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Utility of international normative 20 m shuttle run values for identifying youth at increased cardiometabolic risk
Authors:Duncan S Buchan  Gareth Knox  Anwen M Jones  Grant R Tomkinson  Julien S Baker
Institution:1. Institute of Clinical Exercise and Health Science, University of the West of Scotland, Lanarkshire, UK;2. Department of Sport, Hartpury College, University Centre Hartpury, Gloucester, UK;3. Cardiff School of Sport, Cardiff Metropolitan University, Cardiff, UK;4. Department of Kinesiology and Public Health Education, University of North Dakota, Grand Forks, ND, USA;5. Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences &6. Sansom Institute for Health Research, Division of Health Sciences, University of South Australia, Adelaide, Australia
Abstract:The purpose of this study was to examine the ability of international normative centiles for the 20 m shuttle run test (20mSRT) to identify youth at increased cardiometabolic risk. This was a cross-sectional study involving 961 children aged 10–17 years (53% girls) from the United Kingdom. Receiver operating characteristic (ROC) curves determined the discriminatory ability of cardiorespiratory fitness percentiles for predicting increased cardiometabolic risk. ROC analysis demonstrated a significant but poor discriminatory accuracy of cardiorespiratory fitness in identifying low/high cardiometabolic risk in girls (AUC = 0.58, 95% CI: 0.54–0.63; p = 0.04), and in boys (AUC = 0.59, 95% CI: 0.54–0.63; p = 0.03). The cardiorespiratory fitness cut-off associated with high cardiometabolic risk was the 55th percentile (sensitivity = 33.3%; specificity = 84.5%) in girls and the 60th percentile (sensitivity = 42.9%; specificity = 73.6%) in boys. These 20mSRT percentile thresholds can be used to identify children and adolescents who may benefit from lifestyle intervention. Nonetheless, further work involving different populations and cardiometabolic risk scores comprising of different variables are needed to confirm our initial findings.
Keywords:Cardiorespiratory fitness  fit  adolescents  cardiovascular disease
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