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The associations of cardiorespiratory fitness, adiposity and sports participation with arterial stiffness in youth with chronic diseases or physical disabilities

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Haapala, E., Lankhorst, K., Groot, J. D., Zwinkels, M., Verschuren, O., Wittink, H., Backx, F. J., Visser-Meily, A., & Takken, T. (2017). The associations of cardiorespiratory fitness, adiposity and sports participation with arterial stiffness in youth with chronic diseases or physical disabilities. European Journal of Preventive Cardiology, 24(10), 1102-1111. https://doi.org/10.1177/2047487317702792
Published in
European Journal of Preventive Cardiology
Authors
Haapala, Eero |
Lankhorst, Kristel |
Groot, Janke de |
Zwinkels, Maremka |
Verschuren, Olaf |
Wittink, Harriet |
Backx, Frank JG |
Visser-Meily, Anne |
Takken, Tim
Date
2017
Discipline
LiikuntalääketiedeSports and Exercise Medicine
Copyright
© The European Society of Cardiology 2017. This is a final draft version of an article whose final and definitive form has been published by SAGE. Published in this repository with the kind permission of the publisher.

 
Background The evidence on the associations of cardiorespiratory fitness, body adiposity and sports participation with arterial stiffness in children and adolescents with chronic diseases or physical disabilities is limited. Methods Altogether 140 children and adolescents with chronic diseases or physical disabilities participated in this cross-sectional study. Cardiorespiratory fitness was assessed using maximal exercise test with respiratory gas analyses either using shuttle run, shuttle ride, or cycle ergometer test. Cardiorespiratory fitness was defined as peak oxygen uptake by body weight or fat-free mass. Body adiposity was assessed using waist circumference, body mass index standard deviation score and body fat percentage. Sports participation was assessed by a questionnaire. Aortic pulse wave velocity and augmentation index were assessed by a non-invasive oscillometric tonometry device. Results Peak oxygen uptake/body weight (standardised regression coefficient β −0.222, 95% confidence interval (CI) −0.386 to −0.059, P = 0.002) and peak oxygen uptake/fat-free mass (β −0.173, 95% CI −0.329 to −0.017, P = 0.030) were inversely and waist circumference directly (β 0.245, 95% CI 0.093 to 0.414, P = 0.002) associated with aortic pulse wave velocity. However, the associations of the measures of cardiorespiratory fitness with aortic pulse wave velocity were attenuated after further adjustment for waist circumference. A higher waist circumference (β −0.215, 95% CI −0.381 to −0.049, P = 0.012) and a higher body mass index standard deviation score (β 0.218, 95% CI −0.382 to −0.054, P = 0.010) were related to lower augmentation index. Conclusions Poor cardiorespiratory fitness and higher waist circumference were associated with increased arterial stiffness in children and adolescents with chronic diseases and physical disabilities. The association between cardiorespiratory fitness and arterial stiffness was partly explained by waist circumference. ...
Publisher
SAGE Publications
ISSN Search the Publication Forum
2047-4873
Keywords
arterial stiffness exercise cardiorespiratory fitness chronic disease nuoruus lihavuus
DOI
https://doi.org/10.1177/2047487317702792
URI

http://urn.fi/URN:NBN:fi:jyu-201706283154

Publication in research information system

https://converis.jyu.fi/converis/portal/detail/Publication/26938257

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