Print Get Citation Citation Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy. AMA Citation Hing N, Bhangu A. Hing N, & Bhangu A Hing, Nicholas Ng Fat, and Avneesh Bhangu. Increased cardiorespiratory fitness may lower high blood pressure in children. 2 Minute Medicine, 24 November 2021. McGraw Hill, 2021. AccessPediatrics. https://accesspediatrics.mhmedical.com/updatesContent.aspx?gbosid=578294§ionid=262256651APA Citation Hing N, Bhangu A. Hing N, & Bhangu A Hing, Nicholas Ng Fat, and Avneesh Bhangu. (2021). Increased cardiorespiratory fitness may lower high blood pressure in children. (2021). 2 minute medicine. McGraw Hill. https://accesspediatrics.mhmedical.com/updatesContent.aspx?gbosid=578294§ionid=262256651.MLA Citation Hing N, Bhangu A. Hing N, & Bhangu A Hing, Nicholas Ng Fat, and Avneesh Bhangu. "Increased cardiorespiratory fitness may lower high blood pressure in children." 2 Minute Medicine McGraw Hill, 2021, https://accesspediatrics.mhmedical.com/updatesContent.aspx?gbosid=578294§ionid=262256651. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager Mendeley © Copyright Clip Full Chapter Figures Only Tables Only Videos Only Supplementary Content Increased cardiorespiratory fitness may lower high blood pressure in children by Nicholas Ng Fat Hing, Avneesh Bhangu Listen +Originally published by 2 Minute Medicine® (view original article). Reused on AccessMedicine with permission. +1. Higher cardiorespiratory fitness was associated with a decreased probability of high blood pressure, lowered insulin resistance and improved liver function in children with excess adiposity +2. Irrespective of adiposity status, higher cardiorespiratory fitness decreased blood pressure and increased kidney function +Evidence Rating Level: 2 (Good) +Children with high blood pressure (HBP) are more likely to experience cardiovascular disease compared to normotensive controls. Unlike in adults, there currently exists low quality evidence surrounding the relationship of cardiorespiratory fitness (CRF) and lowering HBP. As a result, the present study sought to evaluate the relationship between CRF with blood pressure status in children with normal adiposity and excessive adiposity (NA and EA). +This cross-sectional cohort study included 211 children (7-10 yrs old; EA=39, NA=172) from the Arkansas Active Kids (AAK) study. 69% of children in the EA group had HBP compared to 24% in the NA group. Children were excluded if they had severe persistent asthma, metabolic/endocrine diseases, were on hormonal replacement therapy, cancer, autoimmune diseases or bleeding disorders. Children attended a one visit study where clinical markers (plasma lipids, estimated glomerular filtration rate, alanine aminotransferase, and insulin resistance) were obtained. Study outcomes assessed the relationship between CRF and blood pressure, cardiovascular disease risk factors, and kidney function. CRF was measured using a pediatric cycle ergometer and body composition was measured using dual-energy x-ray absorptiometry. +Results showed that for children with EA, higher CRF was protective against HBP, insulin resistance and liver injury. In addition, children with NA and EA both experienced improved blood pressure percentiles and kidney function with higher CRF. This study was limited by the cross-sectional design which may have overestimated blood pressure in certain cases. However, given that this study assessed blood pressure using the most updated guidelines, the present findings suggest that greater emphasis could be placed in increasing CRF in children where HBP is a concern. +Click to read the study in Medicine & Science in Sports & Exercise +©2021 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.