Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Nutritional status, biological maturation and cardiorespiratory fitness in Azorean youth aged 11–15 years

Authors: Manuel J Coelho-e-Silva, Enio R Vaz Ronque, Edilson S Cyrino, Rômulo A Fernandes, João Valente-dos-Santos, Aristides Machado-Rodrigues, Raul Martins, António J Figueiredo, Rute Santos, Robert M Malina

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Sex and individual differences in biological maturity status can influence height, weight, and body fat. Thus, the rigorous control of these variables seems necessary for estimating overweight and obesity in adolescents. The aims of this study were to estimate the prevalence of overweight and obesity and over-fatness in Azorean adolescents and to examine the contributions of chronological age, sex, estimated maturity status, and cardiorespiratory fitness (CRF) to the risk of overweight and obesity and over-fatness.

Methods

The sample comprised 1,206 youth aged 11–15 years (626 boys and 580 girls) from the Azores Islands, Portugal. Body mass, stature, and skinfolds (triceps and subscapular) were measured. Body mass index (BMI) was calculated and percent fat was predicted from skinfolds. Age- and sex-specific IOTF cut-off values of the BMI defined nutritional status. Biological maturation was estimated as present height expressed as a percentage of predicted adult (mature) stature. The CRF was analyzed from the 20-m shuttle run test.

Results

The total prevalence rates of overweight/obesity and over-fatness were of 31% and 27%, respectively. Low CRF (unfit) and being average and advanced in maturity status were positively and significantly associated with overweight/obesity and with risk of being over-fatness in both sexes.

Conclusions

High prevalence rates of overweight/obesity and over-fatness were identified in Azorean youth, and low CRF and advanced biological maturation were positively associated with overweight/obesity and over-fatness in our sample of adolescents.
Appendix
Available only for authorised users
Literature
1.
go back to reference Lobstein T, Frelut ML: Prevalence of overweight among children in Europe. Obes Rev. 2003, 4 (4): 195-200. 10.1046/j.1467-789X.2003.00116.x.CrossRefPubMed Lobstein T, Frelut ML: Prevalence of overweight among children in Europe. Obes Rev. 2003, 4 (4): 195-200. 10.1046/j.1467-789X.2003.00116.x.CrossRefPubMed
2.
go back to reference World Health Organization: Obesity: Preventing and Managing the Global Epidemic. Technical Report Series No894. 2000, Geneva World Health Organization: Obesity: Preventing and Managing the Global Epidemic. Technical Report Series No894. 2000, Geneva
3.
go back to reference Carnethon MR, Gulati M, Greenland P: Prevalence and cardiovascular disease correlates of low cardiorespiratory fitness in adolescents and adults. JAMA. 2005, 294 (23): 2981-2988. 10.1001/jama.294.23.2981.CrossRefPubMed Carnethon MR, Gulati M, Greenland P: Prevalence and cardiovascular disease correlates of low cardiorespiratory fitness in adolescents and adults. JAMA. 2005, 294 (23): 2981-2988. 10.1001/jama.294.23.2981.CrossRefPubMed
4.
go back to reference Rizzo NS, Ruiz JR, Hurtig-Wennlof A, Ortega FB, Sjostrom M: Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European youth heart study. J Pediatr. 2007, 150 (4): 388-394. 10.1016/j.jpeds.2006.12.039.CrossRefPubMed Rizzo NS, Ruiz JR, Hurtig-Wennlof A, Ortega FB, Sjostrom M: Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: the European youth heart study. J Pediatr. 2007, 150 (4): 388-394. 10.1016/j.jpeds.2006.12.039.CrossRefPubMed
5.
go back to reference Padez C, Fernandes T, Mourao I, Moreira P, Rosado V: Prevalence of overweight and obesity in 7-9-year-old Portuguese children: trends in body mass index from 1970–2002. Am J Hum Biol. 2004, 16 (6): 670-678. 10.1002/ajhb.20080.CrossRefPubMed Padez C, Fernandes T, Mourao I, Moreira P, Rosado V: Prevalence of overweight and obesity in 7-9-year-old Portuguese children: trends in body mass index from 1970–2002. Am J Hum Biol. 2004, 16 (6): 670-678. 10.1002/ajhb.20080.CrossRefPubMed
6.
