Overweight/obesity and physical fitness among children and adolescents

Samuel Carvalho Dumith, Virgílio Viana Ramires, Matheus Alves Souza, Daniel Souza Moraes, Fabrício Godoy Petry, Eduardo Soldera Oliveira, Sandro Viana Ramires, Pedro C. Hallal

Research output: Contribution to journalArticlepeer-review


Background: Physical fitness is strongly associated with several positive health indicators among adolescents. However, its association with body mass index status is inconsistent. The aim of this study was to explore the association between overweight/obesity and physical fitness among children and adolescents. Methods: The design consisted of a cross-sectional study comprising 519 Brazilian students age 7 to 15 years. BMI status was assessed according to sex- and age-specific growth charts. Physical fitness was assessed using 8 tests: sit-and-reach, stationary long jump, 1-minute curl-up, modified pull-up, medicine-ball throw, 9-minute run, 20-m run, and 4-m shuttle-run. Results: Prevalence of overweight and obesity was 24% and 12%, respectively. Boys performed better than girls in all tests, except flexibility. Normal weight students performed better than overweight and obese students in all tests, except the sit-and-reach and the medicine-ball throw. Cardiorespiratory fitness had the strongest association with BMI status. The prevalence of obese subjects classified as "most fit" was less than 10%. Conclusions: Higher values of body mass index were associated with declines in physical fitness, independent of age. The majority of obese children and adolescents and almost a half of those overweight were classified in the third tertile of physical fitness (least fit).

Original languageEnglish (US)
Pages (from-to)641-648
Number of pages8
JournalJournal of Physical Activity and Health
Issue number5
StatePublished - Sep 2010
Externally publishedYes


  • Body mass index
  • Exercise
  • Health promotion
  • Motor activity
  • Students

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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