Cardiovascular and neuroendocrine activity in preschool children: comparison between day-care and home levels.

Thirty boys and 30 girls at nine day-care centers were examined at the mean age of 3.5 and 5.5 with regard to systolic and diastolic blood pressure, heart rate and neuroendocrine activity (urinary catecholamines and cortisol) during a day at their day-care center and in their home, respectively. Compared to home levels, day-care was associated with increased heart rate, epinephrine and norepinephrine excretion and decreased cortisol levels. Systolic blood pressure decreased at the day-care centers at the age of 3.5 and increased at the age of 5.5. No significant sex differences were found. The possible role of mental and physical arousal and the dissociation between the sympathetic-adrenal medullary and the pituitary-adrenal cortical responses are discussed.