POVEZANOST NIVOA FIZIČKE AKTIVNOSTI I VREDNOSTI KRVNOG PRITISKA KOD DECE PREDŠKOLSKOG I ŠKOLSKOG UZRASTA
Ključne reči:
fizička aktivnost, deca, krvni pritisak, sedentarne aktivnostiApstrakt
O povezanosti nivoa fizičke aktivnosti dece predškolskog uzrasta i pokazatelja rizika oboljevanja od kardiovaskularnih bolesti ima malo konkretnih dokaza. Istraživanja sprovedena sa decom osnovno-školskog uzrasta pokazala su oprečne nalaze o povezanosti fizičke aktivnosti i vrednosti krvnog pritiska. Analize iznete u preglednim istraživanjima i meta analizama objavljenim tokom prethodne decenije blago favorizuju aerobne fizičke aktivnosti u smanjivanju obe vrednosti krvnog pritiska kod dece u odnosu na trening snage. Nivo fizičke aktivnosti dece predškolskog i osnovnoškolskog uzrasta može se povećati kroz povećanje spontane fizičke aktivnosti, organizovane programe fizičkog vežbanja ili bavljenje sportom. U praksi je primenjiv široki spektar različitih aktivnosti koje mogu da dovodu do smanjenja ukupnog trajanja sedentarnih aktivnosti na manje od dva sata dnevno (što uključuje smanjenje korišćenja pametnih telefona, tableta, konzola i računara u svrhe igranja, slanja poruka i korišćenja društvenih mreža, smanjenje gledanje televizijskih programa itd). U slučajevima kada se dijagnostikuju vrednosti krvnog pritiska kod dece predškolskog i osnovno-školskog uzrasta povećanje nivoa fizičke aktivnosti uz smanjenje sedaternih aktivnosti u slobodnom vremenu treba da bude primarna strategija intervencije u blažim slučajevima, a komplementarna i nezamenljiva strategija u slučajevima kod kojih je potreban farmakološki tretman.
Reference
Semlitsch T, Jeitler K, Hemkens LG, Horvath K, Nagele E, Schuermann C, et al. Increasing physical activity for the treatment of hypertension: a systematic review and meta-analysis. Sports Med. 2013;43(10):1009-1023. PMID:23812856 DOI:10.1007/s40279-013-0065-6
Carlson DJ, Dieberg G, Hess NC, Millar PJ, Smart NA. Isometric exercise training for blood pressure management: a systematic review and meta-analysis. Mayo Clin Proc. 2014;89(3):327-334. PMID: 24582191 DOI:10.1016/j.mayocp.2013.10.030
Sääkslahti A, Numminen P, Varstala V, Helenius H, Tammi A, Viikari J, et al. Physical activity as a preventive measure for coronary heart disease risk factors in early childhood. Scand J Med Sci Sports. 2004;14(3):143-149. PMID:15144353 DOI:10.1111/j.1600-0838.2004.00347.x
Bel-Serrat S, Mouratidou T, Santaliestra-Pasías AM, Iacoviello L, Kourides YA, Marild S, et al.. Clustering of multiple lifestyle behaviours and its association to cardiovascular risk factors in children: the IDEFICS study. Eur J Clin Nutr. 2013;67(8):848-854. PMID: 23632753 DOI:10.1038/ejcn.2013.84
Huang C, Cantell M, Crawford S, Dewey D, Pacaud D. The relationship between physical activity level and cardiovascular disease biomarkers in healthy, normal-weight 3- to 6-year-old children and their parents. Appl Physiol Nutr Metab. 2016;41(8):907-910. PMID:27458687 DOI:10.1139/apnm-2016-0023
Bell LA, Fletcher EA, Timperio A, Vuillermin P, Hesketh K. Preschool children's physical activity and cardiovascular disease risk: A systematic review. J Sci Med Sport. 2019;22(5):568-573. PMID: 30545675 DOI:10.1016/j.jsams.2018.11.021
Owen CG, Nightingale CM, Rudnicka AR, Sattar N, Cook DG, Ekelund U, et al. Physical activity, obesity and cardiometabolic risk factors in 9- to 10-year-old UK children of white European, South Asian and black African-Caribbean origin: the Child Heart And health Study in England (CHASE). Diabetologia. 2010;53(8):1620-1630. PMID:20454952 DOI:10.1007/s00125-010-1781-1
Chaput JP, Saunders TJ, Mathieu MÈ, Henderson M, Tremblay MS, O'Loughlin J, et al. Combined associations between moderate to vigorous physical activity and sedentary behaviour with cardiometabolic risk factors in children. Appl Physiol Nutr Metab. 2013;38(5):477-483. PMID: 23668753 DOI:10.1139/apnm-2012-0382
Brage S, Wedderkopp N, Ekelund U, Franks PW, Wareham NJ, Andersen LB, et al. Features of the metabolic syndrome are associated with objectively measured physical activity and fitness in Danish children: the European Youth Heart Study (EYHS). Diabetes Care. 2004;27(9):2141-2148. PMID: 15333475 DOI:10.2337/diacare.27.9.2141
