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Physical activity and physical fitness levels of Belgian males aged 40-55 years.

Physical activity during leisure time and on the job have been measured with standardized interview techniques in 1,513 normal men, aged 40-55 years, who were regularly employed in different industries. Physical fitness was simultaneously estimated by measuring the work load at which a heart rate of 150 bpm was reached on a standardized exercise test. The median energy expenditure from leisure time activities above the basal metabolic rate was 195 kcal/day; 19% of these activities were classified as heavy, 37% as moderate and 43% as light intensity. The median energy expenditure from job physical activity was 1,676 kcal/day including basal metabolic rate. The median physical fitness level was 125 W. The leisure time activity score was significantly related to physical fitness through the light and the heavy intensity subscores. Independently, job physical activity was also significantly related to physical fitness. However, both activity scores accounted for only 2% of the variance in physical fitness. The data illustrate an overall low energy expenditure profile of middle-aged normal men and a low order relationship between physical activity pattern and physical fitness.

Adult↗

Electrocardiographic findings according to level of fitness and sport activity.

We have investigated 52 ECG parameters in 1,299 athletes and 151 control subjects. Data on fitness were available in 840 athletes. They were split in three groups according to level of fitness and compared with each other and the control group with regard to the ECG findings. The most marked findings with increasing fitness were lower heart rate, increased prevalence of bradycardia, increased precordial ST segment elevation, and increased T wave amplitudes. Only slightly increased parameters of right and left ventricular hypertrophy were found. A highly significant correlation was found between fitness and heart rate, while no such correlation was found between fitness and the Sokolow index. The athletes were subdivided according to sports activity, and ECG parameters were compared in endurance athletes, ball players, strength athletes, gymnasts, and controls. Apart from a lower heart rate in endurance athletes and ball players as compared with strength athletes and gymnasts, few differences were found between the athletic groups. The heart rate is the most important parameter reflecting level of fitness and sports activity. The differences in ECG findings are relatively minor and do not distinguish type of sport activity.

Adaptation, Physiological↗

Does obstructive sleep apnea affect aerobic fitness?

OBJECTIVES: We sought to determine whether patients with obstructive sleep apnea (OSA) had an objective change in aerobic fitness during cycle ergometry compared to a normal population. The most accurate test of aerobic fitness is measurement of maximum oxygen consumption (VO2max) with cycle ergometry. METHODS: We performed a retrospective cohort analysis (247 patients with OSA) of VO2max from annual cycle ergometry tests compared to a large control group (normative data from 1.4 million US Air Force tests) in a tertiary care setting. RESULTS: Overall, individuals with OSA had increased VO2max when compared to the normalized US Air Force data (p < .001). Patients with an apnea-hypopnea index of greater than 20 demonstrated a decreased VO2max as compared to normalized values (p < .001). No differences in VO2max were observed after either medical or surgical therapy for OSA. CONCLUSIONS: Overall, in a US Air Force population, OSA does not predict a decrease in aerobic fitness as measured by cycle ergometry. However, patients with an apnea-hypopnea index of greater than 20 have a statistically significant decrease in aerobic fitness compared to the normal population. This study demonstrates the effects of OSA on aerobic fitness. Further correlation of fitness testing results with OSA severity and treatment is needed.

Adolescent↗

Physical fitness and Embedded Figures Test performance of elementary school children.

The relationship between physical fitness and field independence was assessed by measuring embedded-figures test performance in the following four groups of children in Grades 4 through 6: (1) 93 boys high in physical fitness, (2) 92 girls high in physical fitness, (3) 67 boys low in physical fitness, and (4) 77 girls low in physical fitness. The group of girls low in physical fitness was significantly more field dependent than the other three groups. No significant differences were found among the other three groups. It appears that skill in physical activities may be related to the embedded-figures test performance of girls, but not boys. In fact, girls skilled in physical activities may be as field independent as boys.

Child↗

Obesity and physical fitness of pre-adolescent children during the academic year and the summer period: effects of organized physical activity.

