Health-Related Fitness as a Predictor of Anxiety Levels Among School Adolescents: An observational cross-sectional study
Sandro Legey1, Alberto Souza Sá Filho2, 9, Ali Yadollahpour3, 9, Fabio Garcia-Garcia4, 9, Claudio Imperatori5, 9, Eric Murillo-Rodriguez6, 9, Antonio Egidio Nardi1, João Lucas Lima7, Sergio Machado7, 8, 9, *
Identifiers and Pagination:Year: 2022
E-location ID: e174501792208151
Publisher ID: e174501792208151
Article History:Received Date: 4/3/2022
Revision Received Date: 1/6/2022
Acceptance Date: 9/7/2022
Electronic publication date: 13/10/2022
Collection year: 2022
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
There is an inverse association between cardiorespiratory fitness and general anxiety levels in adolescents. Obesity also is associated with a higher risk of anxiety in this population. However, little is known about the association between other health-related fitness elements with anxiety symptoms in this population. The authors explored the relationship between health-related fitness and anxiety symptoms in a large sample of Brazilian youth.
This was an observational cross-sectional study with a sample comprised of 257 school adolescents, who were 136 girls (52.9%) and 121 boys (47.1%). The health-related fitness elements were evaluated by FitnessGram® test and anxiety levels by Multidimensional Anxiety Scale for Children - 39. Hierarchical regression analyses were used to determine the association between health-related fitness elements and anxiety symptoms in both sexes.
In male adolescents, only the cardiorespiratory fitness was significantly associated with anxiety symptoms (F(1, 119) = 6.472; P = 0.012; R2 = 0.052; adjusted R2 = 0.044). In turn, the anxiety symptoms showed an inverse small relationship with cardiorespiratory fitness (r = - 0.227; P < 0.01). However, in female adolescents, no association was found between health-related fitness elements and anxiety symptoms.
The level of cardiorespiratory fitness may represent a marker of anxiety in male adolescents.