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Physical Activity, Obesity Status, and Blood Pressure in Preschool Children
Susana Vale1, Stewart G Trost2, Carla Rêgo3
1Research Center in Physical Activity, Health, and Leisure, Faculty of Sport, University of Porto, Porto, Portugal; Department of Sport Science, High School of Education, Polytechnic Institute of Porto, Porto, Portugal.
Insights
Overweight preschoolers with low physical activity have a higher risk of elevated blood pressure. Meeting daily activity recommendations is crucial for maintaining healthy blood pressure in children.
Area of Science:
- Pediatric Health
- Cardiovascular Health
- Public Health
Background:
- Elevated blood pressure (BP) in childhood is a growing concern.
- Childhood obesity rates remain high, necessitating research into associated health risks.
- Understanding the interplay of physical activity and weight status on BP is vital for early intervention.
Purpose of the Study:
- To investigate the combined impact of physical activity levels and weight status on blood pressure in preschool children.
- To identify specific risk profiles for elevated blood pressure in this age group.
Main Methods:
- Objective assessment of physical activity using accelerometry over 7 days.
- Categorization of children based on meeting moderate-to-vigorous physical activity (MVPA) recommendations (≥60 minutes/day).
- Classification of weight status (nonoverweight vs. overweight/obese) using International Obesity Task Force benchmarks and BP measurement with automated monitors.
Main Results:
- Prevalence of elevated systolic BP was 7.7% and elevated diastolic BP was 3.0%.
- 32% of children were classified as overweight/obese, and 15% did not meet MVPA recommendations.
- Overweight/obese children with insufficient MVPA were 3.8 times more likely to have elevated systolic BP compared to nonoverweight, sufficiently active children.
Conclusions:
- Overweight or obese preschoolers with inadequate moderate-to-vigorous physical activity face a significantly higher risk of elevated systolic blood pressure.
- Promoting sufficient physical activity is essential for mitigating blood pressure risks in overweight and obese preschool-aged children.
Objective:
To examine the combined effects of physical activity and weight status on blood pressure (BP) in preschool-aged children.
Study Design:
The sample included 733 preschool-aged children (49% female). Physical activity was objectively assessed on 7 consecutive days by accelerometry. Children were categorized as sufficiently active if they met the recommendation of at least 60 minutes daily of moderate-to-vigorous physical activity (MVPA). Body mass index was used to categorize children as nonoverweight or overweight/obese, according to the International Obesity Task Force benchmarks. BP was measured using an automated BP monitor and categorized as elevated or normal using BP percentile-based cut-points for age, sex, and height.
Results:
The prevalence of elevated systolic BP (SBP) and diastolic BP was 7.7% and 3.0%, respectively. The prevalence of overweight/obese was 32%, and about 15% of children did not accomplish the recommended 60 minutes of daily MVPA. After controlling for age and sex, overweight/obese children who did not meet the daily MVPA recommendation were 3 times more likely (OR 3.8; CI 1.6-8.6) to have elevated SBP than nonoverweight children who met the daily MVPA recommendation.
Conclusions:
Overweight or obese preschool-aged children with insufficient levels of MVPA are at significantly greater risk for elevated SBP than their nonoverweight and sufficiently active counterparts.
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