This study examined obesity and parameters of physical fitness in 178 elementary schoolchildren during an academic year as well as after the summer holidays. Results showed significant physical fitness improvements during the school year, with little or no changes in the summer holidays. Children who reported less than 30 minutes of daily participation in physical activity demonstrated lower prevalence rates for overweight and obesity as well as superior fitness performance. The detrimental effect of the summer break on the progress of physical fitness was less in children who did participate in physical activity than in those who did not. Longitudinal modelling using generalized estimating equations demonstrated that physical activity is a major contributing factor for obesity over time, masking the singular effect of various fitness parameters. It is concluded that pre-adolescent children advance in physical fitness mainly during the school year, with physical activity being a beneficial countermeasure for the development of obesity.

Body Mass Index↗

Cross-sectional relationship between physical fitness components and functional performance in older persons living in long-term care facilities.

BACKGROUND: The age-related deterioration of physiological capacities such as muscle strength and balance is associated with increased dependence. Understanding the contribution of physical fitness components to functional performance facilitates the development of adequate exercise interventions aiming at preservation of function and independence of older people. The aim of the study was to investigate the relationship between physical fitness components and functional performance in older people living in long-term care facilities. METHODS: Design cross-sectional study. Subjects 226 persons living in long-term care facilities (mean age: 81.6 +/- 5.6). Outcome measures Physical fitness and functional performance were measured by performance-based tests. RESULTS: Knee and elbow extension strength were significantly higher in men (difference = 44.5 and 50.0 N, respectively), whereas women were more flexible (difference sit & reach test = 7.2 cm). Functional performance was not significantly different between the genders. In men, motor coordination (eye-hand coordination) and measures of strength were the main contributors to functional performance, whereas in women flexibility (sit and reach test) and motor coordination (tandem stance and eye-hand coordination) played a major role. CONCLUSION: The results of this study show that besides muscle strength, fitness components such as coordination and flexibility are associated with functional performance of older people living in long-term care facilities. This suggests that men and women living in long-term care facilities, differ considerably concerning the fitness factors contributing to functional performance. Women and men may, therefore, need exercise programs emphasizing different fitness aspects in order to improve functional performance.

Activities of Daily Living↗

A school-based physical activity program to improve health and fitness in children aged 6-13 years ("Kinder-Sportstudie KISS"): study design of a randomized controlled trial [ISRCTN15360785].

BACKGROUND: Childhood obesity is the result of a long lasting imbalance between energy intake and energy expenditure. A major contributing factor is physical inactivity which is closely linked to bone health, cardiovascular disease risk, fitness and psychological factors. The school seems to provide an excellent setting to enhance levels of physical activity (PA). However, there is insufficient data from previous school-based intervention trials on how to enhance overall PA. It is also unknown whether an intervention aimed at increasing PA is effective in improving the children's health. The purpose of this paper is to outline the design of a school-based randomized, controlled trial (RCT) aiming to increase overall PA and to improve fitness and health in 6- to 13-year-old children. METHODS/DESIGN: 15 schools were randomized to the intervention (n = 9) or the control (n = 6) group, stratified by geographic region (urban vs. rural) and by age (1st and 5th grade). Participation was given for all children in the intervention group since in this group the intervention was part of the normal school curriculum. The intervention during one academic year consisted of: 1. two additional physical education classes per week given by trained physical education teachers adding up to a total of five PA classes per week, 2. short PA breaks (2-5 min each) during academic lessons, 3. PA home work, and 4. adaptation of recreational areas around the school. All children underwent anthropometric measurements, blood pressure assessment, fitness testing, measurement of PA and they filled out questionnaires. At least 70% of all children agreed to blood sampling and measurements of body composition and bone mineral measurements by dual energy x-ray absorptiometry. The primary endpoints of the study after one year were an increase in total PA by accelerometry, an increase in aerobic fitness measured by the 20 m shuttle run, a decrease in percent body fat derived from skinfold measurements and an increase in quality of life as assessed by the child health questionnaire in the intervention group compared to the control group. Secondary outcomes were overall fitness, differences in body composition including body fat distribution, cardiovascular risk factors, psychosocial health, bone mineral content and density of femur, lumbar spine and total body and food intake. DISCUSSION: Our preliminary data suggest that the children were representative of Swiss children with respect to sex, socio-demographic status, and body mass index. Short-term results can be expected by the beginning of 2007. We hypothesized that our intervention will lead to an increase in PA, fitness and overall health. Based on our data, we aim to provide important information regarding the influence of such an intervention on these outcome measures in school-aged children and to provide nationwide guidelines to improve PA in children.

