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青少年脂肪与心肺适能的关系:最大摄氧量临界点

CARDIORESPIRATORY FITNESS ASSOCIATED TO TEENAGERS' FAT: VO2MAX CUTOFF POINT.

作者信息

Smouter Leandro, Smolarek André de Camargo, Souza William Cordeiro de, Lima Valderi de Abreu de, Mascarenhas Luis Paulo Gomes

机构信息

Universidade Estadual do Centro-Oeste, Irati, PR, Brazil.

Universidade do Contestado, Canoinhas, SC, Brazil.

出版信息

Rev Paul Pediatr. 2019 Jan-Mar;37(1):73-81. doi: 10.1590/1984-0462/;2019;37;1;00017. Epub 2019 Jan 7.

Abstract

OBJECTIVE

To associate the Maximal Oxygen Uptake (VO2max) with body fat percentage (%BF), and to establish the best VO2max cutoff point for predicting risk %BF in teenagers.

METHODS

This study was carried out with 979 subjects aged 10 to 18.8 years, 556 (56.8%) girls. The 20 m shuttle run protocol determined the VO2max, which was analyzed in quintiles and in a numeric scale. Cutaneous fold equations determined the %BF, later classified as risk to health/obesity when >25 in girls and >20 in boys. Regression method was used - Odds Ratio (OR) and Receiver Operating Characteristics Curve (ROC curve) with α <5%.

RESULTS

From the total number of valid cases, 341 (65.6%) girls and 202 (53.2%) boys presented %BF of risk, and a larger proportion of %BF of risk was observed in the 1st quintile of the VO2max for both genders. There was inverse association between VO2max and %BF of risk from the 4th quintile (OR 1.84, 95%CI 1.05-3.24) until the 1st quintile (OR 4.74, 95%CI 2.44-9.19) for girls, and from the 2nd quintile (OR 2.99, 95%CI 1.48-6.00) until the 1st quintile (OR 5.60, 95%CI 2.64-11.87) for boys. As analytic highlights, VO2max Cutoff points for prediction of %BF of risk were ≤40.9 mL/kg-1/min-1 (AUC: 0.65; p<0.001) for girls and ≤44.8 mL/kg-1/min-1 (AUC: 0.66; p<0.001)for boys.

CONCLUSIONS

VO2max was inversely associated to the %BF, and VO2max cutoff points for prediction of %BF of risk are important results to generate action to fight early obesity.

摘要

目的

将最大摄氧量(VO2max)与体脂百分比(%BF)相关联,并确定预测青少年%BF风险的最佳VO2max临界值。

方法

本研究对979名年龄在10至18.8岁的受试者进行,其中556名(56.8%)为女孩。采用20米往返跑试验测定VO2max,并按五分位数和数值尺度进行分析。通过皮褶厚度公式确定%BF,当女孩>25且男孩>20时,将其归类为健康风险/肥胖。采用回归方法——比值比(OR)和受试者工作特征曲线(ROC曲线),α<5%。

结果

在有效病例总数中,341名(65.6%)女孩和202名(53.2%)男孩存在%BF风险,在VO2max的第一五分位数中,观察到男女%BF风险比例均较高。从第四五分位数(OR 1.84,95%CI 1.05 - 3.24)到第一五分位数(OR 4.74,95%CI 2.44 - 9.19),女孩的VO2max与%BF风险呈负相关;从第二五分位数(OR 2.99,95%CI 1.48 - 6.00)到第一五分位数(OR 5.60,95%CI 2.64 - 11.87),男孩的VO2max与%BF风险呈负相关。作为分析重点,预测%BF风险的VO2max临界值为女孩≤40.9 mL/kg-1/min-1(AUC:0.65;p<0.001),男孩≤44.8 mL/kg-1/min-1(AUC:0.66;p<0.001)。

结论

VO2max与%BF呈负相关,预测%BF风险的VO2max临界值是开展早期肥胖防治行动的重要成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7183/6362382/3559a16004d3/0103-0582-rpp-2019-37-1-00017-gf1.jpg

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