Fitness of Canadian adults: results from the 2007-2009 Canadian Health Measures Survey.

BACKGROUND Estimates of obesity, based on body mass index (BMI) reveal that Canadian adults have become heavier over the past quarter century. However, a comprehensive assessment of fitness requires additional measures. This article provides up-to-date estimates of fitness levels of Canadians aged 20 to 69 years. Results are compared with estimates from 1981. DATA AND METHODS Data are from the 2007-2009 Canadian Health Measures Survey (CHMS). Historical estimates are from the 1981 Canada Fitness Survey. Means, medians and cross-tabulations were used to compare fitness levels by sex and age group and between survey years. RESULTS Mean scores for aerobic fitness, flexibility, muscular endurance and muscular strength declined at older ages, and BMI, waist circumference, skinfold measurements and waist-to-hip ratio increased. Males had higher scores than females for aerobic fitness, muscular endurance and muscular strength; females had higher scores for flexibility. Muscular strength and flexibility decreased between 1981 and 2007-2009; BMI, waist circumference and skinfold measurements increased. INTERPRETATION Based on results of the fitness tests and anthropometric measurements, many Canadian adults face health risks due to suboptimal fitness levels.

[1]  D. Feeny,et al.  BMI and Mortality: Results From a National Longitudinal Study of Canadian Adults , 2010, Obesity.

[2]  P. Katzmarzyk,et al.  Variability in Waist Circumference Measurements According to Anatomic Measurement Site , 2009, Obesity.

[3]  M. Gail,et al.  Cause-specific excess deaths associated with underweight, overweight, and obesity. , 2007, JAMA.

[4]  J. Douketis,et al.  2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary] , 2007, Canadian Medical Association Journal.

[5]  Chaoyang Li,et al.  Increasing Trends in Waist Circumference and Abdominal Obesity among U.S. Adults , 2007, Obesity.

[6]  Suzelle Giroux Canadian Health Measures Survey: sampling strategy overview. , 2007, Health reports.

[7]  S. Bryan,et al.  Canadian Health Measures Survey: clinic operations and logistics. , 2007, Health reports.

[8]  B. Knoppers,et al.  Canadian Health Measures Survey: ethical, legal and social issues. , 2007, Health reports.

[9]  M. Tremblay,et al.  Canadian health measures survey: brief overview. , 2007, Canadian journal of public health = Revue canadienne de sante publique.

[10]  C. Bouchard,et al.  Physical Activity and Health , 2006 .

[11]  J. Berthelot,et al.  Obesity--a growing issue. , 2006, Health reports.

[12]  Philip Greenland,et al.  Prevalence and cardiovascular disease correlates of low cardiorespiratory fitness in adolescents and adults. , 2005, JAMA.

[13]  R. Hardy,et al.  Grip strength, postural control, and functional leg power in a representative cohort of British men and women: associations with physical activity, health status, and socioeconomic conditions. , 2005, The journals of gerontology. Series A, Biological sciences and medical sciences.

[14]  R. Ross,et al.  Waist circumference and not body mass index explains obesity-related health risk. , 2004, The American journal of clinical nutrition.

[15]  J. Kampert,et al.  Muscular Fitness and All-Cause Mortality: Prospective Observations , 2004 .

[16]  Adrian Bauman,et al.  Twenty-year trends in physical activity among Canadian adults. , 2004, Canadian journal of public health = Revue canadienne de sante publique.

[17]  Robert Ross,et al.  Body mass index, waist circumference, and health risk: evidence in support of current National Institutes of Health guidelines. , 2002, Archives of internal medicine.

[18]  R. Ross,et al.  Application of simple anthropometry in the assessment of health risk: implications for the Canadian Physical Activity, Fitness and Lifestyle Appraisal. , 2002, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[19]  C. Bouchard,et al.  Adiposity, adipose tissue distribution and mortality rates in the Canada Fitness Survey follow-up study , 2002, International Journal of Obesity.

[20]  Peter T Katzmarzyk,et al.  Musculoskeletal fitness and risk of mortality. , 2002, Medicine and science in sports and exercise.

[21]  M. Tjepkema Adult obesity. , 2006, Health reports.

