Decline in physical fitness from childhood to adulthood associated with increased obesity and insulin resistance in adults

Dwyer, Terence, Magnussen, Costan, Schmidt, Michael D., Ukoumunne, Obioha C., Posonby, Anne-Louise, Raitakari, Olli T., Zimmet, Paul, Blair, Steven N., Thomson, Russell, Cleland, Verity and Venn, Alison 2009, Decline in physical fitness from childhood to adulthood associated with increased obesity and insulin resistance in adults, Diabetes care, vol. 32, no. 4, pp. 683-687.

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Title Decline in physical fitness from childhood to adulthood associated with increased obesity and insulin resistance in adults
Author(s) Dwyer, Terence
Magnussen, Costan
Schmidt, Michael D.
Ukoumunne, Obioha C.
Posonby, Anne-Louise
Raitakari, Olli T.
Zimmet, Paul
Blair, Steven N.
Thomson, Russell
Cleland, Verity
Venn, Alison
Journal name Diabetes care
Volume number 32
Issue number 4
Start page 683
End page 687
Publisher American Diabetes Association
Place of publication Alexandria, Va.
Publication date 2009-04
ISSN 0149-5992
1935-5548
Keyword(s) smoking
physical fitness
obesity
diabetes
nutrition
Summary To examine how fitness in both childhood and adulthood is associated with adult obesity and insulin resistance. A prospective cohort study set in Australia in 2004-2006 followed up a cohort of 647 adults who had participated in the Australian Schools Health and Fitness Survey in 1985 and who had undergone anthropometry and cardiorespiratory fitness assessment during the survey. Outcome measures were insulin resistance and obesity, defined as a homeostasis model assessment index above the 75th sex-specific percentile and BMI ≥30 kg/m^sup 2^, respectively. Lower levels of child cardiorespiratory fitness were associated with increased odds of adult obesity (adjusted odds ratio [OR] per unit decrease 3.0 [95% CI 1.6- 5.6]) and insulin resistance (1.7 [1.1-2.6]). A decline in fitness level between childhood and adulthood was associated with increased obesity (4.5 [2.6-7.7]) and insulin resistance (2.1 [1.5- 2.9]) per unit decline. A decline in fitness from childhood to adulthood, and by inference a decline in physical activity, is associated with obesity and insulin resistance in adulthood. Programs aimed at maintaining high childhood physical activity levels into adulthood may have potential for reducing the burden of obesity and type 2 diabetes in adults.
Language eng
Field of Research 111706 Epidemiology
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2009
Copyright notice ©2009, American Diabetes Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30019940

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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Created: Fri, 25 Sep 2009, 13:52:41 EST by Sally Morrigan

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