Temporal trends in 6-minute walking distance for older Japanese adults between 1998 and 2017

BackgroundThe 6-minute walking distance (6MWD) is an excellent measure of both functional endurance and health. The primary aim of this study was to estimate temporal trends in 6MWD for older Japanese adults between 1998 and 2017; the secondary aim was to estimate concurrent trends in body size (i.e., height and mass) and self-reported participation in exercise/sport.MethodsAdults aged 65–79 years were included. Annual nationally representative 6MWD data (n = 103,505) for the entire period were obtained from the Japanese Ministry of Education, Culture, Sports, Science and Technology. Temporal trends in means (and relative frequencies) were estimated at the gender–age level by best-fitting sample-weighted linear/polynomial regression models, with national trends estimated by a post-stratified population-weighting procedure. Temporal trends in distributional variability were estimated as the ratio of coefficients of variation.ResultsBetween 1998 and 2017 there was a steady, moderate improvement in mean 6MWD (absolute = 45 m (95% confidence interval (95%CI): 43–47); percent = 8.0% (95%CI: 7.6%–8.4%); effect size = 0.51 (95%CI: 0.48–0.54)). Gender- and age-related temporal differences in means were negligible. Variability in 6MWD declined substantially (ratio of coefficients of variation = 0.89, 95%CI: 0.87–0.92), with declines larger for women compared to men, and for 75–79-year-olds compared to 65–74-year-olds. Correspondingly, there were moderate and negligible increases in mean height and mass, respectively, and negligible increases in the percentage who participated in exercise/sport at least 3 days per week and at least 30 min per session.ConclusionThere has been a steady, moderate improvement in mean 6MWD for older Japanese adults since 1998, which is suggestive of corresponding improvements in both functional endurance and health. The substantial decline in variability indicates that the temporal improvement in mean 6MWD was not uniform across the distribution. Trends in 6MWD are probably influenced by corresponding trends in body size and/or participation in exercise/sport.     

Physical fitness before and during the COVID-19 pandemic: Results of annual national physical fitness surveillance among 16,647,699 Japanese children and adolescents between 2013 and 2021

BackgroundLimited nationally representative evidence is available on temporal trends in physical fitness (PF) for children and adolescents during the coronavirus disease 2019 (COVID-19) pandemic. The primary aim was to examine the temporal trends in PF for Japanese children and adolescents before and during the COVID-19 pandemic. The secondary aim was to estimate the concurrent trends in body size (measured as body mass and height) and movement behaviors (exercise, screen, and sleep time).MethodsCensus PF data for children in Grade 5 (aged 10–11 years) and adolescents in Grade 8 (aged 13–14 years) were obtained for the years 2013–2021 from the National Survey of Physical Fitness, Athletic Performance, and Exercise Habits in Japan (n = 16,647,699). PF and body size were objectively measured, and movement behaviors were self-reported. Using sample-weighted linear regression, temporal trends in mean PF were calculated before the pandemic (2013–2019) and during the pandemic (2019–2021) with adjustments for age, sex, body size, and exercise time.ResultsWhen adjusted for age, sex, body size, and exercise time, there were significant declines in PF during the pandemic, with the largest declines observed in 20-m shuttle run (standardized (Cohen's) effect size (ES) = −0.109 per annum (p.a.)) and sit-ups performance (ES = −0.133 p.a.). The magnitude of the declines in 20-m shuttle run and sit-ups performances were 18- and 15-fold larger, respectively, than the improvements seen before the pandemic (2013–2019), after adjusting for age, sex, body size, and exercise time. During the pandemic, both body mass and screen time significantly increased, and exercise time decreased.ConclusionDeclines in 20-m shuttle run and sit-ups performances suggest corresponding declines in population health during the COVID-19 pandemic.     

