Open AccessCardiorespiratory fitness in children: Evidence for criterion-referenced cut-points
Author(s) -
Diego Augusto Santos Silva,
Justin J. Lang,
Joel D. Barnes,
Grant R. Tomkinson,
Mark S. Tremblay
Publication year - 2018
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0201048
Subject(s) - cardiorespiratory fitness , obesity , waist , receiver operating characteristic , body mass index , medicine , logistic regression , mathematics , statistics , demography , area under the curve , sociology
Criterion-referenced cut-points for field-based cardiorespiratory fitness for children (CRF) are lacking. This study determined: (a) the association between CRF and obesity, (b) the optimal cut-points for low CRF associated with obesity in children, and (c) the association between obesity and peak oxygen uptake (V ˙ O 2 peak) estimated from the 20-m shuttle run test using two different prediction equations. Methods A total of 8,740 children aged 10.1±1.2 were recruited from 11 sites across Canada. CRF was assessed using 20mSRT reported as running speed at the last completed stage, number of completed laps and predictedV ˙ O 2 peak, which was estimated at the age by sex level using the Léger et al. and FitnessGram equations. Body mass index and waist circumference z-scores were used to identify obesity. Receiver operating characteristic (ROC) curves and logistic regression determined the discriminatory ability of CRF for predicting obesity. Results 20mSRT had satisfactory predictive ability to detect obesity estimated by BMI, WC, and BMI and WC combined (area under the curve [AUC]>0.65). The FitnessGram equation (AUC>0.71) presented somewhat higher discriminatory power for obesity than the equation of Léger et al. (AUC>0.67) at most ages. Sensitivity was strong (>70%) for all age- and sex-specific cut-points, with optimal cut-points in 8- to 12-year-olds for obesity identified as 39 mL•kg -1 •min -1 (laps: 15; speed: 9.0 km/h) and 41 mL•kg- 1 •min -1 (laps: 15–17; speed: 9.0 km/h) for girls and boys, respectively. Conclusions 20mSRT performance is negatively associated with obesity and CRF cut-points from ROC analyses have good discriminatory power for obesity.