Comparison of Performance in the Six-Minute Walk Test (6MWT) between Overweight/Obese and Normal-Weight Children and Association with Haemodynamic Parameters: A Cross-Sectional Study in Four Primary Schools

被引:5
作者
Giontella, Alice [1 ]
Tagetti, Angela [1 ]
Bonafini, Sara [1 ]
Marcon, Denise [1 ]
Cattazzo, Filippo [1 ]
Bresadola, Irene [1 ]
Antoniazzi, Franco [2 ]
Gaudino, Rossella [2 ]
Cavarzere, Paolo [2 ]
Montagnana, Martina [3 ]
Pietrobelli, Angelo [2 ,4 ]
Maffeis, Claudio [2 ]
Minuz, Pietro [1 ]
Fava, Cristiano [1 ]
机构
[1] Univ Verona, Dept Med, I-37100 Verona, Italy
[2] Univ Verona, Dept Surg Odontostomatol & Maternal Infantile Sci, I-37129 Verona, Italy
[3] Univ Verona, Dept Engn Innovat Med, I-37100 Verona, Italy
[4] Pennington Biomed Res Ctr, Baton Rouge, LA 70808 USA
关键词
obesity; children; physical activity; Rate Pulse Product; six-minute walk test; blood pressure; heart rate; CHILDHOOD OBESITY; BLOOD-PRESSURE; EXERCISE; HYPERTENSION; RISK; ADOLESCENTS; VALIDATION; GUIDELINES; RESPONSES; FOOD;
D O I
10.3390/nu16030356
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Physical activity plays a pivotal role in preventing obesity and cardiovascular risks. The six-minute walk test (6MWT) is a tool to assess functional capacity and predict cardiovascular events. The aim of this cross-sectional study was to compare the performance and haemodynamic parameters before and after a 6MWT between obese/overweight vs. normal-weight children (average age 8.7 +/- 0.7 years) participating in a project involving four primary schools in South Verona (Italy). Validated questionnaires for physical activity and diet, as well as blood drops, were collected. Overweight or obese children (OW & OB; n = 100) covered a shorter 6MWT distance compared to normal-weight children (NW, n = 194). At the test's conclusion, the OW&OB group exhibited a higher Rate Pulse Product (RPP = Systolic Blood Pressure x Heart Rate) as compared to the NW. Body Mass Index, waist-to-height ratio, fat mass by electrical impedance, and trans fatty acids showed direct correlations with pre and post-test haemodynamic parameters, such as RPP, and inverse correlations with oxygen saturation. OW&OB children demonstrated lower performance in this low-intensity exercise test, along with an elevated haemodynamic response. Excess fat in childhood can be considered a risk factor for haemodynamic stress, with potential deleterious consequences later in life. Efforts should be initiated early to break this cycle.
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页数:14
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