The direct and indirect effects of motor competence on adolescents’ mental health through health-related physical fitness

ABSTRACT

Mental health is an important public health issue and up to one in five youth experience mental health problems. The primary purpose of this study was to examine the relationship among motor competence, health-related physical fitness and mental health outcomes in adolescents. A secondary goal was to test the direct and indirect effects of motor competence on adolescents’ mental health through health-related physical fitness. Participants were 279 adolescents (M_age = 12.49, SD = 0.89) recruited in the south-west region of the US Motor competence including volleyball, soccer, and ultimate Frisbee, were assessed using PE Metrics?. FITNESSGRAM® test battery was used to assess health-related physical fitness components. Students completed a survey measuring their depressive symptoms and health-related quality of life. Motor competence was significantly associated with components of health-related physical fitness (r ranged from ?0.15 to 0.38). The robust fit of the model supports the significant indirect effect of motor competence on mental health outcomes through health-related physical fitness (χ²/df = 39.92/25; CFI = 0.97; RMSEA = 0.046; 90% CI [0.02, 0.07]). The hypothesized conceptual model tested in this study provides insights into the potential interaction of motor competence and health-related physical fitness with adolescents’ mental health.     

Physical fitness normative values for 6–18-year-old Greek boys and girls,using the empirical distribution and the lambda,mu, and sigma statistical method

The aim of the this study was to establish age- and gender-specific physical fitness normative values and to compare percentiles and Z scores values in a large, nationwide sample of Greek children aged 6–18 years. From March 2014 to May 2014, a total of 424,328 boys and girls aged 6–18 years who attended school in Greece were enrolled. The studied sample was representative, in terms of age–sex distribution and geographical region. Physical fitness tests (i.e. 20?m shuttle run test (SRT), standing long jump, sit and reach, sit-ups, and 10?×?5?m SRT) were performed and used to calculate normative values, using the percentiles of the empirical distributions and the lambda, mu, and sigma statistical method. Normative values were presented as tabulated percentiles for five health-related fitness tests based on a large data set comprising 424,328 test performances. Boys typically scored higher than girls on cardiovascular endurance, muscular strength, muscular endurance, and speed/agility, but lower on flexibility (all p values <0.001). Older boys and girls had better performances than younger ones (p?相似文献   

Aerobic fitness and academic achievement: A systematic review and meta-analysis

ABSTRACT

This study aims to quantify the association between aerobic fitness and academic achievement, and determine how different aerobic fitness tests and individual demographic characteristics may modify this association. It includes 41 cross-sectional and 7 longitudinal studies focusing on children and adolescents, from MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Database and Web of Science. Pooled effect sizes (ES) were estimated for the association between aerobic fitness and specific domains of academic achievement. Subgroup analyses and meta-regressions were based on aerobic fitness tests and demographic characteristics. The ES for the association between aerobic fitness with language/reading-skills, mathematics-related skills and composite scores, were 0.23 (95% CI: 0.12; 0.34); 0.27 (95% CI: 0.19; 0.36) and 0.28 (95% CI: 0.12; 0.45), respectively. Subgroup analyses by aerobic fitness test modified these associations; additionally, analyses by sex or age showed differences between boys and girls as well as between children and adolescents. Finally, meta-regressions revealed a slight effect of body mass index on these associations. Cardiorespiratory fitness is positively associated with academic achievement. Associations were dependent on demographic and aerobic fitness test characteristics, being stronger in boys than in girls, and in children than in adolescents.

Systematic review registration: PROSPERO CRD42017069677     

对体质与健康体适能测试指标的比较启示

近年我国对体适能的研究成为热潮,其中以健康体适能测试作为评价身体健康标准与以体质测试作为评价标准成为当前我国对国民健康评定的两股主流势力。通过对体质测试指标与健康体适能的测试指标进行比较分析,认为体质的测试指标与健康体适能的测试指标都不能体现"完全健康"的范畴;在身体健康测试指标中,健康体适能相对于体质更能准确、有效的反映人体的健康状况;但也必须加入心理健康、社会健康、情绪健康、精神健康的测试指标,健康体适能才能更好的体现人体的"完全健康"水平。     

Associations between health-related physical fitness and obesity in Taiwanese youth

