{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T23:40:08Z","timestamp":1756338008269,"version":"3.44.0"},"reference-count":36,"publisher":"Human Kinetics","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Purpose<\/jats:bold>:<\/jats:italic> Associations between health-related parameters and lung function remain unclear in childhood. The study aims to evaluate the relationship between physical fitness and anthropometric parameters with the lung function of healthy scholar-aged children. <jats:italic><jats:bold>Method<\/jats:bold><\/jats:italic>: A total of 418 children aged 7\u00a0years old participated in this study. The associations of physical fitness (handgrip strength, standing broad jump, and 800-m run) and anthropometric (waist circumference and body mass index) parameters with lung function (forced vital capacity and forced expiratory volume in 1\u00a0s) were analyzed using a mixed-linear regression model. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> Girls had significantly lower forced vital capacity values (<jats:italic>P<\/jats:italic>\u2009=\u2009.006) and physical fitness (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.030) compared to boys. On mixed-linear regression analyses, waist circumference (<jats:italic>P<\/jats:italic>\u2009=\u2009.003) was independently associated with forced vital capacity, explaining 34.6% of its variance, while handgrip strength (<jats:italic>P<\/jats:italic>\u2009=\u2009.042) and waist circumference (<jats:italic>P<\/jats:italic>\u2009=\u2009.010) were independently associated with forced expiratory volume in 1\u00a0second, accounting together for 26.5% of its variance in 7-year-old healthy children. <jats:italic><jats:bold>Conclusions<\/jats:bold><\/jats:italic>: Handgrip strength and waist circumference were associated with lung function in healthy children highlighting the influence of upper body muscular strength and trunk dimension on lung function. Our results corroborate the need to promote physical fitness during childhood to protect against lung complications in later on in life.<\/jats:p>","DOI":"10.1123\/pes.2023-0128","type":"journal-article","created":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T12:55:48Z","timestamp":1706792148000},"page":"68-74","source":"Crossref","is-referenced-by-count":0,"title":["Association of Physical Fitness and Anthropometric Parameters With Lung Function in 7-Year-Old Children"],"prefix":"10.1123","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2721-5904","authenticated-orcid":true,"given":"Iker","family":"Garc\u00eda","sequence":"first","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"},{"name":"Physiology Section, Department of Cell Biology, Physiology, and Immunology, Universitat de Barcelona, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4165-429X","authenticated-orcid":true,"given":"Marta","family":"San-Mill\u00e1n","sequence":"additional","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"},{"name":"Medical Sciences Department, Clinical Anatomy, Embriology and Neuroscience Research Group (NEOMA), Faculty of Medicine, University of Girona, Girona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4797-8044","authenticated-orcid":true,"given":"Jorge","family":"Cazorla-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1804-2324","authenticated-orcid":true,"given":"Blanca","family":"Rom\u00e1n-Vi\u00f1as","sequence":"additional","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6080-2772","authenticated-orcid":true,"given":"Juan","family":"Serrano-Ferrer","sequence":"additional","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8618-2551","authenticated-orcid":true,"given":"Anna","family":"J\u00f2dar-Portas","sequence":"additional","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5253-3808","authenticated-orcid":true,"given":"Anna","family":"Prats-Puig","sequence":"additional","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"},{"name":"Medical Sciences Department, Clinical Anatomy, Embriology and Neuroscience Research Group (NEOMA), Faculty of Medicine, University of Girona, Girona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2282-2756","authenticated-orcid":true,"given":"Raquel","family":"Font-Llad\u00f3","sequence":"additional","affiliation":[{"name":"EUSES University School of Health and Sports, University of Girona, Salt, Spain"},{"name":"Psychology Department, Culture, Education and Human Development Research Group (GRICEDH), University of Girona, Girona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"2","key":"r1","series-title":"Eur Respir J","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1183\/09031936.93.06020237","article-title":"The large lungs of elite swimmers: an increased