Adolescent↗

Somatomedin-C, physical fitness, and bone density.

Somatomedin-C (Sm-C) or insulin-like growth factor-I, GH and physical fitness decline with age. Physical fitness and muscle strength are important determinants of bone density, and the age-related decline in bone density may be related in part to a decline in fitness and muscle strength. Also, Sm-C has been shown to stimulate osteoblasts in vitro and may effect skeletal muscle mass. We postulated that the age-related decline in GH and Sm-C levels may be related to an age-related decline in physical fitness and/or muscle strength, and the effect of physical fitness and muscle strength on bone may be mediated by Sm-C. We, therefore, examined the relationship between circulating GH and Sm-C levels and physical fitness, as determined by predicted maximal oxygen uptake (VO2max) in 134 normal women, 34 of whom were postmenopausal. In a subgroup of 62 women overall muscle strength was estimated as the sum of the Z-sores for biceps, quadriceps, and grip strength. Overall muscle strength correlated with GH levels (r = 0.28; P less than 0.02), but not with Sm-C levels. There was a significant positive relationship between plasma Sm-C levels and VO2max in all women (r = 0.47; P less than 0.001) and in the postmenopausal group alone (r = 0.05; P less than 0.01). Although there was a significant negative relationship between Sm-C and age (r = -0.36; P = 0.001), VO2max was a better independent predictor than age (r = 0.47; P = 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Cardiorespiratory fitness and cancer mortality in Japanese men: a prospective study.

PURPOSE: Limited data are available on the relationship between cardiorespiratory fitness and cancer mortality. We evaluated the cardiorespiratory fitness and risk of cancer mortality in Japanese men. METHODS: A total of 9039 men (19-59 yr) who were given a submaximal exercise test and a health examination between 1982 and 1988 and were followed for mortality up to 1999. Cardiorespiratory fitness was measured using a cycle ergometer test, and maximal oxygen uptake was estimated. RESULTS: The mean follow-up period was slightly more than 16 yr, producing a total of 148,491 person-years of observation. There were 231 deaths, with 123 deaths due to cancer. Relative risk (RR) and 95% confidence interval (95%CI) for cancer mortality were obtained using the Cox proportional hazards model. Taking into consideration age, systolic blood pressure, body mass index, smoking habit, and alcohol habit and using the lowest physical fitness group as the reference, the RR (95% CI) for increasing quartiles of fitness were 0.75(0.48-1.16), 0.43(0.25-0.74) and 0.41(0.23-0.74); P < 0.001 for trend. CONCLUSION: Low cardiorespiratory fitness is associated with cancer mortality in Japanese men.

Adult↗

[Effect of physical activity on physical fitness among workers].

We conducted a cross-sectional study to clarify the effects of physical activity on physical fitness. Physical fitness tests were offered to workers of companies manufacturing automobile parts from December, 1992 to December, 1993. The subjects were 1,217 male and 600 female workers who participated in the physical fitness test. From this group, we analyzed 1,048 male and 522 female workers who answered a physical activity questionnaire. The questionnaire included age, sex, working posture, physical activity during working time and physical activity during leisure time. The physical fitness tests were composed of grip strength, standing trunk flexion, foot balance with closed eyes, jumping reaction time and step tests. We classified the subjects into low performance group and high performance group for each test. In addition, we classified the subjects into different groups by age (16-29 years old, 30-49 years old old and 50-69 years old), by working posture (standing and sitting), as well as by activity levels during working time and leisure time physical activities (inactive and active). Thus, we examined potential risk factors for the physical fitness by a multiple logistic regression model. The results were as follows: 1. Standing work was a significant risk factor for grip strength, foot balance with closed eyes and jumping reaction time in male workers, and standing trunk flexion, foot balance with closed eyes, jumping reaction time and the step test in female workers. 2. Physical activity during working time was not related to physical fitness in male and female workers. 3. Inactivity during leisure time was a significant risk factor for standing trunk flexion, foot balance with closed eyes, jumping reaction time and the step test in male workers, and grip strength and foot balance with closed eyes in female workers. 4. Young age (16-29 years old) was a significant risk factor for grip strength, standing trunk flexion, foot balance with closed eyes, jumping reaction time and the step test in male and female workers. Middle age (30-49 years old) was a significant risk factor for foot balance with closed eyes and jumping reaction time in male workers, and standing trunk flexion, foot balance with closed eyes, jumping reaction time and the step test in female workers.

