Fitness, waist circumference and their association with future blood pressure in youth: The UP&amp;DOWN Longitudinal Study

Pérez‐Bey, Alejandro; Delgado-Alfonso, Alvaro; Aadland, Eivind; Resaland, Geir Kåre; Martínez‐Gómez, David; Veiga, Óscar L.; Ponce-González, Jesús Gustavo; Castro‐Piñero, José

doi:10.1016/j.jsams.2021.02.002

Cited by 3 publications

(2 citation statements)

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“…Waist circumference was longitudinally associated with systolic blood pressure and the mean arterial pressure in a longitudinal study that included 1089 children and 787 adolescents [ 41 ]. The cut-off points for waist circumference were developed based on the relationship with metabolic syndrome criteria [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Body Composition and Physical Fitness in Madeira Youth

et al. 2022

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Background: Research on composition and physical fitness is lacking in school-aged children from Madeira. This study aimed to examine the frequencies of overweight and obese participants and, in addition, to compare the fitness levels of Madeira youth with reference data. Methods: The sample comprised 521 participants (n = 258 boys; n = 263 girls) aged 10.0–18.9 years old. Methods: Height and weight were measured. Body mass index (BMI) was calculated, and percent fat was derived from skinfolds. Tests detailed on FITESCOLA battery were performed. BMI was plotted against U.S. reference data and physical assessment contrasted with the cut-off points of FITESCOLA protocol and corresponding data developed in Portuguese youth. Results: The percentages of overweight and obesity were 15% (overweight) and 14% (obesity) for boys and 16% (overweight) and 6% (obesity) for girls. The median values of fat mass percentage were closely related to the cut-off standards; however, substantial variation was noted. Boys and girls tended to be below the recommendations of cardiorespiratory fitness. Conclusions: Sport participation should be promoted in Madeira to attain acceptable values of body composition and physical fitness levels.

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Section: Discussionmentioning

confidence: 99%

Body Composition and Physical Fitness in Madeira Youth

et al. 2022

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“… 6 Specifically, waist circumference (WC), as a measure of central adiposity, is positively and independently associated with youth BP ( β = 0.094–0.260). 7 Further, prospective studies have reported positive correlations between adolescent WC and adult BP. 8 The health benefits of PA are well established, and higher PA levels in adolescents generally have a negative relationship with increased BP, 9 – 11 and thus are protective against the development of hypertension.…”

Section: Introductionmentioning

confidence: 99%

Four-year longitudinal associations of physical activity, waist circumference, and blood pressure in UK adolescents

Waterworth,

Kerr,

McManus

et al. 2023

Pediatr Res

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Background This study assessed the specific influence of physical activity (PA) and waist circumference (WC) on the 4-year growth trajectory of blood pressure in UK high-school students. Methods Four-year longitudinal monitoring of 1501 adolescents was conducted as part of the EoEHHS. Measurements were taken in Grades (G)7, 9, and 11. Results Systolic (SBP) and diastolic blood pressure (DBP) increased over the 4-year period (SBP G7 114.6 ± 8.9 mmHg, G9 118.1 ± 9.7 mmHg, G11 122.8 ± 7.8 mmHg; DBP G7 66.7 ± 6.6 mmHg, G9 68.0 ± 6.4 mmHg, G11 70.0 ± 5.2 mmHg). Baseline WC predicted baseline and growth in SBP, but the strongest contribution to SBP came from changes in WC (β = 0.084, p = 0.002). Baseline PAQ-A score (β = −0.822, p = 0.020) and changes in PAQ-A score (β = −0.650, p = 0.019) were associated with smaller increases in DBP over the 4-year measurement period. Conclusions Baseline and change in WC predicted the growth trajectory of SBP, while baseline and change in PA predicted the growth trajectory of DBP. PA and WC have a prognostic value in predicting changes in blood pressure in adolescents. Increasing PA during adolescence could slow the rise in DBP over time. This is meaningful for future hypertension and CVD risk reduction into adulthood. Impact Hypertension in adolescents is a growing health problem that is often overlooked. Baseline and changes in waist circumference over a 4-year period predicted development of systolic blood pressure, while baseline and changes in physical activity predicted development of diastolic blood pressure. Physical activity and waist circumference have a prognostic value in predicting changes in blood pressure in adolescents and could be valuable in planning programmes to prevent hypertension in similar communities and reduce the risk of future adult hypertension.

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