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. 2014 Jul 29:14:764.
doi: 10.1186/1471-2458-14-764.

Factors associated with low fitness in adolescents--a mixed methods study

Richard Charlton, Michael B Gravenor, Anwen Rees, Gareth Knox, Rebecca Hill, Muhammad A Rahman, Kerina Jones, Danielle Christian, Julien S Baker, Gareth Stratton, Sinead Brophy  1
Affiliations

Factors associated with low fitness in adolescents--a mixed methods study

Richard Charlton et al. BMC Public Health. .

Abstract

Background: Fitness and physical activity are important for cardiovascular and mental health but activity and fitness levels are declining especially in adolescents and among girls. This study examines clustering of factors associated with low fitness in adolescents in order to best target public health interventions for young people.

Methods: 1147 children were assessed for fitness, had blood samples, anthropometric measures and all data were linked with routine electronic data to examine educational achievement, deprivation and health service usage. Factors associated with fitness were examined using logistic regression, conditional trees and data mining cluster analysis. Focus groups were conducted with children in a deprived school to examine barriers and facilitators to activity for children in a deprived community.

Results: Unfit adolescents are more likely to be deprived, female, have obesity in the family and not achieve in education. There were 3 main clusters for risk of future heart disease/diabetes (high cholesterol/insulin); children at low risk (not obese, fit, achieving in education), children 'visibly at risk' (overweight, unfit, many hospital/GP visits) and 'invisibly at risk' (unfit but not overweight, failing in academic achievement). Qualitative findings show barriers to physical activity include cost, poor access to activity, lack of core physical literacy skills and limited family support.

Conclusions: Low fitness in the non-obese child can reveal a hidden group who have high risk factors for heart disease and diabetes but may not be identified as they are normal weight. In deprived communities low fitness is associated with non-achievement in education but in non-deprived communities low fitness is associated with female gender. Interventions need to target deprived families and schools in deprived areas with community wide campaigns.

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Figures

Figure 1
Figure 1
Conditional Tree. Percentages are proportion of unfit children in any given node and n is number of children in the node.
See this image and copyright information in PMC

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Pre-publication history
    1. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2458/14/764/prepub

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