alveolar number?","volume":"6","author":"Armour J","year":"1993","unstructured":"Armour J, Donnelly PM, Bye PTP. The large lungs of elite swimmers: an increased alveolar number? Eur Respir J. 1993;6(2):237\u201347. doi:10.1183\/09031936.93.06020237"},{"issue":"6557","key":"r2","series-title":"BMJ","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1136\/bmj.293.6557.1271","article-title":"Childhood respiratory infection and adult chronic bronchitis in England and Wales","volume":"293","author":"Barker DJP","year":"1986","unstructured":"Barker DJP, Osmond C. Childhood respiratory infection and adult chronic bronchitis in England and Wales. BMJ. 1986;293(6557):1271\u201375. doi:10.1136\/bmj.293.6557.1271"},{"issue":"7","key":"r3","series-title":"Pediatr Pulmonol","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1002\/ppul.22722","article-title":"Waist circumference, BMI, and lung function in 8-year-old children: The PIAMA birth cohort study","volume":"48","author":"Bekkers MBM","year":"2013","unstructured":"Bekkers MBM, Wijga AH, de Jongste JC, et\u00a0al. Waist circumference, BMI, and lung function in 8-year-old children: The PIAMA birth cohort study. Pediatr Pulmonol. 2013;48(7):674\u201382. doi:10.1002\/ppul.22722"},{"issue":"4","key":"r4","series-title":"Pediatr Exerc Sci","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1123\/pes.20.4.402","article-title":"Lung function increases with increasing level of physical activity in school children","volume":"20","author":"Berntsen S","year":"2008","unstructured":"Berntsen S, Wisl\u00f8ff T, Nystad W, Nafstad P, Nystad W. Lung function increases with increasing level of physical activity in school children. Pediatr Exerc Sci. 2008;20(4):402\u201310. doi:10.1123\/pes.20.4.402"},{"issue":"12","key":"r5","series-title":"Am J Respir Crit Care Med","doi-asserted-by":"publisher","first-page":"1304","DOI":"10.1164\/rccm.200605-642ST","article-title":"An official American Thoracic Society\/European Respiratory Society statement: pulmonary function testing in preschool children","volume":"175","author":"Beydon N","year":"2007","unstructured":"Beydon N, Davis SD, Lombardi E, et\u00a0al. An official American Thoracic Society\/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175(12):1304\u201345. doi:10.1164\/rccm.200605-642ST"},{"key":"r6","series-title":"BMJ","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1651","article-title":"Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: prospective cohort study of half a million UK Biobank participants","volume":"361","author":"Celis-Morales CA","year":"2018","unstructured":"Celis-Morales CA, Welsh P, Lyall DM, et\u00a0al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: prospective cohort study of half a million UK Biobank participants. BMJ. 2018;361:k1651. doi:10.1136\/bmj.k1651"},{"issue":"3","key":"r7","series-title":"Pediatr Pulmonol","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1002\/ppul.20854","article-title":"Waist circumference associated with pulmonary function in children","volume":"44","author":"Chen Y","year":"2009","unstructured":"Chen Y, Rennie D, Cormier Y, Dosman JA. Waist circumference associated with pulmonary function in children. Pediatr Pulmonol. 2009;44(3):216\u201321. doi:10.1002\/ppul.20854"},{"issue":"6","key":"r8","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1136\/bjsm.37.6.521","article-title":"Effects of physical activity on exercise tests and respiratory function","volume":"37","author":"Cheng YJ","year":"2003","unstructured":"Cheng YJ, Macera CA, Addy CL, Sy FS, Wieland D, Blair SN. Effects of physical activity on exercise tests and respiratory function. Br J Sports Med. 2003;37(6):521\u201328. doi:10.1136\/bjsm.37.6.521"},{"issue":"6","key":"r9","series-title":"Am J Respir Crit Care Med","doi-asserted-by":"publisher","first-page":"1752","DOI":"10.1164\/ajrccm.156.6.9611016","article-title":"Airway smooth muscle, tidal stretches, and dynamically determined contractile states","volume":"156","author":"Fredberg JJ","year":"1997","unstructured":"Fredberg JJ, Inouye D, Miller B, et\u00a0al. Airway smooth muscle, tidal stretches, and dynamically determined contractile states. Am J Respir Crit Care Med. 1997;156(6):1752\u201359. doi:10.1164\/ajrccm.156.6.9611016"},{"issue":"209","key":"r10","series-title":"Apunts Sports Med","doi-asserted-by":"publisher","DOI":"10.1016\/j.apunsm.2020.100339","article-title":"Lung capacity and alveolar gas diffusion in aquatic athletes: implications for performance and health","volume":"56","author":"Garc\u00eda I","year":"2021","unstructured":"Garc\u00eda I, Drobnic F, Arrillaga B, Pons V, Viscor G. Lung capacity and alveolar gas diffusion in aquatic athletes: implications for performance and health. Apunts Sports Med. 2021;56(209):339. doi:10.1016\/j.apunsm.2020.100339"},{"issue":"6","key":"r11","series-title":"Arch Bronconeumol","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1016\/j.arbres.2022.02.008","article-title":"Swimming exercise for patients with long-term respiratory post COVID-19 complications: further thinking on the pulmonary rehabilitation","volume":"58","author":"Garc\u00eda I","year":"2022","unstructured":"Garc\u00eda I, Molina-Molina M, Arrillaga B, Javierre C, Viscor G. Swimming exercise for patients with long-term respiratory post COVID-19 complications: further thinking on the pulmonary rehabilitation. Arch Bronconeumol. 