Physical Fitness: A Proxy for Long-term Health Risks in Thai Adults
Main Article Content
บทคัดย่อ
Objective: the lack of physical activity (PA) and physical fitness (PF) are leading causes of obesity, diabetes, and coronary heart disease. This cross-sectional study measured PA and PF levels in young male adults to determine associations with body mass index (BMI) and waist circumference (WC). The null hypothesis was that there would be no differences in the associations, meaning neither PA nor PF identified those at risk.
Material and methods: the short form of the International Physical Activity Questionnaire was used to investigate PA levels of 624 Thai male undergraduates attending compulsory physical education courses at an international college. Height and weight were measured to determine BMI, and WC was measured to determine abdominal obesity. Three test items–standing broad jump, 4x10m shuttle run, sit-ups–were conducted to assess PF.
Results: 22% failed to reach the minimum threshold of 150 minutes per week of moderate PA as recommended by the World Health Organization. Using Asian BMI criteria, 16.7% were overweight and 25.2% were obese. PF levels were modest. Obesity was more likely in the physically inactive and the physically unfit. Additionally, PF was a better indicator than self-reported PA at identifying those at risk.
Conclusion: this cohort is sedentary in its PA habits, overweight, and comparatively physically unfit. These findings have long-term health implications. PF was better at identifying those at risk and as a proxy for future ill health may have diagnostic benefits in preliminary risk assessment.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ความคิด ข้อวิพากษ์ในวารสารเป้นสิทธิของผู้เขียน สมาคมสุขศึกษา พลศึกษา และสันทนาการแห่งประเทศไทยไม่จำเป็นต้องเห็นชอบด้วยเสมอไป เพื่อให้เกิดความหลากหลายในความคิดและความสร้างสรรค์
References
Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Karzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. Lancet 2012;380(9838):219-229.
World Health Organization [WHO]. Global Recommendations on Physical Activity for Health. Geneva: WHO, 2010. Available from: https://www.who.int/dietphysicalactivity/factsheet_adults/en/
Ng SW, Popkin BM. Time use and physical activity: A shift away from movement across the globe. Obes Rev 2012;13(8):659-680.
Hasse A, Steptoe A, Sallis JF, Wardle J. Leisure-time physical activity in university students development. Prev Med 2004;39(1):182-190.
Sisson SB, Katzmarzyk PT. International prevalence of physical activity in youth and adults. Obes Rev 2008;9:606-614.
Aekplakorn W, Mo-Suwan L. Prevalence of obesity in Thailand. Obes Rev 2009;10:589-592.
Aekplakorn W, Hogan MC, Chongsuvivatwong V, Tatsanavivat P, Chariyalertsak S, Boonthum A, et al. Trends in Obesity and Associations with Education and Urban or Rural Residence in Thailand. Obesity 2007;15(12):3113-3121.
Abarca-Gomez L, Abdeen ZA, Hamid ZA, Abu-Rmeileh NM, Acosta-Cazares B, Acuin C, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet 2017;390(10113):2627-2642.
Pinhas-Hamiel O, Zeitler P. The global spread of type 2 diabetes mellitus in children and adolescents. J Pediatr 2005;146(5):693-700.
Hui WS, Liu Z, Ho SC. Metabolic syndrome and all-cause mortality: a meta-analysis of prospective cohort studies. Eur J Epidemiol 2010;25(6):375-384.
Friend A, Craig L, Turner S. The Prevalence of Metabolic Syndrome in Children: A Systematic Review of the Literature. Metab Syndr Relat Disord 2013;11(2):71-80.
Aekplakorn W, Kessomboon P, Sangthong R, Chariyalertsak S, Putwatana P, Inthawong R, et al. Urban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009. BMC Public Health 2011;11(854).
Brunet M, Chaput J-P, Tremblay A. The association between low physical fitness and high body mass index or waist circumference is increasing with age in children: The 'Québec en Forme' Project. Int J Obes 2007;31:637-643.
Deforche B, Lefevre J, de Bourdeaudhuij I, Hills AP, Duquet W, Bouckaert J. Physical Fitness and Physical Activity in Obese and Nonobese Flemish Youth. Obes Res 2003;11:434-441.
Bartlett JE, Kotrlik JW, Higgins CC. Organizational Research: Determining Appropriate Sample Size in Survey Research. ITLPJ 2001;19(1):43-50.
Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International Physical Activity Questionnaire:12-Country Reliability and Validity. Med Sci Sports Exerc 2003;35(8):1381-1395.
Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, et al. The International Prevalence Study on Physical Activity: Results from 20 countries. Int J Behav Nutr Phys Act 2009;6(21).
International Physical Activity Questionnaire [IPAQ] (2002). Downloadable questionnaires. 2002. Available from:https://sites.google.com/site/theipaq/questionnaire_links
Rhea MR, Alvar BA, Gray R. Physical fitness and job performance of firefighters. J Strength Cond Res 2004;18(2):348-352.
