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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

The relationship between body composition and physical fitness in 14 year old adolescents residing within the Tlokwe local municipality, South Africa: The PAHL study

Authors: Makama Andries Monyeki, Rik Neetens, Sarah J Moss, Jos Twisk

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Little is known about the relationship between body composition and physical fitness in 14 year-old high school adolescents of South Africa. Baseline data from a longitudinal study on physical activity and health (PAHLS) may provide valuable information for future studies, hence to inform public health policy makers. The objectives of this study are to determine the prevalence of underweight, normal weight and overweight among adolescents aged 14 years in the Tlokwe Local Municipality of the North West Province of South Africa, and to assess the association between physical fitness and body composition separately for boys and girls, adjusted for race and locality.

Methods

Body weight, height and triceps, and subscapular skinfolds of 256 adolescents (100 boys and 156 girls) aged 14 years were measured, and percentage body fat and body mass index (BMI) were calculated. BMI was used to determine underweight, normal weight and overweight based on the standard criterion. Physical fitness was assessed by standing broad jump, bent arm hang and sit-ups according to the EUROFIT fitness standard procedures. Multinomial logistic regression analyses stratified for gender and adjusted for race (black or white), and the locality (urban or township) of the schools were used to analyze the data.

Results

In the total group 35.9% were underweight and 13.7% overweight. Boys were more underweight (44%) than girls (30.7%). The prevalence of overweight was 8% in boys and 17.3% in girls. BMI was strongly (p = 0.01) related with percentage body fat. Strong and significant positive associations between physical fitness and BMI for the underweight girls with high physical fitness scores (OR, 10.69 [95%CI: 2.81-40.73], and overweight girls with high physical fitness scores (OR, 0.11 [95%CI: 0.03-0.50]) were found. Non-significant weaker positive relationship between physical fitness and BMI for the underweight boys with high physical fitness scores (OR, 1.80 [95%CI: 0.63-5.09]), and the overweight boys with high physical fitness scores (OR, 0.18 [95%CI: 0.02-1.78]) were found.

