Abstract
Objectives
Sports are an important way to improve health during adolescence. However, it is still unclear whether the association between sports, blood pressure, and metabolic profile could be affected by sex, biological maturation, and trunk fatness. The aim of this study was to analyze the association between sports participation and the cluster of cardiovascular markers among adolescents of both sexes.
Methods
A cross-sectional study involving 285 adolescents aged from 11 to 17 years of age (202 boys and 83 girls). Cardiovascular variables were composed of systolic blood pressure (SBP), diastolic blood pressure (DBP), resting heart rate (RHR), and carotid (CIMT) and femoral (FIMT) intima–media thickness, which were used to calculate the CardiovascularZ score. Sports participation was assessed through a face-to-face interview. Age of peak height velocity (APHV) was used as a covariate.
Results
Among girls, the group engaged in sports presented lower values of RHR (sport: − 0.344 [95% CI − 0.650 to − 0.037] versus non-sport: 0.540 [95% CI 0.125 to 0.954]) and CardiovascularZ score (sport: − 0.585 [95% CI − 1.329 to 0.159] versus non-sport: 0.879 [95% CI − 0.127 to 1.884]), explaining 12.2% and 6.1% of all variance, respectively. Among boys, the group engaged in sports presented lower values of DBP (sport: − 0.158 [95% CI − 0.335 to 0.018] versus non-sport: 0.160 [95% CI − 0.091 to 0.412]) and FIMT (sport: − 0.128 [95% CI − 0.300 to − 0.044] versus non-sport: 0.211 [95% CI − 0.032 to 0.454]), explaining 2.2% and 2.6% of all variance, respectively.
Conclusions for Practice
Adolescents engaged in sports presented healthier cardiovascular parameters, and sports participation seems to affect cardiovascular health differently in boys and girls.
Similar content being viewed by others
References
Bélanger, M., Sabiston, C. M., Barnett, T. A., O’Loughlin, E., Ward, S., Contreras, G., et al. (2015). Number of years of participation in some, but not all, types of physical activity during adolescence predicts level of physical activity in adulthood: Results from a 13-year study. The International Journal of Behavioral Nutrition and Physical Activity,12(1), 76. https://doi.org/10.1186/s12966-015-0237-x.
Bloch, K. V., Klein, C. H., Szklo, M., Kuschnir, M. C. C., de Abreu, G. A., Barufaldi, L. A., et al. (2016). ERICA: Prevalences of hypertension and obesity in Brazilian adolescents. Revista de saude publica,50(Suppl 1), 9s. https://doi.org/10.1590/S01518-8787.2016050006685.
Cayres, S. U., de Lira, F. S., Kemper, H. C. G., Codogno, J. S., Barbosa, M. F., & Fernandes, R. A. (2018). Sport-based physical activity recommendations and modifications in C-reactive protein and arterial thickness. European Journal of Pediatrics,177(4), 551–558. https://doi.org/10.1007/s00431-018-3101-6.
Cayres, S. U., de Lira, F. S., Machado-Rodrigues, A. M., Freitas Júnior, I., Barbosa, M. F., & Fernandes, R. A. (2015a). The mediating role of physical inactivity on the relationship between inflammation and artery thickness in prepubertal adolescents. The Journal of Pediatrics,166(4), 924–929. https://doi.org/10.1016/j.jpeds.2014.12.057.
Cayres, S. U., Kemper, H. C. G., Vanderlei, L. C. M., Casonatto, J., Machado-Rodrigues, A. M., Barbosa, M. F., et al. (2017). Changes in body fatness affect cardiovascular outcomes more than changes in physical activity. Cardiology in the Young,27(6), 1060–1067. https://doi.org/10.1017/S1047951116001992.
Cayres, S. U., Vanderlei, L. C. M., Rodrigues, A. M., Silva, M. J. C. E., Codogno, J. S., Barbosa, M. F., et al. (2015b). Sports practice is related to parasympathetic activity in adolescents. Revista paulista de pediatria: orgao oficial da Sociedade de Pediatria de Sao Paulo,33(2), 174–180. https://doi.org/10.1016/j.rpped.2014.09.002.
Christofaro, D. G. D., Farah, B. Q., Vanderlei, L. C. M., Delfino, L. D., Tebar, W. R., de Barros, M. V. G., et al. (2018). Analysis of different anthropometric indicators in the detection of high blood pressure in school adolescents: A cross-sectional study with 8295 adolescents. Brazilian Journal of Physical Therapy,22(1), 49–54. https://doi.org/10.1016/j.bjpt.2017.10.007.
Christofaro, D. G. D., Fernandes, R. A., Gerage, A. M., Alves, M. J., Polito, M. D., & De Oliveira, A. R. (2009). Validação do monitor de medida de pressão arterial Omron HEM 742 em adolescentes. Arquivos Brasileiros de Cardiologia,92(1), 10–15. https://doi.org/10.1590/S0066-782X2009000100003.