Abstract

This study examined associations between four health-related physical fitness measures and obesity in Taiwanese youth aged 10–18 years. Data from 13,500 school-aged youth were randomly selected from the “School Physical Fitness Database” of Taiwan by sex and age. Variables examined were height, body mass and performance on modified sit-and-reach (flexibility), bent-leg sit-up (abdominal muscular strength/endurance), standing long jump (lower body explosive strength) and distance run/walk (cardiorespiratory endurance). Adjusted logistic regression analyses were performed. Increased odds of being obese with decreased fitness levels were observed for lower body explosive strength and cardiorespiratory endurance in both sexes. The highest odds of being obese was found in the least fit quintile of cardiorespiratory endurance compared with the most fit quintile both in boys (Odds ratio, OR = 10.44; 95% confidence interval (CI), 7.94–13.73) and girls (OR = 5.40; 95% CI, 3.90–7.47). These findings suggest that in addition to cardiorespiratory fitness, lower body explosive strength is also associated with childhood and adolescent obesity.     

Achievement in mathematics and language is linked to regular physical activity: a population study in Chilean youth

Abstract

We examined the association between the allocation of time to regular physical activity (PA) and achievement in mathematics and language in Chilean adolescents after controlling for confounders. In a random sample of 620 ninth graders (15.6 ± 0.7 years old), we measured regular PA, including physical education and sports extracurricular activities, and academic performance, using national standardised tests. Bivariate and multivariate regression analyses modelled the relation between academic and health-related behaviours. Sufficiency and proficiency in mathematics and language were used as outcome variables. Only 18% of adolescents had >4 h·week^–1 of regular PA. Devoting >4 h?·?week^–1 to regular PA significantly increased the odds of sufficiency and proficiency in both domains. After full adjustment, the odds of sufficiency and proficiency in mathematics increased by 1.9 (95% CI: 1.1–3.5) and 2.7 (95% CI: 1.7–4.3), respectively. Similarly, the odds of sufficiency and proficiency in language increased by 3.3 (95% CI: 1.7–9.7) and 2.6 (95% CI: 1.6–4.1), respectively. Adolescents with the highest allocation of time to regular PA performed much better in mathematics and language than inactive students. The academic benefits associated with PA can help to promote sustained behaviour changes regarding lifestyles. They can be more easily perceived as gains than health benefits alone.     

Cardiorespiratory performance and physical activity in normal weight and overweight Finnish adolescents from 2003 to 2010

We investigated changes in cardiorespiratory performance, BMI and leisure-time physical activity among Finnish adolescents from 2003 to 2010. In addition, we compared cardiorespiratory performance levels between normal weight and overweight adolescents, grouped according to their physical activity. Participants were a national representative samples of 15–16-year-old adolescents in their final (ninth) year of comprehensive school in 2003 (n = 2258) and in 2010 (n = 1301). They performed an endurance shuttle run test and reported their height and weight and leisure time physical activity on a questionnaire. Results showed no significant secular changes in cardiorespiratory performance from 2003 to 2010. The mean BMI increased in boys. Leisure-time physical activity increased among normal weight girls. Adolescents of normal weight had better cardiorespiratory performance than those classified as overweight at both assessment points. BMI-adjusted physical activity was a significant determinant for cardiorespiratory performance among overweight adolescents, and very active overweight adolescents had similar cardiorespiratory performance levels as moderately active adolescents of normal weight. The results of the present study support the idea that the physical activity has the great importance for the cardiorespiratory performance in adolescents. Overweight adolescents, in particular, benefit from higher levels of physical activity.     

The Difficulty of Sit-Ups Tests: An Empirical Investigation

Abstract

This study estimated the difficulty of various sit-ups tests using an item response theory (IRT) model, the Rasch Poisson Counts model Scores were obtained on 18 sit-ups tests. All tests were thought to vary in difficulty based on clinical observations. Item difficulty was defined by the Poisson model as the difficulty of Step 1, where the difficulty of a step represented the difficulty of completing a sit-up. The difficulty values of the tests ranged from ?4.02 to ?3.57. The easiest test was executed with hands on thighs and feet anchored. Most tests had good fit values. The results demonstrated that a variety of sit-ups tests can provide a range of difficulties and variety in forming a sit-ups test bank.     

