The associations between physical fitness and cardiometabolic risk and body-size phenotypes in perimenopausal women

E. Gregorio-Arenas, P. Ruiz-Cabello, D. Camiletti-Moiron, N. Moratalla-Cecilia, P. Aranda, M. Lopez-Jurado, J. Llopis, Virginia Aparicio Garcia-Molina

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To study the association between physical fitness and body-size phenotypes, and to test which aspects of physical fitness show the greatest independent association with cardiometabolic risk in perimenopausal women. Study design: This cross-sectional study involved 228 women aged 53 +/- 5 years from southern Spain. Main outcome measurements: Physical fitness was assessed by means of the Senior Fitness Test Battery (additionally including handgrip strength and timed up-and-go tests). Anthropometry, resting heart rate, blood pressure and plasma markers of lipid, glycaemic and inflammatory status were measured by standard procedures. The harmonized definition of the 'metabolically healthy but obese' (MHO) phenotype was employed to classify individuals. Results: The overall prevalence of the MHO phenotype was 13% but was 43% among the obese women. Apart from traditional markers, metabolically healthy non-obese women had lower levels of C-reactive protein than women with the other phenotypes (p <0.001), and levels of glycosylated haemoglobin were lower in MHO women than in metabolically abnormal non-obese women (overall p = 0.004). Most of the components of physical fitness differed with body-size phenotypes. The 6-min walk and the back-scratch tests presented the most robust differences (both p <0.001). Moreover, the women's performance on the back-scratch (beta = 0.32; p <0.001) and the 6-min walk (beta = 0.22; p = 0.003) tests was independently associated with the clustered cardiometabolic risk. The back-scratch test explained 10% of the variability (step 1, p <0.001), and the final model, which also included the 6-min walk test (step 2, p = 0.003), explained 14% of the variability. Conclusion: Low upper-body flexibility was the most important fitness indicator of cardiometabolic risk in perimenopausal women, but cardiorespiratory fitness also played an important role. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)162-167
Number of pages6
JournalMaturitas
Volume92
DOIs
Publication statusPublished - 2016

Cite this

Gregorio-Arenas, E., Ruiz-Cabello, P., Camiletti-Moiron, D., Moratalla-Cecilia, N., Aranda, P., Lopez-Jurado, M., ... Aparicio Garcia-Molina, V. (2016). The associations between physical fitness and cardiometabolic risk and body-size phenotypes in perimenopausal women. Maturitas, 92, 162-167. https://doi.org/10.1016/j.maturitas.2016.08.008
Gregorio-Arenas, E. ; Ruiz-Cabello, P. ; Camiletti-Moiron, D. ; Moratalla-Cecilia, N. ; Aranda, P. ; Lopez-Jurado, M. ; Llopis, J. ; Aparicio Garcia-Molina, Virginia. / The associations between physical fitness and cardiometabolic risk and body-size phenotypes in perimenopausal women. In: Maturitas. 2016 ; Vol. 92. pp. 162-167.
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abstract = "Objective: To study the association between physical fitness and body-size phenotypes, and to test which aspects of physical fitness show the greatest independent association with cardiometabolic risk in perimenopausal women. Study design: This cross-sectional study involved 228 women aged 53 +/- 5 years from southern Spain. Main outcome measurements: Physical fitness was assessed by means of the Senior Fitness Test Battery (additionally including handgrip strength and timed up-and-go tests). Anthropometry, resting heart rate, blood pressure and plasma markers of lipid, glycaemic and inflammatory status were measured by standard procedures. The harmonized definition of the 'metabolically healthy but obese' (MHO) phenotype was employed to classify individuals. Results: The overall prevalence of the MHO phenotype was 13{\%} but was 43{\%} among the obese women. Apart from traditional markers, metabolically healthy non-obese women had lower levels of C-reactive protein than women with the other phenotypes (p <0.001), and levels of glycosylated haemoglobin were lower in MHO women than in metabolically abnormal non-obese women (overall p = 0.004). Most of the components of physical fitness differed with body-size phenotypes. The 6-min walk and the back-scratch tests presented the most robust differences (both p <0.001). Moreover, the women's performance on the back-scratch (beta = 0.32; p <0.001) and the 6-min walk (beta = 0.22; p = 0.003) tests was independently associated with the clustered cardiometabolic risk. The back-scratch test explained 10{\%} of the variability (step 1, p <0.001), and the final model, which also included the 6-min walk test (step 2, p = 0.003), explained 14{\%} of the variability. Conclusion: Low upper-body flexibility was the most important fitness indicator of cardiometabolic risk in perimenopausal women, but cardiorespiratory fitness also played an important role. (C) 2016 Elsevier Ireland Ltd. All rights reserved.",
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Gregorio-Arenas, E, Ruiz-Cabello, P, Camiletti-Moiron, D, Moratalla-Cecilia, N, Aranda, P, Lopez-Jurado, M, Llopis, J & Aparicio Garcia-Molina, V 2016, 'The associations between physical fitness and cardiometabolic risk and body-size phenotypes in perimenopausal women' Maturitas, vol. 92, pp. 162-167. https://doi.org/10.1016/j.maturitas.2016.08.008

The associations between physical fitness and cardiometabolic risk and body-size phenotypes in perimenopausal women. / Gregorio-Arenas, E.; Ruiz-Cabello, P.; Camiletti-Moiron, D.; Moratalla-Cecilia, N.; Aranda, P.; Lopez-Jurado, M.; Llopis, J.; Aparicio Garcia-Molina, Virginia.

