Enter your details:
Name:
E-mail:
 
Thank you for subscribing.
Subscribe to our newsletter!


Domenico Monacis1, Matteo Bibba2, Stefan Kolimechkov2, Dario Colella3

1Pegaso University, Department of Education and Sports Sciences, Naples, Italy
2University of Salento, Department of Biological and Environmental Sciences and Technologies, Lecce, Italy
3Kensington & Chelsea Gymnastics Academy, STK SPORT Department, London, United Kingdom

Norm-Referenced Percentile Values for Physical Fitness in Apulian Children: Findings from the SBAM! Regional Project

Sport Mont 2026, 24(2), Ahead of Print | DOI: 10.26773/smj.260606

Abstract

Physical fitness is a key health indicator in children and adolescents, playing a fundamental role in promoting healthy lifestyle and preventing overweight and obesity-related diseases. This study aimed to develop age- and sex-specific normative values for physical fitness among Apulian primary school children participating in the SBAM! regional project. A cross-sectional sample of 9,777 children aged 8–9 years (52.1% boys) from 130 schools across all six provinces of Apulia was assessed. Physical fitness tests included standing long jump (SLJ), 6-minute walking test (6MWT), 4×10 m shuttle run (SR), and body mass index (BMI). Percentile values were developed using the LMS method, and MANOVA/ ANOVA were used to examine differences by sex, age, and province. Principal component analysis (PCA) explored the latent structure of physical fitness. Sex- and -age referenced percentile values have been developed from all participants in the SBAM! project for each province. Age and the age×sex interaction significantly predicted performance across fitness tests. Provincial effects and interactions involving province were statistically detectable, but their effect sizes’ magnitude was very small (ω² ≈ 0.001). PCA revealed a two-factor structure: one related to physical fitness (SLJ, 6MWD, SR), and another reflecting anthropometric characteristics (BMI). Overall, Apulian children demonstrated fitness levels comparable to peers from other Italian regions. These findings emphasise the value of regional fitness surveillance and provide educators and policymakers with practical normative benchmarks to support targeted, health-oriented physical education initiatives.

Keywords

physical fitness, childhood, BMI, norm-referenced value



View full article
(PDF – 334KB)

References

Bartelink, N., & Bessems, K. (2019). Health promoting schools in Europe. Schools for Health in Europe. Schools for Health in Europe. https://www.schoolsforhealth.org/resources/materials-and-tools/fact-sheets

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Routledge. https://doi.org/10.4324/9780203771587

Demchenko, I., Prince, S. A., Merucci, K., Cadenas-Sanchez, C., Chaput, J.-P., Fraser, B. J., ... Lang, J. J. (2025). Cardiorespiratory fitness and health in children and adolescents: an overview of systematic reviews with meta-analyses representing over 125 000 observations covering 33 health-related outcomes. British Journal of Sports Medicine, 59(12), 856–865. https://doi.org/10.1136/bjsports-2024-109184

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160.

Fiori, F., Bravo, G., Parpinel, M., Messina, G., Malavolta, R., & Lazzer, S. (2020). Relationship between body mass index and physical fitness in Italian prepubertal schoolchildren. PLOS ONE, 15(5), e0233362. https://doi.org/10.1371/journal.pone.0233362

Galvani, C., Togni, F., Puci, M. V., Vandoni, M., Correale, L., Codella, R., ... Casolo, F. (2024). Health-Related Field-Based Fitness Tests: Normative Values for Italian Primary School Children. Journal of Functional Morphology and Kinesiology, 9(4). https://doi.org/10.3390/jfmk9040190

Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., … Okechukwu, K. (2023). Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity. Pediatrics, 151(2), e2022060640. https://doi.org/10.1542/peds.2022-060640

Kasović, M., Štefan, L., & Petrić, V. (2021). Normative data for the 6-min walk test in 11-14-year-olds: a population-based study. BMC Pulmonary Medicine, 21(1), 297. https://doi.org/10.1186/s12890-021-01666-5

Ke, Y., Shi, L., Peng, L., Chen, S., Hong, J., & Liu, Y. (2022). Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents. Frontiers in Psychology, 13, 904506. https://doi.org/10.3389/fpsyg.2022.904506

Kolimechkov, S., Petrov, L., & Alexandrova, A. (2019). Alpha-fit test battery norms for children and adolescents from 5 to 18 years of age obtained by a linear interpolation of existing European physical fitness references. European Journal of Physical Education and Sport Science, 5, 1–14. https://doi.org/10.5281/zenodo.2546360

Lammers, A. E., Hislop, A. A., Flynn, Y., & Haworth, S. G. (2008). The 6-minute walk test: normal values for children of 4-11 years of age. Archives of Disease in Childhood, 93(6), 464–468. https://doi.org/10.1136/adc.2007.123653

León-Reyes, B. B., Galeano-Rojas, D., Gámez-Vílchez, M., Farias-Valenzuela, C., Hinojosa-Torres, C., & Valdivia-Moral, P. (2025). Strength Training in Children: A Systematic Review Study. Children, 12(5). https://doi.org/10.3390/children12050623

Ma, N., Dang, J., Liu, Y., Zhong, P., Yan, X., Zhang, J., … Lau, P. W. C. (2022). Percentile Curves for Multiple Physical Fitness Components Among Chinese Han Children and Adolescents Aged 7-18 Years from a National Survey Based on the Total and the Normal Weight Population. Frontiers in Nutrition, 8, 770349. https://doi.org/10.3389/fnut.2021.770349

