Predictors for Latent Musculoskeletal Fitness Profile in the National Youth Fitness Survey Sample.

IF 1.3 4区 医学 Q3 PEDIATRICS
Pediatric Exercise Science Pub Date : 2025-12-04 Print Date: 2026-05-01 DOI:10.1123/pes.2024-0148
Kristen N Moore, Trevor A Pickering, Tiffany M Chapman, Kelsey L McAlister, Dana L Wolff-Hughes, Britni R Belcher
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引用次数: 0

Abstract

Musculoskeletal fitness (MSF) predicts youth health, but prior research has focused on separate MSF domains, limiting understanding of whole-body MSF.

Purpose: To use latent profile analysis to identify MSF profiles and evaluate whether weight status and moderate to vigorous physical activity predict profile.

Methods: Data came from the 2012 National Health and Nutrition Examination Survey National Youth Fitness Survey for participants ages 12-15 years (N = 442). Latent MSF profiles were generated using modified pull-up, leg extension, grip strength, and plank assessments. Multinomial logistic regression models controlled for age and sex.

Results: Fit statistics were optimal for a 3-profile model: Profile 1: high leg extension and grip strength, Profile 2: high pull up and plank, and Profile 3: low overall MSF. Participants in Profile 1 were 6.25 (95% CI, 1.82-21.52) times as likely to be overweight than Profile 2, and 6.21 (95% CI, 1.61-23.94) times as likely to have obesity than Profile 3. Participants in Profile 2 were 5.85 (95% CI, 1.99-17.18) and 5.34 (95% CI, 2.14-13.36) times as likely to be active than Profile 1 and Profile 3, respectively.

Conclusions: Profile 1 shows higher levels of overweight/obesity in children than Profile 3, suggesting that a healthy body mass index does not necessarily equate to greater MSF. Findings suggest MSF assessments are not consistently linked to weight status or moderate to vigorous physical activity, and future research should use multiple assessments to account for fitness differences.

全国青少年健康调查样本中潜在肌肉骨骼健康状况的预测因子。
肌肉骨骼健康(MSF)预测青少年健康,但先前的研究主要集中在单独的MSF领域,限制了对全身MSF的理解。目的:利用潜在剖面分析识别MSF剖面,并评估体重状况和中高强度体育活动是否能预测MSF剖面。方法:数据来自2012年全国健康与营养调查全国青少年健康调查(N = 442)。使用改良引体向上、腿部伸展、握力和平板评估生成潜在MSF概况。多项逻辑回归模型控制了年龄和性别。结果:适合统计数据是最佳的3轮廓模型:轮廓1:高腿部伸展和握力,轮廓2:高引体向上和平板支撑,以及轮廓3:低整体MSF。资料1的参与者超重的可能性是资料2的6.25倍(95% CI, 1.82-21.52),肥胖的可能性是资料3的6.21倍(95% CI, 1.61-23.94)。2组参与者的活跃程度分别是1组和3组的5.85倍(95% CI, 1.99-17.18)和5.34倍(95% CI, 2.14-13.36)。结论:资料1显示儿童的超重/肥胖水平高于资料3,这表明健康的体重指数并不一定等同于更高的MSF。研究结果表明,MSF评估并不总是与体重状况或中度到剧烈的体育活动联系在一起,未来的研究应该使用多种评估来解释健康差异。
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来源期刊
Pediatric Exercise Science
Pediatric Exercise Science 医学-生理学
CiteScore
2.80
自引率
0.00%
发文量
33
审稿时长
>12 weeks
期刊介绍: Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach. Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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