Adolescent↗

The modern expansion of Dscam1 isoform diversity in Drosophila is linked to fitness and immunity.

Drosophila melanogaster Down Syndrome cell adhesion molecule 1 (Dscam1) gene encodes 38,016 diverse cell surface receptor proteins via alternative splicing, which have both nervous and immune functions. However, it remains elusive why organisms have evolved such an astonishing diversity of isoforms. Here, we show that fitness and immunity properties have driven the modern evolution of Dscam1 isoform diversity. We assess multiple aspects of fly fitness in deletion mutants harboring exon 4, 6, or 9 clusters, respectively, reducing ectodomain isoform diversity stepwise from 18,612 to 396. All fitness-related traits generally improved as the potential number of isoforms increased; however, the magnitude of the changes varied remarkably in a variable cluster-specific manner. Correlation analysis revealed that fitness-related traits were much more sensitive to reductions in Dscam1 diversity compared to canonical neuronal self/non-self discrimination. We conclude that the role of Dscam1 isoforms in canonical neuronal self-avoidance and self/non-self discrimination is mediated by a small fraction of all isoforms (<1/10), whereas a separate role essential for other developmental contexts and resistances, likely in fitness and immunity, requires almost full isoform diversity. Thus, fitness and immunity properties, rather than canonical neuronal functions, are the dominant drivers during the modern diversification of the Dscam1 isoform. Our findings suggest that Dscam1 diversity is closely linked to adaptation and species diversification in arthropods.

Animals↗

Physical fitness profile of Army ROTC cadets.

One role of Army Reserved Officer's Training Corps (ROTC) programs is to physically prepare cadets for the demands of a military career. Cadets participate in physical training 3 days per week as part of their military science curriculum. Limited research has been conducted on the fitness level of ROTC cadets; therefore, the purpose of this study was to profile the physical fitness status of a cadre of ROTC cadets. Forty-three cadets (30 men and 13 women) performed Army Physical Fitness Test (APFT) assessments (2-mile run, 2-minute maximum push-ups and sit-ups) and clinical assessments of fitness (Bruce protocol Vo(2)max, underwater weighing, and 1 repetition maximum [1RM] bench press tests). Mean +/- standard deviations were calculated to provide the physical fitness profile for each parameter. Male cadets (21 +/- 2.2 years; height 177.4 +/- 6.6 cm; mass 79.2 +/- 9.4 kg) scored 49.6 +/- 6.1 ml.kg(-1).min(-1) for Vo(2)max, 14.8 +/- 4.2% fat, 86.5 +/- 24.9 kg 1RM bench press, 2-mile run of 13.97 +/- 1.4 minutes, 70.5 +/- 12.8 sit-ups, and 60.2 +/- 13.2 push-ups. Female cadets (20 +/- 2.4 years; height 165.1 +/- 8.0 cm; mass 63.5 +/- 10.0 kg) scored 40.8 +/- 3.9 ml.kg(-1).min(-1) for Vo(2) max, 23.9 +/- 3.8% fat, 35.3 +/- 8.2 kg 1RM bench press, 2-mile run of 17.0 +/- 1.6 minutes, 65.0 +/- 12.9 sit-ups, and 33.3 +/- 11.2 push-ups. The mean scores were above the 83rd percentile on all APFT items and average (percent fat) to above average (Vo(2)max and men's bench press scores) when compared with peer-age and sex-corrected norms. Only the women's bench press score was below average. With the exception of the women's bench press, these ROTC cadets possessed average to above average levels of fitness.

Adult↗

Leisure time physical activity as a determinant of self-perceived health and fitness in middle-aged male employees.

