Heart rate recovery time in metabolically healthy and metabolically unhealthy obese children

Bjelakovic, Ljiljana; Vuković, Vladimir; Jović, Marko; Banković, S; Kostić, Tomislav; Radovanović, Dragan; Pantelić, Saša; Živković, Mladen; Stojanović, Sanja; Bjelaković, Bojko

doi:10.1080/00913847.2017.1376571

Cited by 10 publications

(7 citation statements)

References 29 publications

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“…Heart rate recovery (HRR) is a simple and noninvasive tool to investigate autonomic dysfunction. Bjelakovic et al [47] studied HRR after strenuous activity in 56 obese youths (7-17 years) with and without MetS. As expected, HRR was significantly lower among the metabolically unhealthy obese children.…”

Section: Novel Directionsmentioning

confidence: 87%

Physical activity in adolescents and children and relationship to metabolic health

Whooten

Kerem

Stanley

2019

Current Opinion in Endocrinology, Diabetes &Amp; Obesity

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Purpose of review: To summarize the recent developments relating to the role of physical activity in improving insulin resistance and metabolic syndrome in children and adolescents. Recent findings: The current literature (1) strengthens previous findings on the relationship between PA and metabolic health in children, (2) suggests a protective role for PA in the setting of obesity, (3) examines population-specific findings, (4) addresses specific effects of different modalities of PA in improving health (5) reveals potential mediators in the relationship between PA and metabolic health, and (6) suggests new markers of metabolic health that could potentially be used as outcomes in future PA studies. Summary: Recent research generally confirms the role of PA in decreasing insulin resistance and metabolic syndrome in children and adolescents. However, the current literature is limited by unstandardized research methods and definitions as well as aggregation of different age groups, genders and weight status. Future research should address these issues in order to offer targeted PA interventions.

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Section: Novel Directionsmentioning

confidence: 87%

Physical activity in adolescents and children and relationship to metabolic health

Whooten

Kerem

Stanley

2019

Current Opinion in Endocrinology, Diabetes &Amp; Obesity

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“…These modifications can be assessed by HR recovery (HRR). In children, a low HRR after maximal exercise also suggests impaired parasympathetic function, which is found in children with sickle cell anemia [18], overweight [19], and obese children with metabolic syndrome [20].…”

Section: Introductionmentioning

confidence: 99%

Cardiac Evaluation of Exercise Testing in a Contemporary Population of Preschool Children: A New Approach Providing Reference Values

et al. 2022

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The objective of this study was to evaluate cardiac autonomic function at rest, during maximal exercise, and in post-exercise recovery, to determine sex-specific and age-specific differences in resting heart rate (RHR), linear and spectral parameters of Heart Rate Variability (HRV), HRpeak, and heart rate recovery (HRR) after one and five minutes, in preschool children. This study involved a cohort of 167 healthy children (79 girls) aged 3 to 6 years that were selected from several schools in southern Spain. A 10 × 20 m test was conducted, and the cardiovascular response was recorded. No significant differences were found in all variables between the sexes. However, a significant reduction in RHR and an increase in HRR were found from age 4 to age 6. HRV parameters at rest were higher in older children. No associations between 10 × 20 m performance, weight status, and cardiac parameters were found. Simple linear regression analysis revealed that heart rate reserve (HRr), HRR5 min, RMSSD, and HF were the variables that showed association with all HR parameters. There was also a significant correlation between HRr and HRR5 min. In conclusion, cardiovascular autonomic function during rest, exercise, and recovery in Spanish preschool children was not influenced by sex, although older children showed greater cardiovascular modulation. Cardiorespiratory fitness status was not associated with HR response.

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“…Also among these pediatric patients, an abnormal cardiovascular response to exercise is associated with poorer cardiovascular health outcomes, reduced exercise capacity and overall reduced quality of life [20]. Recently, evidence from small studies among pediatric populations without cardiovascular pathology suggests that the cardiovascular exercise stress test may provide important information on cardiovascular health in non-diseased pediatric populations [21,22]. This underlines the importance of obtaining a better understanding of the potential use of the cardiovascular exercise stress test in pediatric populations in both research and clinical settings to identify children with an impaired cardiovascular health profile.…”

Section: Introductionmentioning

confidence: 99%

The Cardiovascular Stress Response as Early Life Marker of Cardiovascular Health: Applications in Population-Based Pediatric Studies—A Narrative Review

et al. 2020

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Stress inducement by physical exercise requires major cardiovascular adaptations in both adults and children to maintain an adequate perfusion of the body. As physical exercise causes a stress situation for the cardiovascular system, cardiovascular exercise stress tests are widely used in clinical practice to reveal subtle cardiovascular pathology in adult and childhood populations with cardiac and cardiovascular diseases. Recently, evidence from small studies suggests that the cardiovascular stress response can also be used within research settings to provide novel insights on subtle differences in cardiovascular health in non-diseased adults and children, as even among healthy populations an abnormal response to physical exercise is associated with an increased risk of cardiovascular diseases. This narrative review is specifically focused on the possibilities of using the cardiovascular stress response to exercise combined with advanced imaging techniques in pediatric population-based studies focused on the early origins of cardiovascular diseases. We discuss the physiology of the cardiovascular stress response to exercise, the type of physical exercise used to induce the cardiovascular stress response in combination with advanced imaging techniques, the obtained measurements with advanced imaging techniques during the cardiovascular exercise stress test and their associations with cardiovascular health outcomes. Finally, we discuss the potential for cardiovascular exercise stress tests to use in pediatric population-based studies focused on the early origins of cardiovascular diseases.

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Heart rate recovery time in metabolically healthy and metabolically unhealthy obese children

Abstract: Our findings implicate the presence of the autonomic dysfunction as reflected by impaired heart rate recovery (HRR) in obese children with metabolic syndrome.

Cited by 10 publications

References 29 publications

Physical activity in adolescents and children and relationship to metabolic health

Physical activity in adolescents and children and relationship to metabolic health

Cardiac Evaluation of Exercise Testing in a Contemporary Population of Preschool Children: A New Approach Providing Reference Values

The Cardiovascular Stress Response as Early Life Marker of Cardiovascular Health: Applications in Population-Based Pediatric Studies—A Narrative Review

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