Abstract P287: Cardiorespiratory Fitness is Associated With Ambulatory Blood Pressure in Adolescents

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Eunduck Park ◽  
Devin Volding ◽  
Wendell Taylor ◽  
Wenyaw Chan ◽  
Janet Meininger
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiorespiratory Fitness ◽  
Ambulatory Blood Pressure ◽  
Cardiovascular Health ◽  
Heart Rate Recovery ◽  
Step Test ◽  
Central Adiposity ◽  
Cross Sectional ◽  
Unit Increase

Introduction: Low cardiorespiratory fitness (fitness) and high levels of adiposity are independently associated with higher levels of blood pressure in adolescents. However, it remains uncertain whether the associations between fitness and blood pressure are due to fitness itself or results from lower levels of adiposity. Moreover, there are no studies that have determined the extent to which adiposity, including central adiposity, moderates the association between fitness and 24-hour ambulatory blood pressure (ABP). Hypotheses: 1. Higher levels of fitness will be associated with lower levels of ambulatory systolic (SBP) and diastolic (DBP) blood pressure after adjusting for adiposity and covariates. 2. With adjustments for covariates, adiposity (body mass index [BMI], waist circumference [WC]) will modify the association between fitness and 24-hour SBP and DBP. Methods: A cross-sectional study was conducted in Houston, TX with a sample of 370 adolescents aged 11-16 years. Demographically, the sample was 54% female, 37% African American, 31% Hispanic, 29% non-Hispanic white, and 3% other ethnic/racial groups. Fitness was assessed by a height-adjusted step test and estimated by heart rate recovery, defined as the difference between peak heart rate during exercise and heart rate two minutes post-exercise. Adiposity was measured using dichotomized values for percentiles of BMI (≥ 85 th ) and WC (≥ 50 th ). Ambulatory SBP and DBP (Spacelabs model 90207) were measured every 30-60 minutes over 24 hours on a school day. Mixed-effects regression analysis was used to test the hypotheses with the following covariates: activity, location, and position at the time of each ABP measurement, height, age, sex, ethnicity, sexual maturation level, and mother’s education level. Results: Hypothesis 1: Each unit increase in fitness was associated with a decrease of SBP (-0.058 mmHg, p = 0.001) and DBP (-0.043 mmHg, p < 0.0001) after adjustment for WC and covariates. Each unit increase in fitness was associated with a decrease in SBP (-0.058 mmHg, p = 0.001) and DBP (-0.045 mmHg, p < 0.0001) after adjustment for BMI and covariates. Hypothesis 2: Fitness and BMI ≥ 85 th percentile (or WC ≥ 50 th percentile) interactions were not significantly associated with ambulatory SBP or DBP after adjustment for covariates. Conclusions: Our findings indicate a small but statistically significant inverse effect of fitness on 24-hour ABP in adolescents, and no evidence of a modifying effect of adiposity on this association. Further research is needed to better understand the protective role of fitness on cardiovascular health in adolescents.

scholarly journals Cardiovascular health indicators in soccer exercise during adolescence: systematic review

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Heloyse Elaine Gimenes Nunes ◽  
Evelinn Amarilha Faria ◽  
Paula Felippe Martinez ◽  
Silvio Assis de Oliveira-Júnior
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Waist Circumference ◽  
Methodological Quality ◽  
Cardiovascular Health ◽  
Longitudinal Design ◽  
Health Indicators ◽  
Soccer Players ◽  
Cross Sectional ◽  
Blood Institute