2022;58(6):527\u201328. doi:10.1016\/j.arbres.2022.02.008"},{"issue":"10","key":"r12","series-title":"Arch Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"2100","DOI":"10.1016\/j.apmr.2018.01.008","article-title":"Muscular strength as a predictor of all-cause mortality in an apparently healthy population: a systematic review and meta-analysis of data from approximately 2 million men and women","volume":"99","author":"Garc\u00eda-Hermoso A","year":"2018","unstructured":"Garc\u00eda-Hermoso A, Cavero-Redondo I, Ram\u00edrez-V\u00e9lez R, et\u00a0al. Muscular strength as a predictor of all-cause mortality in an apparently healthy population: a systematic review and meta-analysis of data from approximately 2 million men and women. Arch Phys Med Rehabil. 2018;99(10):2100\u201313.e5. doi:10.1016\/j.apmr.2018.01.008"},{"issue":"2","key":"r13","series-title":"Eur Respir J","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01374-2017","article-title":"Does physical fitness enhance lung function in children and young adults?","volume":"51","author":"Hancox RJ","year":"2018","unstructured":"Hancox RJ, Rasmussen F. Does physical fitness enhance lung function in children and young adults? Eur Respir J. 2018;51(2):1701374. doi:10.1183\/13993003.01374-2017"},{"issue":"10","key":"r14","series-title":"Pediatr Pulmonol","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1002\/ppul.21091","article-title":"Respiratory health in overweight and obese Chinese children","volume":"44","author":"He QQ","year":"2009","unstructured":"He QQ, Wong TW, Du L, et\u00a0al. Respiratory health in overweight and obese Chinese children. Pediatr Pulmonol. 2009;44(10):997\u20131002. doi:10.1002\/ppul.21091"},{"issue":"2","key":"r15","series-title":"Compr Physiol","first-page":"827","article-title":"Lung structure and the intrinsic challenges of gas exchange","volume":"6","author":"Hsia CCW","year":"2016","unstructured":"Hsia CCW, Hyde DM, Weibel ER. Lung structure and the intrinsic challenges of gas exchange. Compr Physiol. 2016;6(2):827\u201395."},{"key":"r16","series-title":"Front Psychol","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.627834","article-title":"Percentiles and principal component analysis of physical fitness from a big sample of children and adolescents aged 6-18\u00a0years: The DAFIS project","volume":"12","author":"Iglesias-Soler E","year":"2021","unstructured":"Iglesias-Soler E, R\u00faa-Alonso M, Rial-V\u00e1zquez J, et\u00a0al. Percentiles and principal component analysis of physical fitness from a big sample of children and adolescents aged 6-18\u00a0years: The DAFIS project. Front Psychol. 2021;12:834. doi:10.3389\/fpsyg.2021.627834"},{"issue":"2","key":"r17","series-title":"Am J Epidemiol","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1093\/aje\/kwf021","article-title":"Physical inactivity is associated with lower forced expiratory volume in 1 second: European prospective investigation into cancer-norfolk prospective population study","volume":"156","author":"Jakes RW","year":"2002","unstructured":"Jakes RW, Day NE, Patel B, et\u00a0al. Physical inactivity is associated with lower forced expiratory volume in 1 second: European prospective investigation into cancer-norfolk prospective population study. Am J Epidemiol. 2002;156(2):139\u201347. doi:10.1093\/aje\/kwf021"},{"issue":"3","key":"r18","series-title":"Obesity","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1002\/oby.23695","article-title":"Effectiveness of a population\u2010scaled, school\u2010based physical activity intervention for the prevention of childhood obesity","volume":"31","author":"Juri\u0107 P","year":"2023","unstructured":"Juri\u0107 P, Jurak G, Morrison SA, Starc G, Sori\u0107 M. Effectiveness of a population\u2010scaled, school\u2010based physical activity intervention for the prevention of childhood obesity. Obesity. 