Combined aerobic and muscle-strengthening activity guidelines and their association with obesity in US adolescents

García Hermoso, Antonio; Izquierdo Redín, Mikel; López Gil, José Francisco

Combined aerobic and muscle-strengthening activity guidelines and their association with obesity in US adolescents

dc.contributor.author	García Hermoso, Antonio
dc.contributor.author	Izquierdo Redín, Mikel
dc.contributor.author	López Gil, José Francisco
dc.contributor.department	Ciencias de la Salud	es_ES
dc.contributor.department	Osasun Zientziak	eu
dc.contributor.funder	Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa	es
dc.date.accessioned	2023-11-13T18:36:15Z
dc.date.available	2023-11-13T18:36:15Z
dc.date.issued	2023
dc.date.updated	2023-11-13T18:21:30Z
dc.description.abstract	Most of the evidence on physical activity for maintaining a healthy weight in adolescents is based solely on aerobic physical activity alone, with little attention given to the muscle strength component. This study aimed to investigate the associations between aerobic activities and muscle-strengthening activities (MSA) and overweight/obesity among a representative sample of adolescents. Data from the United States-based Youth Risk Behavior Surveillance System for the 2011–2019 cycle were used in this cross-sectional study. Adolescents self-reported their adherence to aerobic and MSA guidelines, as well as their height and weight. Overweight and obesity were defined using the age- and sex-specific criteria of the Centers for Disease Control and Prevention, with a body mass index (BMI) ≥85th and ≥95th percentiles, respectively. We examined the associations between adherence to physical activity guidelines (reference: not meeting either of the physical activity guidelines) and overweight/obesity or obesity using binary logistic regressions. These analyses were adjusted for race/ethnicity, sex, age, screen time, sleep duration, tobacco, alcohol, fruit, vegetables, and soda consumption. A total of 42 829 adolescents (48.98% girls) were included in the study. Of these, 22.23% met both guidelines for physical activity, 30.47% had overweight/obesity, and 14.51% had obesity. Compared with meeting neither guideline, meeting both aerobic and MSA guidelines was associated with lower odds of having overweight/obesity (odds ratio [OR] = 0.64, 95% confidence interval [CI], 0.60 to 0.68) and obesity (OR = 0.52, 95% CI 0.48 to 0.56). These results were consistent across years of assessment, sex, and race/ethnicity. In conclusion, our results highlight the importance of MSA, which is often overlooked in physical activity recommendations in many studies, in combating childhood obesity in the United States.	en
dc.description.sponsorship	Open access funding provided by Universidad Pública de Navarra.	en
dc.format.mimetype	application/pdf	en
dc.format.mimetype	application/msword	en
dc.identifier.citation	García-Hermoso, A., Izquierdo, M., López-Gil, J. F. (2023) Combined aerobic and muscle-strengthening activity guidelines and their association with obesity in US adolescents. Scandinavian Journal of Medicine & Science in Sports, 1-8. https://doi.org/10.1111/sms.14504.	en
dc.identifier.doi	10.1111/sms.14504
dc.identifier.issn	0905-7188
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/46750
dc.language.iso	eng	en
dc.publisher	Wiley	en
dc.relation.ispartof	Scandinavian Journal of Medicine and Science in Sports 2023	en
dc.relation.publisherversion	https://doi.org/10.1111/sms.14504
dc.rights	© 2023 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.	en
dc.rights.accessRights	info:eu-repo/semantics/openAccess
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	Excess weight	en
dc.subject	Muscle strength training	en
dc.subject	Obesity	en
dc.subject	Overweight	en
dc.subject	Physical activity guidelines	en
dc.subject	Population based	en
dc.title	Combined aerobic and muscle-strengthening activity guidelines and their association with obesity in US adolescents	en
dc.type	info:eu-repo/semantics/article
dc.type.version	info:eu-repo/semantics/publishedVersion
dspace.entity.type	Publication
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