The role of physical activity on cardiovascular risk factors in adolescents

  • Nadia Dwi Insani Department of Child Health Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital
  • Sukman Tulus Putra Department of Child Health Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital
  • Agus Firmansyah Department of Child Health Faculty of Medicine University of Indonesia, Cipto Mangunkusumo Hospital
Keywords: physical activity, cardiovascular risk factors, adolescent

Abstract

Background Cardiovascular diseases remain the leading cause of death worldwide. Atherosclerotic process increases rapidly during adolescence. Physical activity is considered important in this period to modify cardiovascular risk factors, thus preventing disease in the future.
Objective To determine whether different physical activity status in adolescence can influence body mass index (BMBMI), waist-to-hip ratio, blood pressure (BP), and blood lipid profile.
Methods This was a cross-sectional descriptive study, conducted from December 2009 to January 2010. Adolescents who fulfilled the study criteria were classified into high and low physical activity category. Further examination including body mass index, waist-to-hip ratio, blood pressure, and blood lipid profile were performed.
Results Adolescents with high physical activity had higher, but statistically insignificant, BMBMI compared to adolescents in the P=0.493] and significantly lower waist-to-hip ratio [0.80 (range 0.73-0.9) vs.. 0.82 (range 0.7-0.9), P=0.019]. Difference in BP was not statistically significant between both groups [diastolic BP (70 (range 60-90) mmHg vs. 70 (range 60-90) mmHg, P=0.148; systolic BP 100 (range 90-130) mmHg vs. 100 (range 90-140) mmHg, P=0.228)]. Blood lipid examination in the high activity group showed significantly higher HDL cholesterol and lower triglyceride compared to the low activity group [HDL 59.8 (SD 11.8) mg/dL vs. 54.7 (SD 8.9) mg/dL; p=0.044; triglyceride: 60 (range 32-203) mmHg vs. 82 (range 37-198) mmHg, P=0.014]. Total and LDL cholesterol [total cholesterol 169.8 (SD 28.6) mmHg vs. 181.2 (SD 30.8) mmHg, P=0.107; LDL 103.6 (SD 26.8) mmHg vs. 114.1 (SD 27.3) mmHg, P=0.100] were lower in the high activity group but not statistically different in both groups.
Conclusions Adolescents with high physical activity show less cardiovascular risk factors compared to those in the low physical activity group.

