Centre for Hip Health and Mobility, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.
Am J Hypertens. 2012 Aug;25(8):914-9. doi: 10.1038/ajh.2012.68.
Physical activity (PA) is beneficially associated with arterial compliance in adults; however, whether this association persists in children is unclear. We examined the cross-sectional relationship of PA and sedentary time with arterial compliance in children.
Large and small artery compliance was determined by diastolic pulse contour analysis in 102 children aged 8-11 years (43 boys). We used accelerometers and age-specific cut points to classify activity as sedentary, light, or moderate-to-vigorous (MVPA). We also categorized MVPA according to bout length (0-5, 5-10, 10-20, and ≥20 min). Hierarchical linear regression examined: (i) the contribution of activity to large and small artery compliance (controlling for body surface area, systolic blood pressure, and body mass index (BMI)) and (ii) whether bouted MVPA was associated with arterial compliance independent of total MVPA.
Activity variables did not explain any additional variance in large artery compliance beyond that captured by body surface area, BMI, and systolic blood pressure (P = 0.118 to P = 0.990). Light activity and MVPA explained an additional 5.8% (P = 0.003) and 2.7% (P = 0.043) of the variance in small artery compliance. MVPA accumulated in bouts was not significantly associated with small artery compliance after controlling for the total volume of MVPA (P = 0.784 to P = 0.923).
Objectively measured PA is associated with small, but not large artery compliance in children aged 8-11 years. Future research should explore the influence of bout frequency and the effect of a PA.intervention on arterial compliance.
身体活动(PA)与成年人的动脉顺应性呈有益关联;然而,这种关联在儿童中是否持续存在尚不清楚。我们研究了 PA 和久坐时间与儿童动脉顺应性的横断面关系。
102 名 8-11 岁儿童(43 名男孩)通过舒张脉搏轮廓分析确定大动脉和小动脉顺应性。我们使用加速度计和特定年龄的切点将活动分类为久坐、低强度和中高强度(MVPA)。我们还根据持续时间(0-5、5-10、10-20 和≥20 分钟)对 MVPA 进行分类。分层线性回归检验了:(i)活动对大动脉和小动脉顺应性的贡献(控制体表面积、收缩压和体重指数(BMI)),以及(ii)MVPA 的短时间爆发是否与动脉顺应性相关,而与 MVPA 的总量无关。
活动变量除了体表面积、BMI 和收缩压之外,不能解释大动脉顺应性的任何额外变异(P = 0.118 至 P = 0.990)。低强度活动和 MVPA 分别额外解释了小动脉顺应性的 5.8%(P = 0.003)和 2.7%(P = 0.043)。在控制 MVPA 总量后,MVPA 的短时间爆发与小动脉顺应性没有显著相关性(P = 0.784 至 P = 0.923)。
客观测量的 PA 与 8-11 岁儿童的小动脉顺应性相关,但与大动脉顺应性无关。未来的研究应该探讨爆发频率和 PA 干预对动脉顺应性的影响。