ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.

<h4>Objectives</h4>1. to investigate whether 20 m multi-stage shuttle run performance (20mSRT), an indirect measure of aerobic fitness, could discriminate between healthy and overweight status in 9-10.9 yr old schoolchildren using Receiver Operating Characteristic (ROC) analysis; 2. Inve...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lynne M Boddy, Non E Thomas, Stuart J Fairclough, Keith Tolfrey, Sinead Brophy, Anwen Rees, Gareth Knox, Julien S Baker, Gareth Stratton
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b52bcaa470e14076b37d2b8cb4f1ed60
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b52bcaa470e14076b37d2b8cb4f1ed60
record_format	dspace
spelling	oai:doaj.org-article:b52bcaa470e14076b37d2b8cb4f1ed602021-11-18T07:04:31ZROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.1932-620310.1371/journal.pone.0045755https://doaj.org/article/b52bcaa470e14076b37d2b8cb4f1ed602012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23029224/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4>1. to investigate whether 20 m multi-stage shuttle run performance (20mSRT), an indirect measure of aerobic fitness, could discriminate between healthy and overweight status in 9-10.9 yr old schoolchildren using Receiver Operating Characteristic (ROC) analysis; 2. Investigate if cardiometabolic risk differed by aerobic fitness group by applying the ROC cut point to a second, cross-sectional cohort.<h4>Design</h4>Analysis of cross-sectional data.<h4>Participants</h4>16,619 9-10.9 year old participants from SportsLinx project and 300 11-13.9 year old participants from the Welsh Schools Health and Fitness Study.<h4>Outcome measures</h4>SportsLinx; 20mSRT, body mass index (BMI), waist circumference, subscapular and superilliac skinfold thicknesses. Welsh Schools Health and Fitness Study; 20mSRT performance, waist circumference, and clustered cardiometabolic risk.<h4>Analyses</h4>Three ROC curve analyses were completed, each using 20mSRT performance with ROC curve 1 related to BMI, curve 2 was related to waist circumference and 3 was related to skinfolds (estimated % body fat). These were repeated for both girls and boys. The mean of the three aerobic fitness thresholds was retained for analysis. The thresholds were subsequently applied to clustered cardiometabolic risk data from the Welsh Schools study to assess whether risk differed by aerobic fitness group.<h4>Results</h4>The diagnostic accuracy of the ROC generated thresholds was higher than would be expected by chance (all models AUC >0.7). The mean thresholds were 33 and 25 shuttles for boys and girls respectively. Participants classified as 'fit' had significantly lower cardiometabolic risk scores in comparison to those classed as unfit (p<0.001).<h4>Conclusion</h4>The use of the ROC generated cut points by health professionals, teachers and coaches may provide the opportunity to apply population level 'risk identification and stratification' processes and plan for "at-risk" children to be referred onto intervention services.Lynne M BoddyNon E ThomasStuart J FaircloughKeith TolfreySinead BrophyAnwen ReesGareth KnoxJulien S BakerGareth StrattonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 9, p e45755 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lynne M Boddy Non E Thomas Stuart J Fairclough Keith Tolfrey Sinead Brophy Anwen Rees Gareth Knox Julien S Baker Gareth Stratton ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.
description	<h4>Objectives</h4>1. to investigate whether 20 m multi-stage shuttle run performance (20mSRT), an indirect measure of aerobic fitness, could discriminate between healthy and overweight status in 9-10.9 yr old schoolchildren using Receiver Operating Characteristic (ROC) analysis; 2. Investigate if cardiometabolic risk differed by aerobic fitness group by applying the ROC cut point to a second, cross-sectional cohort.<h4>Design</h4>Analysis of cross-sectional data.<h4>Participants</h4>16,619 9-10.9 year old participants from SportsLinx project and 300 11-13.9 year old participants from the Welsh Schools Health and Fitness Study.<h4>Outcome measures</h4>SportsLinx; 20mSRT, body mass index (BMI), waist circumference, subscapular and superilliac skinfold thicknesses. Welsh Schools Health and Fitness Study; 20mSRT performance, waist circumference, and clustered cardiometabolic risk.<h4>Analyses</h4>Three ROC curve analyses were completed, each using 20mSRT performance with ROC curve 1 related to BMI, curve 2 was related to waist circumference and 3 was related to skinfolds (estimated % body fat). These were repeated for both girls and boys. The mean of the three aerobic fitness thresholds was retained for analysis. The thresholds were subsequently applied to clustered cardiometabolic risk data from the Welsh Schools study to assess whether risk differed by aerobic fitness group.<h4>Results</h4>The diagnostic accuracy of the ROC generated thresholds was higher than would be expected by chance (all models AUC >0.7). The mean thresholds were 33 and 25 shuttles for boys and girls respectively. Participants classified as 'fit' had significantly lower cardiometabolic risk scores in comparison to those classed as unfit (p<0.001).<h4>Conclusion</h4>The use of the ROC generated cut points by health professionals, teachers and coaches may provide the opportunity to apply population level 'risk identification and stratification' processes and plan for "at-risk" children to be referred onto intervention services.
format	article
author	Lynne M Boddy Non E Thomas Stuart J Fairclough Keith Tolfrey Sinead Brophy Anwen Rees Gareth Knox Julien S Baker Gareth Stratton
author_facet	Lynne M Boddy Non E Thomas Stuart J Fairclough Keith Tolfrey Sinead Brophy Anwen Rees Gareth Knox Julien S Baker Gareth Stratton
author_sort	Lynne M Boddy
title	ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.
title_short	ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.
title_full	ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.
title_fullStr	ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.
title_full_unstemmed	ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.
title_sort	roc generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/b52bcaa470e14076b37d2b8cb4f1ed60
work_keys_str_mv	AT lynnemboddy rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT nonethomas rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT stuartjfairclough rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT keithtolfrey rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT sineadbrophy rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT anwenrees rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT garethknox rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT juliensbaker rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren AT garethstratton rocgeneratedthresholdsforfieldassessedaerobicfitnessrelatedtobodysizeandcardiometabolicriskinschoolchildren
_version_	1718424001688109056

ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren.

Ejemplares similares