Conclusion

Both underweight and overweight among boys and girls in Tlokwe Local Municipality exist, and their effects on physical fitness performances were also noticed. As such, strategic physical activity, interventions or follow-up studies recognizing this relationship particularly in the overweight adolescents are needed. In addition, authorities in health and education departments dealing with adolescents should make use of this evidence base information in policies development.
Literature
1.
Malina RM, Little BB, Buschang PH: Estimated body composition and strength, and motor performance of chronologically undernourished rural boys in South Mexico. Human Growth, Physical Fitness and Nutrition. Edited by: Shephard RJ, Parizkova J. 1991, Karger, Basel, 119-132.
2.
Parizkova J: Human growth, physical fitness and nutrition under various environmental conditions. Med Sport Sci. 1991, 31: 1-18.CrossRef
3.
Martorell R, Khan LK, Hughes ML, Grummer-Srawn LM: Overweight and obesity in preschool children from developing countries. Inter J Obes. 2000, 24: 959-967. 10.1038/sj.ijo.0801264.CrossRef
4.
De Onis M, Blossnet M: Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr. 2000, 72: 1032-1039.PubMed
5.
6.
World Health Organisation: Global strategies on diet, physical activity and health. 2004, WHO, Geneva, Switzerland
7.
Puoane T, Steyn K, Bradshaw D, Laubscher R, Fourie J, Labert V, Mbananga N: Obesity in South Africa: the South African demographic and health survey. Obes Res. 2002, 10: 1038-1048. 10.1038/oby.2002.141.CrossRefPubMed
8.
Department of Health: South Africa demographic health and health survey 1998. 1998, Department of Health, Medical Research Council, Pretoria, South Africa
9.
Mamabolo RL, Kruger HS, Lennox A, Monyeki MA, Pienaar AE, Underhay C, Czlapka-Matyasik M: Habitual physical activity and body composition of black township adolescents residing in the North-West Province South Africa. Public Health Nutr. 2007, 10 (10): 1047-1057.CrossRefPubMed
10.
Van Rooyen JM, Kruger HS, Huisman HW, Shutte AE, Malan NT, Schutte R: Early cardiovascular changes in 10- to 15-year-old stunted children: the transition and health during urbanization in South Africa in children study. Nutr. 2005, 21 (7): 808-814. 10.1016/j.nut.2004.12.007.CrossRef
11.
Pi-Sunyer FX: Obesity and diabetes in blacks. Diab Care. 1990, 13: 1144-1149. 10.2337/diacare.13.11.1144.CrossRef
12.
West KM: Overweight and cancer. Ann Intern Med. 1978, 9: 29-48.
13.
Yip R, Scanion K, Trowbridge F: Improving growth status of Asian refugee children in the United States. JAMA. 1992, 267: 937-940. 10.1001/jama.1992.03480070053029.CrossRefPubMed
14.
Lobstein T, Baur L, Uauy R: Obesity in children and young people: a crisis in public health. Obes Rev. 2004, 5 (Suppl 1, no.1): 4-104.CrossRefPubMed
15.
Erikson E: Identity, youth and crisis. 1968, Norton, New York
16.
Neerpal R, Renu R: Meaning in life and psychological well-being in pre-adolescents and adolescents. J Indian Acad Appl Psychol. 2007, 33 (1): 31-38.
17.
Saris WH, Blair SN, Van Baak MA, Eaton SB, Davies PS, Di Pietro L, Fogelholm M, Rissauen A, Schoeller D, Swinborn B, Tremblay A, Westerterp KR, Wyatt H: How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev. 2003, 4: 101-114. 10.1046/j.1467-789X.2003.00101.x.CrossRefPubMed
18.
Kelder SH, Perry CL, Lytle LL: Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Publ Health. 1994, 84: 1121-1126. 10.2105/AJPH.84.7.1121.CrossRef
19.
Malina RM, Bauchard C, Bar-Or O: Growth, Maturation, and Physical Activity. 2004, Human Kinetics, Champaign, IL, 2
20.
Donnelly JE, Smith B, Jacobsen MJ, Kirk MJ, Dubose K, Hyder M, Bailey B, Washburn R: The role of exercise for weight loss and maintenance. Best Pract Res Clin Gastroenterol. 2004, 18: 1009-1029.CrossRefPubMed
21.
Blair SN, Cheng Y, Holder JS: Is physical activity or physical fitness more important in defining health benefits?. Med Sci Sport Exerc. 2001, 33 (Suppl 6): S370-S399.
22.
Kvaavik E, Klep KI, Tell GS, Meyer HE, Batty GD: Physical fitness and physical activity at age 13 years as predictors of cardiovascular disease risk factors at ages 15, 25, 33, and 40 years: extended follow-up of the Oslo youth study. Pediatr. 2009, 123 (1): e80-e86. 10.1542/peds.2008-1118.CrossRef
23.
Zahner L, Puder JJ, Roth R, Schmid M, Guldimann R, Puhse U, Knopfli M, BraunFahrlander C, Marti B, Kriemler S: A school-based physical activity program to improve health and fitness in children aged 6–13 years (“Kinder-Sportstudie KISS”): study design of a randomized controlled trial. BMC Public Health. 2006, 6: 147-10.1186/1471-2458-6-147.CrossRefPubMedPubMedCentral
24.
Kovacs VA, Fajcsak Z, Gabor A, Martos E: School-based exercise program improves fitness, body composition and cardiovascular risk profile in overweight/obese children. Acta Physiol Hungarica. 2009, 96 (3): 337-347. 10.1556/APhysiol.96.2009.3.7.CrossRef
25.
Perry CL, Stone EJ, Parcel GS, Ellison RC, Nader PR, Webber LS, Luepker LV: School-based cardiovascular health promotion: the Child and Adolescent Trial for Cardiovascular Health (CATCH). J. School Health. 1990, 60: 406-413. 10.1111/j.1746-1561.1990.tb05960.x.CrossRefPubMed
