Evidence map›Paper›PMID 39498167›Full record

ArticleFrontiers in sports and active living2024

Does cardiorespiratory fitness moderate the relationship between overweight, cardiovascular risk markers and mental health among forcibly displaced individuals living in a Greek refugee camp?

Markus Gerber, Konstantinia Filippou, Florian Knappe, Ioannis D Morres, Emmanouil Tzormpatzakis, Elsa Havas, Harald Seelig, Flora Colledge, Sebastian Ludyga, Marianne Meier and 4 more

Abstract read
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In one paragraph

Article in Frontiers in sports and active living, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Markus GerberDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Konstantinia FilippouDepartment of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece.
Florian KnappeDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Ioannis D MorresDepartment of Nutrition and Dietetics, University of Thessaly, Trikala, Greece.
Emmanouil TzormpatzakisDepartment of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece.
Elsa HavasDepartment of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece.
Harald SeeligDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Flora ColledgeDepartment of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Sebastian LudygaDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Marianne MeierInterdisciplinary Center for Gender Studies, University of Bern, Bern, Switzerland.
Yannis TheodorakisDepartment of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece.
Roland von KänelDepartment of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Uwe PühseDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Antonis HatzigeorgiadisDepartment of Physical Education and Sport Sciences, University of Thessaly, Trikala, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Refugees may have an increased risk of developing overweight/obesity as they often experience a nutritional transition. Because maintaining good cardiorespiratory fitness can help reduce the negative impact of excess weight on overall health, the objective of this study was to examine whether fitness moderates the relationship between weight status and cardiovascular and mental health outcomes in forcibly displaced individuals living in a Greek refugee camp. Methods: A sample of 142 forcibly displaced individuals were recruited. Cardiorespiratory fitness was assessed with the submaximal Åstrand-Rhyming bicycle ergometer test. Blood pressure, blood lipids, blood glucose, and hs-CRP were assessed as physical health outcomes, whereas post-traumatic stress disorder, depression and anxiety symptoms, pain, and quality of life were assessed as mental health outcomes. Main and interaction effects were tested via analyses of covariance (ANCOVAs). Results: Almost 50% of the participants were overweight/obese, more than 60% presented with very poor fitness levels, and the percentage of participants with very poor fitness levels was particularly high among overweight/obese participants. Whereas overweight/obesity was associated with a less favorable body composition and cardiovascular risk profile, poor fitness was associated with a higher percentage of body fat and a lower percentage of muscle mass. Cardiorespiratory fitness did not moderate the relationship between overweight/obesity and most of the assessed health outcomes. Conclusions: Only limited support was found for the applicability of the fit-but-fat concept to our population of forcibly displaced individuals. Public health services should prioritize measures to prevent overweight/obesity and associated diseases in refugee camps. Moreover, efforts are needed to improve the fitness of camp residents via exercise/sport interventions.

Indexed as

cardiovascular risk factorsfitnessmental healthmoderationrefugees

Identifiers

PMID39498167
PMCPMC11532074

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.