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Physical Fitness, Physical Activity, and the Executive Function in Children with Overweight and Obesity
Jose Mora-Gonzalez1, Irene Esteban-Cornejo2, Cristina Cadenas-Sanchez3
1PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical and Sports Education, Faculty of Sports Science, University of Granada, Spain; Department of Kinesiology, Michigan State University, East Lansing, MI.
Insights
Physical fitness, including muscular strength and cardiorespiratory fitness, is linked to better executive function in children with overweight or obesity. However, physical activity levels and sedentary time showed no significant associations with executive function.
Area of Science:
- Pediatric Health
- Exercise Science
- Neuroscience
Background:
- Children with overweight and obesity often experience challenges with executive function.
- Understanding the relationship between physical fitness and executive function is crucial for this population.
Purpose of the Study:
- To investigate the associations between physical fitness components and executive function in children with overweight and obesity.
- To examine the relationship between physical activity, sedentary time, and executive function in this cohort.
Main Methods:
- A cross-sectional study of 100 children (mean age 10.1 years) with overweight/obesity.
- Physical fitness assessed using the ALPHA battery (muscular strength, speed-agility, cardiorespiratory fitness).
- Executive function measured via tests for cognitive flexibility, inhibition, and planning ability; physical activity and sedentary time measured by accelerometry.
Main Results:
- Positive associations were found between handgrip strength and planning ability (P=.025).
- Speed-agility correlated positively with cognitive flexibility and inhibition (P<.05).
- Cardiorespiratory fitness and overall fitness Z-score were linked to cognitive flexibility (P<.05); no significant associations for physical activity or sedentary time.
Conclusions:
- Muscular strength, speed-agility, and cardiorespiratory fitness are associated with executive function in overweight/obese children.
- Cognitive flexibility demonstrated robust associations with multiple fitness components.
- Findings support the need for exercise-based interventions to improve executive function in this population.
Objective:
To examine the associations of physical fitness and physical activity with executive function in children with overweight and obesity.
Study Design:
A cross-sectional study involving 100 children with overweight and obesity (10.1 ± 1.1 years old; 58.0% boys). We assessed physical fitness components (ie, muscular strength, speed-agility, and cardiorespiratory fitness) using the ALPHA battery, and physical activity and sedentary time by accelerometry. Cognitive flexibility was measured by the Design Fluency Test and Trail Making Test, inhibition by the Stroop test, and planning ability by the Zoo Map Test.
Results:
Handgrip strength was positively associated with planning ability (P = .025). Speed-agility was positively related to cognitive flexibility and inhibition (P < .05). Cardiorespiratory fitness and an overall fitness Z-score were positively associated with indicators of cognitive flexibility (P < .05). No associations were found for physical activity and sedentary time with executive function (P ≥ .05).
Conclusions:
Muscular strength, speed agility, and cardiorespiratory fitness are associated with executive function in children with overweight and obesity. Cognitive flexibility seems to be more robustly associated with all fitness components, whereas planning ability and inhibition might depend on the component analyzed. The positive associations found in the present study in children with overweight and obesity call for more exercise-based randomized controlled trials in this population.
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