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Socioeconomic status and physical fitness in youth: Findings from the NHANES National Youth Fitness Survey
Authors:Alex M Wolfe  Joey A Lee  Kelly R Laurson
Institution:1. School of Kinesiology and Recreation, Illinois State University, Normal, IL, USA;2. Department of Mathematics, Science, and Physical Education, Lincoln College, Lincoln, IL, USAawolfe@lincolncollege.edu;4. Department of Health Sciences, University of Colorado Colorado Springs, Colorado Springs, CO, USAORCID Iconhttps://orcid.org/0000-0001-5890-6591;5. School of Kinesiology and Recreation, Illinois State University, Normal, IL, USAORCID Iconhttps://orcid.org/0000-0002-1028-046X
Abstract:ABSTRACT

This study examined the associations between socioeconomic status (SES) and musculoskeletal (MSF) and cardiorespiratory fitness (CRF) in youth. The sample consisted of boys and girls between 3-15 years. SES was categorized utilizing family-income-to-poverty ratio (FIPR). All analyses were standardized for age and sex. For each test of physical fitness, SES was used to estimate mean fitness test percentile and 95% confidence intervals, controlling for race/ethnicity and physical activity. Odds ratios were calculated for the likelihood of having low fitness by SES category. In general, the high SES group had a better composite MSF, body composition, and CRF profiles than low and moderate SES groups. Statistically significant differences were identified for relative grip strength, plank, body mass index, and cardiovascular endurance time (all p < 0.05). Additionally, the odds of low/poor MSF fitness were 1.7 and 1.6 times higher in the low and moderate SES groups (respectively) compared to the children from high SES families. The moderate SES group had an odds of poor CRF 1.6 times higher than the high SES group as well. Children and adolescents from high SES families tend to have higher mean fitness and were less likely to have low/poor fitness.
Keywords:Musculoskeletal fitness  child and adolescent health  cardiorespiratory fitness  income-to-poverty ratio
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