Incidence of high blood pressure in children - Effects of physical activity and sedentary behaviors: The IDEFICS study High blood pressure, lifestyle and children

Author(s):Show less -

Ferreira de Moraes, Augusto Cesar ^{[1, 2, 3]} ; Carvalho, Heraclito Barbosa ^{[1, 2]} ; Siani, Alfonso ^[4] ; Barba, Gianvincenzo ^[4] ; Veidebaum, Toomas ^[5] ; Tornaritis, Michael ^[6] ; Molnar, Denes ^[7] ; Ahrens, Wolfgang ^[8] ; Wirsik, Norman ^[8] ; De Henauw, Stefaan ^[9] ; Marild, Staffan ^[10] ; Lissner, Lauren ^[11] ; Konstabel, Kenn ^[5] ; Pitsiladis, Yannis ^[12] ; Moreno, Luis A. ^{[13, 3]} ; Consortium, IDEFICS

Affiliation:Show less -

^[1] FMUSP, YCARE Youth Child & cARdiovasc Risk & Environm Re, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Sch Med, FMUSP, Sao Paulo - Brazil

^[3] Univ Zaragoza, Fac Ciencias Salud, GENUD Res Grp Growth Exercise Nutr & Dev, Zaragoza - Spain

^[4] CNR, Inst Food Sci, Unit Epidemiol & Populat Genet, Avellino - Italy

^[5] Natl Inst Hlth Dev, Dept Chron Dis, Tallinn - Estonia

^[6] Res & Educ Fdn Child Hlth, Strovolos - Cyprus

^[7] Univ Pecs, Fac Med, Dept Paediat, Pecs - Hungary

^[8] Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen - Germany

^[9] Univ Ghent, Dept Publ Hlth, B-9000 Ghent - Belgium

^[10] Univ Gothenburg, Dept Paediat, Gothenburg - Sweden

^[11] Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg - Sweden

^[12] Univ Glasgow, Fac Biomed & Life Sci, Glasgow, Lanark - Scotland

^[13] Univ Sao Paulo, Sch Med, Dept Prevent Med, Sao Paulo - Brazil

• Document type: Journal article
• Source: INTERNATIONAL JOURNAL OF CARDIOLOGY; v. 180, p. 165-170, FEB 1 2015.
• Web of Science Citations: 20

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 2-9 years 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 2 years 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 > 2 h/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 (<60 min/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. (C) 2014 Elsevier Ireland Ltd. All rights reserved. (AU)

• FAPESP's process: 11/11137-1 - High blood pressure and aggregation of risk factors in adolescents: a multicenter study
• Grantee: Augusto César Ferreira de Moraes
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 11/20662-2 - High blood pressure and aggregation of risk factors in adolescents: a multicenter study
• Grantee: Augusto César Ferreira de Moraes
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate