Prevention & lipidsCohort study

Added predictive value of childhood physical fitness to traditional risk factors for adult cardiovascular disease

Eur J Prev CardiolPublished

  • Prospective cohort study
  • longitudinal

Authors' conclusion

Cardiorespiratory fitness and muscular fitness are independent health indicators that could complement other risk factors in childhood to identify individuals at increased long-term CV risk.

Study context

Population
Childhood Determinants of Adult Health Study participants assessed as children in 1985 and as adultsn range 578–5049
Exposure
Traditional childhood risk factors with vs without childhood cardiorespiratory fitness (CRF) or muscular fitness
Outcome
Adult obesity, hypertension, dyslipidaemia and metabolic syndrome (MetS) predicted by childhood fitness over traditional childhood CV risk factors
Follow-up
Mean 27 years

Main finding

As reported in the abstract

Adult obesity, low HDL-C and MetS: added predictive value of childhood CRF or muscular fitness

Increment in AUC (Δrange)

0.003-0.022

Net reclassification index (range)

0.026-0.149

Integrated discrimination index (range)

0.003-0.027

Observational data: associations, not effects.

Original publication

Added predictive value of childhood physical fitness to traditional risk factors for adult cardiovascular disease. Eur J Prev Cardiol. Published 24 February 2025. doi:10.1093/eurjpc/zwaf102

Summarised from the published abstract; every number is checked against it