The purpose of this study was to examine the relationship of obesity index, fitness and cardiovascular risk index in middle and high school students. Obesity index, fitness score and cardiovascular risk index were measured from 1,044 middle and high school students. The results of relation between obesity index and fitness showed that the higher obesity index had significantly lower fitness score for both boys and girls (boys: p<0.001, girl: p<0.05) The results of relation between obesity index and cardiovascular risk index indicated that the higher obesity index had significantly higher cardiovascular risk index for both boys and girls (boys: p<0.001, girl: p<0.001). Moreover, The lower fitness index showed significantly higher cardiovascular risk index regardless of gender in middle school students (boys: p<0.001, girl: p<0.01). Therefore, the results of this study indicated that obese adolescents had the lower fitness level and high possibility of cardiovascular risk.
PURPOSE This study aimed to examine the associations between accelerometer-measured physical activity and both cardiometabolic disease risk factors and metabolic syndrome in Korean adults. METHODS We performed a retrospective cohort study with age-sex matched case-control using data from the 2014-2016 Korea National Health and Nutrition Examination Survey, which was administered to South Korean adults (n=320). Individuals were categorized into quartiles based on accelerometer-measured moderate-to-vigorous physical activity (MVPA). Demographic and physical characteristics, waist circumference, visceral adiposity index, blood pressure, lipid profiles, and TG/HDL-C were observed. The associations between MVPA status and cardiometabolic disease risk factors as well as metabolic syndrome were determined using multiple logistic regression. RESULTS For the waist circumference, SBP, DBP, MBP, visceral adiposity, triglyceride, and a surrogate estimate of insulin resistance, the Q1 and Q2 groups had higher means compared with the Q3 and Q4 groups. HDL-C was higher in the Q3 and Q4 groups compared to the Q1 and Q2 groups. Odds ratios for cardiometabolic disease risk factors and metabolic syndrome decreased in a curvilinear manner with the increasing quartile of MVPA. CONCLUSIONS Adults with higher MVPA participation were strongly associated with cardiometabolic disease risk factors and metabolic syndrome.