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Published on: February 2, 2017
Relationship between weight status and cognition in children: A mediation analysis of physical fitness components
Abel Ruiz-Hermosa1,2, Jorge Mota3, Ana Díez-Fernández1,4
1Social and Health Care Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
Insights
Physical fitness, including cardiorespiratory fitness (CRF), speed-agility, and muscular fitness (MF), significantly enhances cognitive performance in children. Fitness mediates the negative impact of excess body mass index (BMI) on cognition.
Area of Science:
- Pediatric Health
- Cognitive Neuroscience
- Exercise Science
Background:
- Childhood obesity is a growing concern impacting overall health.
- Excess body mass index (BMI) is linked to poorer cognitive outcomes in children.
- The role of specific physical fitness components in mediating this relationship requires further investigation.
Purpose of the Study:
- To analyze cognitive performance differences across fitness components (cardiorespiratory fitness [CRF], speed-agility, muscular fitness [MF]) and weight status in children.
- To determine if physical fitness mediates the association between BMI and cognitive performance.
- To highlight the importance of fitness in mitigating negative effects of excess weight on cognition.
Main Methods:
- Cross-sectional study of 630 children aged 5-7 years.
- Assessment of fitness components (CRF, speed-agility, MF) and BMI using standard procedures.
- Cognitive performance evaluated using the BADyG battery; mediation analyses conducted with Hayes's PROCESS macro.
Main Results:
- Normal-weight children outperformed overweight/obese peers in spatial and general intelligence, an effect attenuated by CRF.
- Higher CRF and speed-agility correlated with better cognitive scores irrespective of BMI.
- Enhanced muscular fitness (MF) was associated with superior verbal intelligence scores.
- All fitness components significantly mediated the relationship between BMI and general intelligence.
Conclusions:
- Physical fitness plays a critical role in cognitive development among children.
- Maintaining good cardiorespiratory fitness, speed-agility, and muscular fitness can counteract the detrimental cognitive effects of excess weight.
- Interventions promoting physical fitness are crucial for supporting children's cognitive health, especially those with higher BMI.
Abstract:
Cross-sectional study aimed to analyse differences in cognitive performance across fitness components categories (cardiorespiratory fitness [CRF], speed-agility and muscular fitness [MF]) and weight status in children, and to determine whether physical fitness mediates the association between body mass index (BMI) and cognitive performance. Fitness components and BMI were measured using standard procedures in 630 children aged 5-to-7 years from the provinces of Cuenca and Ciudad Real, Spain. BADyG was used to assess cognitive performance. We used ANCOVA models to test mean differences in cognition scores by BMI and fitness categories. Hayes's PROCESS macro was used for mediation analyses. Children with normal weight scored better in spatial factor and general intelligence than their overweight/obese peers (p < 0.05), but differences were attenuated when controlling for CRF (p > 0.05). Children with better results in CRF and speed-agility scored better in all cognitive dimensions even after controlling for BMI (p < 0.05). Similarly, children with high MF obtained better scores in verbal factor (p < 0.05). All fitness components acted as mediators of the relationship between BMI and general intelligence (p < 0.05). These findings highlight the crucial role of fitness in minimising the negative effect of excess weight on children's cognition.Abbreviations: BMI: Body mass index; CRF: Cardiorespiratory fitness; MF: Muscular fitness; BADyG E1: Battery of general and differential aptitudes; SES: Socioeconomic status; SD: Standard deviation; IE: Indirect effect.
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