go back to reference Pereira SA, Seabra AT, Silva RG, Katzmarzyk PT, Beunen GP, Maia JA: Prevalence of overweight, obesity and physical activity levels in children from Azores Islands. Ann Hum Biol. 2010, 37 (5): 682-691. 10.3109/03014461003639223.CrossRefPubMed Pereira SA, Seabra AT, Silva RG, Katzmarzyk PT, Beunen GP, Maia JA: Prevalence of overweight, obesity and physical activity levels in children from Azores Islands. Ann Hum Biol. 2010, 37 (5): 682-691. 10.3109/03014461003639223.CrossRefPubMed
7.
go back to reference Sardinha LB, Santos R, Vale S, Silva AM, Ferreira JP, Raimundo AM, Moreira H, Baptista F, Mota J: Prevalence of overweight and obesity among Portuguese youth: a study in a representative sample of 10-18-year-old children and adolescents. Int J Pediatr Obes. 2011, 6 (2–2): e124-e128.CrossRefPubMed Sardinha LB, Santos R, Vale S, Silva AM, Ferreira JP, Raimundo AM, Moreira H, Baptista F, Mota J: Prevalence of overweight and obesity among Portuguese youth: a study in a representative sample of 10-18-year-old children and adolescents. Int J Pediatr Obes. 2011, 6 (2–2): e124-e128.CrossRefPubMed
8.
go back to reference Malina RM, Bouchard C, Bar-Or O: Growth, maturation, and physical activity. 2004, Champaign, IL: Human Kinetics, 2 Malina RM, Bouchard C, Bar-Or O: Growth, maturation, and physical activity. 2004, Champaign, IL: Human Kinetics, 2
9.
go back to reference Khamis HJ, Roche AF: Predicting adult stature without using skeletal age: the Khamis-Roche method. Pediatrics. 1994, 94 (4 Pt 1): 504-507.PubMed Khamis HJ, Roche AF: Predicting adult stature without using skeletal age: the Khamis-Roche method. Pediatrics. 1994, 94 (4 Pt 1): 504-507.PubMed
10.
go back to reference Malina RM, Dompier TP, Powell JW, Barron MJ, Moore MT: Validation of a noninvasive maturity estimate relative to skeletal age in youth football players. Clin J Sport Med. 2007, 17 (5): 362-368. 10.1097/JSM.0b013e31815400f4.CrossRefPubMed Malina RM, Dompier TP, Powell JW, Barron MJ, Moore MT: Validation of a noninvasive maturity estimate relative to skeletal age in youth football players. Clin J Sport Med. 2007, 17 (5): 362-368. 10.1097/JSM.0b013e31815400f4.CrossRefPubMed
11.
go back to reference Machado Rodrigues AM, Silva MJ Ce, Mota J, Cumming SP, Sherar LB, Neville H, Malina RM: Confounding effect of biologic maturation on sex differences in physical activity and sedentary behavior in adolescents. Pediatr Exerc Sci. 2010, 22 (3): 442-453.PubMed Machado Rodrigues AM, Silva MJ Ce, Mota J, Cumming SP, Sherar LB, Neville H, Malina RM: Confounding effect of biologic maturation on sex differences in physical activity and sedentary behavior in adolescents. Pediatr Exerc Sci. 2010, 22 (3): 442-453.PubMed
12.
go back to reference Malina RM, Cumming SP, Morano PJ, Barron M, Miller SJ: Maturity status of youth football players: a noninvasive estimate. Med Sci Sports Exerc. 2005, 37 (6): 1044-1052.PubMed Malina RM, Cumming SP, Morano PJ, Barron M, Miller SJ: Maturity status of youth football players: a noninvasive estimate. Med Sci Sports Exerc. 2005, 37 (6): 1044-1052.PubMed
13.
