Does Weight Status Impact Metabolic Health in Adolescents When Controlling for Physical Fitness?
Academy of Pediatric Physical Therapy of the American Physical Therapy Association
Pediatric Physical Therapy
To determines whether adolescents who are fit with overweight/obesity are similar in their metabolic profile to adolescents who are fit and normal weight.
Adolescents participated in 3 sessions: (1) resting vitals and anthropometrics; (2) maximal aerobic treadmill test () to determine physical fitness; and (3) dual-energy x-ray absorptiometry and fasting laboratory draw for analysis of insulin, glucose, high-density lipoprotein, triglycerides, and C-reactive protein.
Of the 30 fit adolescents who are normal weight and 16 adolescents who are fit and overweight/obese (OW/OB), metabolic syndrome was apparent in 1 adolescent who are normal weight and 4 adolescents who are OW/OB. Metabolic syndrome severity was positively associated with body mass index, waist circumference, total body fat, insulin resistance, and C-reactive protein but inversely associated with peak relative, but not lean .
Despite good physical fitness, adolescents who are OW/OB demonstrated greater metabolic syndrome than adolescents who are normal weight. Future intervention research is necessary to explore the relation between physical fitness and metabolic syndrome.
Stolzman, Stacy; Skelton, Joseph; Harkins, April L.; and Bement, Marie K. Hoeger, "Does Weight Status Impact Metabolic Health in Adolescents When Controlling for Physical Fitness?" (2019). Physical Therapy Faculty Research and Publications. 176.
ADA Accessible Version
Accepted version. Pediatric Physical Therapy, Vol. 31, No. 2 (April 2019): 134-140. DOI. © 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association. Used with permission.