The role of obesity, salt and exercise on blood pressure in children and adolescents

Expert Review of Cardiovascular Therapy

Volumn 9, Issue 6, 2011, Pages 753-761

  Stabouli, Stella ^a,b   Papakatsika, Sofia ^b   Kotsis, Vasilios ^b  

^a Aristotle University of Thessaloniki   (Greece)

^b ARISTOTLE UNIVERSITY OF THESSALONIKI   (Greece)

Author keywords

adolescents; blood pressure; children; exercise; obesity; salt

Indexed keywords

SODIUM CHLORIDE;

ADOLESCENCE; ADRENERGIC SYSTEM; AEROBIC EXERCISE; BLOOD PRESSURE; BLOOD PRESSURE MONITORING; BLOOD PRESSURE REGULATION; CARDIOVASCULAR DISEASE; CHILDHOOD DISEASE; EXERCISE; GENETIC PREDISPOSITION; HUMAN; HYPERINSULINEMIA; HYPERTENSION; NATRIURESIS; OBESITY; REVIEW; SALT INTAKE; SODIUM INTAKE; SODIUM RESTRICTION;

ADOLESCENT; ANIMALS; BLOOD PRESSURE; CARDIOVASCULAR DISEASES; CHILD; EXERCISE; HUMANS; HYPERTENSION; OBESITY; SODIUM CHLORIDE, DIETARY;

EID: 79959935126     PISSN: 14779072     EISSN: 17448344     Source Type: Journal    
DOI: 10.1586/erc.11.63     Document Type: Review

References (107)

