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Adiposity, Aerobic Fitness, Muscle Fitness, and Markers of Inflammation in Children

STEENE-JOHANNESSEN, JOSTEIN1; KOLLE, ELIN2; ANDERSEN, LARS BO2; ANDERSSEN, SIGMUND A.2

Medicine & Science in Sports & Exercise: April 2013 - Volume 45 - Issue 4 - p 714–721
doi: 10.1249/MSS.0b013e318279707a
Epidemiology

Purpose: The purpose of this study was to describe levels of inflammation markers in Norwegian children and to examine the associations of adiposity, aerobic fitness, and muscle fitness with markers of inflammation.

Methods: In 2005–2006, 1467 nine-year-olds were randomly selected from all regions in Norway. The participation rate was 89%. The inflammatory markers evaluated included C-reactive protein (CRP), leptin, adiponectin, plasminogen activator inhibitor-1, tumor necrosis factor-α, hepatocyte growth factor, resistin, and interleukin-6. We assessed muscular strength by measuring explosive, isometric, and endurance strength. Aerobic fitness was measured directly during a maximal cycle ergometer test. Adiposity was expressed as waist circumference (WC).

Results: The girls had significantly higher levels of CRP, leptin, adiponectin, and resistin and lower levels of tumor necrosis factor-α compared with the boys. We observed a graded association of CRP and leptin levels across quintiles of WC, aerobic fitness, and muscle fitness (P ≤ 0.001 for all participants). The regression analyses revealed that WC, aerobic fitness, and muscle fitness were independently associated with the CRP (WC β = 0.158, P < 0.001; aerobic fitness β = −0.190, P < 0.001; muscle fitness β = −0.122, P < 0.002) after adjustments for sex, age, Tanner pubertal stage, and the other independent variables. The same pattern was observed for leptin levels (WC β = 0.406, P < 0.001; aerobic fitness β = –0.298, P < 0.001; muscle fitness β = –0.064, P < 0.036).

Conclusions: These data represent a reference material with respect to inflammatory markers. Our results show that adiposity, aerobic fitness, and muscle fitness were independently associated with the CRP and leptin levels.

1Department of Sports, Faculty of Teacher Education and Sports, Sogn og Fjordane University College, Sogndal, NORWAY; and 2Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, NORWAY

Address for correspondence: Jostein Steene-Johannessen, Ph.D., Department of Sports, Faculty of Teacher Education and Sports, Sogn og Fjordane University College, Box 133- N, 6851 Sogndal, Norway; E-mail: jostsj@hisf.no.

Submitted for publication May 2012.

Accepted for publication October 2012.

©2013The American College of Sports Medicine