1. Association Between Aerobic Fitness And High Blood Pressure in Adolescents in Brazil: Evidence for Criterion-Referenced Cut-Points.
- Author
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Silva DA, Tremblay M, Pelegrini A, Dos Santos Silva RJ, Cabral de Oliveira AC, and Petroski EL
- Subjects
- Adolescent, Brazil, Cross-Sectional Studies, Exercise Test, Female, Humans, Male, Oxygen Consumption, ROC Curve, Reference Values, Young Adult, Hypertension, Physical Fitness physiology
- Abstract
Purpose: Criterion-referenced cut-points for health-related fitness measures are lacking. This study aimed to determine the associations between aerobic fitness and high blood pressure levels (HBP) to determine the cut-points that best predict HBP among adolescents., Method: This cross-sectional school-based study with sample of 875 adolescents aged 14-19 years was conducted in southern Brazil. Aerobic fitness was assessed using the modified Canadian Aerobic Fitness Test (mCAFT). Systolic and diastolic blood pressure were measured by the oscillometric method with a digital sphygmomanometer. Analyses controlled for sociodemographic variables, physical activity, body mass and biological maturation., Results: Receiver Operating Characteristic (ROC) curves demonstrated that mCAFT measures could discriminate HBP in both sexes (female: AUC = 0.70; male: AUC = 0.63). The cut-points with the best discriminatory power for HBP were 32 mL·kg-1·min-1 for females and 40 mL·kg-1·min-1 for males. Females (OR = 8.4; 95% CI: 2.1, 33.7) and males (OR: 2.5; CI 95%: 1.2, 5.2) with low aerobic fitness levels were more likely to have HBP., Conclusion: mCAFT measures are inversely associated with BP and cut-points from ROC analyses have good discriminatory power for HBP.
- Published
- 2016
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