Intensity and frequency of physical activity and high blood pressure in adolescents: A longitudinal study.

Wellman, Robert J; Sylvestre, Marie-Pierre; Abi Nader, Patrick; Chiolero, Arnaud; Mesidor, Miceline; Dugas, Erika N; Tougri, Gauthier; O'Loughlin, Jennifer (2020). Intensity and frequency of physical activity and high blood pressure in adolescents: A longitudinal study. Journal of clinical hypertension, 22(2), pp. 283-290. Wiley-Blackwell 10.1111/jch.13806

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Despite limited evidence on the association between physical activity (PA) and blood pressure (BP) in youth, experts recommend that adolescents engage regularly in moderate-to-vigorous PA. We examined the relationships between PA intensity and frequency and the likelihood of having high BP in a population-based cohort of adolescents from Montréal, Canada. PA was self-reported every 3 months from grade 7 to 11, and BP was measured at ages 12.8, 15.2, and 17.0 years on average. We analyzed data from 993 participants (mean [SD] age = 16.0 [1.0], 51.6% female) with BP data at ages 15.2 and/or 17.0 years, using pooled ordinal logistic regression. BP (normal/elevated/hypertensive range) was the outcome, and past-year PA intensity and frequency were potential predictors. Eight percent of participants had elevated BP (120-129/<80), and 3.2% had BP in the hypertensive range (≥130/≥80). Participants engaged in a median (interquartile range) of 7.0 (4.5, 9.3) and 5.5 (2, 10.8) moderate and vigorous PA sessions/week, respectively. After adjusting for age, sex, mother's education, use of alcohol and cigarette consumption, engaging in PA more intense than light during the previous year was associated with a lower odds of having BP in the hypertensive range (ORs [95% CIs] = 0.93 [0.88, 0.97] to 0.97 [0.94, 0.99]). The relationships were not altered by adjusting for BMI. Our findings support recommendations that adolescents engage in at least moderate PA on a regular basis to prevent development of BP in the hypertensive range.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Chiolero, Arnaud

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1524-6175

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

13 Feb 2020 15:18

Last Modified:

20 Jan 2021 02:30

Publisher DOI:

10.1111/jch.13806

PubMed ID:

31955514

Uncontrolled Keywords:

adolescents blood pressure hypertension physical activity

BORIS DOI:

10.7892/boris.139568

URI:

https://boris.unibe.ch/id/eprint/139568

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