Cross-sectional study of ethnic differences in physical fitness among children of South Asian, black African-Caribbean and white European origin: the Child Heart and Health Study in England (CHASE)

Objective

Little is known about levels of physical fitness in children from different ethnic groups in the UK. We therefore studied physical fitness in UK children (aged 9–10 years) of South Asian, black African–Caribbean and white European origin.

Design

Cross-sectional study.

Setting

Primary schools in the UK.

Participants

1625 children (aged 9–10 years) of South Asian, black African–Caribbean and white European origin in the UK studied between 2006 and 2007.

Outcome measures

A step test assessed submaximal physical fitness from which estimated VO_{2 max} was derived. Ethnic differences in estimated VO_{2 max} were estimated using multilevel linear regression allowing for clustering at school level and adjusting for age, sex and month as fixed effects.

Results

The study response rate was 63%. In adjusted analyses, boys had higher levels of estimated VO_{2 max} than girls (mean difference 3.06 mL O₂/min/kg, 95% CI 2.66 to 3.47, p<0.0001). Levels of estimated VO_{2 max} were lower in South Asians than those in white Europeans (mean difference –0.79 mL O₂/min/kg, 95% CI –1.41 to –0.18, p=0.01); levels of estimated VO_{2 max} in black African–Caribbeans were higher than those in white Europeans (mean difference 0.60 mL O₂/min/kg, 95% CI 0.02 to 1.17, p=0.04); these patterns were similar in boys and girls. The lower estimated VO_{2 max} in South Asians, compared to white Europeans, was consistent among Indian, Pakistani and Bangladeshi children and was attenuated by 78% after adjustment for objectively measured physical activity (average daily steps).

Conclusions

South Asian children have lower levels of physical fitness than white Europeans and black African–Caribbeans in the UK. This ethnic difference in physical fitness is at least partly explained by ethnic differences in physical activity.

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