Paper Type

Master's Thesis


Brooks College of Health

Degree Name

Master of Science in Health Science (MSH)


Clinical & Applied Movement Sciences

NACO controlled Corporate Body

University of North Florida. Department of Leadership, School Counseling & Sports Management

First Advisor

Dr. James R. Churilla

Second Advisor

Dr. Tammie M. Johnson

Rights Statement

Third Advisor

Dr. Susan B. Sisson

Fourth Advisor

Dr. Chris A. Ardern

Fifth Advisor

Dr. Katrina D. DuBose

Department Chair

Dr. Joel W. Beam

College Dean

Dr. Catherine Christie


Objectives: To examine variation in clustered metabolic risk (cMetS) in adolescents classified as not overweight/active (NOA), not overweight/not active (NONA), overweight/active (OA), and overweight/not active (ONA).

Background: While studies to date have shown that children and adolescents who meet the current physical activity (PA) recommendations and maintain a healthy body weight demonstrate significantly lower cardiometabolic risk, there are some studies that suggest the relationship between PA and metabolic risk may be mediated by adiposity.

Methods: The sample included adolescent participants (n=875; 12-17 years) of the 2007-2012 National Health and Nutrition Examination Survey (NHANES). The cMetS score included triglycerides, high-density lipoprotein cholesterol, fasting plasma glucose, and mean arterial pressure. Age- and sex-specific body mass index (BMI) percentiles were utilized; overweight was defined as BMI percentile ≥ 85th. Activity data included self-reported frequency of moderate-to-vigorous PA. Adolescents reporting ≥ 60 min/day of PA were considered “active”. General linear models, adjusted for age, sex, and race-ethnicity, were used. A six-year fasting sample weight was applied to the analyses in order to ensure representativeness of the data.

Results: The cMetS scores were significantly (p

Conclusions: The cMetS scores were higher in OA and ONA adolescents when compared to those classified as NOA. Whereas only ONA males demonstrated significantly higher cMetS score when compared to the NOA referent, both OA and ONA cMetS scores (vs NOA) were significantly higher in females.