2023;31(3):811\u201322. doi:10.1002\/oby.23695"},{"issue":"1","key":"r19","series-title":"BMC Pulm Med","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-020-1135-9","article-title":"Decreased handgrip strength can predict lung function impairment in male workers: a cross sectional study","volume":"20","author":"Kanai M","year":"2020","unstructured":"Kanai M, Kanai O, Fujita K, Mio T, Ito M. Decreased handgrip strength can predict lung function impairment in male workers: a cross sectional study. BMC Pulm Med. 2020;20(1):1135. doi:10.1186\/s12890-020-1135-9"},{"key":"r20","series-title":"Respir Med","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2019.105813","article-title":"Lung function, obesity and physical fitness in young children: The EXAMIN YOUTH study","volume":"159","author":"K\u00f6chli S","year":"2019","unstructured":"K\u00f6chli S, Endes K, Bartenstein T, et\u00a0al. Lung function, obesity and physical fitness in young children: The EXAMIN YOUTH study. Respir Med. 2019;159:105813. doi:10.1016\/j.rmed.2019.105813"},{"issue":"5","key":"r21","series-title":"J Asthma","doi-asserted-by":"publisher","first-page":"544","DOI":"10.3109\/02770903.2014.888573","article-title":"The effectiveness of an indoor intermittent training program for improving lung function, physical capacity, body composition and quality of life in children with asthma","volume":"51","author":"Latorre-Rom\u00e1n P\u00c1","year":"2014","unstructured":"Latorre-Rom\u00e1n P\u00c1, Navarro-Mart\u00ednez AV, Garc\u00eda-Pinillos F. The effectiveness of an indoor intermittent training program for improving lung function, physical capacity, body composition and quality of life in children with asthma. J Asthma. 2014;51(5):544\u201351. doi:10.3109\/02770903.2014.888573"},{"key":"r22","series-title":"Cochrane Database Sys Rev","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009728","article-title":"Lifestyle intervention for improving school achievement in overweight or obese children and adolescents","volume":"3","author":"Martin A","year":"2014","unstructured":"Martin A, Saunders DH, Shenkin SD, Sproule J. Lifestyle intervention for improving school achievement in overweight or obese children and adolescents. Cochrane Database Sys Rev. 2014;3:CD009728. doi:10.1002\/14651858.CD009728"},{"issue":"4","key":"r23","series-title":"Rev Port Pneumol","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1016\/j.rppnen.2014.12.003","article-title":"Respiratory parameters in elite athletes - does sport have an influence?","volume":"21","author":"Mazic S","year":"2015","unstructured":"Mazic S, Lazovic B, Djelic M, et\u00a0al. Respiratory parameters in elite athletes - does sport have an influence? Rev Port Pneumol. 2015;21(4):192\u20137. doi:10.1016\/j.rppnen.2014.12.003"},{"key":"r24","series-title":"Br J Sports Med","first-page":"381","article-title":"Respiratory physiology: adaptations to high-level exercise","volume":"46","author":"McKenzie DC","year":"2012","unstructured":"McKenzie DC. Respiratory physiology: adaptations to high-level exercise. Br J Sports Med. 2012;46:381\u20134."},{"issue":"1","key":"r25","series-title":"Physiol Rep","doi-asserted-by":"publisher","DOI":"10.14814\/phy2.13960","article-title":"Prediction of lung function using handgrip strength in healthy young adults","volume":"7","author":"Mgbemena NC","year":"2019","unstructured":"Mgbemena NC, Aweto HA, Tella BA, Emeto TI, Malau-Aduli BS. Prediction of lung function using handgrip strength in healthy young adults. Physiol Rep. 2019;7(1):e13960. doi:10.14814\/phy2.13960"},{"issue":"1","key":"r26","series-title":"Arch Med Res","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.arcmed.2005.05.009","article-title":"Obesity among children residing in Mexico City and its impact on lung function: a comparison with Mexican-Americans","volume":"37","author":"P\u00e9rez-Padilla R","year":"2006","unstructured":"P\u00e9rez-Padilla R, Rojas R, Torres V, et\u00a0al. Obesity among children residing in Mexico City and its impact on lung function: a comparison with Mexican-Americans. Arch Med Res. 2006;37(1):165\u201371. doi:10.1016\/j.arcmed.2005.05.009"},{"issue":"6","key":"r27","series-title":"Eur Respir J","doi-asserted-by":"publisher","first-page":"1324","DOI":"10.1183\/09031936.00080312","article-title":"Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations","volume":"40","author":"Quanjer PH","year":"2012","unstructured":"Quanjer PH, Stanojevic S, Cole TJ, et\u00a0al. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J. 2012;40(6):1324\u201343. doi:10.1183\/09031936.00080312"},{"issue":"4","key":"r28","series-title":"Exp Physiol","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1113\/EP088370","article-title":"Sex differences in paediatric airway anatomy","volume":"105","author":"Ripoll JG","year":"2020","unstructured":"Ripoll JG, Guo W, Andersen KJ, et\u00a0al. Sex differences in paediatric airway anatomy. Exp Physiol. 