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Fat Mass Index and Body Mass Index Affect Peak Metabolic Equivalent Negatively during Exercise Test among Children and Adolescents in Taiwan

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  • Shenghui Tuan

    (Department of Rehabilitation Medicine, Cishan Hospital, Ministry of Health and Welfare, No. 60, Zhongxue Rd., Cishan District, Kaohsiung 84247, Taiwan)

  • Hungtzu Su

    (Department of Rehabilitation Medicine, Cishan Hospital, Ministry of Health and Welfare, No. 60, Zhongxue Rd., Cishan District, Kaohsiung 84247, Taiwan)

  • Yijen Chen

    (Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1st Road, Kaohsiung 807, Taiwan)

  • Minhui Li

    (Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying District, Kaohsiung 813, Taiwan)

  • Yunjen Tsai

    (Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying District, Kaohsiung 813, Taiwan)

  • Chunhan Yang

    (Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying District, Kaohsiung 813, Taiwan)

  • Kolong Lin

    (Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying District, Kaohsiung 813, Taiwan)

Abstract

Peak metabolic equivalent (MET) is the most reliable indicator of cardiorespiratory fitness (CRF). The aim of this study was to examine the association between CRF indicated by peak MET and body mass index (BMI) or fat mass index (FMI) in Taiwanese children and adolescents (C-A). Data of 638 C-A aged 10–18 that received symptom-limited treadmill exercise testing was analyzed. Anthropometry-body composition was measured by vector bioelectrical impedance analysis. BMI was defined as body weight (kg)/body height (m) 2 and FMI was defined as fat mass (kg)/body height (m) 2 . BMI was grouped by Taiwanese obesity cut-off points. FMI Class-I was categorized by percentage of body fat. FMI Class-II used the reference values from Korean C-A. Excess adiposity was defined as (1) “overweight” and “obesity” by BMI, (2) greater than the sex- and age-specific 75th percentile of whole subjects by FMI Class-I, and (3) greater than 95th percentiles of reference value by FMI Class-II. Boys had significantly higher fat mass and FMI, and had more excess adiposity than girls (all p < 0.05). Both boys and girls with excess adiposity (by any definition) had lower MET at anaerobic threshold (AT MET) and peak MET (all p < 0.001). BMI and FMI were significantly negatively associated with both AT MET and peak MET significantly (all p < 0.001). FMI (95% CI: −0.411~−0.548) correlated with peak MET more than BMI (95% CI: −0.134~ −0.372) did. Excess adiposity affected CRF negatively. It is concluded that weight management should start early in childhood.

Suggested Citation

  • Shenghui Tuan & Hungtzu Su & Yijen Chen & Minhui Li & Yunjen Tsai & Chunhan Yang & Kolong Lin, 2018. "Fat Mass Index and Body Mass Index Affect Peak Metabolic Equivalent Negatively during Exercise Test among Children and Adolescents in Taiwan," IJERPH, MDPI, vol. 15(2), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:263-:d:130170
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    References listed on IDEAS

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    1. Pei-Lin Hsieh & Min-Li Chen & Chiu-Mieh Huang & Wen-Chyuan Chen & Chun-Huei Li & Li-Chun Chang, 2014. "Physical Activity, Body Mass Index, and Cardiorespiratory Fitness among School Children in Taiwan: A Cross-Sectional Study," IJERPH, MDPI, vol. 11(7), pages 1-11, July.
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    Cited by:

    1. Yentung Su & Hungya Huang & Shanghui Tuan & Minhui Li & Kolong Lin, 2020. "Differences in Aerobic Fitness between an Obese Adolescent with Prader-Willi Syndrome and Other Obese Adolescents and Exercise Training Results," IJERPH, MDPI, vol. 17(5), pages 1-5, February.
    2. Ncomi Primrose Lukhele & Lourens Millard & Gerrit Jan Breukelman, 2024. "Impact of Weight Status on Hemodynamic Parameters and Aerobic Fitness in School-Aged Children: A Study in a Rural School Community," IJERPH, MDPI, vol. 21(10), pages 1-12, October.
    3. Anna Hafsteinsson Östenberg & Anton Enberg & Haris Pojskic & Barbara Gilic & Damir Sekulic & Marie Alricsson, 2022. "Association between Physical Fitness, Physical Activity Level and Sense of Coherence in Swedish Adolescents; An Analysis of Age and Sex Differences," IJERPH, MDPI, vol. 19(19), pages 1-13, October.

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