References

1. WHO. Cardiovascular diseases [homepage on the internet]. c2009 [cited 2009 Aug 27]. Avaliable from http://www.who.int/cardiovascular_diseases/en/.
2. Rowland TW. The role of physical activity and fitness in children in the prevention of adult cardiovascular disease. Pathobiological Determinants of Atherosclerosis in Youths (PDAY) Research group. Natural history of aortic and coronary atherosclerotic lesions in youth: findings from the PDAY study. Arterioscler Thromb. 1993;13:1291-8.
4. E Emberson JR, Shaper AG, Wannamethee SG, Morris RW, Whincup PH. Alcohol intake in middle age and risk of cardiovascular disease and mortality: accounting for intake variation over time. Am J Epidemiol. 2005;161:856-63.
5. Goldberg CS, Samyn MM. A method for preventive cardiology in children. Prog Pediatr Cardiol. 2001;12:155-60.
6. Leary SD, Ness AR, Smith GD, Mattocks C, Deere K, Blair SN. Physical activity and blood pressure in childhood. Findings from a population-based study. Hypertension. 2008;51:92-8.
7. WHO. Global physical activity questionnaire: analysis guide. Geneva: World Health Organization, 2004; p. 1-23.
8. Himes J, Dietz W. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. Am J Clin Nutr. 1994;59:307-16.
9. Price GM, Uauy R, Breeze E, Bulpitt CJ, Fletcher AE. Weight, shape, and mortality risk in older persons: elevated waist-hip ratio, not high body mass index is associated with a greater risk of death. Am J Clin Nutr. 2006;84:449-60.
10. Bacha F, Saad R, Gungor N, Janosky J, Arslanian SA. Obesity, regional fat distribution, and syndrome X in obese black versus white adolescents: race differential in diabetogenic and atherogenic risk factors. J Clin Endocrinol Metab. 2003;88:2534-40.
11. Janssen I, Katzmarzyk PT, Ross R. Waist circumference and not body mass index explains obesity-related health risk. Am J Clin Nutr. 2004;79:379-84.
12. Klein-Platat C, Oujaa M, Wagner A. Physical activity is inversely related to waist circumference in 12-y-old French adolescents. Int J Obes. 2005;29:9-14.
13. Canoy D, Boekholdt M, Wareham N, Luben R, Welch A, Bingham S, et al. Body fat distribution and risk of coronary heart disease in men and women in the European Prospective Investigation Into Cancer and Nutrition in Norfolk Cohort. Circulation. 2007;116:2933-43.
14. Luma GB, Spiotta RT. Hypertension in children and adolescents. Am Fam Physician. 2006;73:1158-68.
15. Bao W, Threefoot SA, Srinivasan SR, Berenson GS. Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood: the Bogalusa Heart Study. Am J Hypertens. 1995;8:657-65.
16. McCarron P, Davey SG, Okasha M, McEwen J. Bloodpressure in young adulthood and mortality from cardiovascular disease. Lancet. 2000;355:1430-1.
17. Kelley GA, Kelley KS, Tran ZV. The effect of exercise on resting blood pressure in children and adolescents: a meta-analysis of randomised controlled trials. Prev Cardiol. 2003;6:8-16.
18. Klesges RC, Haddock CK. A multimethod approach to the measurement of chldhood physical activity and its relationship to blood pressure and body weight. J Pediatr. 1990;116:888-93.
19. Brage S, Wedderkopp N, Ekelund U, Franks PW, Wareham NJ, Andersen LB , et al. Features of the metabolic syndrome are associated with objectively measured physical activity and fitness in Danish children: The European Youth Heart Study. Diabetes Care. 2004;27:2141-8.
20. Leary SD, Ness AR, Smith GD, Mattocks C, Deere K, Blair SN. Physical activity and blood pressure in childhood. Findings from a population-based study. Hypertension. 2008;51:92-8.
21. Gidding SS, Barton BA, Dorgan JA, Kimm SYS, Kwiterovich PO, Lasser NL. Higher self-reported physical activity is associated with lower systolic blood pressure: the dietary intervention study in childhood (DISC). Pediatrics 2006;118:2388-93.
22. Daniels SR. Cholesterol abnormality in children and adolescents: time for an update of the 1992 National Cholesterol Education Program guidelines. Prog Pediatr Cardiol. 2003;17:109-11.
23. Berenson GS, Srinivasan S. Cholesterol as a risk factor for early atherosclerosis: the Bogalusa Heart Study. Prog Pediatr Cardiol. 2003;17:113-22.
24. Tolfrey K, Jones AM, Campbell IG. The effect of aerobic exercise training on the lipid-lipoprotein profile of children and adolescents. Sports Med. 2000;29:99-112.
25. Durstine JL, Grandjean PW, Davis PG, Ferguson MA, Alderson NL, Dubose KD. Blood lipid and lipoprotein adaptations to exercise: a quantitative analysis. Sports Med. 2001;31:1033-62.
26. Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS. Effects of the amount and intensity of exercise on plasma lipoprotein. N Engl J Med. 2002;347:1483-92.
27. Pelletier DL, Baker PT. Physical activity and plasma total-and HDL-cholesterol level in Western Samoan men. Am J Clin Nutr. 1987;46:577-85.
28. Olson RE. Discovery of the lipoproteins, their role in fat transport and their significance as risk factors. J Nutr. 2009;128:439S-43S.
29. Williams P. High density lipoproteins and lipase activity in runners. Atherosclerosis. 1993;98:251-4.
30. Williams P. Relationship of distance run per week to coronary heart disease risk factors in 8283 male runners: the national runner’s healthy study. Arch Intern Med. 1997;157:191-8.
31. Thompson P, Culinane E, Sady S. High density lipoproteinemia metabolism in endurance athletes and sedentary men. Circulation. 1991;84:140-52.
Published
2010-08-31
How to Cite
1.
Insani N, Putra S, Firmansyah A. The role of physical activity on cardiovascular risk factors in adolescents. PI [Internet]. 31Aug.2010 [cited 3Jul.2024];50(4):220-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1220
Section
Articles
Received 2017-01-29
Accepted 2017-01-29
Published 2010-08-31