RT journal article
T1 The Role of Adiposity in the Association between Muscular Fitness and Cardiovascular Disease
A1 Pérez Pérez, Alejandro
A1 Segura Jiménez, Víctor
A1 Fernández Santos, Jorge del Rosario
A1 Esteban-Cornejo, Irene
A1 Gómez-Martínez, Sonia
A1 Veiga, Oscar
A1 Ascensión, Marcos
A1 Castro Piñero, José
A2 Didáctica de la Educación FísicaPlástica y Musical
K1 weight status
K1 muscular strength
K1 mediation analysis
K1 children
K1 cardiometabolic risk factors
K1 adolescents
AB Objectives To test the associations of muscular fitness and body mass index (BMI), individually and combined, with clustered cardiovascular disease risk factors in children and adolescents and to analyze the mediator role of BMI in the association between muscular fitness and clustered cardiovascular disease risk factors.Study design In total, 239 children (113 girls) and 270 adolescents (128 girls) participated in this cross- sectional study. Height and weight were assessed, and BMI was calculated. A cardiovascular disease risk factors index (CVDRF-I) was created from the combination of the following variables: waist circumference, systolic blood pressure, triglycerides, high-density lipoprotein cholesterol, and glucose. Handgrip strength/weight and standing long jump tests were used to assess muscular fitness. A muscular fitness index was computed from the combina- tion of both tests.Results Muscular fitness index was associated with CVDRF-I in children of both sexes and adolescent boys; however, these associations disappeared after accounting for BMI. BMI was associated with CVDRF-I in both children and adolescents, even after adjusting for muscular fitness (all P < .001). In male and female children and in adolescent boys, the association between muscular fitness and CVDRF-I was mediated by BMI (all P < .001). Because there was no association between muscular fitness and CVDRF-I in adolescent girls, the mediation hypothesis was discarded. Conclusions BMI is an independent predictor of CVDRF-I in children and adolescents of both sexes. Con- versely, the effect of muscular fitness on CVDRF-I seems to be fully mediated by BMI levels in male and female children and in adolescent boys.
PB Elsevier
SN 1097-6833
YR 2018
FD 2018
LK http://hdl.handle.net/10498/30985
UL http://hdl.handle.net/10498/30985
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 21-sep-2026