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.

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