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

Objectives: 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 cardiome...

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Main Authors: Lynne M. Boddy, Non E. Thomas, Stuart J. Fairclough, Keith Tolfrey, Sinead Brophy, Anwen Rees, Gareth Knox, Julien S. Baker, Gareth Stratton
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Published: 2012
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Online Access:https://hdl.handle.net/2134/18447
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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 (7242536)
collection Figshare
description Objectives: 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. Design: Analysis of cross-sectional data. Participants: 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. Outcome Measures: 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. Analyses: 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. Results: 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
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institution Loughborough University
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spelling rr-article-96188182012-01-01T00:00:00Z ROC generated thresholds for field-assessed aerobic fitness related to body size and cardiometabolic risk in schoolchildren Lynne M. Boddy (7242536) Non E. Thomas (7242539) Stuart J. Fairclough (7240916) Keith Tolfrey (1256034) Sinead Brophy (40627) Anwen Rees (306382) Gareth Knox (306383) Julien S. Baker (6724109) Gareth Stratton (306386) Other health sciences not elsewhere classified untagged Medical and Health Sciences not elsewhere classified Objectives: 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. Design: Analysis of cross-sectional data. Participants: 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. Outcome Measures: 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. Analyses: 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. Results: 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). Conclusion: 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. 2012-01-01T00:00:00Z Text Journal contribution 2134/18447 https://figshare.com/articles/journal_contribution/ROC_generated_thresholds_for_field-assessed_aerobic_fitness_related_to_body_size_and_cardiometabolic_risk_in_schoolchildren/9618818 CC BY-NC-ND 4.0
spellingShingle Other health sciences not elsewhere classified
untagged
Medical and Health Sciences not elsewhere classified
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
title 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_short 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
topic Other health sciences not elsewhere classified
untagged
Medical and Health Sciences not elsewhere classified
url https://hdl.handle.net/2134/18447