A1 Journal article (refereed)
Accumulating Sedentary Time and Physical Activity From Childhood to Adolescence and Cardiac Function in Adolescence (2024)


Haapala, E. A., Leppänen, M. H., Lee, E., Savonen, K., Laukkanen, J. A., Kähönen, M., Brage, S., & Lakka, T. A. (2024). Accumulating Sedentary Time and Physical Activity From Childhood to Adolescence and Cardiac Function in Adolescence. Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease, 13(6), Article e031837. https://doi.org/10.1161/jaha.123.031837


JYU authors or editors


Publication details

All authors or editorsHaapala, Eero A.; Leppänen, Marja H.; Lee, Earric; Savonen, Kai; Laukkanen, Jari A.; Kähönen, Mika; Brage, Soren; Lakka, Timo A.

Journal or seriesJournal of the American Heart Association Cardiovascular and Cerebrovascular Disease

eISSN2047-9980

Publication year2024

Publication date19/03/2024

Volume13

Issue number6

Article numbere031837

PublisherWiley-Blackwell

Publication countryUnited States

Publication languageEnglish

DOIhttps://doi.org/10.1161/jaha.123.031837

Publication open accessOpenly available

Publication channel open accessOpen Access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/94175

Web address of parallel published publication (pre-print)https://www.medrxiv.org/content/10.1101/2023.07.19.23292912v1


Abstract

Background
Increased physical activity (PA) may mitigate the negative cardiovascular health effects of sedentary behavior in adolescents. However, the relationship of PA and sedentary time from childhood with cardiac function in adolescence remains underexplored. Therefore, we investigated the associations of cumulative sedentary time and PA from childhood to adolescence with cardiac function in adolescence.

Methods and Results
Participants were 153 adolescents (69 girls) who were aged 6 to 8 years at baseline, 8 to 10 years at 2‐year follow‐up, and 15 to 17 years at 8‐year follow‐up. Cumulative sedentary time and PA exposure between baseline and 2‐year follow‐up and between baseline and 8‐year follow‐up were measured using a combined accelerometer and heart rate monitor. Cardiac function was assessed using impedance cardiography at 8‐year follow‐up. The data were analyzed using linear regression analyses adjusted for age and sex. Cumulative moderate to vigorous PA (standardized regression coefficient [β]=−0.323 [95% CI, −0.527 to −0.119]) and vigorous PA (β=−0.295 [95% CI, −0.508 to −0.083]) from baseline to 8‐year follow‐up were inversely associated with cardiac work at 8‐year follow‐up. Conversely, cumulative sedentary time had a positive association (β=0.245 [95% CI, 0.092−0.398]). Cumulative vigorous PA from baseline to 8‐year follow‐up was inversely associated with cardiac work index at 8‐year follow‐up (β=−0.218 [95% CI, −0.436 to 0.000]).

Conclusions
Higher levels of sedentary time and lower levels of PA during childhood were associated with higher cardiac work in adolescence, highlighting the importance of increasing PA and reducing sedentary time from childhood.


Keywordspediatricsheartexercisestraininginactivity

Free keywordsexercise; heart function; pediatrics; sedentary behavior


Contributing organizations


Ministry reportingYes

VIRTA submission year2024

Preliminary JUFO rating2


Last updated on 2024-03-07 at 01:07