Christofaro, D. G. D., Ritti-Dias, R. M., Chiolero, A., Fernandes, R. A., Casonatto, J., & de Oliveira, A. R. (2013). Physical activity is inversely associated with high blood pressure independently of overweight in Brazilian adolescents. Scandinavian Journal of Medicine and Science in Sports,23(3), 317–322. https://doi.org/10.1111/j.1600-0838.2011.01382.x.
Cristi-Montero, C., Chillón, P., Labayen, I., Casajus, J. A., Gonzalez-Gross, M., Vanhelst, J., et al. (2019). Cardiometabolic risk through an integrative classification combining physical activity and sedentary behavior in European adolescents: HELENA study. Journal of Sport and Health Science,8(1), 55–62. https://doi.org/10.1016/j.jshs.2018.03.004.
Farah, B. Q., Christofaro, D. G. D., Balagopal, P. B., Cavalcante, B. R., de Barros, M. V. G., & Ritti-Dias, R. M. (2015). Association between resting heart rate and cardiovascular risk factors in adolescents. European Journal of Pediatrics,174(12), 1621–1628. https://doi.org/10.1007/s00431-015-2580-y.
Fernandes, R. A., Casonatto, J., Christofaro, D. G. D., Buonani, C., De Oliveira, A. R., & Freitas Júnior, I. F. (2009). Influência da atividade e inatividade física na composição corporal e adiposidade central. Motriz. Revista de Educação Física UNESP. https://doi.org/10.5016/1980-6574.2010v16n1p43.
Fernandes, R. A., Freitas, I. F., Codogno, J. S., Christofaro, D. G. D., Monteiro, H. L., & Roberto Lopes, D. M. (2011). Resting heart rate is associated with blood pressure in male children and adolescents. Journal of Pediatrics,158(4), 634–637. https://doi.org/10.1016/j.jpeds.2010.10.007.
Fernandes, R. A., & Zanesco, A. (2010). Early physical activity promotes lower prevalence of chronic diseases in adulthood. Hypertension Research: Official Journal of the Japanese Society of Hypertension,33(9), 926–931. https://doi.org/10.1038/hr.2010.106.
Fernandes, R. A., & Zanesco, A. (2015). Early sport practice is related to lower prevalence of cardiovascular and metabolic outcomes in adults independently of overweight and current physical activity. Medicina (Kaunas, Lithuania),51(6), 336–342. https://doi.org/10.1016/j.medici.2015.10.003.
Fernandes, R. A., Vaz Ronque, E. R., Venturini, D., Barbosa, D. S., Silva, D. P., Cogo, C. T., et al. (2013). Resting heart rate: Its correlations and potential for screening metabolic dysfunctions in adolescents. BMC Pediatrics,13(1), 48. https://doi.org/10.1186/1471-2431-13-48.
Gonzaga, J. D. M., de Silveira, M. F. A., da Lisboa, M. G. C., & de Melo, S. G. (2008). Influência da atividade física na composição corporal de adolescentes. Motriz. Journal of Physical Education, 389–399.
Jimenez-Pavon, D., Fernandez-Vazquez, A., Alexy, U., Pedrero, R., Cuenca-Garcia, M., Polito, A., et al. (2013). Association of objectively measured physical activity with body components in European adolescents. BMC Public Health. https://doi.org/10.1186/1471-2458-13-667.
Kit, B. K., Kuklina, E., Carroll, M. D., Ostchega, Y., Freedman, D. S., & Ogden, C. L. (2015). Prevalence of and trends in dyslipidemia and blood pressure among US children and adolescents, 1999–2012. JAMA Pediatrics,169(3), 272–279. https://doi.org/10.1001/jamapediatrics.2014.3216.
Larsen, M. N., Nielsen, C. M., Madsen, M., Manniche, V., Hansen, L., Bangsbo, J., et al. (2018). Cardiovascular adaptations after 10 months of intense school-based physical training for 8- to 10-year-old children. Scandinavian Journal of Medicine and Science in Sports,28(Suppl 1, 11), 33–41. https://doi.org/10.1111/sms.13253.
Laskey, M. A., Crisp, A. J., Cole, T. J., & Compston, J. E. (1992). Comparison of the effect of different reference data on Lunar DPX and Hologic QDR-1000 dual-energy X-ray absorptiometers. British Journal of Radiology,65(780), 1124–1129. https://doi.org/10.1259/0007-1285-65-780-1124.
Lima, M. C. S., Barbosa, M. F., Diniz, T. A., Codogno, J. S., Freitas Júnior, I. F., & Fernandes, R. A. (2014). Early and current physical activity: Relationship with intima–media thickness and metabolic variables in adulthood. Brazilian Journal of Physical Therapy,18(5), 462–469. https://doi.org/10.1590/bjpt-rbf.2014.0040.
