Exploring the link between metabolic syndrome risk and physical fitness in children with obesity: a cross-sectional study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F25%3AA2603DLD" target="_blank" >RIV/61988987:17110/25:A2603DLD - isvavai.cz</a>

Result on the web

<a href="https://link.springer.com/10.1007/s00431-025-06339-7" target="_blank" >https://link.springer.com/10.1007/s00431-025-06339-7</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00431-025-06339-7" target="_blank" >10.1007/s00431-025-06339-7</a>

Result language

angličtina

Original language name

Exploring the link between metabolic syndrome risk and physical fitness in children with obesity: a cross-sectional study

Original language description

Given the growing relevance of physical fitness for cardiometabolic health in children with obesity and the rising prevalence of MetS, this study aimed to explore the relationship between physical fitness and MetS. Specifically, the goal was to assess the relationship between physical fitness and the severity of MetS, as measured by the MetS risk score, and to evaluate the importance of each dimension as a potential indicator of metabolic health in the pediatric population. We consecutively recruited a total of 62 children and adolescents (aged 7-17 years) with obesity (BMI z-score > 2SD). For all the patients, we evaluated cardiorespiratory fitness, muscular strength, and speed-agility. We computed the MetS risk score, a continuous risk score based on BMI z-score, HDL-C, systolic blood pressure, triglycerides, and fasting glucose, and MetS was defined as having a z-score > 0.75. Cardiorespiratory fitness and speed-agility were not significantly associated with MetS. Lower limb muscular strength, measured by the standing broad jump, was inversely associated with the odds of having MetS (OR: 0.47; 0.22-0.88; 95% CI), with a 1SD (24 cm) increase in SBJ corresponding to a 53% reduction in risk. Additionally, cardiorespiratory fitness was not related to any cardiometabolic outcomes (p > 0.05), whereas muscular strength showed an inverse association with the MetS risk score (beta(2) = - 0.266, p = 0.043), BMI z-score (beta(2) = - 0.443, p = 0.001), SBP (beta(2) = - 0.304, p = 0.020), and waist-to-height ratio (beta(2) = - 0.328, p = 0.012). Conclusion: We demonstrated a link between MetS and physical fitness in children with obesity, with muscular strength showing a stronger association compared to cardiorespiratory fitness and speed-agility. The findings support the role of muscle integrity in metabolic health, emphasizing the importance of educating individuals from an early age about daily PA to promote lifelong healthy habits.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30209 - Paediatrics

Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Journal of Pediatrics

ISSN

0340-6199

e-ISSN

1432-1076

Volume of the periodical

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Issue of the periodical within the volume

8

Country of publishing house

US - UNITED STATES

Number of pages

13

Pages from-to

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UT code for WoS article

001536396400002

EID of the result in the Scopus database

2-s2.0-105011375640