐Agano (NICE EVIDENCE Study‐Agano) 2

Objective To examine the independent and combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with cardiometabolic risk factors in Japanese adolescents. Methods A cross‐sectional study including 993 Japanese adolescents (aged 13‐14 years) was undertaken. Height, body ma...

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Veröffentlicht in:Pediatric diabetes 2018-06, Vol.19 (4), p.593-602
Hauptverfasser: Morikawa, Sakiko Yoshizawa, Fujihara, Kazuya, Hatta, Mariko, Osawa, Taeko, Ishizawa, Masahiro, Yamamoto, Masahiko, Furukawa, Kazuo, Ishiguro, Hajime, Matsunaga, Satoshi, Ogawa, Yohei, Shimano, Hitoshi, Sone, Hirohito
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container_end_page 602
container_issue 4
container_start_page 593
container_title Pediatric diabetes
container_volume 19
creator Morikawa, Sakiko Yoshizawa
Fujihara, Kazuya
Hatta, Mariko
Osawa, Taeko
Ishizawa, Masahiro
Yamamoto, Masahiko
Furukawa, Kazuo
Ishiguro, Hajime
Matsunaga, Satoshi
Ogawa, Yohei
Shimano, Hitoshi
Sone, Hirohito
description Objective To examine the independent and combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with cardiometabolic risk factors in Japanese adolescents. Methods A cross‐sectional study including 993 Japanese adolescents (aged 13‐14 years) was undertaken. Height, body mass, blood pressure, lipid profile (non‐fasting), and HbA1c were measured. The physical fitness (PF) test included measurements of CRF (20 m multistage shuttle run test), upper limb strength (hand grip strength), lower limb strength (standing long jump), and muscular endurance (sit‐ups). The clustered cardiometabolic risk (CCMR) was estimated by summing standardized Z‐scores of body mass index (BMI), mean arterial pressure (MAP), non‐high‐density lipoprotein cholesterol (non‐HDL‐C), and HbA1c. Results Linear regression analysis showed that all PF factors except for muscular endurance were inversely correlated with CCMR (P 
doi_str_mv 10.1111/pedi.12623
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Methods A cross‐sectional study including 993 Japanese adolescents (aged 13‐14 years) was undertaken. Height, body mass, blood pressure, lipid profile (non‐fasting), and HbA1c were measured. The physical fitness (PF) test included measurements of CRF (20 m multistage shuttle run test), upper limb strength (hand grip strength), lower limb strength (standing long jump), and muscular endurance (sit‐ups). The clustered cardiometabolic risk (CCMR) was estimated by summing standardized Z‐scores of body mass index (BMI), mean arterial pressure (MAP), non‐high‐density lipoprotein cholesterol (non‐HDL‐C), and HbA1c. Results Linear regression analysis showed that all PF factors except for muscular endurance were inversely correlated with CCMR (P &lt; .001). Among metabolic risk components, HbA1c was unrelated to PF, while non‐HDL‐C was inversely associated with CRF (B = −2.40; P &lt; .001), upper limb strength (B = −1.77; P &lt; .05), and lower limb strength (B = −1.53; P &lt; .05) after adjustment for lifestyle factors. Logistic regression showed that the probability of having high CCMR (≥1SD) was synergistically higher in those with the lowest tertiles of both CRF and upper limb strength (P for interaction = .001); however, a substantially lower likelihood of having high CCMR was observed among individuals with the lowest tertile of upper limb strength but moderate CRF. Conclusions Lower CRF and MF were significantly and synergistically associated with an unhealthier metabolic risk profile.