SUMMARY The association between physical fitness and blood pressure was studied in 2061 children selected from all fourth graders in 44 elementary schools in the New York City area. Their blood pressure and physical fitness were measured on two consecutive examinations 1 year apart. Systolic and diastolic blood pressure were highest in children with poor physical fitness. The change in physical fitness between the 2 examination years was related to the change in systolic and diastolic blood pressure (i.e., children with a decline in physical fitness showed the largest rise in blood pressure). These observations suggest that the level of systolic and diastolic blood pressure in children is associated with the level of physical fitness. They also indicate that change in blood pressure in childhood may be related to change in physical fitness. (Hypertension 9: 188-191, 1987) KEY WORDS epidemiology hypertension • blood pressure • physical fitness * childhood B LOOD pressure rises with age. Of the total lifetime increase in systolic blood pressure, about two thirds occurs in childhood, but the determinants of this rise early in life are still largely unknown. ' Physical exercise has been suggested to lower blood pressure in hypertensive adults, 2 " 6 and some observations suggest that the same may be true for adolescents. 78 However, only limited evidence is as yet available about an etiological relation between physical fitness and blood pressure in children. 9 We present the results of a study of the association between physical fitness and blood pressure in 2061 children living in the New York City area.
Subjects and Methods PopulationThe source population for this study comprised all 4105 students in the fourth grade of 44 elementary schools in seven school districts in New York. Six of these school districts, with 1822 children, were located in Westchester County, and one school district, with 2283 children, was in the Bronx. The average age of Supported by Grant HL-21891 from the National Heart, Lung, and Blood Institute and Grant CA-25521 from the National Cancer Institute.Address for reprints: Dr. Albert Hofman, Department of Epidemiology, Erasmus University Medical School, 3000 DR Rotterdam, The Netherlands.Received February 19, 1986; accepted August 8, 1986. these children was 9.1 years, and 52% of them were boys; 58% of the children were white, 27% black, 12% Hispanic, and 3% of other origin (primarily Asian or Pacific). The 1983 median family income was $55,904 in Westchester County and $22,126 in the Bronx. The population in the Bronx, 10 as well as in Westchester County," has been described in detail elsewhere.The children were eligible for participation in a study of the effectiveness of an intervention program (the Know Your Body [KYB] program) in modifying risk factors for chronic disease, notably blood pressure, serum lipid levels, body mass index, smoking habits, and physical fitness. In this study, 25 schools were randomly allocated to the intervention program and the remaining 19 schools s...