Self-perceived health and fitness are epidemiological predictors of subsequent mortality and/or functional limitation. The present study was designed to analyze which lifestyle factors contribute to good status of self-perceived health and fitness in middle-aged male employees. Participants (n=401) aged 50-59 were assessed as to the status of self-perceived health and fitness, and various lifestyle factors including nutrition, smoking, drinking, physical activity, psychological stress, sleeping and relaxation. Logistic regression analysis revealed that among the lifestyle factors surveyed in the present study, doing exercise/sports at a medium level (either > or =4.5METs/1-2 times per week or <4.5METs/> or =3-4 times per week) of physical activity index (PAI) was the only predictor of good self-perceived health. Similarly, doing exercise/sports at or above the medium level of PAI was identified as the only independent predictor of good self-perceived fitness. In addition, maintaining the habit of doing exercise/sports at or above the medium level of PAI throughout the year, and having this habit through the 4th and 5th decades of life or starting to have it from the age of 50 through 59 were important to obtain a good status of self-perceived health and fitness. These findings suggest that leisure time physical activity level is a determinant of good health and fitness in the middle-aged male employees in the present study.

Employment↗

Left ventricular structure and function in obese adolescents: relations to cardiovascular fitness, percent body fat, and visceral adiposity, and effects of physical training.

OBJECTIVE: Little is known about the relations of fitness and fatness to left ventricular structure and function in obese adolescents. This project had 2 purposes: 1) to determine the correlations of cardiovascular fitness and adiposity to left ventricular parameters in obese adolescents; and 2) to see the effect of 8 months of physical training (PT) at low and high intensities. DESIGN: Obese 13- to 16-year-olds (N = 81) were tested at baseline and then randomly assigned to lifestyle education (LSE) alone, LSE plus moderate-intensity PT, or LSE plus high-intensity PT. Follow-up testing was conducted 8 months later. Because no significant differences were found between moderate-intensity and high-intensity PT, the groups were combined to form a LSE + PT group. INTERVENTION: Eight months of PT, offered 5 days per week with the target energy expenditure for all PT participants being 250 kcal/session, and LSE every 2 weeks. Outcome Measures. Left ventricular mass divided by height to the 2.7th power (LVM/Ht(2.7)), midwall fractional shortening (MFS), and relative wall thickness (RWT) were measured using M-mode echocardiography. Cardiovascular fitness was measured by a maximal multistage treadmill test; percent body fat (%BF) with dual-energy radiograph absorptiometry; and visceral adipose tissue (VAT) with magnetic resonance imaging. RESULTS: At baseline, high levels of VAT were associated with higher RWT (r = 0.30) and lesser MFS (r = -0.29). Compared with the LSE-alone group, the LSE + PT group significantly improved in cardiovascular fitness and decreased in %BF and VAT. However, there were no significant differences between groups on changes in LVM/Ht(2.7), MFS, or RWT. Individual changes in cardiovascular fitness, %BF, and VAT did not correlate significantly with interindividual changes in left ventricular structure and function. CONCLUSIONS: High levels of VAT were associated with unfavorable left ventricular structure and function. However, no evidence was provided that an 8-month PT program, which improved cardiovascular fitness and reduced general and visceral adiposity, improved left ventricular structure and function. Future studies consisting of longer training programs and/or greater weight reductions are needed to see whether the adverse left ventricular effects of obesity can be ameliorated by exercise training.

Adipose Tissue↗

Physical fitness and C-reactive protein level in children and young adults: the Columbia University BioMarkers Study.

OBJECTIVE: To examine the association of physical fitness with C-reactive protein (CRP) level in children and young adults. METHODS: Subjects (N = 205) aged 6 to 24 years were enrolled in the Columbia University BioMarkers Study (1994-1998). Physical fitness was assessed using a non-effort-dependent treadmill testing protocol (physical work capacity at heart rate of 170 beats per minute). CRP level was measured using a high-sensitivity assay. RESULTS: Subjects were 54% female and 65% of Hispanic origin. Mean fitness level was higher in boys than in girls, but CRP levels did not differ by gender. Fitness level was inversely correlated with CRP (r = -0.22). This relationship was significant in boys (r = -0.32) but not in girls (r = -0.15). After multivariate regression adjustment for age, race/ethnicity, body mass index, and family history of early-onset ischemic heart disease, physical fitness remained inversely associated with CRP level in boys (beta = -0.02; standard error = 0.01). CONCLUSIONS: These findings indicate that physical fitness is inversely related to CRP level in children and that this relationship is more pronounced in boys than in girls.

