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An Investigation of the Utility of Waist Circumference Predicting Cardiorespiratory Fitness in School Children: A Cross-Sectional Study

Author

Listed:
  • Maria Zadarko-Domaradzka

    (Institute of Physical Culture Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland)

  • Marek Sobolewski

    (Department of Quantitative Methods, Rzeszow University of Technology, 35-959 Rzeszow, Poland)

  • Edyta Nizioł-Babiarz

    (Department of Physical Education, Carpathian State College in Krosno, 38-400 Krosno, Poland)

  • Zbigniew Barabasz

    (Department of Physical Education, Carpathian State College in Krosno, 38-400 Krosno, Poland)

  • Krzysztof Warchoł

    (Institute of Physical Culture Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland)

  • Klaudia Niewczas-Czarna

    (Institute of Physical Culture Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland)

  • Emilian Zadarko

    (Institute of Physical Culture Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland)

Abstract

The early identification of modifiable risk factors and their monitoring, also within school physical education (PE) classes, are becoming indispensable in the context of public health. The aim of this study was to test whether making use of waist circumference (WC) measurements increases the possibility of predicting the results of cardiorespiratory fitness (CRF) in school-age children, as compared with body mass index (BMI) and other somatic indicators related to body fat. The cross-sectional study covered 190 children aged 10 to 15 years, participating in school PE classes. Body height (BH), body weight (BW), WC, hip circumference (HC) and percentage of body fat (BF%) were measured. BMI, waist to hip ratio (WHR) and waist to height ratio (WHtR) were calculated, and a CRF test was performed by means of a 20 m shuttle run test (20mSRT). The peak heart rate (HR peak ) of the children was also measured. The regression model that was developed showed that WC ( R 2 = 47.1%), beyond BF% ( R 2 = 50.3%) and WHtR ( R 2 = 50.0%), was a useful measure of CRF, and stronger than BMI ( R 2 = 45.8%) or WHR ( R 2 = 39.2%). The risk of obtaining the CRF result classified below a good level (below the percentile range of P60-P80) was significantly higher in children with a larger WC (odds ratio (OR) for the WC change of 1 cm equals 1.14 (95% CI: 1.09–1.20; p < 0.001)). The simplicity of measuring WC and the possibility of using this measurement in the calculation of WHtR with reference to CRF indicate its usefulness in the prophylactic exams of school children.

Suggested Citation

  • Maria Zadarko-Domaradzka & Marek Sobolewski & Edyta Nizioł-Babiarz & Zbigniew Barabasz & Krzysztof Warchoł & Klaudia Niewczas-Czarna & Emilian Zadarko, 2023. "An Investigation of the Utility of Waist Circumference Predicting Cardiorespiratory Fitness in School Children: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(1), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:1:p:851-:d:1022969
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    References listed on IDEAS

    as
    1. Jarosław Herbert & Piotr Matłosz & Justyna Lenik & Agnieszka Szybisty & Joanna Baran & Karolina Przednowek & Justyna Wyszyńska, 2020. "Objectively Assessed Physical Activity of Preschool-Aged Children from Urban Areas," IJERPH, MDPI, vol. 17(4), pages 1-10, February.
    2. Diego Augusto Santos Silva & Justin J Lang & Joel D Barnes & Grant R Tomkinson & Mark S Tremblay, 2018. "Cardiorespiratory fitness in children: Evidence for criterion-referenced cut-points," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-20, August.
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