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Published on: April 29, 2013
A 5-Week Guided Active Play Program Modulates Skin Microvascular Reactivity in Healthy Children
Asal Moghaddaszadeh1, Emilie Roudier2,3, Heather Edgell2,3
1Pediatric Exercise Physiology Laboratory, Faculty of Health, York University, Toronto, ON,Canada.
Insights
Guided activity play (GAP) improved children's vascular function. This 5-week program enhanced cutaneous microvascular reactivity, a key indicator of cardiovascular health in youth.
Area of Science:
- Pediatric Health
- Cardiovascular Physiology
- Exercise Science
Background:
- Childhood physical inactivity and early vascular aging are significant global health concerns.
- Guided Activity Play (GAP) programs show promise in improving cardiovascular risk factors and fitness in children.
- Understanding the impact of GAP on microvascular function is crucial for preventative health strategies.
Purpose of the Study:
- To determine if a 5-week Guided Activity Play (GAP) program enhances cutaneous microvascular reactivity in children.
- To assess the effects of GAP on children's health-related fitness parameters.
- To investigate the relationship between physical activity levels during GAP and microvascular responses.
Main Methods:
- Eighteen children (mean age 9.8 years) participated in a 5-week GAP program (4 days/week, 1 hour/day).
- Physical activity was measured using accelerometry.
- Pre- and post-assessments included anthropometrics, fitness tests, blood pressure, aerobic power, and cutaneous microvascular reactivity using sodium nitroprusside iontophoresis.
Main Results:
- Physical activity averaged 556 kcal/week, with 34.7% of time at moderate to vigorous intensity.
- Resting heart rate and diastolic blood pressure decreased significantly.
- Cutaneous microvascular reactivity to sodium nitroprusside increased significantly in perfusion, vascular conductance, and response speed.
- Higher physical activity levels were associated with enhanced microvascular perfusion.
Conclusions:
- A 5-week Guided Activity Play (GAP) program effectively improved cutaneous microvascular reactivity in children.
- No significant changes were observed in body mass, musculoskeletal fitness, or estimated aerobic power.
- GAP represents a viable strategy for improving vascular health markers in pediatric populations.
Purpose:
Children's poor levels of physical activity (PA) participation and early-onset vascular aging are identified as global health challenges. Children's guided activity play (GAP)-based PA programs have emerged as effective strategies to improve cardiovascular risk factors and health-related fitness. This study proposes to investigate whether GAP improves children's cutaneous microvascular reactivity and health-related fitness.
Methods:
Children's (n = 18; 9.8 [1.5] y) PA during a 5-week (4 d/wk; 1 h/d) GAP program was assessed (accelerometry) with preassessments and postassessments for anthropometric, musculoskeletal fitness, blood pressure, estimated aerobic power, and cutaneous microvascular reactivity.
Results:
PA averaged 556 (132) kcal·week-1 at 34.7% (7.5%) time at moderate to vigorous intensity. Resting heart rate (-9.5%) and diastolic blood pressure (-7.8%) were reduced without changes in health-related fitness indices. Cutaneous microvascular reactivity to sodium nitroprusside iontophoresis increased the average perfusion (+36.8%), average cutaneous vascular conductance (+30%), the area under the curve (+28.8%), and a faster rise phase (+40%) of perfusion (quadratic modeling; P ≤ .05). Chi-square and crosstabulation analysis revealed significant association between children's PA levels and sodium nitroprusside average perfusion levels, where children with PA levels ≥205.1 kcal.55 minute-1 were overrepresented in the medium/high levels of sodium nitroprusside perfusion.
Conclusion:
A 5-week GAP modified the microvascular reactivity in children without changes in body mass, musculoskeletal fitness, or estimated aerobic power.
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