[22]  C. Bouchard,et al.  Original article underweight, overweight and obesity: relationships with mortality in the 13-year follow-up of the Canada Fitness Survey. , 2001, Journal of clinical epidemiology.

[23]  J. Stevenson,et al.  Back fitness and back health assessment considerations for the Canadian Physical Activity, Fitness and Lifestyle Appraisal. , 2001, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[24]  S. Blair,et al.  Physical fitness and activity as separate heart disease risk factors: a meta-analysis. , 2001, Medicine and science in sports and exercise.

[25]  N Gledhill,et al.  Musculoskeletal fitness and health. , 2001, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[26]  Health implications of musculoskeletal fitness. , 2000, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[27]  J. Kampert,et al.  Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. , 1999, JAMA.

[28]  M. Thun,et al.  Body-mass index and mortality in a prospective cohort of U.S. adults. , 1999, The New England journal of medicine.

[29]  S. Blair,et al.  Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. , 1999, The American journal of clinical nutrition.

[30]  Suzanne G. Leveille,et al.  Midlife hand grip strength as a predictor of old age disability. , 1999, JAMA.

[31]  G A Colditz,et al.  Abdominal adiposity and coronary heart disease in women. , 1998, JAMA.

[32]  H. Kohl,et al.  Physical fitness, physical activity, and functional limitation in adults aged 40 and older. , 1998, Medicine and science in sports and exercise.

[33]  R S Paffenbarger,et al.  Influences of cardiorespiratory fitness levels and other predictors on cardiovascular disease mortality in men. , 1998, Medicine and science in sports and exercise.

[34]  K Clark,et al.  The effect of age on the association between body-mass index and mortality. , 1998, Journal of insurance medicine.

[35]  M. Heo,et al.  Hypothesis concerning the U-shaped relation between body mass index and mortality. , 1997, American journal of epidemiology.

[36]  Roy J. Shephard Aging, Physical Activity and Health , 1997 .

[37]  A. R. Frisancho Physical Status: The Use and Interpretation of Anthropometry , 1996, The American Journal of Clinical Nutrition.

[38]  K F Rust,et al.  Variance estimation for complex surveys using replication techniques , 1996, Statistical methods in medical research.

[39]  J. Kampert,et al.  Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. , 1996, JAMA.

[40]  J. Macintyre,et al.  Physical Fitness and All-Cause Mortality , 1995 .

[41]  C. Morrison,et al.  Waist circumference as a measure for indicating need for weight management , 1995, BMJ.

[42]  N Gledhill,et al.  A study to validate the modified Canadian Aerobic Fitness Test. , 1995, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[43]  M. Whaley,et al.  ASSOCIATION BETWEEN PHYSICAL FITNESS AND THE METABOLIC SYNDROME IN ADULT MEN AND WOMEN.: 224 , 1995 .

[44]  R S Paffenbarger,et al.  Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. , 1995, JAMA.

[45]  G A Colditz,et al.  Obesity, Fat Distribution, and Weight Gain as Risk Factors for Clinical Diabetes in Men , 1994, Diabetes Care.

[46]  C. Bouchard,et al.  Physical Activity, Fitness, and Health: International Proceedings and Consensus Statement , 1994 .

[47]  Claude Bouchard,et al.  Physical Activity, Fitness, and Health: Consensus Statement , 1994 .

[48]  P. Corey,et al.  Prediction of maximal oxygen uptake from a modified Canadian aerobic fitness test. , 1993, Canadian journal of applied physiology = Revue canadienne de physiologie appliquee.

[49]  W. Kannel,et al.  Regional obesity and risk of cardiovascular disease; the Framingham Study. , 1991, Journal of clinical epidemiology.

[50]  C. Craig,et al.  Adult physical fitness and hypertension in Canada: findings from the Canada Fitness Survey II. , 1986, Canadian journal of public health = Revue canadienne de sante publique.

[51]  Canada. Fitness,et al.  Canadian standardized test of fitness (CSTF) : operations manual , 1986 .

[52]  J. Wilmore,et al.  Physiology of Sport and Exercise , 1995 .

[53]  The health of Canadians: report of the Canada Health Survey. , 1981, Canadian journal of public health = Revue canadienne de sante publique.