When it comes to fitness, US kids are at back of pack

Recently, colleagues and I set out to see how the fitness of American kids stacked up relative to
other countries. Our findings were surprising. Not only did the U.S. finish at the back of the pack,
but U.S. kids ranked behind much smaller and some poorer countries, such as Iceland, Chile and
Suriname.

Fitness level is an important indicator of sporting success, but it's also important for your health.
You can be fit in different ways -- you can be strong like a weightlifter, run fast like a sprinter, be
flexible like a gymnast or be skillful like a tennis player.However, not all of these types of fitness
relate well to your health. The most important type of fitness for good health is "aerobic" fitness,
which is your ability to exercise vigorously for a long time, like running laps around an oval or biking
around the neighborhood.If you are generally unfit now, you are more likely to develop or die from
conditions like heart disease, diabetes and some cancers later in life.One study, using data from
Aerobics Center Longitudinal Study which followed over 53,000 men and women, showed that low
aerobic fitness was the strongest predictor of death. It was far greater than any other risk factor --
with the exception of hypertension in men -- and was greater than the combined deaths due to
obesity, smoking and diabetes.Recent evidence also shows that your fitness level as a child is
strongly linked to your future health. Two studies, one that followed 1.3 million 18-year-old Swedish
boys for 29 years, and another that followed 510 16-year-old Japanese girls for 64 years, found that
children with low fitness levels were more likely to die prematurely from any cause later in life.

This highlights the importance of measuring aerobic fitness when trying to understand the health
and well-being of children and youth.

Who are the fittest?

We published a study in the British Journal of Sports Medicine that compared the aerobic fitness
levels of over 1.1 million kids aged 9 to 17 years from 50 countries who were measured using the 20
meter shuttle run, also called the "beep" test. We systematically analyzed data from 177 studies
across the globe.

The beep test is the world's most popular field test of aerobic fitness for children and youth. It is a
progressive exercise test involving continuous running between two lines 20 meters (66 feet) apart
in time to recorded beeps. The time between beeps gets progressively shorter and the test is over
when you can no longer run the distance in the time with the beeps.

Our study showed that the fittest kids were from Africa and Central-Northern Europe, while least fit
were from South America.

America finished at the back of the pack, ranked 47th out of 50, well behind the fittest from
Tanzania, Iceland and Estonia and only just in front of the least fit from Mexico, Peru and Latvia. The
typical 12-year-old American would run about 520 meters (1706 feet or 26 laps lasting 3.5 minutes)
on the shuttle run before stopping, falling some 840 meters (2756 feet or 42 laps) behind the typical
12-year-old from Tanzania.

Our northern neighbor Canada, on the other hand, fared moderately well, placing just above the
middle of the pack in 19th place.

A separate analysis of these 1.1 million kids from 50 countries revealed that a higher proportion of
boys (43-94 percent) had "healthy" aerobic fitness -- the fitness level associated with better cardio-
metabolic health -- than girls (21-91 percent), with the proportion of kids with healthy fitness
declining with age.

What's causing the gap?

The reasons for the poor showing of the U.S. might surprise you.

We explored links between aerobic fitness and broad socioeconomic and demographic factors in
each country including wealth inequality, standard of living, childhood obesity, physical activity
levels and climate.

Wealth inequality -- the gap between rich and poor as measured by the Gini Index -- was the
strongest correlate of a country's fitness ranking. In other words, countries with a big gap between
rich and poor tended to have low fitness levels.This could be because countries with a big gap
between rich and poor tend to have large subpopulations of poor individuals. Poverty is linked to bad
social and health outcomes -- one of which being lower aerobic fitness levels -- including lower
physical activity levels, higher levels of fat, lower life expectancy, increased risk of cardiovascular
and other diseases, impairment of children's growth and social disintegration.

This finding suggests that initiatives to reduce the gap between rich and poor, such as progressive
taxation regimes, salary regulation or income redistribution, might be suitable population
approaches to increase fitness.

What can you do to improve your -- and your kids' -- aerobic fitness?

Forming good fitness habits is important, but it's also fun. Try joining a sporting club, go swimming
at the beach regularly with friends or play basketball at the local playground after school. Keep each
other inspired to keep exercising.

For real improvement in your aerobic fitness, the Office for Disease Prevention and Health
Promotion recommends you do at least 150 minutes weekly, and your kids at least 60 minutes daily,
of moderate to vigorous exercise that uses the big muscles of the body. This includes exercises like
running, biking or swimming, or playing sports like basketball, soccer or hockey.

Even better, an additional 20 minutes of the more vigorous "huff and puff" exercise will put you on
the right path to developing the fitness habits that will keep you healthy now and into the future.

One method, called interval training, involves exercising as hard as you can for a few minutes, then
having a few minutes rest, and repeating a few more times. It's not easy, and you'll need to work up
to it. Your kids will probably beat you, and, chances are they will enjoy it!

Also, why don't you throw a little low-tech in with your high-tech and try "snacking" on exercise
throughout the day until you build up the fitness and confidence to reach the recommended target?
Remember to choose a range of "huff and puff" activities you like or think you might like to try, and
get moving now toward a healthier you and healthier kids, too.

Grant Tomkinson is an associate professor at the University of North Dakota.

http://www.cnn.com/2016/10/13/health/united-states-children-aerobic-fitness/index.html