The Youth Fitness International Test (YFIT) battery for monitoring and surveillance among children and adolescents: A modified Delphi consensus project with 169 experts from 50 countries and territories.

IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Journal of Sport and Health Science Pub Date : 2024-11-12 DOI:10.1016/j.jshs.2024.101012
Francisco B Ortega, Kai Zhang, Cristina Cadenas-Sanchez, Mark S Tremblay, Gregor Jurak, Grant R Tomkinson, Jonatan R Ruiz, Katja Keller, Christine Delisle Nyström, Jennifer Sacheck, Russell Pate, Kathryn L Weston, Tetsuhiro Kidokoro, Eric Poon, Lucy-Joy M Wachira, Ronald Ssenyonga, Thayse Natacha Q F Gomes, Carlos Cristi-Montero, Brooklyn J Fraser, Claudia Niessner, Vincent O Onywera, Yang Liu, Li-Lin Liang, Stephanie A Prince, David R Lubans, Justin J Lang, The Delphi Fitness Expert Group
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引用次数: 0

Abstract

Background: Physical fitness in childhood and adolescence is associated with a variety of health outcomes and is a powerful marker of current and future health. However, inconsistencies in tests and protocols limit international monitoring and surveillance. The objective of the study was to seek international consensus on a proposed, evidence-informed, Youth Fitness International Test (YFIT) battery and protocols for health monitoring and surveillance in children and adolescents aged 6-18 years.

Methods: We conducted an international modified Delphi study to evaluate the level of agreement with a proposed, evidence-based, international fitness battery (YFIT) of core health-related fitness tests and protocols to be used worldwide in 6- to 18-year-olds. This proposal was based on previous European and North American projects that systematically reviewed the existing evidence to identify the most valid, reliable, health-related, safe, and feasible fitness tests to be used in children and adolescents aged 6-18 years. We designed a single-panel modified Delphi study and invited 216 experts from all around the world to answer this Delphi survey, of whom one-third are from low-to-middle income countries and one-third are women. Four experts were involved in the piloting of the survey and did not participate in the main Delphi study to avoid bias. We pre-defined an agreement of ≥80% among the expert participants to achieve consensus.

Results: We obtained a high response rate (78%) with a total of 169 fitness experts from 50 countries and territories, including 63 women and 61 experts from low- or middle-income countries/territories. Consensus (>85% agreement) was achieved for all proposed tests and protocols, supporting the YFIT battery, which includes weight and height (to compute body mass index as a proxy of body size/composition), the 20-m shuttle run (cardiorespiratory fitness), handgrip strength, and standing long jump (muscular fitness).

Conclusion: This study contributes to standardizing fitness tests and protocols used for research, monitoring, and surveillance across the world, which will allow for future data pooling and the development of international and regional sex- and age-specific reference values, health-related cut-points, and a global picture of fitness among children and adolescents.

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用于儿童和青少年体质监测和监督的青少年体质国际测试(YFIT)电池:由来自 50 个国家和地区的 169 名专家参与的改良德尔菲共识项目。
背景:儿童和青少年时期的体能与各种健康结果有关,是当前和未来健康的有力标志。然而,测试和协议的不一致限制了国际监测和监督。本研究的目的是寻求国际共识,为 6-18 岁儿童和青少年的健康监测和监控制定一套有实证依据的青少年体适能国际测试(YFIT)电池和方案:我们开展了一项改良德尔菲国际研究,以评估全球 6 至 18 岁青少年对基于证据的国际青少年体质测试(YFIT)核心健康相关体质测试和方案的一致认同程度。这一建议是基于之前的欧洲和北美项目,这些项目系统地审查了现有证据,以确定最有效、可靠、与健康相关、安全且可行的体能测试,供 6-18 岁儿童和青少年使用。我们设计了一个单一小组的改良德尔菲研究,并邀请了来自世界各地的 216 位专家参与德尔菲调查,其中三分之一来自中低收入国家,三分之一为女性。四位专家参与了调查的试点工作,但没有参与主要的德尔菲研究,以避免偏见。为了达成共识,我们预先设定了专家参与者之间≥80%的一致意见:我们获得了较高的响应率(78%),共有来自 50 个国家和地区的 169 名健身专家参加,其中包括 63 名女性和 61 名来自低收入或中等收入国家/地区的专家。所有建议的测试和方案都达成了共识(>85% 的一致意见),支持 YFIT 电池,其中包括体重和身高(计算身体质量指数,作为身体尺寸/组成的代表)、20 米往返跑(心肺功能)、握力和立定跳远(肌肉功能):这项研究有助于使全球用于研究、监测和监视的体能测试和协议标准化,从而在未来汇集数据,制定国际和地区性别和年龄的参考值、与健康相关的临界点以及全球儿童和青少年的体能状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
18.30
自引率
1.70%
发文量
101
审稿时长
22 weeks
期刊介绍: The Journal of Sport and Health Science (JSHS) is an international, multidisciplinary journal that aims to advance the fields of sport, exercise, physical activity, and health sciences. Published by Elsevier B.V. on behalf of Shanghai University of Sport, JSHS is dedicated to promoting original and impactful research, as well as topical reviews, editorials, opinions, and commentary papers. With a focus on physical and mental health, injury and disease prevention, traditional Chinese exercise, and human performance, JSHS offers a platform for scholars and researchers to share their findings and contribute to the advancement of these fields. Our journal is peer-reviewed, ensuring that all published works meet the highest academic standards. Supported by a carefully selected international editorial board, JSHS upholds impeccable integrity and provides an efficient publication platform. We invite submissions from scholars and researchers worldwide, and we are committed to disseminating insightful and influential research in the field of sport and health science.
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