ArticleBMC public health2014
Factors associated with low fitness in adolescents--a mixed methods study.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Do adolescents' experiences of the barriers to and facilitators of physical activity differ by socioeconomic position? A systematic review of qualitative evidence.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022Pooled it
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- Teenage recommendations to improve physical activity for their age group: a qualitative study.BMC public health · 2018Trial
- Feasibility and Preliminary Results of a Standardized Stair Climbing Test to Evaluate Cardiorespiratory Fitness in Children and Adolescents in a Non-Clinical Setting: The "Hand Aufs Herz" Study.Children (Basel, Switzerland) · 2025Article
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- Longitudinal relationship between screen time, cardiorespiratory fitness, and waist circumference of children and adolescents: a 3-year cohort study.BMC pediatrics · 2023Observational
- Correlations between Physical Fitness and Body Composition among Boys Aged 14-18-Conclusions of a Case Study to Reverse the Worsening Secular Trend in Fitness among Urban Youth Due to Sedentary Lifestyles.International journal of environmental research and public health · 2022Article
- A survey on data mining techniques used in medicine.Journal of diabetes and metabolic disorders · 2021Article
- "It's Just Not Something We Do at School". Adolescent Boys' Understanding, Perceptions, and Experiences of Muscular Fitness Activity.International journal of environmental research and public health · 2021Article
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- Gender Differences in the Level of Achievement of Gymnastic and Acrobatic Skills.International journal of environmental research and public health · 2020Article
- Reducing financial barriers through the implementation of voucher incentives to promote children's participation in community sport in Australia.BMC public health · 2020Article
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- Appropriate scaling approach for evaluating peak VO2 development in Southern Chinese 8 to 16 years old.PloS one · 2019Article
- Health Literacy and Cardiovascular Disease: Fundamental Relevance to Primary and Secondary Prevention: A Scientific Statement From the American Heart Association.Circulation · 2018Review
- Active children through incentive vouchers - evaluation (ACTIVE): a mixed-method feasibility study.BMC public health · 2016Article
- A non-equivalent group pilot trial of a school-based physical activity and fitness intervention for 10-11 year old english children: born to move.BMC public health · 2016Article
- Closing the Gap: Supporting Patients' Transition to Self-Management after Hospitalization.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2016Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundFitness and physical activity are important for cardiovascular and mental health but activity and fitness levels are declining especially in adolescents and among girls. This study examines clustering of factors associated with low fitness in adolescents in order to best target public health interventions for young people.
methods1147 children were assessed for fitness, had blood samples, anthropometric measures and all data were linked with routine electronic data to examine educational achievement, deprivation and health service usage. Factors associated with fitness were examined using logistic regression, conditional trees and data mining cluster analysis. Focus groups were conducted with children in a deprived school to examine barriers and facilitators to activity for children in a deprived community.
resultsUnfit adolescents are more likely to be deprived, female, have obesity in the family and not achieve in education. There were 3 main clusters for risk of future heart disease/diabetes (high cholesterol/insulin); children at low risk (not obese, fit, achieving in education), children 'visibly at risk' (overweight, unfit, many hospital/GP visits) and 'invisibly at risk' (unfit but not overweight, failing in academic achievement). Qualitative findings show barriers to physical activity include cost, poor access to activity, lack of core physical literacy skills and limited family support.
conclusionsLow fitness in the non-obese child can reveal a hidden group who have high risk factors for heart disease and diabetes but may not be identified as they are normal weight. In deprived communities low fitness is associated with non-achievement in education but in non-deprived communities low fitness is associated with female gender. Interventions need to target deprived families and schools in deprived areas with community wide campaigns.
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Registered trials
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