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      Physical Fitness Levels in Korean Adolescents: The National Fitness Award Project

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          Abstract

          Background

          Although physical fitness in adolescents has been widely studied, there is the lack of information regarding developmental patterns of various youth fitness components. The LMS (L=skewness, M=median curve, and S=coefficient of variation) statistical method has been utilized to develop growth percentiles for height and weight as well as for fitness in the US and Europe countries. The purpose of this study was to develop age- and sex-specific smoothed percentile curves for fitness using the LMS method in Korean adolescents aged 13–18 years.

          Methods

          A sample of 14,794 adolescents (7,688 boys and 7,106 girls) who participated in the National Fitness Award Project in 2013 and 2014 was analyzed. The components were cardiorespiratory fitness (20-m PACER), muscle strength (handgrip strength), muscle endurance (partial curl-up, 30-s endurance jump), and flexibility (sit and reach). Age- and sex-specific smoothed percentile curves were calculated for fitness using the LMS method.

          Results

          Age- and sex-specific smoothed percentile curves (5th, 10th, 25th, 50th, 75th, 90th, and 95th) were presented for each fitness component. Except for flexibility, fitness levels were higher in boys than in girls. In general, performance in fitness components, except for partial curl-ups, increased with age in boys. However, in girls, performance in fitness components, except for partial curl-ups, slightly increased or remained stable.

          Conclusion

          This study presented age- and sex-specific fitness percentile curves for Korean adolescents aged 13–18 years. This material might be useful in understanding and evaluating the fitness status of Korean adolescents.

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          Most cited references23

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          Physical fitness in childhood and adolescence: a powerful marker of health.

          This review aims to summarize the latest developments with regard to physical fitness and several health outcomes in young people. The literature reviewed suggests that (1) cardiorespiratory fitness levels are associated with total and abdominal adiposity; (2) both cardiorespiratory and muscular fitness are shown to be associated with established and emerging cardiovascular disease risk factors; (3) improvements in muscular fitness and speed/agility, rather than cardiorespiratory fitness, seem to have a positive effect on skeletal health; (4) both cardiorespiratory and muscular fitness enhancements are recommended in pediatric cancer patients/survivors in order to attenuate fatigue and improve their quality of life; and (5) improvements in cardiorespiratory fitness have positive effects on depression, anxiety, mood status and self-esteem, and seem also to be associated with a higher academic performance. In conclusion, health promotion policies and physical activity programs should be designed to improve cardiorespiratory fitness, but also two other physical fitness components such us muscular fitness and speed/agility. Schools may play an important role by identifying children with low physical fitness and by promoting positive health behaviors such as encouraging children to be active, with special emphasis on the intensity of the activity.
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            The LMS method for constructing normalized growth standards.

            T. J. Cole (1990)
            It is now common practice to express child growth status in the form of SD scores. The LMS method provides a way of obtaining normalized growth centile standards which simplifies this assessment, and which deals quite generally with skewness which may be present in the distribution of the measurement (eg height, weight, circumferences or skinfolds). It assumes that the data can be normalized by using a power transformation, which stretches one tail of the distribution and shrinks the other, removing the skewness. The optimal power to obtain normality is calculated for each of a series of age groups and the trend summarized by a smooth (L) curve. Trends in the mean (M) and coefficient of variation (S) are similarly smoothed. The resulting L, M and S curves contain the information to draw any centile curve, and to convert measurements (even extreme values) into exact SD scores. A table giving approximate standard errors for the smoothed centiles is provided. The method, which is illustrated with US girls' weight data, should prove useful both for the construction and application of growth standards.
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              Physical fitness levels among European adolescents: the HELENA study.

              To report sex- and age-specific physical fitness levels in European adolescents. A sample of 3428 adolescents (1845 girls) aged 12.5-17.49 years from 10 European cities in Austria, Belgium, France, Germany, Greece (an inland city and an island city), Hungary, Italy, Spain and Sweden was assessed in the Healthy Lifestyle in Europe by Nutrition in Adolescence study between 2006 and 2008. The authors assessed muscular fitness, speed/agility, flexibility and cardiorespiratory fitness using nine different fitness tests: handgrip, bent arm hang, standing long jump, Bosco jumps (squat jump, counter movement jump and Abalakov jump), 4×10-m shuttle run, back-saver sit and reach and 20-m shuttle run tests. The authors derived sex- and age-specific normative values for physical fitness in the European adolescents using the LMS statistical method and expressed as tabulated percentiles from 10 to 100 and as smoothed centile curves (P₅, P₂₅, P₅₀, P₇₅ and P₉₅). The figures showed greater physical fitness in the boys, except for the flexibility test, and a trend towards increased physical fitness in the boys as their age increased, whereas the fitness levels in the girls were more stable across ages. The normative values hereby provided will enable evaluation and correct interpretation of European adolescents' fitness status.
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                Author and article information

                Journal
                J Obes Metab Syndr
                J Obes Metab Syndr
                Journal of Obesity & Metabolic Syndrome
                Korean Society for the Study of Obesity
                2508-6235
                2508-7576
                March 2017
                30 March 2017
                : 26
                : 1
                : 61-70
                Affiliations
                Department of Sports Science, Korea Institute of Sports Science, Seoul, Korea
                Author notes
                [* ]Corresponding author: Saejong Park, http://orcid.org/0000-0001-7229-5790, Department of Sports Science, Korea Institute of Sports Science, 727 Hwarang-ro, Nowon-gu, Seoul 01794, Korea, Tel: +82-2-970-9562, Fax: +82-2-970-9502, E-mail: saejpark@ 123456sports.re.kr
                Article
                jomes-26-061
                10.7570/jomes.2017.26.1.61
                6484928
                31089495
                cbfe4dba-be3a-4415-a36d-dfd9e77b0f31
                Copyright © 2017 Korean Society for the Study of Obesity

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 27 June 2016
                : 04 July 2016
                : 15 July 2016
                Categories
                Original Article

                adolescence,physical fitness,reference,percentiles
                adolescence, physical fitness, reference, percentiles

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