2020;105(4):721\u201331. doi:10.1113\/EP088370"},{"issue":"8","key":"r29","series-title":"Thorax","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1136\/thx.48.8.794","article-title":"Lung function in white children aged 4 to 19\u00a0years: I-Spirometry","volume":"48","author":"Rosenthal M","year":"1993","unstructured":"Rosenthal M, Bain SH, Cramer D, et\u00a0al. Lung function in white children aged 4 to 19\u00a0years: I-Spirometry. Thorax. 1993;48(8):794\u2013802. doi:10.1136\/thx.48.8.794"},{"key":"r30","series-title":"Respir Med","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1016\/j.rmed.2017.08.030","article-title":"The association between anthropometric measures and lung function in a population-based study of Canadian adults","volume":"131","author":"Rowe A","year":"2017","unstructured":"Rowe A, Hernandez P, Kuhle S, Kirkland S. The association between anthropometric measures and lung function in a population-based study of Canadian adults. Respir Med. 2017;131:199\u2013204. doi:10.1016\/j.rmed.2017.08.030"},{"issue":"3","key":"r31","series-title":"Cell Tissue Res","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1007\/s00441-016-2545-0","article-title":"Development of the lung","volume":"367","author":"Schittny JC","year":"2017","unstructured":"Schittny JC. Development of the lung. Cell Tissue Res. 2017;367(3):427\u201344. doi:10.1007\/s00441-016-2545-0"},{"issue":"9","key":"r32","series-title":"Sports Med","doi-asserted-by":"publisher","first-page":"567","DOI":"10.2165\/00007256-200434090-00002","article-title":"Sex differences in respiratory exercise physiology","volume":"34","author":"Sheel AW","year":"2004","unstructured":"Sheel AW, Richards JC, Foster GE, Guenette JA. Sex differences in respiratory exercise physiology. Sports Med. 2004;34(9):567\u201379. doi:10.2165\/00007256-200434090-00002"},{"issue":"4","key":"r33","series-title":"Age","doi-asserted-by":"publisher","DOI":"10.1007\/s11357-014-9667-7","article-title":"Associations between muscle strength, spirometric pulmonary function and mobility in healthy older adults","volume":"36","author":"Sillanp\u00e4\u00e4 E","year":"2014","unstructured":"Sillanp\u00e4\u00e4 E, Stenroth L, Bijlsma AY, et\u00a0al. Associations between muscle strength, spirometric pulmonary function and mobility in healthy older adults. Age. 2014;36(4):9667. doi:10.1007\/s11357-014-9667-7"},{"issue":"4","key":"r34","series-title":"PLoS One","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194560","article-title":"Handgrip strength is associated with improved spirometry in adolescents","volume":"13","author":"Smith MP","year":"2018","unstructured":"Smith MP, Standl M, Berdel D, et\u00a0al. Handgrip strength is associated with improved spirometry in adolescents. PLoS One. 2018;13(4):560. doi:10.1371\/journal.pone.0194560"},{"issue":"3","key":"r35","series-title":"Obesity","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1038\/oby.2008.584","article-title":"Obesity is associated with altered lung function independently of physical activity and fitness","volume":"17","author":"Steele RM","year":"2009","unstructured":"Steele RM, Finucane FM, Griffin SJ, Wareham NJ, Ekelund U. Obesity is associated with altered lung function independently of physical activity and fitness. Obesity. 2009;17(3):578\u201384. doi:10.1038\/oby.2008.584"},{"issue":"Suppl 6","key":"r36","series-title":"Obes Rev","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13208","article-title":"Waist circumference and waist-to-height ratio in 7-year-old children\u2014WHO childhood obesity surveillance initiative","volume":"22","author":"Taxov\u00e1 Braunerov\u00e1 R","year":"2021","unstructured":"Taxov\u00e1 Braunerov\u00e1 R, Kune\u0161ov\u00e1 M, Heinen MM, et\u00a0al. Waist circumference and waist-to-height ratio in 7-year-old children\u2014WHO childhood obesity surveillance initiative. Obes Rev. 2021;22(Suppl 6):e13208. doi:10.1111\/obr.13208"}],"container-title":["Pediatric Exercise Science"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/pes\/37\/1\/article-p68.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/pes\/37\/1\/article-p68.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/pes\/37\/1\/article-p68.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T23:13:16Z","timestamp":1756336396000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/pes\/37\/1\/article-p68.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,1]]},"references-count":36,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.1123\/pes.2023-0128","relation":{},"ISSN":["0899-8493","1543-2920"],"issn-type":[{"type":"print","value":"0899-8493"},{"type":"electronic","value":"1543-2920"}],"subject":[],"published":{"date-parts":[[2025,2,1]]}}}