Cardiorespiratory Fitness, Physical Activity, and Insulin Resistance in Children Article Swipe
Eero A. Haapala
,
Petri Wiklund
,
Niina Lintu
,
Tuomo Tompuri
,
Juuso Väistö
,
Taija Finni
,
Ina M. Tarkka
,
TITTA KEMPPAINEN
,
Alan R. Barker
,
Ulf Ekelund
,
Søren Brage
,
Timo A. Lakka
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1249/mss.0000000000002216
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1249/mss.0000000000002216
Purpose Few studies have investigated the independent and joint associations of cardiorespiratory fitness (CRF) and body fat percentage (BF%) with insulin resistance in children. We investigated the independent and combined associations of CRF and BF% with fasting glycemia and insulin resistance and their interactions with physical activity (PA) and sedentary time among 452 children age 6 to 8 yr. Methods We assessed CRF with a maximal cycle ergometer exercise test and used allometrically scaled maximal power output ( W max ) for lean body mass (LM 1.13 ) and body mass (BM 1 ) as measures of CRF. The BF% and LM were measured by dual-energy X-ray absorptiometry, fasting glycemia by fasting plasma glucose, and insulin resistance by fasting serum insulin and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). The PA energy expenditure, moderate-to-vigorous PA (MVPA), and sedentary time were assessed by combined movement and heart rate sensor. Results W max /LM 1.13 was not associated with glucose (β = 0.065, 95% confidence interval [CI] = −0.031 to 0.161), insulin (β = −0.079, 95% CI = −0.172 to 0.015), or HOMA-IR (β = −0.065, 95% CI = −0.161 to 0.030). W max /BM 1 was inversely associated with insulin (β = −0.289, 95% CI = −0.377 to −0.200) and HOMA-IR (β = −0.269, 95% CI = −0.359 to −0.180). The BF% was directly associated with insulin (β = 0.409, 95% CI = 0.325 to 0.494) and HOMA-IR (β = 0.390, 95% CI = 0.304 to 0.475). Higher W max /BM 1 , but not W max /LM 1.13 , was associated with lower insulin and HOMA-IR in children with higher BF%. Children with higher BF% and who had lower levels of MVPA or higher levels of sedentary time had the highest insulin and HOMA-IR. Conclusions Children with higher BF% together with less MVPA or higher levels of sedentary time had the highest insulin and HOMA-IR. Cardiorespiratory fitness appropriately controlled for body size and composition using LM was not related to insulin resistance among children.
Related Topics
Concepts
Insulin resistance
Cardiorespiratory fitness
Internal medicine
Endocrinology
Insulin
Homeostatic model assessment
Medicine
Homeostasis
Lean body mass
Confidence interval
Body weight
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1249/mss.0000000000002216
- OA Status
- green
- Cited By
- 29
- References
- 55
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2991083475
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2991083475Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1249/mss.0000000000002216Digital Object Identifier
- Title
-
Cardiorespiratory Fitness, Physical Activity, and Insulin Resistance in ChildrenWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-11-25Full publication date if available
- Authors
-
Eero A. Haapala, Petri Wiklund, Niina Lintu, Tuomo Tompuri, Juuso Väistö, Taija Finni, Ina M. Tarkka, TITTA KEMPPAINEN, Alan R. Barker, Ulf Ekelund, Søren Brage, Timo A. LakkaList of authors in order
- Landing page
-
https://doi.org/10.1249/mss.0000000000002216Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://urn.fi/URN:NBN:fi:jyu-201912115193Direct OA link when available
- Concepts
-
Insulin resistance, Cardiorespiratory fitness, Internal medicine, Endocrinology, Insulin, Homeostatic model assessment, Medicine, Homeostasis, Lean body mass, Confidence interval, Body weightTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
29Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 7, 2023: 5, 2022: 7, 2021: 4Per-year citation counts (last 5 years)
- References (count)
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55Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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