</description><identifier>ISSN: 1399-543X</identifier><identifier>EISSN: 1399-5448</identifier><identifier>DOI: 10.1111/pedi.12623</identifier><identifier>PMID: 29266622</identifier><language>eng</language><publisher>Former Munksgaard: John Wiley &amp; Sons A/S</publisher><subject>Adolescents ; Blood pressure ; Body mass index ; Cardiorespiratory fitness ; Cholesterol ; glycated hemoglobin A1c ; High density lipoprotein ; lipids ; metabolic abnormality ; Metabolism ; Physical fitness ; Risk factors ; Teenagers</subject><ispartof>Pediatric diabetes, 2018-06, Vol.19 (4), p.593-602</ispartof><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4593-e890011a836ced9b84ce0ef6899cf2b4973cdf81f0a34138400dfca3134459ed3</citedby><cites>FETCH-LOGICAL-c4593-e890011a836ced9b84ce0ef6899cf2b4973cdf81f0a34138400dfca3134459ed3</cites><orcidid>0000-0001-6725-4169</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpedi.12623$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpedi.12623$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29266622$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morikawa, Sakiko Yoshizawa</creatorcontrib><creatorcontrib>Fujihara, Kazuya</creatorcontrib><creatorcontrib>Hatta, Mariko</creatorcontrib><creatorcontrib>Osawa, Taeko</creatorcontrib><creatorcontrib>Ishizawa, Masahiro</creatorcontrib><creatorcontrib>Yamamoto, Masahiko</creatorcontrib><creatorcontrib>Furukawa, Kazuo</creatorcontrib><creatorcontrib>Ishiguro, Hajime</creatorcontrib><creatorcontrib>Matsunaga, Satoshi</creatorcontrib><creatorcontrib>Ogawa, Yohei</creatorcontrib><creatorcontrib>Shimano, Hitoshi</creatorcontrib><creatorcontrib>Sone, Hirohito</creatorcontrib><title>Relationships among cardiorespiratory fitness, muscular fitness, and cardiometabolic risk factors in Japanese adolescents: Niigata screening for and preventing the development of non‐communicable disease study‐Agano (NICE EVIDENCE Study‐Agano) 2</title><title>Pediatric diabetes</title><addtitle>Pediatr Diabetes</addtitle><description>Objective To examine the independent and combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with cardiometabolic risk factors in Japanese adolescents. Methods A cross‐sectional study including 993 Japanese adolescents (aged 13‐14 years) was undertaken. Height, body mass, blood pressure, lipid profile (non‐fasting), and HbA1c were measured. The physical fitness (PF) test included measurements of CRF (20 m multistage shuttle run test), upper limb strength (hand grip strength), lower limb strength (standing long jump), and muscular endurance (sit‐ups). The clustered cardiometabolic risk (CCMR) was estimated by summing standardized Z‐scores of body mass index (BMI), mean arterial pressure (MAP), non‐high‐density lipoprotein cholesterol (non‐HDL‐C), and HbA1c. Results Linear regression analysis showed that all PF factors except for muscular endurance were inversely correlated with CCMR (P &lt; .001). Among metabolic risk components, HbA1c was unrelated to PF, while non‐HDL‐C was inversely associated with CRF (B = −2.40; P &lt; .001), upper limb strength (B = −1.77; P &lt; .05), and lower limb strength (B = −1.53; P &lt; .05) after adjustment for lifestyle factors. Logistic regression showed that the probability of having high CCMR (≥1SD) was synergistically higher in those with the lowest tertiles of both CRF and upper limb strength (P for interaction = .001); however, a substantially lower likelihood of having high CCMR was observed among individuals with the lowest tertile of upper limb strength but moderate CRF. Conclusions Lower CRF and MF were significantly and synergistically associated with an unhealthier metabolic risk profile.</description><subject>Adolescents</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiorespiratory fitness</subject><subject>Cholesterol</subject><subject>glycated hemoglobin A1c</subject><subject>High density lipoprotein</subject><subject>lipids</subject><subject>metabolic abnormality</subject><subject>Metabolism</subject><subject>Physical fitness</subject><subject>Risk factors</subject><subject>Teenagers</subject><issn>1399-543X</issn><issn>1399-5448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kstu1DAUhiMEoqWw4QGQJTalYoovSSZmV00DDKoGxE3sojP28dRtYgc7KZodj8Az8hps8HSGgljgjc_lO7-toz_LHjJ6zNJ51qO2x4yXXNzK9pmQclLkeXX7Jhaf97J7MV5QyqZS5HezPS55WZac72c_32ELg_Uunts-Eui8WxEFQVsfMPY2wODDmhg7OIzxKenGqMYWwp8KOL0b6HCApW-tIsHGS2JApdlIrCOvoYdEIwHtW4wK3RCfk4W1KxiARBUQnU0PGx-u9fqAV4nZlIZzJDplre-7VCLeEOfdj2_fle-60VkFyzYRNiIk_TiMep2aJytwnhwu5rOa1J_mp_UiBe__bj4h_H52x0Ab8cHuPsg-vqg_zF5Nzt68nM9OziYqL6SYYCXT5hhUolSo5bLKFVI0ZSWlMnyZy6lQ2lTMUBA5E1VOqTYKBBN5mkctDrLDrW4f_JcR49B0Nu2gbdNO_BgbJqeyoFIWPKGP_0Ev_Bhc-l3DqSg4LVheJepoS6ngYwxomj7YDsK6YbTZWKLZWKK5tkSCH-0kx2WH-gb97YEEsC3w1ba4_o9U87Y-nW9FfwG4vcle</recordid><startdate>201806</startdate><enddate>201806</enddate><creator>Morikawa, Sakiko