Abstract This review analyzed the studies that evaluated cardiovascular health indicators (blood pressure, waist circumference, heart rate, glucose index and lipid blood) in recreational soccer players during adolescence, and identify possible associated factors. The search was performed in the electronic databases (PubMED, SciELO, LILACS, Scopus, SPORTDiscus and Web of Science). Inclusion criteria were: population composed of children and/or adolescents (10–19 years or average age up to 19 years); studies adolescents engaged in recreational soccer regularly and observational studies with cross-sectional or longitudinal design. The process of analysis of studies involved reading titles, abstracts and full texts. After these phases, seven articles were eligible. Regarding the design, all studies were cross-sectional. Of the total studies included, five presented moderate methodological quality values and two presented low methodological quality values, according to National Heart, Lung, and Blood Institute instrument. The most cardiovascular health indicators used in recreational soccer players during adolescence was waist circumference; three studies analyzed heart rate, two evaluated blood pressure, one analyzed insulin resistance and none of the included studies analyzed lipid profile. Factors associated were analyzed in four studies, being that sedentary time and body mass index (BMI) present association with at least one indicator of cardiovascular health.

HEART RATE MONITORING SYSTEMS IN GROUPS FOR RELIABILITY AND VALIDITY ASSESSMENT OF CARDIORESPIRATORY FITNESS ANALYSIS

2015 ◽  
Vol 27 (06) ◽  
pp. 1550055
Author(s):  
Ren-Guey Lee ◽  
Chih-Yang Chen ◽  
Chun-Chieh Hsiao ◽  
Robert Lin
Keyword(s):  
College Students ◽  
Heart Rate ◽  
Physical Fitness ◽  
Cardiorespiratory Fitness ◽  
Heart Rate Recovery ◽  
Step Test ◽  
Exercise Heart Rate ◽  
Regular Exercise ◽  
Heart Rate Monitoring

According to statistics in Taiwan, the proportion of students engaged in regular exercise has declined drastically with the increase in education level. This study thus aims to provide a platform for monitoring of group cardiorespiratory fitness to allow users such as teachers or coaches to easily monitor a group’s exercise condition, intensity and duration to increase exercise efficiency, promote exercise motivation and reduce exercise risk. Based on group measurement concept and wearable chest strap textiles integrated with heart rate monitoring devices, teachers or coaches can immediately acquire and display all heart rate information on a notebook computer together with synchronous field projection display. The acquired heart rate data can also be automatically recorded and analyzed to assist in assessing the physical fitness. Our proposed platform aims to monitor the cardiorespiratory fitness in group mainly for college students and young office worker. To validate the stability of our platform in the long term, we recruited the college students in a physical fitness class, 35 in total, as the subjects for long term observation. In the experiments the subjects are divided into “varsity group” and “sedentary group” according to whether they are with or without regular exercise habits. Subjects wearing chest straps were instructed to take the 3-minute Step Test and the 5-minute constant intensity exercise test. The results show that the “varsity group” has a lower resting heart rate ([Formula: see text][Formula: see text]bpm vs. [Formula: see text][Formula: see text]bpm), a lower exercise heart rate ([Formula: see text][Formula: see text]bpm vs. [Formula: see text][Formula: see text]bpm) and a lower mean heart rate ([Formula: see text][Formula: see text]bpm vs. [Formula: see text][Formula: see text]bpm). The “Varsity group” also has a higher heart rate recovery percentage at the first minute ([Formula: see text] vs. [Formula: see text]) and the second minute ([Formula: see text] vs. [Formula: see text]). Moreover, all these indexes have a high correlation with the fitness index in the 3-minute Step Test, among which the percentage of heart rate recovery in the first minute shows the highest positive correlation ([Formula: see text], [Formula: see text]). Our wearable heart rate monitoring system can thus be deemed as effective to provide a platform for measurement of group heart rates and for assessment of cardiorespiratory fitness.

scholarly journals The Physical Fitness Level, Heart Rate, and Heart Rate Recovery among Adolescent Smokers and Non-smokers

2021 ◽  
Vol 9 (T4) ◽  
pp. 101-105
Author(s):  
Nurvita Risdiana ◽  
Syahruramdhani Syahruramdhani ◽  
Armain Suwitno
Keyword(s):  
Heart Rate ◽  
Physical Fitness ◽  
Quantitative Research ◽  
Heart Rate Recovery ◽  
Health Indicators ◽  
Step Test ◽  
Cross Sectional ◽  
Fitness Level ◽  
Adolescent Smokers ◽  
Measurement Results

