Association of Fitness and Fatness with Clustered Cardiovascular Disease Risk Factors in Nigerian Adolescents

Bibliographic Data

ID15470412
AuthorsDanladi Ibrahim Musa (0000-0001-6310-1149, Kogi State University, corresponding author), AL Toriola (0000-0002-8096-324X, Tshwane University of Technology), Abel L Toriola (Tshwane University of Technology), Daniel Ter Goon (0000-0001-9070-7875, University of Fort Hare), Sunday U Jonathan (Ibrahim Badamasi Babangida University)
Year2020
Volume17
Issue16
Pages5861-5861
Publication date2020-08-13
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17165861
PMID32823494
OpenAlexW3048903558
LanguageEN
Citations received2
References cited28

Purpose : This study examinedthe independent and joint association of fitness and fatness with clustered cardiovascular disease risk (CVDrs) in 11-18 year-old Nigerian adolescents. Methods : A hundred and ninety seven adolescents (100 girls and 97 boys) were evaluated forfitness, fatness and CVDrs. Fitness was evaluated with the progressive aerobic cardiovascular endurance run test while fatness was assessed using body mass index. A clustered CVDrs was computed from the standardized residuals of total cholesterol, high density lipoprotein cholesterol, Low density lipoprotein cholesterol, triglycerides, plasma glucose, systolic blood pressure, and diastolic blood pressure. Regression models controlling for waist circumference assessed the association of fitness and fatness with CVDrs. Results : Prevalence of clustered CVD risk was 7.1% (girls = 3.0%; boys = 4.1%). Based on risk factor abnormalities, 52.8% of participants had one or more CVD risk factor abnormalities with more boys (27.4%) affected. Low fitness was associated with clustered CVDrs in both girls (R 2 = 9.8%, β = -0.287, p = 0.05) and boys (R 2 = 17%, β = -0.406, p 2 = 10.4%) and abdominal fat (R 2 = 19.5%) were associated with CVDrs respectively. Unfit girls were 3.2 (95% CI = 1.31-7.91, p = 0.011) times likely to develop CVD risk abnormality compared to their fit counterparts. The likelihood of unfit boys developing CVD risk abnormality was 3.9 (95% CI = 1.15-10.08, p = 0.005) times compared to their fit peers. Conclusions : Fitness but not fatness was a better predictor of CVDrs in Nigerian boys and girls. The result of this study suggests that any public health strategies aimed at preventing or reversing the increasing trends of CVD risk in adolescents should emphasize promotion of aerobic fitness

Association (psychology · Disease · Sociology · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Obesity, Physical Activity, Diet · Physical Activity and Health · Psychology · Gerontology · Internal Medicine

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