Association between physical fitness and cardiometabolic risk of children and adolescents in Korea

Hyun Suk Lee, Won Wook Jeong, Yu Jeong Choi, Young Gyun Seo, Hye Mi Noh, Hong Ji Song, Yu Jin Paek, Yoon Myung Kim, Hyun Jung Lim, Hye Ja Lee, Han Byul Jang, Sang Ick Park, Kyung Hee Park

Research output: Contribution to journalArticle

Abstract

Background: This study aimed to investigate the association between physical fitness and cardiometabolic health of Korean children and adolescents. Methods: In total, 168 participants (89 boys and 79 girls) aged 10-16 years were recruited for the Intervention for Childhood and Adolescent Obesity via Activity and Nutrition Study in 2016. The subjects were categorized into two groups using the definition of metabolic syndrome by the International Diabetes Federation: metabolically unhealthy (with at least two of the five criteria) and healthy groups (with less than one criterion). Correlation analysis of the participants' general characteristics was performed. Odds ratios (ORs) of physical fitness for cardiometabolic risk were evaluated via logistic regression. Results: Metabolically unhealthy children showed greater weight, height, and body mass index, higher Children's Depression Inventory score, and longer screen time than did the metabolically healthy children. Metabolically healthy children showed greater upper and lower extremity muscular strength than did the metabolically unhealthy children (P=0.04 and P < 0.001, respectively). In the multiple logistic regression analysis, lower extremity muscle strength was inversely related to the clustered cardiometabolic risk of the children and adolescents with or without adjustment for confounders (OR, 4.32; 95% confidence interval [CI], 1.87-9.97; OR, 7.64; 95% CI, 1.55- 37.74, respectively). Conclusion: Physical fitness, especially lower extremity muscle strength, is significantly inversely associated with individual and clustered cardiometabolic risks in Korean children and adolescents.

Original languageEnglish
Pages (from-to)159-164
Number of pages6
JournalKorean Journal of Family Medicine
Volume40
Issue number3
DOIs
Publication statusPublished - 2019 May 1

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Physical Fitness
Korea
Lower Extremity
Pediatric Obesity
Odds Ratio
Muscle Strength
Logistic Models
Confidence Intervals
Body Mass Index
Regression Analysis
Weights and Measures
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Family Practice

Cite this

Lee, H. S., Jeong, W. W., Choi, Y. J., Seo, Y. G., Noh, H. M., Song, H. J., ... Park, K. H. (2019). Association between physical fitness and cardiometabolic risk of children and adolescents in Korea. Korean Journal of Family Medicine, 40(3), 159-164. https://doi.org/10.4082/kjfm.17.0085
Lee, Hyun Suk ; Jeong, Won Wook ; Choi, Yu Jeong ; Seo, Young Gyun ; Noh, Hye Mi ; Song, Hong Ji ; Paek, Yu Jin ; Kim, Yoon Myung ; Lim, Hyun Jung ; Lee, Hye Ja ; Jang, Han Byul ; Park, Sang Ick ; Park, Kyung Hee. / Association between physical fitness and cardiometabolic risk of children and adolescents in Korea. In: Korean Journal of Family Medicine. 2019 ; Vol. 40, No. 3. pp. 159-164.
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abstract = "Background: This study aimed to investigate the association between physical fitness and cardiometabolic health of Korean children and adolescents. Methods: In total, 168 participants (89 boys and 79 girls) aged 10-16 years were recruited for the Intervention for Childhood and Adolescent Obesity via Activity and Nutrition Study in 2016. The subjects were categorized into two groups using the definition of metabolic syndrome by the International Diabetes Federation: metabolically unhealthy (with at least two of the five criteria) and healthy groups (with less than one criterion). Correlation analysis of the participants' general characteristics was performed. Odds ratios (ORs) of physical fitness for cardiometabolic risk were evaluated via logistic regression. Results: Metabolically unhealthy children showed greater weight, height, and body mass index, higher Children's Depression Inventory score, and longer screen time than did the metabolically healthy children. Metabolically healthy children showed greater upper and lower extremity muscular strength than did the metabolically unhealthy children (P=0.04 and P < 0.001, respectively). In the multiple logistic regression analysis, lower extremity muscle strength was inversely related to the clustered cardiometabolic risk of the children and adolescents with or without adjustment for confounders (OR, 4.32; 95{\%} confidence interval [CI], 1.87-9.97; OR, 7.64; 95{\%} CI, 1.55- 37.74, respectively). Conclusion: Physical fitness, especially lower extremity muscle strength, is significantly inversely associated with individual and clustered cardiometabolic risks in Korean children and adolescents.",
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Lee, HS, Jeong, WW, Choi, YJ, Seo, YG, Noh, HM, Song, HJ, Paek, YJ, Kim, YM, Lim, HJ, Lee, HJ, Jang, HB, Park, SI & Park, KH 2019, 'Association between physical fitness and cardiometabolic risk of children and adolescents in Korea', Korean Journal of Family Medicine, vol. 40, no. 3, pp. 159-164. https://doi.org/10.4082/kjfm.17.0085

