Body Composition and Its Impact on Physical Fitness, and Cardiovascular Risk: A Literature Review

Authors

  • samuel martins Universitas Airlangga, Indonesia
  • Siti Rahayu Nadhiroh Universitas Airlangga, Indonesia
  • Pedro Amaral Universitas Airlangga, Indonesia
  • Duarte Maubuti Universitas Airlangga, Indonesia
  • Yopi Yeremia Alexander Universitas Airlangga, Indonesia
  • Paradita Viola Ristianita Universitas Airlangga, Indonesia
  • Asyifa Salsabilah Rahmi Universitas Airlangga, Indonesia

DOI:

https://doi.org/10.54832/phj.v7i2.1321

Keywords:

Body Composition, Physical Fitness, Cardiovascular Risk

Abstract

Introduction: Body composition, including fat and lean mass, is recognized as a critical factor influencing physical fitness and cardiovascular health. Traditional measures such as body mass index do not distinguish fat from muscle and may misrepresent cardiometabolic risk.

Objectives: This review analyzed recent evidence on the relationship between body composition, physical fitness, and cardiovascular risk to inform more accurate approaches to screening and prevention.

Methods: A literature search was conducted in PubMed, Scopus, and Google Scholar for studies published between January 2020 and December 2025. Eligible studies included original articles, systematic reviews, or meta-analyses on adults. Titles, abstracts, and full texts were screened with inclusion and exclusion criteria. Data were extracted on study design, population, body composition methods, outcomes, and key findings. Narrative synthesis was performed.

Results: Eight studies were included. Large cross-sectional analyses showed strong associations between body composition indicators, visceral fat, fat percentage, and lean mass, with blood pressure, lipid profile, and glucose regulation. Southeast Asian studies highlighted links between higher body fat, reduced physical activity, and increased cardiometabolic risk. Research in Brazil and the United States indicated that inflammatory markers and diet modified the relationship between adiposity and cardiovascular risk. Smaller studies emphasized the protective role of lean mass and physical activity, including technology-based exercise, on fitness and body composition outcomes.

Conclusions: Body composition is a more accurate determinant of physical fitness and cardiovascular risk than body mass index. Integrating body composition analysis into clinical and public health practice could improve risk stratification and guide personalized preventive strategies.

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References

Bazzocchi, A., Gazzotti, S., Santarpia, L., Madeddu, C., Petroni, M. L., & Aparisi Gómez, M. P. (2023). Editorial: Importance of body composition analysis in clinical nutrition. Frontiers in Nutrition, 9. https://doi.org/10.3389/fnut.2022.1080636

Carter, J. L., Abdullah, N., Bragg, F., Murad, N. A. A., Taylor, H., Fong, C. S., Lacey, B., Sherliker, P., Karpe, F., Mustafa, N., Lewington, S., & Jamal, R. (2023). Body composition and risk factors for cardiovascular disease in global multi-ethnic populations. International Journal of Obesity, 47(9), 855–864. https://doi.org/10.1038/s41366-023-01339-9

Chaves, L. G. C. de M., Gonçalves, T. J. M., Bitencourt, A. G. V., Rstom, R. A., Pereira, T. R., & Velludo, S. F. (2022). Assessment of body composition by whole-body densitometry: what radiologists should know. Radiologia Brasileira, 55(5), 305–311. https://doi.org/10.1590/0100-3984.2021.0155-en

Fredwall, S. O., Linge, J., Leinhard, O. D., Kjønigsen, L., Eggesbø, H. B., Weedon-Fekjær, H., Lidal, I. B., Månum, G., Savarirayan, R., & Tonstad, S. (2021a). Cardiovascular risk factors and body composition in adults with achondroplasia. Genetics in Medicine, 23(4), 732–739. https://doi.org/10.1038/s41436-020-01024-6

Fredwall, S. O., Linge, J., Leinhard, O. D., Kjønigsen, L., Eggesbø, H. B., Weedon-Fekjær, H., Lidal, I. B., Månum, G., Savarirayan, R., & Tonstad, S. (2021b). Cardiovascular risk factors and body composition in adults with achondroplasia. Genetics in Medicine, 23(4), 732–739. https://doi.org/10.1038/s41436-020-01024-6

Gaździńska, A., Gaździński, S., Jagielski, P., & Kler, P. (2023). Body Composition and Cardiovascular Risk: A Study of Polish Military Flying Personnel. Metabolites, 13(10). https://doi.org/10.3390/metabo13101102

Godoy-Cumillaf, A., Fuentes-Merino, P., Giakoni-Ramírez, F., Maldonado-Sandoval, M., Bruneau-Chávez, J., & Merellano-Navarro, E. (2025). Impact on Body Composition and Physical Fitness of an Exercise Program Based on Immersive Virtual Reality: A Case Report. Journal of Functional Morphology and Kinesiology, 10(1), 1–11. https://doi.org/10.3390/jfmk10010056

