Sex differences in the association between waist circumference and physical fitness index among Tajik adolescents in the Pamir Mountains of Xinjiang, China: an observational study.

The study also found that the muscle strength of adolescents in the plateau region was negatively correlated with altitude, indicating that their muscle strength showed a decreasing trend with increasing altitude, which may be related to the lower muscle strength brought about by the natural environment and the level of economic development in high altitude regions [ 38 ].

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