Association between physical fitness and cardiometabolic risk of children and adolescents in Korea. / Lee, Hyun Suk; Jeong, Won Wook; Choi, Yu Jeong; Seo, Young Gyun; Noh, Hye Mi; Song, Hong Ji; Paek, Yu Jin; Kim, Yoon Myung; Lim, Hyun Jung; Lee, Hye Ja; Jang, Han Byul; Park, Sang Ick; Park, Kyung Hee.

In: Korean Journal of Family Medicine, Vol. 40, No. 3, 01.05.2019, p. 159-164.

Research output: Contribution to journalArticle

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T1 - Association between physical fitness and cardiometabolic risk of children and adolescents in Korea

AU - Lee, Hyun Suk

AU - Jeong, Won Wook

AU - Choi, Yu Jeong

AU - Seo, Young Gyun

AU - Noh, Hye Mi

AU - Song, Hong Ji

AU - Paek, Yu Jin

AU - Kim, Yoon Myung

AU - Lim, Hyun Jung

AU - Lee, Hye Ja

AU - Jang, Han Byul

AU - Park, Sang Ick

AU - Park, Kyung Hee

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Background: This study aimed to investigate the association between physical fitness and cardiometabolic health of Korean children and adolescents. Methods: In total, 168 participants (89 boys and 79 girls) aged 10-16 years were recruited for the Intervention for Childhood and Adolescent Obesity via Activity and Nutrition Study in 2016. The subjects were categorized into two groups using the definition of metabolic syndrome by the International Diabetes Federation: metabolically unhealthy (with at least two of the five criteria) and healthy groups (with less than one criterion). Correlation analysis of the participants' general characteristics was performed. Odds ratios (ORs) of physical fitness for cardiometabolic risk were evaluated via logistic regression. Results: Metabolically unhealthy children showed greater weight, height, and body mass index, higher Children's Depression Inventory score, and longer screen time than did the metabolically healthy children. Metabolically healthy children showed greater upper and lower extremity muscular strength than did the metabolically unhealthy children (P=0.04 and P < 0.001, respectively). In the multiple logistic regression analysis, lower extremity muscle strength was inversely related to the clustered cardiometabolic risk of the children and adolescents with or without adjustment for confounders (OR, 4.32; 95% confidence interval [CI], 1.87-9.97; OR, 7.64; 95% CI, 1.55- 37.74, respectively). Conclusion: Physical fitness, especially lower extremity muscle strength, is significantly inversely associated with individual and clustered cardiometabolic risks in Korean children and adolescents.

AB - Background: This study aimed to investigate the association between physical fitness and cardiometabolic health of Korean children and adolescents. Methods: In total, 168 participants (89 boys and 79 girls) aged 10-16 years were recruited for the Intervention for Childhood and Adolescent Obesity via Activity and Nutrition Study in 2016. The subjects were categorized into two groups using the definition of metabolic syndrome by the International Diabetes Federation: metabolically unhealthy (with at least two of the five criteria) and healthy groups (with less than one criterion). Correlation analysis of the participants' general characteristics was performed. Odds ratios (ORs) of physical fitness for cardiometabolic risk were evaluated via logistic regression. Results: Metabolically unhealthy children showed greater weight, height, and body mass index, higher Children's Depression Inventory score, and longer screen time than did the metabolically healthy children. Metabolically healthy children showed greater upper and lower extremity muscular strength than did the metabolically unhealthy children (P=0.04 and P < 0.001, respectively). In the multiple logistic regression analysis, lower extremity muscle strength was inversely related to the clustered cardiometabolic risk of the children and adolescents with or without adjustment for confounders (OR, 4.32; 95% confidence interval [CI], 1.87-9.97; OR, 7.64; 95% CI, 1.55- 37.74, respectively). Conclusion: Physical fitness, especially lower extremity muscle strength, is significantly inversely associated with individual and clustered cardiometabolic risks in Korean children and adolescents.

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