In: Maturitas, Vol. 92, 2016, p. 162-167.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - Lopez-Jurado, M.

AU - Llopis, J.

AU - Aparicio Garcia-Molina, Virginia

N1 - ISI Document Delivery No.: DY0LG Times Cited: 0 Cited Reference Count: 40 Gregorio-Arenas, E. Ruiz-Cabello, P. Camiletti-Moiron, D. Moratalla-Cecilia, N. Aranda, P. Lopez-Jurado, M. Llopis, J. Aparicio, V. A. Camiletti-Moiron, Daniel/Q-7424-2016; Aparicio, Virginia/D-9666-2016 Camiletti-Moiron, Daniel/0000-0002-8856-5967; Aparicio, Virginia/0000-0002-2867-378X; Aranda Ramirez, Pilar/0000-0002-7982-1359 Ministry of Health of the Andalusian Junta, Spain [PI-0339/2008, PI-0667-2013]; Andalucia Talent Hub Program; European Union [291780]; Ministry of Economy, Innovation, Science and Employment of the Junta de Andalucia, Spain This study was financed by the Ministry of Health of the Andalusian Junta, Spain (PI-0339/2008 and PI-0667-2013). VAA was also supported by the Andalucia Talent Hub Program launched by the Andalusian Knowledge Agency, co-funded by the European Union's Seventh Framework Program, Marie Sklodowska-Curie actions (COFUND-Grant Agreement no 291780) and the Ministry of Economy, Innovation, Science and Employment of the Junta de Andalucia, Spain. 0 5 ELSEVIER IRELAND LTD CLARE MATURITAS

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N2 - Objective: To study the association between physical fitness and body-size phenotypes, and to test which aspects of physical fitness show the greatest independent association with cardiometabolic risk in perimenopausal women. Study design: This cross-sectional study involved 228 women aged 53 +/- 5 years from southern Spain. Main outcome measurements: Physical fitness was assessed by means of the Senior Fitness Test Battery (additionally including handgrip strength and timed up-and-go tests). Anthropometry, resting heart rate, blood pressure and plasma markers of lipid, glycaemic and inflammatory status were measured by standard procedures. The harmonized definition of the 'metabolically healthy but obese' (MHO) phenotype was employed to classify individuals. Results: The overall prevalence of the MHO phenotype was 13% but was 43% among the obese women. Apart from traditional markers, metabolically healthy non-obese women had lower levels of C-reactive protein than women with the other phenotypes (p <0.001), and levels of glycosylated haemoglobin were lower in MHO women than in metabolically abnormal non-obese women (overall p = 0.004). Most of the components of physical fitness differed with body-size phenotypes. The 6-min walk and the back-scratch tests presented the most robust differences (both p <0.001). Moreover, the women's performance on the back-scratch (beta = 0.32; p <0.001) and the 6-min walk (beta = 0.22; p = 0.003) tests was independently associated with the clustered cardiometabolic risk. The back-scratch test explained 10% of the variability (step 1, p <0.001), and the final model, which also included the 6-min walk test (step 2, p = 0.003), explained 14% of the variability. Conclusion: Low upper-body flexibility was the most important fitness indicator of cardiometabolic risk in perimenopausal women, but cardiorespiratory fitness also played an important role. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

AB - Objective: To study the association between physical fitness and body-size phenotypes, and to test which aspects of physical fitness show the greatest independent association with cardiometabolic risk in perimenopausal women. Study design: This cross-sectional study involved 228 women aged 53 +/- 5 years from southern Spain. Main outcome measurements: Physical fitness was assessed by means of the Senior Fitness Test Battery (additionally including handgrip strength and timed up-and-go tests). Anthropometry, resting heart rate, blood pressure and plasma markers of lipid, glycaemic and inflammatory status were measured by standard procedures. The harmonized definition of the 'metabolically healthy but obese' (MHO) phenotype was employed to classify individuals. Results: The overall prevalence of the MHO phenotype was 13% but was 43% among the obese women. Apart from traditional markers, metabolically healthy non-obese women had lower levels of C-reactive protein than women with the other phenotypes (p <0.001), and levels of glycosylated haemoglobin were lower in MHO women than in metabolically abnormal non-obese women (overall p = 0.004). Most of the components of physical fitness differed with body-size phenotypes. The 6-min walk and the back-scratch tests presented the most robust differences (both p <0.001). Moreover, the women's performance on the back-scratch (beta = 0.32; p <0.001) and the 6-min walk (beta = 0.22; p = 0.003) tests was independently associated with the clustered cardiometabolic risk. The back-scratch test explained 10% of the variability (step 1, p <0.001), and the final model, which also included the 6-min walk test (step 2, p = 0.003), explained 14% of the variability. Conclusion: Low upper-body flexibility was the most important fitness indicator of cardiometabolic risk in perimenopausal women, but cardiorespiratory fitness also played an important role. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

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Gregorio-Arenas E, Ruiz-Cabello P, Camiletti-Moiron D, Moratalla-Cecilia N, Aranda P, Lopez-Jurado M et al. The associations between physical fitness and cardiometabolic risk and body-size phenotypes in perimenopausal women. Maturitas. 2016;92:162-167. https://doi.org/10.1016/j.maturitas.2016.08.008