Some specific strategies to improve cardiovascular fitness in children are also added.Ģ. In this review, we present methods on how to evaluate cardiovascular fitness in children along with available data on cardiovascular fitness in children with some traditional and novel cardiovascular risk factors. Evaluation and improvement of cardiorespiratory fitness in children with cardiovascular risk factors might be associated with improved health parameters in later life. Low cardiorespiratory fitness is strongly associated with the clustering of cardiovascular risk factors in children. Cardiorespiratory fitness and sports-related physical activity were also inversely associated with arterial stiffness in young adults. Improved cardiorespiratory fitness was associated with the reduced inflammatory profile, independently of body composition and lifestyle behaviours. Similarly, the association between lifestyle behaviours, such as diet, physical activity and sedentary behaviour, and inflammation were found in the paediatric population. Ĭardiorespiratory fitness has been also associated with inflammatory biomarkers in children with a positive association with body fat. Physical activity and training undoubtedly improve cardiovascular fitness with high-intensity interval training being more successful in enhancing cardiovascular fitness compared to moderate-intensity continuous training. Physical activity and sedentary time are clearly interrelated but a reciprocal relationship between them cannot be assumed. Sedentary time also negatively affects cardiorespiratory fitness, which is independently linked to poor metabolic health. Association between low cardiorespiratory fitness and metabolic risk factors might therefore be only partially mediated through obesity. Interestingly, fitness scores also decreased among lean children. Increasing obesity in children is therefore strongly inversely associated with cardiorespiratory fitness and indicates reduced physical activity in the paediatric population in recent decades. Lower cardiorespiratory fitness is associated with low physical activity and increased fat mass. Cardiorespiratory fitness was found to be higher in socially advantaged children. The decline in the last decades was more pronounced in children over the school-age years. Įpidemiologically, physical activity has been decreasing in the last decades, even more before the year of 2000, after which the trend stabilised with negligible changes apart from COVID-19 epidemics, where cardiorespiratory fitness declined significantly. Cardiovascular fitness is therefore reflected in the ability of physical activity, which is critical in childhood as it lays the foundations for later physical activity – the base on which children can build more specific motor skills or develop movement patterns. Along with appropriate physical exercise and diet in childhood, breastfeeding in the first year of life is recommended.Ĭardiorespiratory fitness presents individuals’ ability to transport oxygen from the atmosphere to the mitochondria to perform physical work and therefore reflects the overall capacity of the cardiovascular and respiratory systems to perform prolonged exercise. The benefits of physical activity on health have been well demonstrated during growth and it should be encouraged in children with cardiovascular risk to prevent further reduction of cardiorespiratory fitness and the development of other comorbidities. Lowered cardiorespiratory fitness has been demonstrated most often in children with obesity and associated cardiovascular comorbidities, however, these can be associated with cardiorespiratory fitness independently to body mass index. Notably, youth with low cardiorespiratory fitness levels have a higher risk of developing cardiovascular diseases during adulthood. Cardiovascular fitness measurement has yet to be standardised in children but is a powerful marker of health in youth and is strongly associated with inflammation and inversely associated with cardiovascular risk factors, especially obesity. In recent decades, it has declined in the paediatric population. Cardiorespiratory fitness is an outcome of physical activity, enabling the transport of oxygen from the atmosphere to the mitochondria to perform physical work and therefore reflects the overall capacity of the cardiovascular and respiratory systems to perform the prolonged exercise.
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