Hjorth MF, Chaput JP, Damsgaard CT, Dalskov SM, Andersen R, Astrup A , et al. Low physical activity level and short sleep duration are associated with an increased cardio-metabolic risk profile: a longitudinal study in 8-11 year old Danish children. PLoS One. 2014;9(8):e104677. PMID: 25102157 DOI:10.1371/journal.pone.0104677
Knowles G, Pallan M, Thomas GN, Ekelund U, Cheng KK, Barrett T , et al. Physical activity and blood pressure in primary school children: a longitudinal study. Hypertension. 2013;61(1):70-75. PMID:23150507 DOI:10.1161/HYPERTENSIONAHA.112.201277
Macdonald-Wallis C, Solomon-Moore E, Sebire SJ, Thompson JL, Lawlor DA, Jago R. A longitudinal study of the associations of children's body mass index and physical activity with blood pressure. PLoS One. 2017;12(12):e0188618. PMID: 29261666 DOI:10.1371/journal.pone.0188618
Radovanović D, Ignjatović A. The planning of physical activities for overveight/obese children and adolescents: principles, guidelines and recommendations. Prev Ped. 2018;4(1-2):22-25.
Saavedra JM, Escalante Y, Garcia-Hermoso A. Improvement of aerobic fitness in obese children: a meta-analysis. Int J Pediatr Obes. 2011;6(3-4):169-77. PMID: 21649538 DOI:10.3109/17477166.2011.579975
García-Hermoso A, Saavedra JM, Escalante Y. Effects of exercise on resting blood pressure in obese children: a meta-analysis of randomized controlled trials. Obes Rev. 2013;14(11):919-928. PMID: 23786645 DOI:10.1111/obr.12054
García-Hermoso A, Alonso-Martinez AM, Ramírez-Vélez R, Izquierdo M. Effects of exercise intervention on health-related physical fitness and blood pressure in preschool children: a systematic review and meta-analysis of randomized controlled trials. Sports Med. 2020;50(1):187-203. PMID: 31556009 DOI:10.1007/s40279-019-01191-w
Guillem CM, Loaiza-Betancur AF, Rebullido TR, Faigenbaum AD, Chulvi-Medrano I. The effects of resistance training on blood pressure in preadolescents and adolescents: a systematic review and meta-analysis. Int J Environ Res Public Health. 2020;17(21):7900. PMID: 33126545 DOI:10.3390/ijerph17217900
Radovanović, D.The effectiveness of strength training for overweight and obese children and adolescents.Prev Ped. 2018;4(1-2):9-12.
Chen X, Wang Y. Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation. 2008;117(25):3171-3180. PMID:18559702 DOI:10.1161/CIRCULATIONAHA.107.730366
Lona G, Hauser C, Köchli S, Infanger D, Endes K, Faude O, Hanssen H. Blood pressure increase and microvascular dysfunction accelerate arterial stiffening in children: modulation by physical activity. Front Physiol. 2020;11:613003. PMID:33391029 DOI:10.3389/fphys.2020.613003
Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents; National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics. 2011;128(Suppl 5):S213-S256. DOI:10.1542/peds.2009-2107C
Vuksanović-Božarić A, Ignjatović A. Secular trends of children and adolescents as a basis for planning and programming of physical activity. In: Stamatović J, editor. Book of Proceedings of the Scientific Conference„Science and Teaching in Educational Context 2020“. Užice: Faculty of Education in Užice, University of Kragujevac; 2020. p. 365-372.
Silverman, S. Thinking long term: Physical education's role in movement and mobility. Quest. 2005;57(1):138-147. DOI:10.1080/00336297.2005.10491847
Lazarević D, Orlić A, Lazarević B, Radisavljević-Janić S. Stavovi učenika ranog adolescentnog uzrasta prema fizičkom vaspitanju. Fizička kultura. 2015;69(2):88-98.
Alpert BS. Exercise as a therapy to control hypertension in children. Int J Sports Med. 2000;21(Suppl 2):S94-96; discussion S97. PMID:11142600 DOI:10.1055/s-2000-8497
Strambi M, Giussani M, Ambruzzi MA, Brambilla P, Corrado C, Giordano U, et al. Novelty in hypertension in children and adolescents: focus on hypertension during the first year of life, use and interpretation of ambulatory blood pressure monitoring, role of physical activity in prevention and treatment, simple carbohydrates and uric acid as risk factors. Ital J Pediatr. 2016;42(1):69. PMID: 27423331 DOI:10.1186/s13052-016-0277-0