ArticleBMC public health2018
Normal weight obesity and physical fitness in Chinese university students: an overlooked association.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed.
- Effects of sprint interval training combined with remote ischaemic preconditioning on vascular function in young women with masked obesity.European journal of applied physiology · 2026Trial
- The impact of 4-week high-intensity interval training on mental health and sleep quality in female college students with normal weight obesity: a randomized controlled trial.Journal of translational medicine · 2025Trial
- Effects of high-intensity interval training on improving arterial stiffness in Chinese female university students with normal weight obese: a pilot randomized controlled trial.Journal of translational medicine · 2022Trial
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- Progressive increase of cardiometabolic risk in Brazilian children according to obesity phenotypes.European journal of clinical nutrition · 2026Article
- A social-ecological examination of physical activity and fitness among Chinese university students: a cross-sectional path analysis.Frontiers in sports and active living · 2026Article
- Between-class variation and compositional correlates of physical fitness, and the concordance of composite scores with BMI-defined abnormality: a multilevel analysis of annual surveillance records from one Chinese university.Frontiers in public health · 2026Article
- Admission-cohort differences in physical fitness, weight status, and fitness-standard failure among first-year students at a single vocational college in Shanxi Province, China.Frontiers in public health · 2026Article
- Between-class variation and compositional correlates of physical fitness: a multilevel analysis of annual surveillance records from one Chinese university.Frontiers in psychology · 2026Article
- Temporal trends and developmental trajectories of physical fitness among university students: a 13-year accelerated longitudinal study.Frontiers in public health · 2026Article
- The effects of fitness self-testing with instant feedback on changes in health-related fitness among Chinese male college students.PloS one · 2026Article
- The relationship between Body Mass Index and Physical Fitness Index among college students: a cross-sectional study in Yangzhou, China.Frontiers in public health · 2026Article
- Trends and inequalities in physical fitness and BMI among Chinese college students: an analysis of national surveys between 2019 and 2023.Frontiers in public health · 2026Article
- Physical Activity, BMI, and Their Effects on University Students' Quality of Life.Healthcare (Basel, Switzerland) · 2025Article
- Normal Weight Obesity Overview and Update: A narrative review.Current obesity reports · 2025Review
- Trends and inequalities in physical fitness and nutritional status among 0.72 million Chinese adults aged 20-59 years: an analysis of five successive national surveillance surveys, 2000-2020.The Lancet regional health. Western Pacific · 2025Article
- Influence of Sex and Body Composition on Aerobic Capacity in Normal Weight Lean, Normal Weight Obese, and Obese Phenotypes.International journal of environmental research and public health · 2025Article
- Diet and Physical Activity Intervention in Normal Weight Obesity Population Base on Smartphone App: Protocol for a Randomized Controlled Trial.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- Normal-weight obesity in high-altitude youth: Gender disparities and protective effects of native adaptation.PloS one · 2025Article
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5 authors.
Funding
Abstract
backgroundThe primary aim of this study was to examine the associations of normal weight obesity (NWO) with physical fitness in Chinese university students. As a secondary aim, we assessed whether possible differences in physical fitness between students classified as NWO and normal weight non-obese (NWNO) were mediated by skeletal muscles mass.
methodsA total of 383 students (205 males and 178 females, aged 18-24 years) from two universities volunteered to participate in this study. Body height and weight were measured by standard procedures and body composition was assessed by bio-impedance analysis (InBody 720). NWO was defined by a BMI of 18.5-23.9 kg/m
results13.7% of male and 27.5% of female students were classified as NWO. Compared to NWNO, students classified as NWO showed a significantly poorer performance in the Andersen test (males: 1146 ± 70 m vs. 1046 ± 95 m, females: 968 ± 61 m vs. 907 ± 67 m, p < 0.001), CMJ (males: 55.0 ± 7.6 cm vs. 44.9 ± 7.5 cm, females: 39.8 ± 8.0 cm vs. 33.7 ± 5.9 cm, p < 0.001) and 5mSR (males: 18.7 ± 1.0 s vs. 20.0 ± 0.9 s, females: 21.1 ± 1.1 s vs. 22.4 ± 1.3 s, p < 0.001), respectively. The lower levels of physical fitness in NWO were partially explained by lower skeletal muscle mass (p < 0.001) both in male and female students.
conclusionsNWO was associated with poorer physical fitness and the relationship was partially mediated by lower skeletal muscle mass. The study indicated that attention should be paid for the potential hidden health risk in university students with normal body mass index but excessive fat mass.
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