Cardiorespiratory Fitness as a Mediator of the Association between Physical Activity and Overweight and Obesity in Adolescent Girls.

Cardiorespiratory Fitness as a Mediator of the Association between Physical Activity and Overweight and Obesity in Adolescent Girls.
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心肺健康作为青春期女孩体力活动与超重和肥胖之间关联的中介。

DOI:
10.1089/chi.2018.0360
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发表时间:
2019
期刊:
Childhood obesity (Print)
影响因子:
--
通讯作者:
Robbins,LorraineB
Robbins,LorraineB
中科院分区:
--
文献类型:
--
作者:
Wisnieski,Lauren;Dalimonte-Merckling,Danielle;Robbins,LorraineB

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超重和肥胖(OW/OB)仍然是青春期女孩的突出健康问题。然而,鲜为人知的是,体力活动(PA),心肺功能(CRF),和OW/OB之间的相互关系,在这个人群中。本研究的目的是探讨CRF是否介导PA和OW/OB之间的关系,在青春期girls.Methods:中度到充满活力的PA(MVPA),CRF,BMI和体脂百分比(% BF)进行了测量,在青春期女孩(N= 1519),年龄10-14岁,从24个城市中学位于美国中西部。使用结构方程模型来确定CRF是否是MVPA和OW/OB(以BMI和% BF测量)之间相关性的介导因子。多组分析被用来确定是否种族,青春期,或社会经济地位温和的mediation models.Results:MVPA通过CRF对OW/OB的间接影响是显着的BMI(p< 0.01)和% BF(p< 0.01),表明CRF是一个完整的MVPA和OW/OB之间的调解人。种族和青春期均显著(p< 0.05)调节MVPA和OW/OB之间的中介作用。结论:本研究表明,增加MVPA可以改善CRF,CRF的改善导致青春期女孩的BMI和% BF降低。
Background:Overweight and obesity (OW/OB) continue to be prominent health issues among adolescent girls. However, little is known about the interrelationships between physical activity (PA), cardiorespiratory fitness (CRF), and OW/OB in this population. The objective of this study was to examine whether CRF mediates the relationship between PA and OW/OB in adolescent girls.Methods:Moderate-to-vigorous PA (MVPA), CRF, BMI, and percentage body fat (% BF) were measured in adolescent girls (N= 1519), aged 10–14 years, from 24 urban middle schools located in the Midwestern United States. Structural equation modeling was used to determine whether CRF is a mediator of the association between MVPA and OW/OB (measured as both BMI and % BF). Multigroup analyses were used to determine whether race, puberty, or socioeconomic status moderate the mediation models.Results:The indirect effect of MVPA through CRF on OW/OB was significant for both BMI (p< 0.01) and % BF (p< 0.01), indicating that CRF is a complete mediator between MVPA and OW/OB. Both race and puberty significantly (p< 0.05) moderated the mediation between MVPA and OW/OB.Conclusions:This study demonstrates that CRF is improved by increasing MVPA, and the improvement in CRF results in lower BMI and % BF among adolescent girls.
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