Silveira Loreana Sanches, Inoue Daniela Sayuri, Rodrigues da Silva Jose Messias, Cayres Suziane Ungari, Christofaro Diego Giulliano Destro
Post-Graduate Program in Movement Sciences, Sao Paulo State University-UNESP, Rio Claro, Brazil, Av Professor Lineu Prestes, 1524, 05508-000 Butanta, Sao Paulo SP. Brazil.
Curr Hypertens Rev. 2016;12(3):215-221. doi: 10.2174/1573402112666161230120855.
High blood pressure (HBP) is a cardiovascular risk factor that can initiate in childhood and adolescence and may be associated with other risk factors such as sedentary lifestyles. Therefore, verifying if these associations occur from the earliest ages is of fundamental importance.
to report the prevalence of HBP combined with sedentary behavior through a systematic review.
The research was performed based on studies published between 2010 and 2016 in Medline, Web of Science, Excerpta Medica (EMBASE), and Scielo, using terms related to: 'sedentary behavior' OR 'screen time' AND 'high blood pressure'. In the initial search, 821 studies were found and after exclusions twelve studies were included in the review.
Twelve studies addressing the relationship between sedentary behavior and HBP were found. Eighty-three percent of the studies evaluated sedentary behavior using a questionnaire (n = 10). The majority of studies analyzed in the review were conducted in North America (41.6%). Only four studies presented the prevalence of HBP related to sedentary behavior (variation 1-22.9%). In seven studies a close relationship between sedentary behavior and HBP was observed.
Although most studies observed a relationship between sedentary behavior and HBP, the results still need to be further explained. Based on the findings of this review, follow-up studies and objective measurements of time spent in sedentary behavior in young people could help to determine the cause-effect relationship between sedentary behavior and HBP in pediatric populations.
高血压是一种心血管危险因素，可在儿童和青少年时期出现，并且可能与其他危险因素相关，如久坐不动的生活方式。因此，从最早的年龄阶段开始验证这些关联是否存在至关重要。
通过系统评价报告高血压与久坐行为并存的患病率。
本研究基于2010年至2016年间发表在医学文献数据库（Medline）、科学引文索引（Web of Science）、医学文摘数据库（Excerpta Medica，EMBASE）和科学电子图书馆在线（Scielo）上的研究，使用与“久坐行为”或“屏幕使用时间”以及“高血压”相关的术语。在初步检索中，共找到821项研究，排除后有12项研究纳入本评价。
共找到12项关于久坐行为与高血压关系的研究。83%的研究使用问卷评估久坐行为（n = 10）。评价中分析的大多数研究在北美进行（41.6%）。只有四项研究呈现了与久坐行为相关的高血压患病率（范围为1%-22.9%）。七项研究观察到久坐行为与高血压之间存在密切关系。
尽管大多数研究观察到久坐行为与高血压之间存在关联，但结果仍需进一步阐释。基于本评价的结果，对年轻人久坐行为时间进行随访研究和客观测量，可能有助于确定儿科人群中久坐行为与高血压之间的因果关系。
