Augusto César Ferreira de Moraes1, Heráclito Barbosa Carvalho2, Alfonso Siani3, Gianvincenzo Barba3, Toomas Veidebaum4, Michael Tornaritis5, Denes Molnar6, Wolfgang Ahrens7, Norman Wirsik7, Stefaan De Henauw8, Staffan Mårild9, Lauren Lissner10, Kenn Konstabel4, Yannis Pitsiladis11, Luis A Moreno12. 1. 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. 2. 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. 3. Unit of Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy. 4. Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia. 5. Research and Education Foundation of Child Health, Strovolos, Cyprus. 6. Department of Paediatrics, Medical Faculty, University of Pécs, Pécs, Hungary. 7. Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany. 8. Department of Public Health, Ghent University, Ghent, Belgium. 9. Department of Paediatrics, University of Gothenburg, Gothenburg, Sweden. 10. Department of Public Health and Community Medicine, University of Gothenburg, Sweden. 11. University of Glasgow, Faculty of Biomedical and Life Sciences, Glasgow, Scotland, United Kingdom. 12. 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.
Abstract
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.
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.
Authors: Y Zhou; Z Qian; M G Vaughn; B B Boutwell; M Yang; X-W Zeng; R-Q Liu; X-D Qin; Y Zhu; G-H Dong Journal: J Hum Hypertens Date: 2015-10-08 Impact factor: 3.012
Authors: Panagiota Veloudi; Christopher L Blizzard; Velandai K Srikanth; Martin G Schultz; James E Sharman Journal: Eur J Pediatr Date: 2017-12-04 Impact factor: 3.183
Authors: Corrie Macdonald-Wallis; Emma Solomon-Moore; Simon J Sebire; Janice L Thompson; Deborah A Lawlor; Russell Jago Journal: PLoS One Date: 2017-12-19 Impact factor: 3.240
Authors: Maike Wolters; Carmen Dering; Alfonso Siani; Paola Russo; Jaakko Kaprio; Patrizia Risé; Luis A Moreno; Stefaan De Henauw; Kirsten Mehlig; Toomas Veidebaum; Denés Molnár; Michael Tornaritis; Licia Iacoviello; Yannis Pitsiladis; Claudio Galli; Ronja Foraita; Claudia Börnhorst Journal: PLoS One Date: 2017-07-21 Impact factor: 3.240