Cardiorespiratory fitness and ideal cardiovascular health in European adolescents. Issue 10 (8th December 2014)

• Record Type: Journal Article
• Authors: Ruiz, Jonatan R; Huybrechts, Inge; Cuenca-García, Magdalena; Artero, Enrique G; Labayen, Idoia; Meirhaeghe, Aline; Vicente-Rodriguez, German; Polito, Angela; Manios, Yannis; González-Gross, Marcela; Marcos, Ascensión; Widhalm, Kurt; Molnar, Denes; Kafatos, Anthony; Sjöström, Michael; Moreno, Luis A; Castillo, Manuel J; Ortega, Francisco B
• Is Part Of: Heart. Volume 101:Issue 10(2015)
• Page Start: 766
• Page End: 773
• Publication Date: 2014-12-08
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/heartjnl-2014-306750
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Objective: We studied in European adolescents (i) the association between cardiorespiratory fitness and ideal cardiovascular health as defined by the American Heart Association and (ii) whether there is a cardiorespiratory fitness threshold associated with a more favourable cardiovascular health profile. Methods: Participants included 510 (n=259 girls) adolescents from 9 European countries. The 20 m shuttle run test was used to estimate cardiorespiratory fitness. Ideal cardiovascular health was defined as meeting ideal levels of the following components: four behaviours (smoking, body mass index, physical activity and diet) and three factors (total cholesterol, blood pressure and glucose). Results: Higher levels of cardiorespiratory fitness were associated with a higher number of ideal cardiovascular health components in both boys and girls (both p for trend ≤0.001). Levels of cardiorespiratory fitness were significantly higher in adolescents meeting at least four ideal components (13% higher in boys, p<0.001; 6% higher in girls, p=0.008). Receiver operating characteristic curve analyses showed a significant discriminating accuracy of cardiorespiratory fitness in identifying the presence of at least four ideal cardiovascular health components (43.8 mL/kg/min in boys and 34.6 mL/kg/min in girls, both p<0.001). Conclusions: The results suggest a hypothetical cardiorespiratory fitness level associated with a healthier cardiovascular profile in adolescents. The fitness standards could be used in schools as part of surveillance and/or screening systems to identify youth with poor health behaviours who might benefit from intervention programmes.