TY - JOUR
T1 - A Cross-Sectional Investigation of Preadolescent Cardiometabolic Health: Associations with Fitness, Physical Activity, Sedentary Behavior, Nutrition, and Sleep
AU - Castro, Nick
AU - Zieff, Gabriel
AU - Bates, Lauren
AU - Pagan Lasselle, Patricia
AU - Higgins, Simon
AU - Faulkner, James
AU - Lark, Sally
AU - Skidmore, Paula
AU - Hamlin, Mike
AU - Signal, Leigh
AU - Williams, Michelle
AU - Stoner, Lee
N1 - Funding Information:
This study was supported by Massey University Research Fund, New Zealand International Doctoral Research Scholarship Recipient, and Massey University Doctoral Research Scholarship Recipient. The funders had no role in the study design, data collection, analysis, the decision to publish, or the preparation of the manuscript.
Publisher Copyright:
© 2023 by the authors.
PY - 2023/2/9
Y1 - 2023/2/9
N2 - Background: Cardiometabolic disease (CMD) risk often begins early in life. Healthy lifestyle behaviors can mitigate risk, but the optimal combination of behaviors has not been determined. This cross-sectional study simultaneously examined the associations between lifestyle factors (fitness, activity behaviors, and dietary patterns) and CMD risk in preadolescent children. Methods: 1480 New Zealand children aged 8–10 years were recruited. Participants included 316 preadolescents (50% female, age: 9.5 ± 1.1 years, BMI: 17.9 ± 3.3 kg/m
2). Fitness (cardiorespiratory fitness [CRF], muscular fitness), activity behaviors (physical activity, sedentary, sleep), and dietary patterns were measured. Factor analysis was used to derive a CMD risk score from 13 variables (adiposity, peripheral and central hemodynamics, glycemic control, and blood lipids). Results: Only CRF (β = −0.45, p < 0.001) and sedentary time (β = 0.12, p = 0.019) were associated with the CMD risk score in the adjusted multivariable analysis. CRF was found to be nonlinear (VO
2 max ≤ ≈42 mL/kg/min associated with higher CMD risk score), and thus a CRF polynomial term was added, which was also associated (β = 0.19, p < 0.001) with the CMD risk score. Significant associations were not found with sleep or dietary variables. Conclusion: The findings indicate that increasing CRF and decreasing sedentary behavior may be important public health targets in preadolescent children.
AB - Background: Cardiometabolic disease (CMD) risk often begins early in life. Healthy lifestyle behaviors can mitigate risk, but the optimal combination of behaviors has not been determined. This cross-sectional study simultaneously examined the associations between lifestyle factors (fitness, activity behaviors, and dietary patterns) and CMD risk in preadolescent children. Methods: 1480 New Zealand children aged 8–10 years were recruited. Participants included 316 preadolescents (50% female, age: 9.5 ± 1.1 years, BMI: 17.9 ± 3.3 kg/m
2). Fitness (cardiorespiratory fitness [CRF], muscular fitness), activity behaviors (physical activity, sedentary, sleep), and dietary patterns were measured. Factor analysis was used to derive a CMD risk score from 13 variables (adiposity, peripheral and central hemodynamics, glycemic control, and blood lipids). Results: Only CRF (β = −0.45, p < 0.001) and sedentary time (β = 0.12, p = 0.019) were associated with the CMD risk score in the adjusted multivariable analysis. CRF was found to be nonlinear (VO
2 max ≤ ≈42 mL/kg/min associated with higher CMD risk score), and thus a CRF polynomial term was added, which was also associated (β = 0.19, p < 0.001) with the CMD risk score. Significant associations were not found with sleep or dietary variables. Conclusion: The findings indicate that increasing CRF and decreasing sedentary behavior may be important public health targets in preadolescent children.
KW - cardiometabolic disease
KW - cardiovascular disease
KW - childhood
KW - lifestyle factors
KW - metabolic disease
KW - Article
KW - Pediatrics, Perinatology and Child Health
UR - http://www.scopus.com/inward/record.url?scp=85148754812&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/23c78436-1911-3266-bf3d-2e2b8636bbcd/
U2 - 10.3390/children10020336
DO - 10.3390/children10020336
M3 - Article
VL - 10
JO - Children
JF - Children
SN - 2227-9067
IS - 2
M1 - 336
ER -