go back to reference Malina RM, Morano PJ, Barron M, Miller SJ, Cumming SP, Kontos AP, Little BB: Overweight and obesity among youth participants in American football. J Pediatr. 2007, 151 (4): 378-382. 10.1016/j.jpeds.2007.03.044.CrossRefPubMed Malina RM, Morano PJ, Barron M, Miller SJ, Cumming SP, Kontos AP, Little BB: Overweight and obesity among youth participants in American football. J Pediatr. 2007, 151 (4): 378-382. 10.1016/j.jpeds.2007.03.044.CrossRefPubMed
14.
go back to reference Aires L, Silva P, Silva G, Santos MP, Ribeiro JC, Mota J: Intensity of physical activity, cardiorespiratory fitness, and body mass index in youth. J Phys Act Health. 2010, 7 (1): 54-59.PubMed Aires L, Silva P, Silva G, Santos MP, Ribeiro JC, Mota J: Intensity of physical activity, cardiorespiratory fitness, and body mass index in youth. J Phys Act Health. 2010, 7 (1): 54-59.PubMed
15.
go back to reference Mota J, Flores L, Ribeiro JC, Santos MP: Relationship of single measures of cardiorespiratory fitness and obesity in young schoolchildren. Am J Hum Biol. 2006, 18 (3): 335-341. 10.1002/ajhb.20513.CrossRefPubMed Mota J, Flores L, Ribeiro JC, Santos MP: Relationship of single measures of cardiorespiratory fitness and obesity in young schoolchildren. Am J Hum Biol. 2006, 18 (3): 335-341. 10.1002/ajhb.20513.CrossRefPubMed
16.
go back to reference Mota J, Guerra S, Leandro C, Pinto A, Ribeiro JC, Duarte JA: Association of maturation, sex, and body fat in cardiorespiratory fitness. Am J Hum Biol. 2002, 14 (6): 707-712. 10.1002/ajhb.10086.CrossRefPubMed Mota J, Guerra S, Leandro C, Pinto A, Ribeiro JC, Duarte JA: Association of maturation, sex, and body fat in cardiorespiratory fitness. Am J Hum Biol. 2002, 14 (6): 707-712. 10.1002/ajhb.10086.CrossRefPubMed
17.
go back to reference Malina RM, Katzmarzyk PT: Validity of the body mass index as an indicator of the risk and presence of overweight in adolescents. Am J Clin Nutr. 1999, 70 (1): 131S-136S. Malina RM, Katzmarzyk PT: Validity of the body mass index as an indicator of the risk and presence of overweight in adolescents. Am J Clin Nutr. 1999, 70 (1): 131S-136S.
18.
go back to reference Duncan MJ, Mota J, Vale S, Santos MP, Ribeiro JC: Comparisons between inverted body mass index and body mass index as proxies for body fatness and risk factors for metabolic risk and cardiorespiratory fitness in Portuguese adolescents. Am J Hum Biol. 2012, 24 (5): 618-625. 10.1002/ajhb.22282.CrossRefPubMed Duncan MJ, Mota J, Vale S, Santos MP, Ribeiro JC: Comparisons between inverted body mass index and body mass index as proxies for body fatness and risk factors for metabolic risk and cardiorespiratory fitness in Portuguese adolescents. Am J Hum Biol. 2012, 24 (5): 618-625. 10.1002/ajhb.22282.CrossRefPubMed
20.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000, 320 (7244): 1240-1243. 10.1136/bmj.320.7244.1240.CrossRefPubMedPubMedCentral Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000, 320 (7244): 1240-1243. 10.1136/bmj.320.7244.1240.CrossRefPubMedPubMedCentral
21.
go back to reference Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, Bemben DA: Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988, 60 (5): 709-723.PubMed Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, Bemben DA: Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988, 60 (5): 709-723.PubMed
22.
go back to reference Williams DP, Going SB, Lohman TG, Harsha DW, Srinivasan SR, Webber LS, Berenson GS: Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. Am J Public Health. 1992, 82 (3): 358-363. 10.2105/AJPH.82.3.358.CrossRefPubMedPubMedCentral Williams DP, Going SB, Lohman TG, Harsha DW, Srinivasan SR, Webber LS, Berenson GS: Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. Am J Public Health. 1992, 82 (3): 358-363. 10.2105/AJPH.82.3.358.CrossRefPubMedPubMedCentral
23.