Ortega FB, Artero EG, Ruiz JR, España-Romero V, Jiménez-Pavón D, Vicente-Rodriguez G, et al. Physical fitness levels among European adolescents: The HELENA study. Brit J Sport Med 2011;45(1):20-29.
Chen LJ, Fox KR, Haase A, Wang JN. Obesity, fitness and health in Taiwanese children and adolescents. Eur J Clin Nutr 2006;60:1367-1375.
Ruiz JR, Castro-Pinero J, Espana-Romero V, Artero EG, Ortega FB, Cuenca MM, et al. Field- based fitness assessment in young people: The ALPHA health-related fitness test battery for children and adolescents. Brit J Sports Med 2010;45(6).
Ortega FB, Artero EG, Ruiz JR, Vicente-Rodriguez G, Bergman P, Hagströmer M, et al. Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. Int J Obes 2008;32:S49-S57.
Ruiz JR, Sui X, Lobelo F, Morrow JR, Jackson AW, Sjöstrom M, et al. Association between muscular strength and mortality in men: Prospective cohort study. BMJ 2008;337:a439.
Brill PA, Macera CA, Davis DR, Blair SN, Gordon N. Muscular strength and physical function. Med Sci Sports Exerc 2000;32(2):412-416.
Jordan S, Lim L, Seubsman SA, Bain C, Sleigh A. Secular changes and predictors of adult height for 86105 male and female members of the Thai Cohort Study born between 1940 and 1990. J Epidemiol Community Health 2010;66(1):75-80.
Lim L, Banwell C, Bain C, Banks E, Seubsman S-A, Kelly M, et al. Sugar Sweetened Beverages and Weight Gain over 4 Years in a Thai National Cohort: A Prospective Analysis. PLoS One 2014;9(5):e95309.
Worachartcheewan A, Dansethakul P, Nantasenamat C, Pidetcha P, Prachayasittikul V. Determining the optimal cutoff points for waist circumference and body mass index for identification of metabolic abnormalities and metabolic syndrome in urban Thai population. Diabetes Res Clin Pract 2012;98(2):e16-e21.
Narksawat K, Podang J, Punyarathabundu P, Podhipak A. Waist circumference, body mass index and health risk factors among middle aged Thais. Asia Pac J Public Health 2007;19(3):10–15.
Aekplakorn W, Chongsuvivatwong V, Tatsanavivat P, Suriyawongpaisal P. Prevalence of Metabolic Syndrome Defined by the International Diabetes Federation and National Cholesterol Education Program Criteria Among Thai Adults. Asia Pac J Public Health 2011;23(5):792-800.
Patterson E. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ). IPAQ Scoring Protocol. 2005. Available from: https://sites.google.com/site/theipaq/scoring-protocol
Sitthipornvorakul E, Janwantanakul P, van der Beek AJ. Correlation between pedometer and the Global Physical Activity Questionnaire on physical activity measurement in office workers. BMC Res Notes 2014;7(1):Article Number 280.
Cleland VJ, Schmidt MD, Salmon J, Dwyer T, Venn A. Correlates of pedometer-measured and self-reported physical activity among young Australian adults. J Sci Med Sport 2011;14(6): 496-503.
Langlois J, Omorou AY, Vuillemin A, Briancon S, Lecomte E. Association of socioeconomic, school-related and family factors and physical activity and sedentary behaviour among adolescents: Multilevel analysis of the PRALIMAP trial inclusion data. BMC Public Health 2017;17(1):1-14.
Sookhanaphibarn T, Choensawat W. Standardized Test System of Health-related Physical Fitness for Thai College Students. Procedia Manuf 2015;3:1527-1534.
Lim LLY, Seubsman S, Sleigh A, Bain C. Validity of self-reported abdominal obesity in Thai adults: A comparison of waist circumference, waist-to-hip ratio and waist-to-stature ratio. Nutr Metab Cardiovasc Dis 2012;22(1):42-49.
Katzmarzyk PT, Craig CL. Musculoskeletal fitness and risk of mortality. Med Sci Sport Exer 2002;34(5):740-744.
Lee I-M, Paffenbarger RS. Do Physical Activity and Physical Fitness Avert Premature Mortality? Exerc Sport Sci Rev 1996;24(1):135-172.
Brown WJ, McLaughlin D, Leung J, McCaul KA, Flicker L, Almeida OP, et al. Physical activity and all-cause mortality in older women and men. Br J Sports Med 2012;46(9):664-68.
Chavasit V, Kriengsinyos W, Photi J, Tontisirin K. Trends of increases in potential risk factors and prevalence rates of diabetes mellitus in Thailand. Eur J Clin Nutr 2017;71:839-843.