Yoshizawa</creator><creator>Fujihara, Kazuya</creator><creator>Hatta, Mariko</creator><creator>Osawa, Taeko</creator><creator>Ishizawa, Masahiro</creator><creator>Yamamoto, Masahiko</creator><creator>Furukawa, Kazuo</creator><creator>Ishiguro, Hajime</creator><creator>Matsunaga, Satoshi</creator><creator>Ogawa, Yohei</creator><creator>Shimano, Hitoshi</creator><creator>Sone, Hirohito</creator><general>John Wiley &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morikawa, Sakiko Yoshizawa</au><au>Fujihara, Kazuya</au><au>Hatta, Mariko</au><au>Osawa, Taeko</au><au>Ishizawa, Masahiro</au><au>Yamamoto, Masahiko</au><au>Furukawa, Kazuo</au><au>Ishiguro, Hajime</au><au>Matsunaga, Satoshi</au><au>Ogawa, Yohei</au><au>Shimano, Hitoshi</au><au>Sone, Hirohito</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationships among cardiorespiratory fitness, muscular fitness, and cardiometabolic risk factors in Japanese adolescents: Niigata screening for and preventing the development of non‐communicable disease study‐Agano (NICE EVIDENCE Study‐Agano) 2</atitle><jtitle>Pediatric diabetes</jtitle><addtitle>Pediatr Diabetes</addtitle><date>2018-06</date><risdate>2018</risdate><volume>19</volume><issue>4</issue><spage>593</spage><epage>602</epage><pages>593-602</pages><issn>1399-543X</issn><eissn>1399-5448</eissn><abstract>Objective To examine the independent and combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with cardiometabolic risk factors in Japanese adolescents. Methods A cross‐sectional study including 993 Japanese adolescents (aged 13‐14 years) was undertaken. Height, body mass, blood pressure, lipid profile (non‐fasting), and HbA1c were measured. The physical fitness (PF) test included measurements of CRF (20 m multistage shuttle run test), upper limb strength (hand grip strength), lower limb strength (standing long jump), and muscular endurance (sit‐ups). The clustered cardiometabolic risk (CCMR) was estimated by summing standardized Z‐scores of body mass index (BMI), mean arterial pressure (MAP), non‐high‐density lipoprotein cholesterol (non‐HDL‐C), and HbA1c. Results Linear regression analysis showed that all PF factors except for muscular endurance were inversely correlated with CCMR (P &lt; .001). Among metabolic risk components, HbA1c was unrelated to PF, while non‐HDL‐C was inversely associated with CRF (B = −2.40; P &lt; .001), upper limb strength (B = −1.77; P &lt; .05), and lower limb strength (B = −1.53; P &lt; .05) after adjustment for lifestyle factors. Logistic regression showed that the probability of having high CCMR (≥1SD) was synergistically higher in those with the lowest tertiles of both CRF and upper limb strength (P for interaction = .001); however, a substantially lower likelihood of having high CCMR was observed among individuals with the lowest tertile of upper limb strength but moderate CRF. Conclusions Lower CRF and MF were significantly and synergistically associated with an unhealthier metabolic risk profile.</abstract><cop>Former Munksgaard</cop><pub>John Wiley &amp; Sons A/S</pub><pmid>29266622</pmid><doi>10.1111/pedi.12623</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6725-4169</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library Journals Frontfile Complete
subjects Adolescents
Blood pressure
Body mass index
Cardiorespiratory fitness
Cholesterol
glycated hemoglobin A1c
High density lipoprotein
lipids
metabolic abnormality
Metabolism
Physical fitness
Risk factors
Teenagers
title Relationships among cardiorespiratory fitness, muscular fitness, and cardiometabolic risk factors in Japanese adolescents: Niigata screening for and preventing the development of non‐communicable disease study‐Agano (NICE EVIDENCE Study‐Agano) 2
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