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Physical activity and cardiovascular risk factors in children: meta-analysis of randomized clinical trials
Claudia Ciceri Cesa1, Graciele Sbruzzi2, Rodrigo Antonini Ribeiro3
1Instituto de Cardiologia do Rio Grande do Sul/Fundação Universitária de Cardiologia, Avenida Princesa Isabel, 370/3 andar. Porto Alegre, Rio Grande do Sul 90620-000, Brazil.
Insights
Physical activity interventions for children aged 6-12 years did not significantly reduce BMI but did lower blood pressure and triglycerides. These programs are recommended for cardiovascular disease prevention in schoolchildren.
Area of Science:
- Pediatrics
- Cardiovascular Health
- Exercise Science
Background:
- Childhood cardiovascular risk factors are a growing concern.
- Early intervention is crucial for long-term health.
- Physical activity is a key lifestyle component for children's well-being.
Purpose of the Study:
- To systematically review and meta-analyze randomized clinical trials (RCTs).
- To assess the impact of physical activity interventions on childhood cardiovascular risk factors.
- To evaluate effects on body mass index (BMI), blood pressure (BP), and lipid profiles.
Main Methods:
- Systematic review and meta-analysis of RCTs.
- Searched PubMed, EMBASE, and Cochrane CENTRAL databases.
- Included RCTs involving children aged 6-12 years with interventions >6 months.
Main Results:
- 11 RCTs (10,748 subjects) were included.
- No significant reduction in BMI observed.
- Significant reductions in systolic blood pressure, diastolic blood pressure, and triglycerides were found.
- A slight increase in total cholesterol was noted.
Conclusions:
- Physical activity interventions >6 months are associated with reduced blood pressure and triglycerides in children.
- These programs show promise for cardiovascular disease prevention in schoolchildren.
- Integration into school-based prevention strategies is recommended.
Objective:
To assess the effects of physical activity interventions in preventing cardiovascular risk factors in childhood through a systematic review and meta-analysis of randomized clinical trials (RCTs).
Methods:
A search of online databases (PubMed, EMBASE and Cochrane CENTRAL) was conducted from inception until June 2013. RCTs enrolling children 6-12years old conducted physical activity interventions longer than 6months, assessing their effect on body mass index (BMI), systolic (SBP) and diastolic blood pressure (DBP), total cholesterol (TC) and triglycerides (TG) were included. Data analysis was performed using a random-effects model.
Results:
Of 23.091 articles retrieved, 11 RCTs (10.748 subjects) were included. Physical activity interventions were not associated with reductions of BMI [-0.03kg/m(2) (95%CI -0.16, 0.13) I(2) 0%]. However, there was an association between the interventions and reduction of SBP [-1.25mmHg (95%CI -2.47, -0.02) I(2) 0%], DBP [-1.34mmHg (95%CI -2.57, -0.11) I(2) 43%] and TG [-0.09mmol/L (95%CI -0.14, -0.04) I(2) 0%], and increase of TC [0.14mmol/L (95%CI 0.01, 0.27) I(2) 0%].
Conclusion:
As physical activity intervention programs lasting longer than 6months are associated with reductions in blood pressure levels and triglycerides, they should be considered to be included in prevention programs for cardiovascular diseases in schoolchildren.
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