BACKGROUND: Physical fitness level (PFL), heart rate (HR), and HR recovery (HRR1) were expressed the physical performance of an individual which can be the excellent indicators of health. That parameter differentiates the physical condition between a smoker and a non-smoker. At present, studies about them for adolescent smokers and non-smokers are still limited. Furthermore, they can be the prediction of the health indicators in the future. AIM: The aim of the study was to compare the PFL, HR, and HRR between adolescent smokers and non-smokers METHODOLOGY: This study was conducted by non-experimental and quantitative research with descriptive comparative design and cross-sectional approach. Mann–Whitney test used to describe the distinction between the PFL of students who are adolescent smokers and adolescent non-smokers. The sample data consist of 65 participants selected by purposive sampling collected using Harvard step test and manual HR measurement. RESULTS: After gathered data, we concluded that the PFL of adolescent non-smokers in our samples was significantly higher than smokers with recorded results of p = 0.001 (p < 0.05); HR1, HR60, HR90, and HR180 in adolescent smokers were higher than non-smokers with p = 0.00 (p < 0.05); there were no differences between HRR1 in adolescent smokers and non-smokers with p = 0.042 (p > 0.05). Smoking had effects on PFL and HR. CONCLUSION: The PFL and HR in adolescent non-smokers were better than in smokers but it had no effect on HRR1.

scholarly journals Study of heart rate recovery and cardiovascular autonomic modulation in healthy participants after submaximal exercise

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tábata P. Facioli ◽  
Stella V. Philbois ◽  
Ada C. Gastaldi ◽  
Daniel S. Almeida ◽  
Karina D. Maida ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Spectral Analysis ◽  
Cardiorespiratory Fitness ◽  
Exercise Test ◽  
Heart Rate Recovery ◽  
Cardiopulmonary Exercise Test ◽  
Fluctuation Analysis ◽  
Autonomic Modulation ◽  
Cardiopulmonary Exercise

AbstractHeart rate variability (HRV), blood pressure variability (BPV), and baroreflex sensitivity (BRS) provide important information on cardiovascular autonomic control. However, little is known about the reorganization of HRV, BPV, and BRS after aerobic exercise. While there is a positive relationship between heart rate (HR) recovery rate and cardiorespiratory fitness, it is unclear whether there is a relationship between cardiorespiratory fitness and reorganization of cardiovascular autonomic modulation during recovery. Thus, this study aimed to investigate whether cardiorespiratory fitness influences the cardiovascular autonomic modulation recovery, after a cardiopulmonary exercise test. Sixty men were assigned into groups according to their cardiorespiratory fitness: low cardiorespiratory fitness (LCF = VO2: 22–38 mL kg−1 min−1), moderate (MCF = VO2: 38–48 mL kg−1 min−1), and high (HCF = VO2 > 48 mL kg−1 min−1). HRV (linear and non-linear analysis) and BPV (spectral analysis), and BRS (sequence method) were performed before and after a cardiopulmonary exercise test. The groups with higher cardiorespiratory fitness had lower baseline HR values and HR recovery time after the cardiopulmonary exercise test. On comparing rest and recovery periods, the spectral analysis of HRV showed a decrease in low-frequency (LF) oscillations in absolute units and high frequency (HF) in absolute and normalized units. It also showed increases in LF oscillations of blood pressure. Nonlinear analysis showed a reduction in approximate entropy (ApEn) and in Poincare Plot parameters (SD1 and SD2), accompanied by increases in detrended fluctuation analysis (DFA) parameters α1 and α2. However, we did not find differences in cardiovascular autonomic modulation parameters and BRS in relation to cardiorespiratory fitness neither before nor after the cardiopulmonary test. We concluded that cardiorespiratory fitness does not affect cardiovascular autonomic modulations after cardiopulmonary exercise test, unlike HR recovery.

