{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:12:48Z","timestamp":1787760768213,"version":"build-2784847793"},"reference-count":52,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T00:00:00Z","timestamp":1708560000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Universidad Cat\u00f3lica de Murcia (Spain)","award":["PMAFI-11\/19"],"award-info":[{"award-number":["PMAFI-11\/19"]}]},{"name":"Universidad Cat\u00f3lica de Murcia (Spain)","award":["CO\/AY\/58-20"],"award-info":[{"award-number":["CO\/AY\/58-20"]}]},{"name":"Archena City Council","award":["PMAFI-11\/19"],"award-info":[{"award-number":["PMAFI-11\/19"]}]},{"name":"Archena City Council","award":["CO\/AY\/58-20"],"award-info":[{"award-number":["CO\/AY\/58-20"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The \u201cfat but fit paradox\u201d states that people who are fit have a lower cluster cardiometabolic risk (CCMR), even if they are overweight or obese. Therefore, the objective was to investigate the CCMR between four categories based on the \u201cfat but fit paradox\u201d variable, in different fitness categories\u2014cardiorespiratory fitness, muscular fitness, and physical fitness\u2014in adolescents. Body composition, cardiorespiratory fitness, muscle fitness, blood samples, and blood pressure were assessed in 230 adolescents, and cardiometabolic risk and three different \u201cfat but fit paradox\u201d variables were calculated. Participants with a higher CRF exhibited a lower CCMR within their body mass index (BMI) category (p &lt; 0.05). Participants with a high BMI and high muscular fitness showed a lower CCMR than participants with a low muscular fitness and a similar BMI, or low BMI and low muscular fitness (p &lt; 0.05). When both variables, CRF and muscular fitness, were combined, their effectabove CCMR increased (p &lt; 0.05). Across all fitness categories, the fat and unfit group, whether considered individually or combined, exhibited the highest risk of CCMR (p &lt; 0.05). This study confirms the \u201cfat but fit paradox\u201d in different physical fitness categories, showing the importance of both CRF and muscular fitness as predictors of CCMR, with the combination of both variables showing a greater agreement.<\/jats:p>","DOI":"10.3390\/nu16050606","type":"journal-article","created":{"date-parts":[[2024,2,22]],"date-time":"2024-02-22T11:28:47Z","timestamp":1708601327000},"page":"606","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Clustered Cardiometabolic Risk and the \u201cFat but Fit Paradox\u201d in Adolescents: Cross-Sectional Study"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7291-3306","authenticated-orcid":false,"given":"Noelia","family":"Gonz\u00e1lez-G\u00e1lvez","sequence":"first","affiliation":[{"name":"Facultad del Deporte, UCAM Universidad Cat\u00f3lica de Murcia, 30107 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Bel\u00e9n","family":"L\u00f3pez-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Facultad del Deporte, UCAM Universidad Cat\u00f3lica de Murcia, 30107 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2588-3255","authenticated-orcid":false,"given":"Abraham","family":"L\u00f3pez-Vivancos","sequence":"additional","affiliation":[{"name":"Facultad del Deporte, UCAM Universidad Cat\u00f3lica de Murcia, 30107 Murcia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1542\/peds.110.5.1003","article-title":"Childhood obesity: A new pandemic of the new millennium","volume":"110","author":"Kimm","year":"2002","journal-title":"Pediatrics"},{"key":"ref_2","unstructured":"GBD 2015 Risk Factors Collaborators (2016). 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