1. Din-Dzietham R, Liu Y, Bielo MV, Shamsa F. High blood pressure trends in children and adolescents in national surveys, 1963 to 2002. Circulation 116(13), 1488-1496 (2007) (Pubitemid 47480640)
2. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 114(2), 555-576 (2004)
3. Feber J, Ahmed M. Hypertension in children: new trends and challenges. Clin. Sci. (Lond.) 119(4), 151-161 (2010)
4. Falkner B.Hypertension in children and adolescents: epidemiology and natural history. Pediatr. Nephrol. 25(7), 1219-1224 (2010)
5. Bao W, Threefoot SA, Srinivasan SR, Berenson GS. Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood: the Bogalusa Heart Study. Am. J. Hypertens. 8(7), 657-665 (1995)
6. Lauer RM, Clarke WR. Childhood risk factors for high adult blood pressure: the Muscatine Study. Pediatrics 84(4), 633-641 (1989) (Pubitemid 19237563)
7. Berenson GS, Srinivasan SR, Bao W, Newman WP, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N. Engl. J. Med. 338 (23), 1650-1656 (1998) (Pubitemid 28267909)
8. Muntner P, He J, Cutler JA, Wildman RP, Whelton PK. Trends in blood pressure among children and adolescents. JAMA 291(17), 2107-2113 (2004) (Pubitemid 38580154)
9. Chiolero A, Bovet P, Paradis G, Paccaud F. Has blood pressure increased in children in response to the obesity epidemic? Pediatrics 119(3), 544-553 (2007) (Pubitemid 46407551)
10. Sorof JM, Portman RJ. Ambulatory blood pressure measurements. Curr. Opin. Pediatr. 13(2), 133-137 (2001) (Pubitemid 32382417)
11. Simckes AM, Srivastava T, Alon US. Ambulatory blood pressure monitoring in children and adolescents. Clin. Pediatr. (Phila.) 41(8), 549-564 (2002) (Pubitemid 35176436)
12. Graves JW, Althaf MM. Utility of ambulatory blood pressure monitoring in children and adolescents. Pediatr. Nephrol. 21(11), 1640-1652 (2006) (Pubitemid 44390828)
13. Stabouli S, Kotsis V, Zakopoulos N. Ambulatory blood pressure monitoring and target organ damage in pediatrics. J. Hyperten. 25(10), 1979-1986 (2007) (Pubitemid 47476288)
14. Lurbe E, Redon J. Discrepancies.in office and ambulatory blood pressure in adolescents: help or hindrance? Pediatr. Nephrol. 23(3), 341-345 (2008) (Pubitemid 351168110)
15. Lurbe E, Sorof JM, Daniels SR. Clinical and research aspects of ambulatory blood pressure monitoring in children. J. Pediatr. 144(1), 7-16 (2004) (Pubitemid 38091415)
16. Urbina E, Alpert B, Flynn J, Hayman L, Harshfield GA, Jacobson M; American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee. Ambulatory blood pressure monitoring in children and adolescents. Recommendations for standard assessment: a scientific statement from the American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee of the council on cardiovascular disease in the young and the council for high blood pressure research. Hypertension 52(3), 433-451 (2008)
17. Sorof JM. White-coat hypertension in children. Blood Press. Monit. 5(4), 197-202 (2000)
18. Stabouli S, Kotsis V, Toumanidis S, Papamichael C, Constantopoulos A, Zakopoulos N. White-coat and masked hypertension in children: association with target-organ damage. Pediatr. Nephrol. 20(8), 1151-1155 (2005) (Pubitemid 41001559)
19. Kotsis V, Stabouli S, Toumanidis S et al. Target organ damage in 'white coat hypertension' and 'masked hypertension'. Am. J. Hypertens. 21(4), 393-399 (2008) (Pubitemid 351450863)
20. Kario K, Matsuo T, Kobayashi H, Imiya M, Matsuo M, Shimada K. Nocturnal fall of blood pressure and silent cerebrovascular damage in elderly hypertensive subjects: advanced silent cerebrovascular damage in extreme dippers. Hypertension 27(1), 130-135 (1996) (Pubitemid 26017692)
21. Parati G, Lantelme P. Blood pressure variability, target organ damage and cardiovascular events. J. Hypertens. 20(9), 1725-1729 (2002)
22. Stabouli S, Kotsis V, Rizos Z, Toumanidis S, Karagianni C, Constantopoulos A. Left ventricular mass in normotensive, prehypertensive and hypertensive children and adolescents. Pediatr. Nephrol. 24(8), 1545-1551 (2009)
23. Stabouli S, Kotsis V, Karagianni C, Toumanidis S, Constantopoulos A, Zakopoulos N. 24-h pulse pressure predicts left ventricular mass index in children and adolescents. J. Hypertens. 25(Suppl. 2), S297 (2007)
24. Garrison RJ, Kannel WB, Stokes J 3rd, Castelli WP. Incidence and precursors of hypertension in young adults: the Framingham Offspring Study. Prev. Med. 16(2), 235-251 (1987) (Pubitemid 17067798)
