Mediation of obesity-related variables in the association between physical fitness and cardiometabolic risk in children and adolescents: A systematic review and meta-analysis

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Autor(es): dc.contributorFederal University of Rio Grande do Sul-
Autor(es): dc.contributorUniversity of Santa Cruz do Sul-
Autor(es): dc.contributorUniversidad de Las Américas-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorMichigan State University-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorNorwegian School of Sport Sciences-
Autor(es): dc.contributorInstituto de Investigación Sanitaria de Navarra (IdiSNA)-
Autor(es): dc.creatorDe Castro Silveira, João Francisco-
Autor(es): dc.creatorLópez-Gil, José Francisco-
Autor(es): dc.creatorReuter, Cézane Priscila-
Autor(es): dc.creatorSehn, Ana Paula-
Autor(es): dc.creatorBorfe, Letícia-
Autor(es): dc.creatorCarvas Junior, Nelson-
Autor(es): dc.creatorPfeiffer, Karin Allor-
Autor(es): dc.creatorGuerra, Paulo Henrique-
Autor(es): dc.creatorAndersen, Lars Bo-
Autor(es): dc.creatorGarcia-Hermoso, Antonio-
Autor(es): dc.creatorGaya, Anelise Reis-
Data de aceite: dc.date.accessioned2025-08-21T20:35:59Z-
Data de disponibilização: dc.date.available2025-08-21T20:35:59Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2025-04-03-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1136/bmjsem-2024-002366-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/303382-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/303382-
Descrição: dc.descriptionObjective To examine the mediation of obesity-related variables in the association between physical fitness and cardiometabolic risk in children and adolescents. Design Systematic review and meta-analysis. Data sources Studies from electronic databases from inception to 31 December 2023. Eligibility criteria for selecting studies Included were 123 observational studies (cross-sectional and longitudinal) that assessed risk by constructing a continuous score incorporating cardiometabolic parameters. Studies were considered if they evaluated at least one fitness component as an exposure in children and adolescents (5-19 years). Thirty-one were included in the main meta-analyses. Results Cross-sectional findings indicate that cardiorespiratory fitness is modestly but beneficially associated with cardiometabolic risk, either indirectly via obesity-related variables (indirect standardized beta coefficient [β Indirect ]=-0.17; 95% confidence interval [CI] -0.23; -0.11; inconsistency index [I 2 ]=94.4%) or directly and independently from obesity-related variables (r=-0.11; 95% CI -0.15; -0.07; I 2 =87.4%), whereas muscular fitness seems to be associated with risk only via obesity-related variables (β Indirect =-0.34; 95% CI -0.47; -0.20; I 2 =85.1%). There was no cross-sectional difference between biological sexes (p≥0.199). Longitudinal findings indicate no total (r=-0.12; 95% CI -0.24; 0.01; I 2 =23.1%) and direct (r=-0.03; 95% CI -0.08; 0.03; I 2 =0%) associations. Conclusion The association between fitness and risk appears to take place either indirectly through the reduction of obesity-related levels or directly by influencing risk. The latter underscores that the inverse association extends beyond a mere reduction in obesity-related variables, encompassing specific enhancements linked to exercise training, including increased metabolic efficiency, and cardiovascular capacity. PROSPERO registration number CRD42022354628.-
Descrição: dc.descriptionGraduation Program in Human Movement Sciences Federal University of Rio Grande do Sul-
Descrição: dc.descriptionGraduation Program in Health Promotion University of Santa Cruz do Sul-
Descrição: dc.descriptionOne Health Research Group Universidad de Las Américas-
Descrição: dc.descriptionGraduation Program in Evidence-Based Health Federal University of São Paulo-
Descrição: dc.descriptionDepartment of Kinesiology Michigan State University-
Descrição: dc.descriptionBiosciences Institute of Rio Claro São Paulo State University-
Descrição: dc.descriptionDepartment of Sports Medicine Norwegian School of Sport Sciences-
Descrição: dc.descriptionNavarrabiomed Hospital Universitario de Navarra Universidad Pública de Navarra (UPNA) Instituto de Investigación Sanitaria de Navarra (IdiSNA)-
Descrição: dc.descriptionBiosciences Institute of Rio Claro São Paulo State University-
Idioma: dc.languageen-
Relação: dc.relationBMJ Open Sport and Exercise Medicine-
???dc.source???: dc.sourceScopus-
Título: dc.titleMediation of obesity-related variables in the association between physical fitness and cardiometabolic risk in children and adolescents: A systematic review and meta-analysis-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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