Heymsfield, S. B. (2025). Advances in body composition: a 100-year journey: Techniques and Methods. International Journal of Obesity, 49(2), 177–181. https://doi.org/10.1038/s41366-024-01511-9

Holmes, C. J., & Racette, S. B. (2021). The utility of body composition assessment in nutrition and clinical practice: an overview of current methodology. Nutrients, 13(8), 1–16. https://doi.org/10.3390/nu13082493

Huang, C. P., & Chen, W. L. (2021). Relevance of physical fitness and cardiovascular disease risk. Circulation Journal, 85(5), 623–630. https://doi.org/10.1253/CIRCJ.CJ-20-0510

Idrizovic, K., Ahmeti, G. B., Sekulic, D., Zevrnja, A., Ostojic, L., Versic, S., & Zenic, N. (2021). Indices of cardiovascular health, body composition and aerobic endurance in young women; differential effects of two endurance-based training modalities. Healthcare (Switzerland), 9(4). https://doi.org/10.3390/healthcare9040449

Jaremków, A., Markiewicz-Górka, I., Hajdusianek, W., Czerwińska, K., & Gać, P. (2024). The Relationship between Body Composition and Physical Activity Level in Students of Medical Faculties. Journal of Clinical Medicine, 13(1). https://doi.org/10.3390/jcm13010050

Johari, M. H. Q., Dzamakhsari, M. I. H., Roslim, N. A., Noor, Siti Maisarah, O., Rahim, M., & Ahmad, A. (2025). Association between Body Weight , Body Composition , Cardiovascular Health and Physical Activity Level in Terengganu Adults. Jurnal Gizi Pangan, 20(September), 63–70.

Kementrian Kesehatan Republik Indonesia. (2019). Laporan Riskesdas 2018 Nasional.pdf. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf

Lee, J., Chae, J., Kim, M., Jung, S. Y., Yoo, S. D., Kang, S. H., Lee, K., & Kim, J. H. (2025). Association of body composition and cardiovascular fitness with hypertension in a middle-aged adults: a cross-sectional study. Frontiers in Cardiovascular Medicine, 12(August), 1–9. https://doi.org/10.3389/fcvm.2025.1582936

Nuryani, Khomsan, A., Dewi, M., Dwiriani, C. M., Lukito, W., Amalia, M. R., & Zalbahar, N. (2025). Association between obesity, cardiometabolic risk, and body composition in Gorontalo women. BIO Web of Conferences, 171, 1–8. https://doi.org/10.1051/bioconf/202517103001

Oukheda, M., Bouaouda, K., Mohtadi, K., Lebrazi, H., Derouiche, A., Kettani, A., Saile, R., & Taki, H. (2023). Association between nutritional status, body composition, and fitness level of adolescents in physical education in Casablanca, Morocco. Frontiers in Nutrition, 10(November). https://doi.org/10.3389/fnut.2023.1268369

Perry, A. S., Dooley, E. E., Master, H., Spartano, N. L., Brittain, E. L., & Pettee Gabriel, K. (2023). Physical Activity Over the Lifecourse and Cardiovascular Disease. Circulation Research, 132(12), 1725–1740. https://doi.org/10.1161/CIRCRESAHA.123.322121

Souza, A. C. do A. H., Rosenthal, M. H., Moura, F. A., Divakaran, S., Osborne, M. T., Hainer, J., Dorbala, S., Blankstein, R., Di Carli, M. F., & Taqueti, V. R. (2024). Body Composition, Coronary Microvascular Dysfunction, and Future Risk of Cardiovascular Events Including Heart Failure. JACC: Cardiovascular Imaging, 17(2), 179–191. https://doi.org/10.1016/j.jcmg.2023.07.014

Xu, S., Wen, S., Yang, Y., He, J., Yang, H., Qu, Y., Zeng, Y., Zhu, J., Fang, F., & Song, H. (2024). Association between Body Composition Patterns, Cardiovascular Disease, and Risk of Neurodegenerative Disease in the UK Biobank. Neurology, 103(4), 1–11. https://doi.org/10.1212/WNL.0000000000209659

Yan, K. L., Liang, I., Ravellette, K., Gornbein, J., Srikanthan, P., & Horwich, T. B. (2025). Body Composition Risk Assessment of All-Cause Mortality in Patients With Coronary Artery Disease Completing Cardiac Rehabilitation. Journal of the American Heart Association , 14(5), 1–9. https://doi.org/10.1161/JAHA.124.035006

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Published

2025-10-03

How to Cite

samuel martins, Siti Rahayu Nadhiroh, Pedro Amaral, Duarte Maubuti, Yopi Yeremia Alexander, Paradita Viola Ristianita, & Asyifa Salsabilah Rahmi. (2025). Body Composition and Its Impact on Physical Fitness, and Cardiovascular Risk: A Literature Review. PROFESSIONAL HEALTH JOURNAL, 7(2), 813–821. https://doi.org/10.54832/phj.v7i2.1321

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