scholarly journals Comparison of heart rate response and heart rate recovery after step test among smoker and non-smoker athletes

2021 ◽  
Vol 21 (1) ◽  
pp. 105-11
Author(s):  
Garyfallia Pepera ◽  
Zogka Panagiota
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Recovery Time ◽  
Heart Rate Response ◽  
Heart Rate Recovery ◽  
Step Test ◽  
Resting Heart Rate ◽  
Training Requirements ◽  
Wide Range ◽  
Athletes Heart

Background: Exercise performance depend on the ability of the cardiovascular system to respond to a wide range of met- abolic demands and physical exertion. Objectives: To investigate the habitual smoking effects in heart rate response and heart rate recovery after step test in ath- letes. Methods: Seventy-eight physically healthy active athletes (45 non-smokers and 33 smokers) aging 27±8years old, participat- ed in this study. All participants completed the International Physical Activity Questionnaire and performed the six-minute step test. Cardiovascular parameters such (resting heart rate, peak heart rate, heart rate at 1 min after testing, heart rate re- covery, recovery time, blood pressure at rest, and post-testing blood pressure) were recorded. Results: Smoker-athletes had higher resting heart rate (76 ± 9bpm vs. 72 ± 10bpm, p<0.05), maximum heart rate (154 ± 18bpm vs. 147 ± 17bpm, p<0.05) and recovery time (7min 25sec ± 6min 31sec vs. 4min 21sec ± 4min 30sec, p<0.05) than non-smoker athletes. Scores from the IPAQ were approximately the same (Μ=7927 ± 10303, Μ= 6380 ± 4539, p<0.05). Conclusion: Smoking was found to affect athletes' cardiovascular fitness. The change of the athletes’ heart rate recovery and recovery time contributes to the adaptation of cardiovascular function in training requirements. Keywords: Smoking; athletes; heart rate recovery; heart rate reserve; six-minute step test.

Cardiorespiratory fitness, adiposity, and ambulatory blood pressure in adolescents

2020 ◽  
Vol 60 (6) ◽  
Author(s):  
Eunduck Park ◽  
Devin C. Volding ◽  
Wendell C. Taylor ◽  
Wenyaw Chan ◽  
Janet C. Meininger
Keyword(s):  
Blood Pressure ◽  
Cardiorespiratory Fitness ◽  
Ambulatory Blood Pressure

Cardiovascular Responses to Muscle Stretching: A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Ewan Thomas ◽  
Marianna Bellafiore ◽  
Ambra Gentile ◽  
Antonio Paoli ◽  
Antonio Palma ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiovascular System ◽  
Vascular Function ◽  
Meta Analysis ◽  
Random Effect ◽  
Cardiovascular Responses ◽  
Qualitative Description ◽  
Cross Sectional ◽  
Quantitative Synthesis

AbstractThe aim of this study will be to review the current body of literature to understand the effects of stretching on the responses of the cardiovascular system. A literature search was performed using the following databases: Scopus, NLM Pubmed and ScienceDirect. Studies regarding the effects of stretching on responses of the cardiovascular system were investigated. Outcomes regarded heart rate(HR), blood pressure, pulse wave velocity (PWV of which baPWV for brachial-ankle and cfPWV for carotid-femoral waveforms), heart rate variability and endothelial vascular function. Subsequently, the effects of each outcome were quantitatively synthetized using meta-analytic synthesis with random-effect models. A total of 16 studies were considered eligible and included in the quantitative synthesis. Groups were also stratified according to cross-sectional or longitudinal stretching interventions. Quality assessment through the NHLBI tools observed a “fair-to-good” quality of the studies. The meta-analytic synthesis showed a significant effect of d=0.38 concerning HR, d=2.04 regarding baPWV and d=0.46 for cfPWV. Stretching significantly reduces arterial stiffness and HR. The qualitative description of the studies was also supported by the meta-analytic synthesis. No adverse effects were reported, after stretching, in patients affected by cardiovascular disease on blood pressure. There is a lack of studies regarding vascular adaptations to stretching.