Active relatives and health-related physical fitness in European adolescents: The HELENA Study

Abstract

High physical fitness in childhood and adolescence is positively associated with favourable health-related outcomes. Our aim was to examine the relationship between relatives’ (father, mother, brother, sister, and best friend) physical activity engagement and encouragement on adolescents’ physical fitness. Adolescents were part of the HELENA study, a multi-centre study conducted in 10 cities from nine European countries in 2006–2008. Participants were 3288 adolescents (48% boys, 52% girls) aged 12.5–17.5 years with valid data on at least one of the three fitness variables studied: muscular strength (standing long jump), speed/agility (4×10 m shuttle run), and cardiorespiratory fitness (20 m shuttle run). The adolescents reported their relatives’ physical activity engagement and encouragement. Analysis of covariance showed that relatives’ physical activity engagement (father, mother, brother, and best friend) was positively related to cardiorespiratory fitness (P < 0.05); and mother's and sisters’ physical activity engagement were positively associated with higher muscular strength in adolescents (P < 0.05). Furthermore, father's physical activity encouragement was positively linked to physical fitness (all fitness components) in adolescents (P < 0.05). Interventions aimed at improving physical fitness in young people might be more successful when family members, particularly mothers and fathers, are encouraged to engage in physical activity and support adolescents’ physical activity.     

Cross-sectional and longitudinal relationship between physical fitness and academic achievement in Japanese adolescents

Abstract

Although cross-sectional studies regarding the relationship between physical fitness and academic achievement among Japanese children have been previously reported, no longitudinal study has yet been reported for Japanese children. The purpose of this study was to examine the cross-sectional and longitudinal relationships between physical fitness and academic achievement among Japanese adolescents. This cohort study included 1,189 seventh- and ninth-grade students from two schools. The follow-up period was 2 years. A physical fitness test involving eight test items (hand grip, sit-ups, sit and reach, side-to-side jump, 20-m shuttle run, 50-m dash, standing broad jump and handball throwing) was conducted to evaluate the fitness of the participants. Academic achievement in Japanese, mathematics and a foreign language (English) was assessed at baseline and follow-up using cumulative guidance records. Participants were classified into low–low, high–low, low–high, and high–high groups based on physical fitness test results at baseline and follow-up. Compared with the groups showing low fitness levels, those showing high fitness levels for all items of the physical fitness test expect handball throwing had increased odds of showing high academic achievement levels in all three subjects at baseline and/or follow-up compared with the low-fitness groups. Sit-ups and 20-m shuttle run in the high–high and low–high groups were related to higher academic achievement levels at follow-up compared with those in the low–low group for both boys and girls. Therefore, this study suggests that various physical fitness outcomes are positively associated with high academic achievement levels for Japanese children.     

Chronotropic incompetence is more frequent in obese adolescents and relates to systemic inflammation and exercise intolerance

BackgroundAdults with obesity may display disturbed cardiac chronotropic responses during cardiopulmonary exercise testing, which relates to poor cardiometabolic health and an increased risk for adverse cardiovascular events. It is unknown whether cardiac chronotropic incompetence (CI) during maximal exercise is already present in obese adolescents and, if so, how that relates to cardiometabolic health.MethodsSixty-nine obese adolescents (body mass index standard deviation score = 2.23 ± 0.32, age = 14.1 ± 1.2 years; mean ± SD) and 29 lean adolescents (body mass index standard deviation score = –0.16 ± 0.84, age = 14.0 ± 1.5 years) performed a maximal cardiopulmonary exercise testing from which indicators for peak performance were determined. The resting heart rate and peak heart rate were used to calculate the maximal chronotropic response index. Biochemistry (lipid profile, glycemic control, inflammation, and leptin) was studied in fasted blood samples and during an oral glucose tolerance test within obese adolescents. Regression analyses were applied to examine associations between the presence of CI and blood or exercise capacity parameters, respectively, within obese adolescents.ResultsCI was prevalent in 32 out of 69 obese adolescents (46%) and 3 out of 29 lean adolescents (10%). C-reactive protein was significantly higher in obese adolescents with CI compared to obese adolescents without CI (p = 0.012). Furthermore, peak oxygen uptake and peak cycling power output were significantly reduced (p < 0.05) in obese adolescents with CI vs. obese adolescents without CI. The chronotropic index was independently related to blood total cholesterol (standardized coefficient β = –0.332; p = 0.012) and C-reactive protein concentration (standardized coefficient β = –0.269; p = 0.039).ConclusionCI is more common in the current cohort of obese adolescents, and is related to systemic inflammation and exercise intolerance.     

