{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T14:26:44Z","timestamp":1769005604315,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,30]],"date-time":"2021-10-30T00:00:00Z","timestamp":1635552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To examine the relationship between physical fitness and physical activity (PA) with specific abdominal fat depots and their potential implications for cardiometabolic risk and insulin resistance (IR) in children with overweight\/obesity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A total of 116 children with overweight\/obesity (10.7\u00a0\u00b1\u00a01.1\u00a0year, 54% girls) participated in the study. Abdominal visceral (VAT), subcutaneous (ASAT), and intermuscular abdominal adipose tissue (IMAAT) were assessed by magnetic resonance imaging. The cardiometabolic risk (MetS) score and the insulin resistance homeostasis model assessment (HOMA\u2010IR) were calculated. Health\u2010related physical fitness components (treadmill test, and 20\u00a0m shuttle run, handgrip, standing broad jump and 4\u00a0\u00d7\u00a010\u00a0m tests) were evaluated, and PA was measured (accelerometry). Children were categorized as fit or unfit for each specific fitness test, and as active or inactive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Higher VAT, ASAT, and IMAAT were associated with higher MetS score and HOMA\u2010IR (all<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.02). A better performance in all fitness tests and total and vigorous PA were strongly associated with lower VAT (all<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.04), ASAT (all<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.005), and IMAAT (all<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.005). Fit or active children had lower VAT, ASAT, and IMAAT (all<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.03) than their unfit or inactive counterparts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results reinforce the importance of having adequate fitness and PA levels to reduce abdominal fat accumulation in children. Given that VAT, ASAT, and IMAAT are associated with higher risk of developing cardiovascular diseases and type 2 diabetes, the improvement of physical fitness by the promotion of PA should be goals of lifestyle interventions for improving health in children with overweight\/obesity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sms.14065","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T20:50:46Z","timestamp":1632775846000},"page":"211-222","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Associations of fitness and physical activity with specific abdominal fat depots in children with overweight\/obesity"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7048-642X","authenticated-orcid":false,"given":"Mar\u00eda","family":"Medrano","sequence":"first","affiliation":[{"name":"Institute for Innovation &amp; Sustainable Development in Food Chain (IS\u2010FOOD) Public University of Navarra Campus de Arrosad\u00eda Pamplona Spain"},{"name":"Department of Health Sciences Public University of Navarra Pamplona Spain"},{"name":"IdiSNA Navarra Institute for Health Research Pamplona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4513-9108","authenticated-orcid":false,"given":"Cristina","family":"Cadenas\u2010S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Institute for Innovation &amp; 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