Liu, X., Zhang, D., Liu, Y., Sun, X., Han, C., Wang, B., et al. (2017). Dose–response association between physical activity and incident hypertension: A systematic review and meta-analysis of cohort studies. Hypertension (Dallas, Texas: 1979),69(5), 813–820. https://doi.org/10.1161/HYPERTENSIONAHA.116.08994.
Lopes, V. P., Malina, R. M., Gomez-Campos, R., Cossio-Bolaños, M., de Arruda, M., & Hobold, E. (2018). Body mass index and physical fitness in Brazilian adolescents. Jornal de pediatria,95(3), 358–365. https://doi.org/10.1016/j.jped.2018.04.003.
McClean, G., Riding, N. R., Ardern, C. L., Farooq, A., Pieles, G. E., Watt, V., et al. (2018). Electrical and structural adaptations of the paediatric athlete’s heart: A systematic review with meta-analysis. British Journal of Sports Medicine,52(4), 230. https://doi.org/10.1136/bjsports-2016-097052.
Mirwald, R. L., Baxter-Jones, A. D. G., Bailey, D. A., & Beunen, G. P. (2002). An assessment of maturity from anthropometric measurements. Medicine and Science in Sports and Exercise,34(4), 689–694. https://doi.org/10.1097/00005768-200204000-00020.
Pickering, T. G., Hall, J. E., Appel, L. J., Falkner, B. E., Graves, J., Hill, M. N., et al. (2005). Recommendations for blood pressure measurement in humans and experimental animals: Part 1: Blood pressure measurement in humans—A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Co. Circulation,111(5), 697–716. https://doi.org/10.1161/01.CIR.0000154900.76284.F6.
Rodrigues, P. R. M., Pereira, R. A., Gama, A., Carvalhal, I. M., Nogueira, H., Rosado-Marques, V., et al. (2018). Body adiposity is associated with risk of high blood pressure in Portuguese schoolchildren. Revista portuguesa de cardiologia: orgao oficial da Sociedade Portuguesa de Cardiologia Portuguese = Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology,37(4), 285–292. https://doi.org/10.1016/j.repc.2017.09.016.
Ruiz, J. R., Huybrechts, I., Cuenca-García, M., Artero, E. G., Labayen, I., Meirhaeghe, A., et al. (2015). Cardiorespiratory fitness and ideal cardiovascular health in European adolescents. Heart,101(10), 766–773. https://doi.org/10.1136/heartjnl-2014-306750.
Saladini, F., Mos, L., Fania, C., Garavelli, G., Casiglia, E., & Palatini, P. (2017). Regular physical activity prevents development of hypertension in young people with hyperuricemia. Journal of Hypertension,35(5), 994–1001. https://doi.org/10.1097/HJH.0000000000001271.
Sugiura Kojima, M., Noda, A., Miyata, S., Kojima, J., Hara, Y., Minoshima, M., et al. (2015). The effect of habitual physical training on left ventricular function during exercise assessed by three-dimensional echocardiography. Echocardiography,32(11), 1670–1675. https://doi.org/10.1111/echo.12934.
Sun, H.-L., Pei, D., Lue, K.-H., & Chen, Y.-L. (2015). Uric acid levels can predict metabolic syndrome and hypertension in adolescents: A 10-year longitudinal study. PLoS ONE,10(11), e0143786. https://doi.org/10.1371/journal.pone.0143786.
Werneck, A. O., Agostinete, R. R., Cayres, S. U., Urban, J. B., Wigna, A., de Chagas, L. G. M., et al. (2018b). Association between cluster of lifestyle behaviors and HOMA-IR among adolescents: ABCD Growth Study. Medicina (Kaunas, Lithuania),54(6), 96. https://doi.org/10.3390/medicina54060096.
Werneck, A. O., da Silva, D., Fernandes, R., Ronque, E. R. V., Coelho-e-Silva, M., & Cyrino, E. (2018c). Sport participation and metabolic risk during adolescent years: A structured equation model. International Journal of Sports Medicine,39(09), 674–681. https://doi.org/10.1055/a-0599-6432.
Werneck, A. O., Lima, M. C. S., Agostinete, R. R., Silva, D. R., Turi-Lynch, B. C., Codogno, J. S., et al. (2018a). Association between sports participation in early life and arterial intima–media thickness among adults. Medicina (Kaunas, Lithuania),54(5), 85. https://doi.org/10.3390/medicina54050085.
Acknowledgements
Thank you to all volunteers who agreed to participate in this research, and also all members of the Scientific Research Group Related to Physical Activity (GICRAF) - UNESP/Brazil who helped with the sampling and logistics of the data collection. The authors would like to thank the Sao Paulo Research Foundation-FAPESP that supported the ABCD Growth Study (Process: 2015/19710-3) (2018/09131-4), CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico) and CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001).
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Torres, W., Cayres-Santos, S.U., Urban, J.B. et al. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study. Matern Child Health J 24, 787–795 (2020). https://doi.org/10.1007/s10995-020-02919-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-020-02919-1