Does Weight Status Impact Metabolic Health in Adolescents When Controlling for Physical Fitness? Pediatr Phys Ther 2019 Apr;31(2):134-140
Date
03/26/2019Pubmed ID
30907828DOI
10.1097/PEP.0000000000000589Scopus ID
2-s2.0-85063712439 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
PURPOSE: To determines whether adolescents who are fit with overweight/obesity are similar in their metabolic profile to adolescents who are fit and normal weight.
METHODS: Adolescents participated in 3 sessions: (1) resting vitals and anthropometrics; (2) maximal aerobic treadmill test ((Equation is included in full-text article.)) to determine physical fitness; and (3) dual-energy x-ray absorptiometry and fasting laboratory draw for analysis of insulin, glucose, high-density lipoprotein, triglycerides, and C-reactive protein.
RESULTS: Of the 30 fit adolescents who are normal weight and 16 adolescents who are fit and overweight/obese (OW/OB), metabolic syndrome was apparent in 1 adolescent who are normal weight and 4 adolescents who are OW/OB. Metabolic syndrome severity was positively associated with body mass index, waist circumference, total body fat, insulin resistance, and C-reactive protein but inversely associated with peak relative, but not lean (Equation is included in full-text article.).
CONCLUSIONS: Despite good physical fitness, adolescents who are OW/OB demonstrated greater metabolic syndrome than adolescents who are normal weight. Future intervention research is necessary to explore the relation between physical fitness and metabolic syndrome.
Author List
Stolzman SC, Skelton J, Harkins A, Hoeger Bement MAuthors
April Harkins PhD Assistant Professor in the Clinical Laboratory Science department at Marquette UniversityMarie Hoeger Bement MPT,PhD Associate Professor in the Physical Therapy department at Marquette University
MESH terms used to index this publication - Major topics in bold
Absorptiometry, PhotonAdolescent
Body Mass Index
Body Weight
Body Weights and Measures
C-Reactive Protein
Exercise Test
Female
Health Status
Humans
Insulin Resistance
Lipids
Male
Metabolic Syndrome
Obesity
Overweight
Physical Fitness
Severity of Illness Index