scholarly journals Blood pressure and resting heart rate in 3-17-year-olds in Germany in 2003–2006 and 2014–2017

2021 ◽  
Author(s):  
Giselle Sarganas ◽  
Anja Schienkiewitz ◽  
Jonas D. Finger ◽  
Hannelore K. Neuhauser
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Children And Adolescents ◽  
Selection Rule ◽  
Age Groups ◽  
Resting Heart Rate ◽  
Cross Sectional ◽  
National Examination ◽  
School Aged Children ◽  
Analysis Measurement

AbstractTo track blood pressure (BP) and resting heart rate (RHR) in children and adolescents is important due to its associations with cardiovascular outcomes in the adulthood. Therefore, the aim of this study was to examine BP and RHR over a decade among children and adolescents living in Germany using national examination data. Cross-sectional data from 3- to 17-year-old national survey participants (KiGGS 2003–06, n = 14,701; KiGGS 2014–17, n = 3509) including standardized oscillometric BP and RHR were used for age- and sex-standardized analysis. Measurement protocols were identical with the exception of the cuff selection rule, which was accounted for in the analyses. Different BP and RHR trends were observed according to age-groups. In 3- to 6-year-olds adjusted mean SBP and DBP were significantly higher in 2014–2017 compared to 2003–2006 (+2.4 and +1.9 mm Hg, respectively), while RHR was statistically significantly lower by −3.8 bpm. No significant changes in BP or in RHR were observed in 7- to 10-year-olds over time. In 11- to 13-year-olds as well as in 14- to 17-year-olds lower BP has been observed (SBP −2.4 and −3.2 mm Hg, respectively, and DBP −1.8 and −1.7 mm Hg), while RHR was significantly higher (+2.7 and +3.7 bpm). BP trends did not parallel RHR trends. The downward BP trend in adolescents seemed to follow decreasing adult BP trends in middle and high-income countries. The increase in BP in younger children needs confirmation from other studies as well as further investigation. In school-aged children and adolescents, the increased RHR trend may indicate decreased physical fitness.

scholarly journals Biomarker-estimated flavan-3-ol intake is associated with lower blood pressure in cross-sectional analysis in EPIC Norfolk

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Javier I. Ottaviani ◽  
Abigail Britten ◽  
Debora Lucarelli ◽  
Robert Luben ◽  
Angela A. Mulligan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Vascular Function ◽  
Cardiovascular Health ◽  
Vascular Diseases ◽  
Inverse Association ◽  
Cvd Risk ◽  
Lower Systolic Blood Pressure ◽  
Cross Sectional ◽  
Salt Reduction

Abstract Flavan-3-ols are a group of bioactive compounds that have been shown to improve vascular function in intervention studies. They are therefore of great interest for the development of dietary recommendation for the prevention of cardio-vascular diseases. However, there are currently no reliable data from observational studies, as the high variability in the flavan-3-ol content of food makes it difficult to estimate actual intake without nutritional biomarkers. In this study, we investigated cross-sectional associations between biomarker-estimated flavan-3-ol intake and blood pressure and other CVD risk markers, as well as longitudinal associations with CVD risk in 25,618 participants of the European Prospective Investigation into Cancer (EPIC) Norfolk cohort. High flavan-3-ol intake, achievable as part of an habitual diet, was associated with a significantly lower systolic blood pressure (− 1.9 (− 2.7; − 1.1) mmHg in men and − 2.5 (− 3.3; − 1.8) mmHg in women; lowest vs highest decile of biomarker), comparable to adherence to a Mediterranean Diet or moderate salt reduction. Subgroup analyses showed that hypertensive participants had stronger inverse association between flavan-3-ol biomarker and systolic blood pressure when compared to normotensive participants. Flavanol intake could therefore have a role in the maintenance of cardiovascular health on a population scale.

Sign in / Sign up

Export Citation Format

Share Document