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Normative health-related fitness values for French children: The Diagnoform Programme
Jérémy Vanhelst1, Camille Ternynck2, Hervé Ovigneur3
1Inserm, CHU Lille, U995 - LIRIC -Lille Inflammation Research International Center, CIC 1403 - Centre d'investigation clinique, Univ. Lille, Lille, France.
Insights
This study established sex- and age-specific physical fitness percentiles for French children aged 6-11 years. Results show fitness varies by sex, age, and weight status, providing valuable data for interventions.
Area of Science:
- Pediatric Exercise Science
- Public Health
- Anthropometry
Background:
- Establishing normative physical fitness data is crucial for assessing child health.
- Previous studies have not comprehensively addressed sex- and age-specific fitness percentiles in French children.
- Understanding variations in physical fitness across demographics is essential for targeted health interventions.
Purpose of the Study:
- To establish sex- and age-specific physical fitness percentiles for French children aged 6-11 years.
- To analyze differences in physical fitness based on sex, weight status, and age.
- To provide reference values for identifying children needing specialized intervention programs.
Main Methods:
- A large national sample of 31,484 children (6-11 years) participated in the Diagnoform program.
- Cardiorespiratory fitness, muscular endurance, speed, flexibility, and agility were assessed.
- Parametric methods were used to estimate percentile curves stratified by sex and age, with adjustments for weight status.
Main Results:
- Boys generally exhibited slightly better physical fitness, except in agility and flexibility where girls excelled.
- All fitness components showed significant associations with age.
- Overweight and obese children demonstrated significantly poorer physical fitness compared to normal-weight peers.
Conclusions:
- The study provides essential sex- and age-specific physical fitness percentiles for French children.
- Findings highlight the impact of sex, age, and weight status on physical fitness levels.
- These normative data are vital for identifying children with special needs and guiding intervention strategies.
Abstract:
The primary objective of this study was to establish sex- and age-specific physical fitness percentiles for French children. The secondary aim was to assess sex, weight status, and age differences for physical fitness levels in French children. A sample of 31 484 children (16 023 boys, 15 461 girls) aged 6-11 years participated in the Diagnoform programme. Cardiorespiratory fitness, muscular endurance, speed, flexibility, and agility were assessed in this national programme. Percentile values were estimated as a function of age stratified by sex using a parametric method providing smooth centile curves and explicit formulae for the centile estimates. Values from the 10th to the 90th percentile are reported. The influence of body weight according to sex on the physical fitness level was also examined using an analysis of covariance adjusted for age. Physical fitness levels were slightly better in boys, except for agility and flexibility, in which girls performed better (Cohen's coefficient, 0.20-0.45; P < .001). All physical fitness tests were significantly associated with age (P < .0001). In general, overweight and obese children had a significantly poorer physical fitness level compared with their normal-weight counterparts (P < .05). No difference was found between thin and normal-weight boys and girls, except for agility (P < .05). Reference values provide normative data for French children, and these data should be useful for identifying special needs for appropriate intervention programmes.
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