Physical Activity and Trajectories of Cardiovascular Health Indicators During Early Childhood

Proudfoot, Nicole A.; King‐Dowling, Sara; Cairney, John; Bray, Steven R.; MacDonald, Maureen J.; Timmons, Brian W.

doi:10.1542/peds.2018-2242

Cited by 42 publications

(41 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The main instruments used were questionnaires and accelerometers. 44,45 In our results, the majority of studies report insufficient levels of MVPA 17,37,39,41-43 ; however, this insufficiency is concordant with the general population.…”

Section: Discussionsupporting

confidence: 74%

Physical activity in children and adolescents with cystic fibrosis: A systematic review and meta‐analysis

Puppo

Torres‐Castro

Vasconcello‐Castillo

et al. 2020

Pediatric Pulmonology

View full text Add to dashboard Cite

Background: Exercise and physical activity (PA) are essential components of the care of cystic fibrosis (CF) patients. Lower PA levels have been associated with worse pulmonary function, aerobic fitness, glycemic control, and bone mineral density. Most people with CF do not engage in the recommended amounts of PA. Objective: To determine the level of PA in children and adolescents with CF. Methods: A systematic review with meta-analysis was conducted without language restrictions in five databases. Were included studies that analyzed PA measured by objective and subjective instruments in children and adolescents with CF. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence. The risk of bias of the included studies was assessed with the National Heart, Lung, and Blood Institute's risk-of-bias tool. Results: Of the 1535 reports returned by the initial search, 20 articles reporting on 785 patients were included in the data synthesis. The forest plot showed that the CF group had a similar moderate-to-vigorous PA (MVPA) (mean difference, −7.79; 95% CI, −15.65 to 0.08 min/d; P = .05) and sedentary time (mean difference, −50.81; 95% CI, −109.96 to 8.35 min/d; P = .09) to the control group. Conclusion: Children and adolescents with CF have a similar MVPA and sedentary time compared to controls. There are many options, subjective and objective, for assessing PA in this population. Optimal tool selection should guarantee more valid results.

show abstract

Section: Discussionsupporting

confidence: 74%

Physical activity in children and adolescents with cystic fibrosis: A systematic review and meta‐analysis

Puppo

Torres‐Castro

Vasconcello‐Castillo

et al. 2020

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

“…Nine out of 39 studies were rated as high methodological quality [ 18 , 20 , 21 , 23 , 27 , 28 , 31 – 33 ], eight studies were rated as moderate quality [ 16 , 17 , 19 , 22 , 24 – 26 , 29 ] and 22 studies were rated as weak methodological quality [ 30 , 34 – 54 ]. Figure 2 displays a summary of the methodological quality across included studies per outcome.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies examined the association between physical activity and cardiometabolic health indicators such as blood pressure [ 27 , 33 , 36 , 42 ], biomarkers [ 30 , 32 , 33 ] and physical fitness [ 16 , 27 ], of which two studies were intervention studies [ 36 , 42 ] (See Table 1 and Table S 4 ). Physical activity was measured objectively in four studies [ 16 , 27 , 32 , 33 ] and subjectively in three studies [ 30 , 36 , 42 ]. Three studies were rated as high methodological quality [ 27 , 32 , 33 ], one study was rated as moderate methodological quality [ 16 ] and three studies were rated as weak methodological quality [ 30 , 36 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

Physical activity and prospective associations with indicators of health and development in children aged <5 years: a systematic review

Veldman

Paw

Altenburg

2021

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

Background Early childhood is a critical period for growth and development, yet the association with physical activity during this important period is unknown. The aim of this review is to critically summarize the evidence on the prospective associations between physical activity and health and development in children aged < 5 years. Methods A systematic search in three electronic databases (Pubmed, PsycINFO, and Sportdiscus) was conducted to identify prospective studies examining the associations between physical activity (all types; specified by quantity) and health indicators (body composition, cardiometabolic health, bone health and risks/harm) or development (motor, cognitive and social-emotional development) in young children (mean age < 5 years at baseline). Two independent researchers assessed the methodological quality using the ‘Quality Assessment Tool for Quantitative Studies’ (EPHPP). This tool covers eight quality criteria: selection bias, study design, confounders, blinding, data collection methods, withdrawals and drop-outs, intervention integrity and data-analysis. Results Thirty-nine studies, predominantly conducted in preschoolers (ages 3–5 years), were included of which nine were rated as high methodological quality. There was moderate evidence for a positive association between physical activity and motor (n = 11 studies) and cognitive development (n = 10 studies) based on consistent findings from studies having low-to-moderate methodological quality. There was insufficient evidence for an association between physical activity and body composition (n = 15 studies), cardiometabolic health indicators (n = 7 studies), social-emotional development (n = 2 studies) and bone health (n = 2 studies) based on inconsistent findings from studies having weak-to-high methodological quality. Conclusions There is a need for more high-quality research in order to determine the dose-response relationship between physical activity and health and development in early childhood. Special attention should be paid to studies in children below the age of 3 years.

show abstract

“…In addition, the population was sampled to be representative of the US. Most recently, Proudfoot et al 43 measured physical activity and fitness in a very young cohort (3‐5 years old) and found that higher levels of fitness, even in young children, were associated with better cardiovascular health indicators including decreased arterial stiffness. One limitation of this study is the cross‐sectional design, and, thus, we are unable to establish temporal relationships between aerobic fitness, sedentary time, and asthma outcomes.…”

Section: Discussionmentioning

confidence: 99%

Low fitness and increased sedentary time are associated with worse asthma—The National Youth Fitness Survey

Forno

Radom‐Aizik

2020

Pediatric Pulmonology

View full text Add to dashboard Cite

Background Asthma is the most common chronic illness in children and is independently impacted by obesity and by fitness. The National Youth Fitness Survey collected data on aerobic fitness, body composition, and health outcomes in children 6 to 11 years old. The goal of this study is to test hypotheses regarding relationships between asthma, aerobic fitness, and sedentary time in this uniquely studied cohort of young children. Methods A total of 665 children (6‐11 years old; 49% male) were included in analyses. We explored relationships between asthma outcomes and aerobic fitness (measured by endurance time), self‐reported sedentary time, and body mass index categories. Fitness was categorized as unfit (lowest 25% of endurance times) or fit. Multivariate logistic regression models were created for asthma outcomes and adjusted for race, age, sex, poverty status, and overweight/obesity. Results Among the participants, 17.9% had a previous history of asthma and 11.4% had current asthma. Additionally, 37.3% of participants were overweight or obese. Low fitness was significantly associated with increased odds of past asthma, current asthma, asthma attacks, wheeze with exercise, and wheeze with activity limitations in multivariate models. Increased sedentary time was significantly associated with increased odds of previous asthma, current asthma, asthma attacks, and wheeze with activity limitations. Conclusion Decreased aerobic fitness and increased sedentary time were associated with worse asthma outcomes in this group of children (6‐11 years old). This data suggest that fitness and sedentary time, both modifiable factors, each have an independent effect on asthma and should be included in assessments and management of asthma health.

show abstract

Physical Activity and Trajectories of Cardiovascular Health Indicators During Early Childhood

Cited by 42 publications

References 51 publications

Physical activity in children and adolescents with cystic fibrosis: A systematic review and meta‐analysis

Physical activity in children and adolescents with cystic fibrosis: A systematic review and meta‐analysis

Physical activity and prospective associations with indicators of health and development in children aged <5 years: a systematic review

Low fitness and increased sedentary time are associated with worse asthma—The National Youth Fitness Survey

Contact Info

Product

Resources

About