go back to reference Welk GJ, Meredith MD: Fitnessgram / Activitygram Reference Guide. 2008, Dallas, TX: The Cooper Institute Welk GJ, Meredith MD: Fitnessgram / Activitygram Reference Guide. 2008, Dallas, TX: The Cooper Institute
24.
go back to reference Tanner JM: Growth at adolescence. 1962, Oxford: Blackwell, 2 Tanner JM: Growth at adolescence. 1962, Oxford: Blackwell, 2
25.
go back to reference Padez C: Secular trend in stature in the Portuguese population (1904–2000). Ann Hum Biol. 2003, 30 (3): 262-278. 10.1080/0301446031000064530.CrossRefPubMed Padez C: Secular trend in stature in the Portuguese population (1904–2000). Ann Hum Biol. 2003, 30 (3): 262-278. 10.1080/0301446031000064530.CrossRefPubMed
26.
go back to reference Bayer LM, Bayle N: Growth diagnosis: selected methods for interpreting and predicting physical development from one year to maturity. 1976, Chicago: University of Chicago Press Bayer LM, Bayle N: Growth diagnosis: selected methods for interpreting and predicting physical development from one year to maturity. 1976, Chicago: University of Chicago Press
27.
go back to reference Cumming SP, Battista RA, Martyn S, Ewing ME, Malina RM: Estimated maturity status and perceptions of adult autonomy support in youth soccer players. J Sports Sci. 2006, 24 (10): 1039-1046. 10.1080/02640410500386142.CrossRefPubMed Cumming SP, Battista RA, Martyn S, Ewing ME, Malina RM: Estimated maturity status and perceptions of adult autonomy support in youth soccer players. J Sports Sci. 2006, 24 (10): 1039-1046. 10.1080/02640410500386142.CrossRefPubMed
28.
go back to reference Cumming SP, Sherar LB, Pindus DM, Coelho-e-Silva MJ, Malina RM, Jardine PR: A biocultural model of maturity-associated variance in adolescent physical activity. Int Rev Sport Exerc Psychol. 2012, 5: 23-43. 10.1080/1750984X.2011.630481.CrossRef Cumming SP, Sherar LB, Pindus DM, Coelho-e-Silva MJ, Malina RM, Jardine PR: A biocultural model of maturity-associated variance in adolescent physical activity. Int Rev Sport Exerc Psychol. 2012, 5: 23-43. 10.1080/1750984X.2011.630481.CrossRef
29.
go back to reference Leger LA, Mercier D, Gadoury C, Lambert J: The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci. 1988, 6 (2): 93-101. 10.1080/02640418808729800.CrossRefPubMed Leger LA, Mercier D, Gadoury C, Lambert J: The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci. 1988, 6 (2): 93-101. 10.1080/02640418808729800.CrossRefPubMed
30.
go back to reference Leger L, Gadoury C: Validity of the 20 m shuttle run test with 1 min stages to predict VO2max in adults. Can J Sport Sci. 1989, 14 (1): 21-26.PubMed Leger L, Gadoury C: Validity of the 20 m shuttle run test with 1 min stages to predict VO2max in adults. Can J Sport Sci. 1989, 14 (1): 21-26.PubMed
31.
go back to reference Leger LA, Lambert J: A maximal multistage 20-m shuttle run test to predict VO2 max. Eur J Appl Physiol Occup Physiol. 1982, 49 (1): 1-12. 10.1007/BF00428958.CrossRefPubMed Leger LA, Lambert J: A maximal multistage 20-m shuttle run test to predict VO2 max. Eur J Appl Physiol Occup Physiol. 1982, 49 (1): 1-12. 10.1007/BF00428958.CrossRefPubMed
32.
go back to reference Barros AJ, Hirakata VN: Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003, 3: 21-10.1186/1471-2288-3-21.CrossRefPubMedPubMedCentral Barros AJ, Hirakata VN: Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003, 3: 21-10.1186/1471-2288-3-21.CrossRefPubMedPubMedCentral
33.
go back to reference Lohman TM, Going S: Assessment of body composition and energy balance. Perspective in Exercise Science and Sports Medicine. Edited by: Lamb D, Murray R. 1998, Carmel, IN: Cooper Publishing, 61-105. Lohman TM, Going S: Assessment of body composition and energy balance. Perspective in Exercise Science and Sports Medicine. Edited by: Lamb D, Murray R. 1998, Carmel, IN: Cooper Publishing, 61-105.
