title: Greek adolescents, fitness, fatness, fat intake, activity, and coronary heart disease risk.
abstract: BACKGROUND
  A dramatic increase in adult mortality rates from coronary heart disease (CHD) in Greece, accompanied by increased prevalence of CHD risk factors in children, has been documented. However, there is controversy about the independent effects of certain lifestyle parameters on primary CHD risk factors.
  
  
  OBJECTIVE
  To examine the association between CHD risk factors (HDL-C, LDL-C, HDL-C/TC, triglycerides, systolic and diastolic blood pressure) and lifestyle parameters (fitness, fatness, fat intake, and physical activity) in 210 12-year old Greek pupils.
  
  
  RESULTS
  Correcting for the fixed factors of gender and maturation, analyses of covariance (ANCOVA) with backward elimination of the lifestyle covariates revealed significant associations between three CHD risk factors (HDL-C, HDL-C/TC, systolic blood pressure) and physical activity levels. In contrast, the covariates aerobic fitness, fatness and fat intake failed to reach significance with any of the CHD risk factors.
  
  
  CONCLUSIONS
  In Greek schoolchildren, primary CHD risk factors are mainly associated with physical activity levels, independently of fitness, fatness, and/or fat intake. Prevention strategies should concentrate on enhancing physical activity early in life, if the increased prevalence of Greek adult CHD mortality is to be diminished.
authors.affiliation: School of Sport, Performing Arts and Leisure, University of Wolverhampton, UK.
authors.forename: C
authors.initials: C
authors.lastname: Bouziotas
authors.forename: Y
authors.initials: Y
authors.lastname: Koutedakis
authors.forename: A
authors.initials: A
authors.lastname: Nevill
authors.forename: E
authors.initials: E
authors.lastname: Ageli
authors.forename: N
authors.initials: N
authors.lastname: Tsigilis
authors.forename: A
authors.initials: A
authors.lastname: Nikolaou
authors.forename: A
authors.initials: A
authors.lastname: Nakou
mesh_terms: D000293:Adolescent; D001794:Blood Pressure; D001835:Body Weight; D016009:Chi-Square Distribution; D002648:Child; D003327:Coronary Disease / Q000453:epidemiology / Q000209:etiology*; D003430:Cross-Sectional Studies; D004041:Dietary Fats / Q000008:administration & dosage; D015444:Exercise; D005260:Female; D006115:Greece / Q000453:epidemiology; D006801:Humans; D008019:Life Style; D008055:Lipids / Q000097:blood; D008137:Longitudinal Studies; D008297:Male; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D010809:Physical Fitness; D012307:Risk Factors
chemical_list: D004041:Dietary Fats; D008055:Lipids