Marković-Jovanović, S. R., Stolić, R. V., & Jovanović, A. N. (2015). The reliability of body mass index in the diagnosis of obesity and metabolic risk in children. Journal of Pediatric Endocrinology & Metabolism: JPEM, 28(5–6), 515–523. https://doi.org/10.1515/jpem-2014-0389

Monacis, D., Colella, D., & Kolimechkov, S. (2023). Regional Observatory of Physical Fitness in Children and Adolescents in Southern Italy: A Thirty-Year Comparison Between 1990-2020. Kinesiologia Slovenica, 29(1), 122–137. https://doi.org/10.52165/kinsi.29.1.122-137

Monacis, D., Haisan, A.-A., & Colella, D. (2024). BMI or Physical Fitness: What Matters Most for Children’s Health? A Case of Apulia. Collegium Antropologicum, 48(3), 177–185. https://doi.org/10.5671/ca.48.3.6

Monacis, D., Sannicandro, I., & Colella, D. (2025). Exploring Self-Reported Physical Activity Levels and Physical Fitness in Italian Children: A Mediation and Moderation Analysis. Children, 12(2). https://doi.org/10.3390/children12020204

OKkio alla SALUTE (ItalianCOSI) — The Results 2019. (2019). Available online: https://www.epicentro.iss.it/okkioallasalute/indagine-2019-report-regionali (accessed on September 15th 2025).

OKkio alla SALUTE (ItalianCOSI) — The Results 2023. (2023). Available online: https://www.epicentro.iss.it/okkioallasalute/pdf2024/Infografica%20OKkio%20alla%20SALUTE%202023%20in%20inglese.pdf (accessed on July 22nd 2025).

Ortega, F. B., Artero, E. G., Ruiz, J. R., Vicente-Rodriguez, G., Bergman, P., Hagströmer, M., ... Group, on behalf of the H. S. (2008). Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. International Journal of Obesity, 32(5), S49–S57. https://doi.org/10.1038/ijo.2008.183

Ortega, F. B., Leskošek, B., Blagus, R., Gil-Cosano, J. J., Mäestu, J., Tomkinson, G. R., … Jurak, G. (2023). European fitness landscape for children and adolescents: updated reference values, fitness maps and country rankings based on nearly 8 million test results from 34 countries gathered by the FitBack network. British Journal of Sports Medicine, 57(5), 299–310. https://doi.org/10.1136/bjsports-2022-106176

Ortega, F. B., Ruiz, J. R., & Castillo, M. J. (2013). Physical activity, physical fitness, and overweight in children and adolescents: evidence from epidemiologic studies. Endocrinologia y nutricion: organo de la Sociedad Espanola de Endocrinologia y Nutricion, 60(8), 458–469. https://doi.org/10.1016/j.endonu.2012.10.006

Ruiz, J. R., España Romero, V., Castro Piñero, J., Artero, E. G., Ortega, F. B., Cuenca García, M., ... Castillo, M. J. (2011). ALPHA-fitness test battery: health-related field-based fitness tests assessment in children and adolescents. Nutricion Hospitalaria, 26(6), 1210–1214. https://doi.org/10.1590/S0212-16112011000600003

Spinelli, A., Censi, L., Mandolini, D., Ciardullo, S., Salvatore, M. A., Mazzarella, G., & Nardone, P. (2023). Inequalities in Childhood Nutrition, Physical Activity, Sedentary Behaviour and Obesity in Italy. Nutrients, 15(18). https://doi.org/10.3390/nu15183893

Steene-Johannessen, J., Hansen, B. H., Dalene, K. E., Kolle, E., Northstone, K., Møller, N. C., … Ekelund, U. (2020). Variations in accelerometry measured physical activity and sedentary time across Europe - harmonized analyses of 47,497 children and adolescents. The International Journal of Behavioral Nutrition and Physical Activity, 17(1), 38. https://doi.org/10.1186/s12966-020-00930-x

Tomkinson, G. R., Carver, K. D., Atkinson, F., Daniell, N. D., Lewis, L. K., Fitzgerald, J. S., … Ortega, F. B. (2018). European normative values for physical fitness in children and adolescents aged 9-17 years: results from 2 779 165 Eurofit performances representing 30 countries. British Journal of Sports Medicine, 52(22), 1445–14563. https://doi.org/10.1136/bjsports-2017-098253

Toscani, A., & Pedersen, A. V. (2024). Physical fitness levels among children in northeast Italy by sex and age group: a comparison with teachers’ assessments and children in other European countries. Frontiers in Sports and Active Living, 6, 1383575. https://doi.org/10.3389/fspor.2024.1383575

Vaccari, F., Fiori, F., Bravo, G., Parpinel, M., Messina, G., Malavolta, R., & Lazzer, S. (2021). Physical fitness reference standards in Italian children. European Journal of Pediatrics, 180(6), 1789–1798. https://doi.org/10.1007/s00431-021-03946-y

Vasquez, F., Salazar, G., & Vasquez, S. (2024). Reference for the six minutes’ walk test for children 4 to 10 years old. Retos, 58, 176–181. https://doi.org/10.47197/retos.v58.105127

WHO child growth standards: training course on child growth assessment. (2008). World Health Organization (WHO). Retrieved June 5, 2023. https://www.who.int/publications/i/item/9789241595070