34.
go back to reference Abreu S, Santos R, Moreira C, Santos PC, Vale S, Soares-Miranda L, Mota J, Moreira P: Milk intake is inversely related to body mass index and body fat in girls. Eur J Pediatr. 2012, 171 (10): 1467-1474. 10.1007/s00431-012-1742-4.CrossRefPubMed Abreu S, Santos R, Moreira C, Santos PC, Vale S, Soares-Miranda L, Mota J, Moreira P: Milk intake is inversely related to body mass index and body fat in girls. Eur J Pediatr. 2012, 171 (10): 1467-1474. 10.1007/s00431-012-1742-4.CrossRefPubMed
35.
go back to reference Ribeiro J, Santos P, Duarte J, Mota J: Association between overweight and early sexual maturation in Portuguese boys and girls. Ann Hum Biol. 2006, 33 (1): 55-63. 10.1080/00207390500434135.CrossRefPubMed Ribeiro J, Santos P, Duarte J, Mota J: Association between overweight and early sexual maturation in Portuguese boys and girls. Ann Hum Biol. 2006, 33 (1): 55-63. 10.1080/00207390500434135.CrossRefPubMed
36.
go back to reference Eaton WO, Yu AP: Are sex differences in child motor activity level a function of sex differences in maturational status?. Child Dev. 1989, 60 (4): 1005-1011. 10.2307/1131040.CrossRefPubMed Eaton WO, Yu AP: Are sex differences in child motor activity level a function of sex differences in maturational status?. Child Dev. 1989, 60 (4): 1005-1011. 10.2307/1131040.CrossRefPubMed
37.
go back to reference Cumming SP, Standage M, Gillison F, Malina RM: Sex differences in exercise behavior during adolescence: is biological maturation a confounding factor?. J Adolescent Health. 2008, 42 (5): 480-485. 10.1016/j.jadohealth.2007.10.005.CrossRef Cumming SP, Standage M, Gillison F, Malina RM: Sex differences in exercise behavior during adolescence: is biological maturation a confounding factor?. J Adolescent Health. 2008, 42 (5): 480-485. 10.1016/j.jadohealth.2007.10.005.CrossRef
38.
go back to reference Eisenmann JC, Welk GJ, Ihmels M, Dollman J: Fatness, fitness, and cardiovascular disease risk factors in children and adolescents. Med Sci Sports Exerc. 2007, 39 (8): 1251-1256. 10.1249/MSS.0b013e318064c8b0.CrossRefPubMed Eisenmann JC, Welk GJ, Ihmels M, Dollman J: Fatness, fitness, and cardiovascular disease risk factors in children and adolescents. Med Sci Sports Exerc. 2007, 39 (8): 1251-1256. 10.1249/MSS.0b013e318064c8b0.CrossRefPubMed
39.
go back to reference Anderssen SA, Cooper AR, Riddoch C, Sardinha LB, Harro M, Brage S, Andersen LB: Low cardiorespiratory fitness is a strong predictor for clustering of cardiovascular disease risk factors in children independent of country, age and sex. Eur J Cardiovasc Prev Rehabil. 2007, 14 (4): 526-531. 10.1097/HJR.0b013e328011efc1.CrossRefPubMed Anderssen SA, Cooper AR, Riddoch C, Sardinha LB, Harro M, Brage S, Andersen LB: Low cardiorespiratory fitness is a strong predictor for clustering of cardiovascular disease risk factors in children independent of country, age and sex. Eur J Cardiovasc Prev Rehabil. 2007, 14 (4): 526-531. 10.1097/HJR.0b013e328011efc1.CrossRefPubMed
40.