Adolescent↗

Physical fitness and cardiopulmonary baroreflex to passive head-up tilt.

The relationship between physical fitness and cardiopulmonary (CP) baroreflex induced by the decrease in venous return was investigated. Maximal oxygen uptake/lean body mass (VO2max/LBM) was used as a measure of physical fitness. CP baroreflex was examined in 8 subjects [22.0 +/- 2.0 (SD) yr] ranging from low (47.3 ml.kg-1.min-1) to highly (72.6 ml.kg-1.min-1) fit subjects who were exposed to the orthostatic load using passive head-up tilt. Tilting from 0 degrees to 70 degrees in 10 degrees increments was applied. Each tilting was preceded by measurements at the basal position of 0 degrees. Heart rate, systolic and diastolic pressure, stroke volume, and forearm blood flow were measured before and during tilting; Cardiac output, mean arterial pressure, and forearm vascular resistance (FVR) were calculated. FVR was increased with the raising in tilt angle in each subject, but the onset of increase in FVR tended to be earlier in proportion to the higher level of physical fitness. There is a negative and significant correlation between the onset of increase in FVR and VO2max/LBM. The physically fit subject exhibited a more rapid onset of an increase in FVR to orthostatic stress than the unfit subject. Thus the higher the physical fitness, the lower the threshold in CP baroreflex response.

Adult↗

[Physical fitness and motor ability in obese boys 12 through 14 years of age].

Excess body fat has generally been considered to be an influential factor to physical fitness and motor ability in obese boys. However, little information is available on the physical fitness and motor ability in obese boys. The purpose of this study was to clarify characteristics of physical fitness and motor ability in obese boys. The subjects were three hundreds and five boys aged 12-14 years. Nineteen physical fitness and motor ability items were tested and skinfold thickness was measured at six sites. Bioelectrical impedance was measured using a tetrapolar impedance plethysmograph (Selco SIF-891). Body density was calculated from the formula of Kim et al. The results of comparison clearly indicated that the obese group was significantly poorer in 1,500-m run, 5-min run, 50-m run, running long jump and many other variables, but was superior only in back strength. To analyze the factorial structure in boys, principal factor analysis was applied to the correlation matrix which was calculated with 19 variables, and then five factors were extracted. The obese group was significantly poorer in total body endurance and muscular endurance than the non-obese group. From these results, it was confirmed that the excess body fat could be one of the most important factors that affects the state of many physical fitness and motor ability elements in obese boys. However, the relationships between physical fitness, motor ability and the degree of fatness seem to be rather complicated. A great deal of data should be accumulated for more detailed analysis on the influence of the excess body fat in obese boys.

Adolescent↗

Contribution of physical fitness component to health status in middle-aged and elderly males.

This study determined the physical fitness component that contributes to improving and maintaining health status for each age group as well as quantifying the degree of the relationship between health status and physical fitness in middle-aged and elderly males. The participants were 995 males aged 30 to 69 years. Ten physical fitness tests and medical checkups were performed. The participants were divided into a healthy group and an unhealthy group according to health status. Multiple discriminant analysis was applied to the multivariate data. Correct discriminant probabilities of the multiple discriminant function to discriminate the healthy and unhealthy groups for males ranged from 67.0% to 75.1%. These findings suggest that there is a relatively high relationship between the health status and physical fitness level for middle-aged and elderly males. With each individual's discriminant score calculated using the multiple discriminant function as the index of the degree of health, the Pearson's correlation coefficient of the discriminant score and the performance in each physical fitness test were calculated. The age change between 30 and 69 years old was classified into five patterns according to the contribution. The result of this study is considered to be useful as objective data to prepare an exercise program considering the contribution of the physical fitness component of health status.

Adult↗