关于增强大学生体质与健康方法研究

目的：总结出导致我国大学生体质健康水平下降的部分重要原因,并提出有利于增强我国大学生体质与健康的方法及建议,最终期望我国大学生的体质与健康水平有所改善.方法：文献资料法、问卷调查法、数理统计法、对比分析法等方法,以我国大学生体质健康为研究对象,搜集并整理我国各地区部分高校大学生体质与健康的测量数据与全国学生体质健康状况四次调查结果进行对比分析.结果和结论：自1985年至今,每次全国学生体质健康调查结果都显示：（1）学生身体形态发展良好,身高、体重、胸围都有明显增加.（2）学生生理机能有所下降.（3）8项身体素质指标中800m、1000m、引体向上、1min仰卧起坐等耐力素质明显下降.（4） 2010年大学生体质健康水平出现拐点.     

Twenty-metre shuttle run test performance of English children aged 11 – 15 years in 2007: Comparisons with international standards

Abstract

Recent international normative data for the 20-m shuttle-run test demonstrated a below-average performance index for UK children. The aims of the present study were to create an international comparison of 20-m shuttle-run test performance in a sample of English children and to identify age- and sex-specific differences in test performance. Mass, stature, body mass index, and 20-m shuttle-run test performance were measured in 2041 children aged 11 – 15 years (963 boys, 1078 girls). Performance was expressed as maximum running velocity and a performance index was created by generating z-scores. The shuttle-run test performance index was higher than the existing published value (?0.046, 95% confidence interval [CI] ?0.070 to ?0.022) for all children (0.061, 95% CI = 0.006 to 0.115), for boys (0.075, 95% CI = ?0.022 to 0.171), and for girls (0.048, 95% CI = ?0.010 to 0.106). Boys' relative performance increased significantly (F = 4.43, P = 0.002) throughout the measured age range, whereas girls' relative performance tended to decrease (F = 1.98, P = 0.096). The results were favourable when compared with existing values. Differences in performance index may be due to the different geographical areas from which present and past samples were drawn. Reasons for differences in the performance indices between boys and girls warrant further investigation.     

Utility of international normative 20 m shuttle run values for identifying youth at increased cardiometabolic risk

The purpose of this study was to examine the ability of international normative centiles for the 20 m shuttle run test (20mSRT) to identify youth at increased cardiometabolic risk. This was a cross-sectional study involving 961 children aged 10–17 years (53% girls) from the United Kingdom. Receiver operating characteristic (ROC) curves determined the discriminatory ability of cardiorespiratory fitness percentiles for predicting increased cardiometabolic risk. ROC analysis demonstrated a significant but poor discriminatory accuracy of cardiorespiratory fitness in identifying low/high cardiometabolic risk in girls (AUC = 0.58, 95% CI: 0.54–0.63; p = 0.04), and in boys (AUC = 0.59, 95% CI: 0.54–0.63; p = 0.03). The cardiorespiratory fitness cut-off associated with high cardiometabolic risk was the 55^th percentile (sensitivity = 33.3%; specificity = 84.5%) in girls and the 60^th percentile (sensitivity = 42.9%; specificity = 73.6%) in boys. These 20mSRT percentile thresholds can be used to identify children and adolescents who may benefit from lifestyle intervention. Nonetheless, further work involving different populations and cardiometabolic risk scores comprising of different variables are needed to confirm our initial findings.     

