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The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18
The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18
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The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18
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The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18
The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18

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The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18
The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18
Journal Article

The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017–18

2021
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Overview
FITNESSGRAM® is the most widely used criterion-referenced tool to assess/report on student health-related fitness across the US. Potential weight-related biases with the two most common tests of musculoskeletal fitness–the trunk extension and Back-Saver Sit-and-Reach (sit-and-reach)—have been hypothesized, though have not been studied. To determine the association between musculoskeletal fitness test performance and weight status, we use data from 571,133 New York City public school 4 th -12 th grade students (85% non-White; 75% qualified for free or reduced-price meals) with valid/complete 2017–18 FITNESSGRAM® data. Adjusted logistic mixed effects models with a random effect for school examined the association between weight status and whether a student was in the Healthy Fitness Zone (HFZ; met sex- and age-specific criterion-referenced standards) for the trunk extension and sit-and-reach. Compared to students with normal weight, the odds of being in the HFZ for trunk extension were lower for students with underweight (OR = 0.77; 95% CI: 0.741, 0.795) and higher for students with overweight (OR = 1.10; 95% CI: 1.081, 1.122) and obesity (OR = 1.11; 95% CI: 1.090, 1.13). The odds of being in the HFZ for sit-and-reach were lower for students with underweight OR = 0.85; 95% CI: 0.826, 0.878), overweight (OR = 0.83; 95% CI: 0.819, 0.844) and obesity (OR = 0.65; 95% CI: 0.641, 0.661). Students with overweight and obesity perform better on the trunk extension, yet worse on the sit-and-reach, compared to students with normal weight. Teachers, administrators, and researchers should be aware of the relationship of BMI with student performance in these assessments.