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dc.contributor.authorNevill, Alan M.
dc.contributor.authorDuncan, Michael J
dc.contributor.authorLahart, Ian M
dc.contributor.authorSandercock, Gavin
dc.date.accessioned2017-06-21T14:27:20Z
dc.date.available2017-06-21T14:27:20Z
dc.date.issued2017-01-06
dc.identifier.citationNevill AM., Duncan MJ., Lahart IM., Sandercock G. (2017) 'Cardiorespiratory fitness and activity explains the obesity-deprivation relationship in children', Health Promotion International, 33 (3) pp. 479-487. doi: 10.1093/heapro/daw106
dc.identifier.issn0957-4824
dc.identifier.pmid28062521
dc.identifier.doi10.1093/heapro/daw106
dc.identifier.urihttp://hdl.handle.net/2436/620519
dc.description.abstractThis study examined the association between obesity and deprivation in English children and whether cardiorespiratory fitness or physical activity (PA) can explain this association. Obesity was assessed using IOTF criteria in 8,398 10-16 year olds. Social deprivation was measured using the Index of Multiple Deprivation (IMD) (subdivided into 3 groups; high, mid and low deprivation). Obesity was analysed using binary logistic regression with stature, age and sex incorporated as confounding variables. Children's fitness levels were assessed using predicted VO2 max (20-metre shuttle run test) and PA was estimated using the PA Questionnaire for Adolescents or Children (PAQ). A strong association was found between obesity and deprivation. When fitness and PA were added to the logistic regression models, increasing levels in both were found to reduce the odds of obesity, although it was only by including fitness into the model that the association between obesity and deprivation disappeared. Including estimated PA into the model was found to be curvilinear. Initial increases in PA increase the odds of obesity. Only by increasing PA to exceed the 71(st) percentile (PAQ = 3.22) did the odds of being obese start to decline. In order to reduce deprivation inequalities in children's weight-status, health practitioners should focus on increasing cardiorespiratory fitness via physical activity levels in areas of greater deprivation.
dc.formatapplication/pdf
dc.language.isoen
dc.publisherOxford University Press
dc.relation.urlhttps://academic.oup.com/heapro/article/33/3/479/2846106
dc.subjectbinary logistic regression
dc.subjectcardiorespiratory fitness
dc.subjectphysical activity
dc.titleCardiorespiratory fitness and activity explains the obesity-deprivation relationship in children
dc.typeJournal article
dc.identifier.journalHealth Promotion International
dc.date.accepted2016-06-27
rioxxterms.funderUniversity of Wolverhampton
rioxxterms.identifier.projectUOW210617AN
rioxxterms.versionAM
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
rioxxterms.licenseref.startdate2018-01-06
dc.source.volume33
dc.source.issue3
dc.source.beginpage479
dc.source.endpage487
refterms.dateFCD2018-10-19T08:43:47Z
refterms.versionFCDAM
refterms.dateFOA2018-01-06T00:00:00Z
html.description.abstractThis study examined the association between obesity and deprivation in English children and whether cardiorespiratory fitness or physical activity (PA) can explain this association. Obesity was assessed using IOTF criteria in 8,398 10-16 year olds. Social deprivation was measured using the Index of Multiple Deprivation (IMD) (subdivided into 3 groups; high, mid and low deprivation). Obesity was analysed using binary logistic regression with stature, age and sex incorporated as confounding variables. Children's fitness levels were assessed using predicted VO2 max (20-metre shuttle run test) and PA was estimated using the PA Questionnaire for Adolescents or Children (PAQ). A strong association was found between obesity and deprivation. When fitness and PA were added to the logistic regression models, increasing levels in both were found to reduce the odds of obesity, although it was only by including fitness into the model that the association between obesity and deprivation disappeared. Including estimated PA into the model was found to be curvilinear. Initial increases in PA increase the odds of obesity. Only by increasing PA to exceed the 71(st) percentile (PAQ = 3.22) did the odds of being obese start to decline. In order to reduce deprivation inequalities in children's weight-status, health practitioners should focus on increasing cardiorespiratory fitness via physical activity levels in areas of greater deprivation.


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