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.

PubMed

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.
Abstract

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