26.
Twisk JW, Kemper HC, Van Mechelen W: The relationship between physical fitness and physical activity during adolescence and cardiovascular risk factors at adult age: the Amsterdam growth and health longitudinal study. Int J Sport Med. 2002, 23 (Suppl 1): S8-S14.CrossRef
27.
Bovet P, Shamlaye C, Gabriel A, Riesen W, Paccaud F: Prevalence of cardiovascular risk factors in a middle-income country and estimated cost of treatment strategy. BMC Public Health. 2006, 6: 9-10.1186/1471-2458-6-9.CrossRefPubMedPubMedCentral
28.
Myers J, Kaykha A, George S, Abella J, Zaheer N, Lear S, Yamazaki T, Froelicher V: Fitness versus physical activity patterns in predicting mortality in men. Am J Med. 2004, 117: 912-918. 10.1016/j.amjmed.2004.06.047.CrossRefPubMed
29.
30.
Beunnen CL: Biological age in pediatric sport exercise research. Advances in Pediatric Sport Sciences. 1989, Human Kinetics, Champaign, III, USA, III
31.
Malina RM, Buschang PH: Growth, strength and motor performance of Zatopec children, Oaxaca, Mexico. Hum Bio. 1985, 57: 163-181.
32.
Kruger R, Kruger HS, MacIntyre UE: The determinants of overweight and obesity among 10- to 15-year-old school children in the North West Province, South Africa - the THUSA BANA (Transition and Health during Urbanization of South Africa; BANA, Children) study. Pub Health Nutr. 2004, 9 (3): 351-358.CrossRef
33.
Ding Z, Jiang J, Xu J: Injury of obesity in aerobic capacity in Children. Chinese J Ped. 1990, 28 (6): 341-343.
34.
Artero EG, Espana-Romero V, Ortega FB, Jiménez-Pavón D, Ruiz JR, Vicente-Rodríguez G, Bueno M, Marcos A, Gómez-Martínez S, González-Gross M, Moreno LA, Gutiérrez A, Castillo MJ: Health-related fitness in adolescents: underweight, and not only overweight, as an influencing factor The AVENA study. Scandinavian J Med Sci Sport. 2010, 20 (3): 418-427.CrossRef
35.
Mararey AM, Daniels LA, Boulton TJ, Cockingto RA: Predicting obesity in early adulthood from childhood and parental obesity. Int J Obes. 2003, 27: 505-513. 10.1038/sj.ijo.0802251.CrossRef
36.
Jerum A, Melnyk BM: Effectiveness of interventions to prevent obesity and obesity-related complications in children and adolescents. Pediatr Nurs. 2001, 27 (6): 606-610.PubMed
37.
Monyeki MA, Kemper HCG, Twisk JWR, Monyeki KD, Toriola AL, Steyn NP: Anthropometric indicators of nutritional status and physical fitness rural primary school children, South Africa. Med Sportiva. 2003, 7: E95-E104.
38.
Monyeki MA, Koppes LLJ, Kemper HCG, Monyeki KD, Toriola AL, Pienaar AE, Twisk JWR: Body composition and physical fitness of undernourished South African rural primary school children. Eur J Clin Nutr. 2005, 59: 877-883. 10.1038/sj.ejcn.1602153.CrossRefPubMed
39.
40.
Department of Education: National norms and standards for school funding. Government Notice 20. 2003, Government Gazette, Pretoria
41.
Marfell-Jones M, Olds T, Stewart A, Carter L: International Standards for Anthropometric assessment. International Society for the Advancement of Kinanthropometry (ISAK). 2006, Potchefstroom, South Africa
42.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for childoverweight and obesity worldwide: international survey. Brit Med J. 2000, 330: 1240-1244.CrossRef
43.
Cole TJ, Flegal KM, Nicholls D, Jackson AA: Body mass index cut offs to define thinness in chidren and adolescents: international survey. Brit Med J. 2007, 335 (7612): 194-197. 10.1136/bmj.39238.399444.55.CrossRefPubMedPubMedCentral
44.
Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, Bemben DA: Skinfold equations for estimates of body fatness in children and youth. Hum Biol. 1988, 60: 709-723.PubMed
45.
EUROFIT: European test of physical fitness. 1988, Council of European Committee for Development of Sport, Rome
46.
Shang X, Liu A, Li Y, Hu X, Du L, Xu G, Li Y, Guo H, Ma G: The association of weight status with physical fitness among Chinese children. Int J Pediatr. 2010, 2010 (2010): 1-6.CrossRef
47.
Fahey TD, Insel PM, Roth WT: Fit and well: core concepts and labs in physical fitness and wellness. 1998, Mayfield Publishing, London, UK, 3
48.
Warburton DER, Nicol CW, Bredin SSD: Health benefits of physical activity: the evidence. Can Med Ass J. 2006, 174 (6): 801-909. 10.1503/cmaj.051351.CrossRef
49.
Beunen G, Malina RM, Ostyn M, Renson R, Simons J, Van Gerven D: Fatness, growth and motor fitness of Belgian boys 12 through 20 years of age. Hum Biol. 1983, 55: 599-613.PubMed
50.
Malina RM, Katzmarzyk PT, Siegel SR: Overnutrition, undernutrition and the body mass index: implications for strength and motor fitness Basel: Karger. Med Sport Sci. 1998, 43: 13-26.CrossRef
Metadata
Title
The relationship between body composition and physical fitness in 14 year old adolescents residing within the Tlokwe local municipality, South Africa: The PAHL study
Authors
Makama Andries Monyeki
Rik Neetens
Sarah J Moss
Jos Twisk
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-374

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