go back to reference Andersen LB, Hasselstrom H, Gronfeldt V, Hansen SE, Karsten F: The relationship between physical fitness and clustered risk, and tracking of clustered risk from adolescence to young adulthood: eight years follow-up in the Danish Youth and Sport Study. Int J Behav Nutr Phys Act. 2004, 1 (1): 6-10.1186/1479-5868-1-6.CrossRefPubMedPubMedCentral Andersen LB, Hasselstrom H, Gronfeldt V, Hansen SE, Karsten F: The relationship between physical fitness and clustered risk, and tracking of clustered risk from adolescence to young adulthood: eight years follow-up in the Danish Youth and Sport Study. Int J Behav Nutr Phys Act. 2004, 1 (1): 6-10.1186/1479-5868-1-6.CrossRefPubMedPubMedCentral
41.
go back to reference Mota J, Ribeiro JC, Carvalho J, Santos MP, Martins J: Cardiorespiratory fitness status and body mass index change over time: a 2-year longitudinal study in elementary school children. Int J Pediatr Obes. 2009, 4 (4): 338-342. 10.3109/17477160902763317.CrossRefPubMed Mota J, Ribeiro JC, Carvalho J, Santos MP, Martins J: Cardiorespiratory fitness status and body mass index change over time: a 2-year longitudinal study in elementary school children. Int J Pediatr Obes. 2009, 4 (4): 338-342. 10.3109/17477160902763317.CrossRefPubMed
42.
go back to reference Wang Y: Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics. 2002, 110: 903-910. 10.1542/peds.110.5.903.CrossRefPubMed Wang Y: Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics. 2002, 110: 903-910. 10.1542/peds.110.5.903.CrossRefPubMed
43.
go back to reference Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J, Allison TG, Batsis JA, Sert-Kuniyoshi FH, Lopez-Jimenez F: Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes. 2008, 32 (6): 959-966. 10.1038/ijo.2008.11.CrossRef Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J, Allison TG, Batsis JA, Sert-Kuniyoshi FH, Lopez-Jimenez F: Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes. 2008, 32 (6): 959-966. 10.1038/ijo.2008.11.CrossRef
44.
go back to reference Moreira C, Santos R, de Farias Junior JC, Vale S, Santos PC, Soares-Miranda L, Marques AI, Mota J: Metabolic risk factors, physical activity and physical fitness in Azorean adolescents: a cross-sectional study. BMC Public Health. 2011, 11: 214-10.1186/1471-2458-11-214.CrossRefPubMedPubMedCentral Moreira C, Santos R, de Farias Junior JC, Vale S, Santos PC, Soares-Miranda L, Marques AI, Mota J: Metabolic risk factors, physical activity and physical fitness in Azorean adolescents: a cross-sectional study. BMC Public Health. 2011, 11: 214-10.1186/1471-2458-11-214.CrossRefPubMedPubMedCentral
45.
go back to reference Machado-Rodrigues AM, Coelho ESMJ, Mota J, Santos RM, Cumming SP, Malina RM: Physical activity and energy expenditure in adolescent male sport participants and nonparticipants aged 13 to 16 years. J Phys Act Health. 2012, 9 (5): 626-633.PubMed Machado-Rodrigues AM, Coelho ESMJ, Mota J, Santos RM, Cumming SP, Malina RM: Physical activity and energy expenditure in adolescent male sport participants and nonparticipants aged 13 to 16 years. J Phys Act Health. 2012, 9 (5): 626-633.PubMed
Metadata
Title
Nutritional status, biological maturation and cardiorespiratory fitness in Azorean youth aged 11–15 years
Authors
Manuel J Coelho-e-Silva
Enio R Vaz Ronque
Edilson S Cyrino
Rômulo A Fernandes
João Valente-dos-Santos
Aristides Machado-Rodrigues
Raul Martins
António J Figueiredo
Rute Santos
Robert M Malina
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-495

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue