The effects of exercise on resting blood pressure in children and adolescents: a meta-analysis of randomized controlled trials.

The effects of exercise on resting blood pressure in children and adolescents: a meta-analysis of randomized controlled trials.
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DOI:
10.1111/j.1520-037x.2003.01224.x
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发表时间:
2003-01-01
期刊:
Preventive cardiology
影响因子:
--
通讯作者:
Tran, Zung Vu
Tran, Zung Vu
中科院分区:
其他
文献类型:
--
作者:
Kelley, George A;Kelley, Kristi S;Tran, Zung Vu

文献摘要

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儿童和青少年的静息血压可以跟踪到成年。本研究的目的是使用荟萃分析的方法来检查运动对儿童和青少年静息收缩压和舒张压的影响。12项随机对照试验,代表了1,266例受试者的16个结局,符合纳入标准。静息收缩压和舒张压分别降低约1%和3%。然而,使用5000个bootstrap置信区间的随机效应建模显示,两个结果均不具有统计学显著性(收缩压,x-棒(x);+/-SEM=-1+/-2; 95% bootstrap置信区间=-2至0 mmHg;舒张压,x+/-SEM=-2+/-1; 95% bootstrap置信区间=-3至0 mmHg)。这项研究的结果表明,短期运动似乎不会降低儿童和青少年的静息收缩压和舒张压。然而,还需要进一步的研究,特别是在高血压儿童和青少年。
Resting blood pressure in children and adolescents can track into adulthood. The purpose of this study was to use the meta-analytic approach to examine the effects of exercise on resting systolic and diastolic blood pressure in children and adolescents. Twelve randomized, controlled trials representing 16 outcomes in 1,266 subjects met the inclusion criteria. Reductions in blood pressure were approximately 1% and 3% for resting systolic and diastolic blood pressures, respectively. However, random-effects modeling using 5000 bootstrap confidence intervals revealed that neither result was statistically significant (systolic, x-bar (x);+/-SEM=-1+/-2; 95% bootstrap confidence intervals=-2 to 0 mm Hg; diastolic, x+/-SEM=-2+/-1; 95% bootstrap confidence intervals=-3 to 0 mm Hg). The results of this study suggest that short-term exercise does not appear to reduce resting systolic and diastolic blood pressure in children and adolescents. However, a need exists for additional studies, especially in hypertensive children and adolescents.