Incidence of high blood pressure in children - effects of physical activity and sedentary behaviors: the IDEFICS study: High blood pressure, lifestyle and children.

Autor: de Moraes AC; School of Medicine of the University of São Paulo, FMUSP, São Paulo, Brazil; Universidad de Zaragoza, Facultad de Ciencias de la Salud, GENUD Research Group (Growth, Exercise, Nutrition and Development) Zaragoza, Spain; YCARE (Youth/Child and Cardiovascular Risk and Environmental) Research Group, FMUSP, Brazil. Electronic address: augustocesar.demoraes@usp.br., Carvalho HB; School of Medicine of the University of São Paulo, FMUSP, São Paulo, Brazil; YCARE (Youth/Child and Cardiovascular Risk and Environmental) Research Group, FMUSP, Brazil., Siani A; Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy., Barba G; Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy., Veidebaum T; Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia., Tornaritis M; Research and Education Foundation of Child Health, Strovolos, Cyprus., Molnar D; Department of Paediatrics, Medical Faculty, University of Pécs, Pécs, Hungary., Ahrens W; Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany., Wirsik N; Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany., De Henauw S; Department of Public Health, Ghent University, Ghent, Belgium., Mårild S; Department of Paediatrics, University of Gothenburg, Gothenburg, Sweden., Lissner L; Department of Public Health and Community Medicine, University of Gothenburg, Sweden., Konstabel K; Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia., Pitsiladis Y; University of Glasgow, Faculty of Biomedical and Life Sciences, Glasgow, Scotland, United Kingdom., Moreno LA; Universidad de Zaragoza, Facultad de Ciencias de la Salud, GENUD Research Group (Growth, Exercise, Nutrition and Development) Zaragoza, Spain; School of Medicine of the University of São Paulo, Department of Preventive Medicine, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: International journal of cardiology [Int J Cardiol] 2015 Feb 01; Vol. 180, pp. 165-70. Date of Electronic Publication: 2014 Nov 26.
DOI: 10.1016/j.ijcard.2014.11.175
Abstrakt: Background/objectives: High blood pressure (HBP) is one of the most important risk factors for cardiovascular diseases and it has a high prevalence in pediatric populations. However, the determinants of the incidence of Pre-HBP and HBP in children are not well known. i) To describe the incidence of HBP in European children; and ii) to evaluate the effect of physical activity (PA) and sedentary behavior (SB) on the Pre-HBP and HBP.
Methods: The IDEFICS cohort study. A total of 16,228 children 2-9years at baseline were recruited by complex sampling population-based survey in eight European countries. At baseline (T0), 5221 children were selected for accelerometer measurements; 5061 children were re-examined 2years later (T1). We estimated the incidence of Pre-HBP and HBP and evaluate the effect of PA and SB on the Pre-HBP and HBP, by computing relative risks and the corresponding 95% confidence intervals (RR, 95% CI).
Results: Incidences of Pre-HBP and HBP per year were: 121/1000 children and 110/1000 children, respectively. We found that children maintaining SB>2h/d during the two year follow-up showed a RR of having HBP of 1.28 (1.03-1.60). Children in T1 not performing the recommended amount of PA (<60min/d) have a RR of HBP of 1.53 (1.12 to 2.09). We found no association between pre-HBP and the behaviors.
Conclusion: The incidence of pre-HBP and HBP is high in European children. Maintaining sedentary behaviors during childhood increases the risk of developing HBP after two years of follow-up.
(Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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