ArticlePediatrics2014
Strength capacity and cardiometabolic risk clustering in adolescents.
Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- Muscle strength, muscle morphology, and oxidative capacity in normal weight versus overweight and obese youth: a systematic review with meta-analysis.Scientific reports · 2025Pooled it
- Muscular Fitness and Cardiometabolic Variables in Children and Adolescents: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- Behavioral Correlates of Muscular Fitness in Children and Adolescents: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2019Pooled it
- Efficacy of Exercise Intervention for Weight Loss in Overweight and Obese Adolescents: Meta-Analysis and Implications.Sports medicine (Auckland, N.Z.) · 2016Pooled it
- Impact of the ActTeens Program on physical activity and fitness in adolescents: a cluster randomized controlled trial.BMC pediatrics · 2024Trial
- Gender differences on effectiveness of a school-based physical activity intervention for reducing cardiometabolic risk: a cluster randomized trial.The international journal of behavioral nutrition and physical activity · 2014Trial
- Handgrip strength in children, adolescents, and young adults with suspected myalgic encephalomyelitis/chronic fatigue syndrome.Journal of translational medicine · 2026Article
- Adiposity, Fat-Free Mass Index, and Muscular Strength in Children: Independent Effects on Functional Performance in a Tertiary Pediatric Endocrinology Cohort.Medicina (Kaunas, Lithuania) · 2026Article
- Associations of the Muscle Strength Index with Overweight/Obesity, Elevated Blood Pressure, and Their Comorbidity in Chinese Children and Adolescents During Two Decades.Journal of clinical medicine · 2026Article
- The Era of Resistance Training as a Primary Form of Physical Activity for Physical Fitness and Health in Youth Has Come.Sports medicine (Auckland, N.Z.) · 2025Review
- Impact of age, sex, body constitution, and the COVID-19 pandemic on the physical fitness of 38,084 German primary school children.Scientific reports · 2025Article
- Comparison between grip strength and relative grip strength in their relationship with allostatic load among adolescents.BMC public health · 2024Article
- Role of muscle mass in the association between handgrip strength and blood pressure in children and adolescents.Journal of human hypertension · 2024Article
- Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health.Behavioral sciences (Basel, Switzerland) · 2023Article
- Physical fitness of primary school children differs depending on their timing of school enrollment.Scientific reports · 2023Article
- Body Fat Is Superior to Body Mass Index in Predicting Cardiometabolic Risk Factors in Adolescents.International journal of environmental research and public health · 2023Article
- Differential Relationship of Grip Strength with Body Composition and Lifestyle Factors Between Indian Urban and Rural Boys and Girls.Indian journal of pediatrics · 2022Article
- Article
- Overweight/Obese Schoolchildren with Low Muscle Strength Have a Lower Cardiorespiratory Capacity and Greater Cardiovascular Risk: Results of the School Health Survey of the Extreme South of Chile 2019.Children (Basel, Switzerland) · 2021Article
- Normative data for handgrip strength in Iranian healthy children and adolescents aged 7-18 years: comparison with international norms.Italian journal of pediatrics · 2021Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesThe purpose of this study was to determine the gender-specific independent association between muscular strength and cardiometabolic risk clustering in a large cohort (n = 1421) of children.
methodsPrincipal component analysis was used to determine the pattern of risk clustering and to derive a continuous aggregate score (MetScore) from various cardiometabolic risk components: percent body fat (%BF), fasting glucose, blood pressure, plasma triglycerides levels, and HDL-cholesterol. Gender-stratified risk and MetScore were assessed by using general linear models and logistic regression for differences between strength tertiles, as well as independent associations with age, BMI, estimated cardiorespiratory fitness (CRF), physical activity, and muscular strength (normalized for body mass).
resultsIn both boys (n = 670) and girls (n = 751), there were significant differences in cardiometabolic profiles across strength tertiles, such that stronger adolescents had lower overall risk. Age, BMI, cardiorespiratory fitness, physical activity participation, and strength were all individually correlated with multiple risk components, as well as the overall MetScore. However, in the adjusted model, only BMI (β = 0.30), physical inactivity (β = 0.30), and normalized strength capacity (β = -1.5) emerged as significant (P < .05) predictors of MetScore. %BF was the strongest loading coefficient within the principal component analysis-derived MetScore outcome.
conclusionsNormalized strength is independently associated with lower cardiometabolic risk in boys and girls. Moreover, %BF was associated with all cardiometabolic risk factors and carried the strongest loading coefficient. These findings bolster the importance of early strength acquisition and healthy body composition in childhood.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.