Worldwide variation in the performance of children and adolescents: An analysis of 109 studies of the 20-m shuttle run test in 37 countries

Abstract

This study is a meta-analysis of 109 reports of the performance of children and adolescents on the 20-m shuttle run test (20-mSRT). The studies were performed in 37 countries and included data on 418,026 children, tested between 1981 and 2003. Results were expressed as running speed (km · h^?1) at the final completed stage of the 20-mSRT. Raw data were combined with pseudodata using Monte Carlo simulation. The 20-mSRT performances were expressed as z-scores relative to all children of the same age and sex from all countries. An overall “performance index” was derived for each country as the average of the age- and sex-specific z-scores for all children from that country. Factorial analysis of variance was used to compare scores among countries and regions, and between boys and girls of the same age. There was wide and significant (P < 0.0001) global variability in the performance of children. The best performing children were from the Northern European countries Estonia, Iceland, Lithuania, and Finland (0.6 – 0.9 standard deviations above the global average). The worst performing children were from Singapore, Brazil, USA, Italy, Portugal, and Greece (0.4 – 0.9 standard deviations below the global average). There is evidence that performance was negatively related to being overweight, as well as to a country's average temperature.     

国外体育健身休闲产业发展现状与启示——关于加快发展我国体育健身休闲产业的思考

在分析发达国家体育健身休闲产业发展的基础上,总结归纳了国外体育健身休闲产业发展的经营组织连锁化、产品多元化、服务个性化、健身设备数字化、健身保险一体化等5个趋势,提出了对我国体育健身休闲产业发展的启示以供借鉴和参考。     

Sex-specific associations of moderate and vigorous physical activity with physical fitness in adolescents

The present study examined the sex-specific associations of moderate and vigorous physical activity (VPA) with physical fitness in 300 Japanese adolescents aged 12–14 years. Participants were asked to wear an accelerometer to evaluate physical activity (PA) levels of various intensities (i.e. moderate PA (MPA), 3–5.9 metabolic equivalents (METs); VPA, ≥6 METs; moderate to vigorous PA (MVPA), ≥3 METs). Eight fitness items were assessed (grip strength, bent-leg sit-up, sit-and-reach, side step, 50?m sprint, standing long jump, handball throw, and distance running) as part of the Japanese standardised fitness test. A fitness composite score was calculated using Japanese fitness norms, and participants were categorised according to their score from category A (most fit) to category E (least fit), with participants in categories D and E defined as having low fitness. It was found that for boys, accumulating more than 80.7?min/day of MVPA may reduce the probability of low fitness (odds ratio (ORs) [95% confidence interval (CI)]?=?0.17 [0.06–0.47], p?=?.001). For girls, accumulating only 8.4?min of VPA could reduce the likelihood of exhibiting low fitness (ORs [95% CI]?=?0.23 [0.05–0.89], p?=?.032). These results reveal that there are sex-specific differences in the relationship between PA and physical fitness in adolescents, suggesting that sex-specific PA recommendation may be needed to improve physical fitness in adolescents.     

The relationships among fundamental motor skills, health-related physical fitness, and body fatness in South Korean adolescents with mental retardation

The purpose of this study was to examine the following: (a) the relationships among the latent constructs of fundamental motor skills (FMS), health-related physical fitness (HRF), and observed body fatness in South Korean adolescents with mental retardation (MR); (b) the indirect effect of fundamental motor skills on body fatness when mediated by health-related fitness; and (c) whether the degree of MR and gender affects these relationships. Students ages 13 to 18 years (287 boys and 134 girls) were recruited for the study. Separate structural equation models were estimated based on gender and the level of disability: mild or moderate MR. Group differences in the model structure were not found, so the data were combined and a single model estimated. The results showed that FMS significantly contributed to HRF (standardized effects beta = .53), p < .01 and indirectly contributed to decreased body fatness mediated by HRF (-.27), p < .01. HRF directly contributed to decreased fatness (-.50), p < .01. The results from this study support the importance of both increased FMS and increased HRF in relation to decreased body fatness.