25. Ostchega Y, Carroll M, Prineas RJ, McDowell MA, Louis T, Tilert T. Trends of elevated blood pressure among children and adolescents: data from the national health and nutrition examination survey 1988-2006. Am. J. Hypertens. 22(1), 59-67 (2009)
26. Sorof J, Daniels S. Obesity hypertension in children: a problem of epidemic proportions. Hypertension 40(4), 441-447 (2002)
27. Krebs NF, Jacobson MS; American Academy of Pediatrics Committee on Nutrition. Prevention of pediatric overweight and obesity. Pediatrics 112(2), 424-430 (2003)
28. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320(7244), 1240-1243 (2000) (Pubitemid 30240471)
29. Stabouli S, Kotsis V, Papamichael C, Constantopoulos A, Zakopoulos N. Adolescent obesity is associated with high ambulatory blood pressure and increased carotid intimal-medial thickness. J. Pediatr. 147(5), 651-656 (2005) (Pubitemid 41598339)
30. Lurbe E, Alvarez V, Liao Y, Tacons J, Cooper R, Cremades B et al. The impact of obesity and body fat distribution in children and adolescents. Am. J. Hypertens. 11(4 Pt 1), 418-424 (1998) (Pubitemid 28231453)
31. Lurbe E, Invitti C, Torro I, Maronati A, Aguilar F, Sartorio G. The impact of the degree of obesity on the discrepancies between office and ambulatory blood pressure values in youth. J. Hypertens. 24(8), 1557-1564 (2006) (Pubitemid 44162457)
32. Daniels S, Kimball T, Khoury P, Witt S, Morrison J. Correlates of the hemodynamic determinants of blood pressure. Hypertension 28(1), 37-41 (1996) (Pubitemid 26231087)
33. Sabo RT, Lu Z, Daniels S, Sun SS. Relationships between serial childhood adiposity measures and adult blood pressure: the Fels Longitudinal Study. Am. J. Hum. Biol. 22(6), 830-835 (2010)
34. Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertens. Res. 33(5), 386-393 (2010)
35. Sorof JM, Poffenbarger T, Franco K, Bernard L, Portman RJ. Isolated systolic hypertension, obesity and hyperkinetic hemodynamic states in children. J. Pediatr. 140(6), 660-666 (2002) (Pubitemid 34666682)
36. Martini G, Riva P, Rabbia F, Molini V, Ferrero GB, Cerutti F. Heart rate variability in childhood obesity. Clin. Auton. Res. 11(2), 87-91 (2001) (Pubitemid 33028941)
37. Riva P, Martini G, Rabbia F et al. Obesity and autonomic function in adolescence. Clin. Exp. Hypertens. 23(1-2), 57-67 (2001) (Pubitemid 32183256)
38. Rocchini AP, Key J, Bondie D et al. The effect of weight loss on the sensitivity of blood pressure to sodium in obese adolescents. N. Engl. J. Med. 321(9), 580-585 (1989) (Pubitemid 19212870)
39. Lurbe E, Alvarez V, Liao Y et al. Obesity modifies the relationship between ambulatory blood pressure and natriuresis in children. Blood Press. Monit. 5(5-6), 275-280 (2000) (Pubitemid 32050458)
40. Chen W, Srinivasan SR, Elkasabany A, Berenson GS. Cardiovascular risk factors clustering features of insulin resistance syndrome (Syndrome X) in a biracial (Black-White) population of children, adolescents, and young adults. The Bogalusa Heart Study. Am. J. Epidemiol. 150(7), 667-674 (1999) (Pubitemid 29463192)
41. Kanai H, Matsuzawa Y, Tokunaga K et al. Hypertension in obese children: fasting serum insulin levels are closely correlated with blood pressure. Int. J. Obes. 14(12), 1047-1056 (1990)
42. Lurbe E, Torro I, Aguilar F et al. Added impact of obesity and insulin resistance in nocturnal blood pressure elevation in children and adolescents. Hypertension 51(3), 635-641 (2008) (Pubitemid 351301514)
43. Finta KM, Rocchini AP, Moorehead C, Key J, Katch V. Urine sodium excretion in response to an oral glucose tolerance test in obese and non-obese adolescents. Pediatrics 90(3), 442-446 (1992)
44. Csábi G, Molnár D, Hartmann G. Urinary sodium excretion: association with hyperinsulinaemia, hypertension and sympathetic nervous system activity in obese and control children. Eur. J. Pediatr. 155(10), 895-897 (1996) (Pubitemid 26298476)
45. Kotsis V, Stabouli S, Papamichael CM, Zakopoulos NA. Impact of obesity in intima media thickness of carotid arteries. Obesity (Silver Spring) 14(10), 1708-1715 (2006) (Pubitemid 46214792)
46. Kotsis V, Pitiriga V, Stabouli S et al. Carotid intima-media thickness could predict the presence of coronary artery lesions. Am. J. Hypertens. 18(5 Pt 1), 601-606 (2005) (Pubitemid 40692426)
47. Tounian P, Aggoun Y, Dubern B et al. Presence of increased stiffness of the common carotid artery and endothelial dysfunction in severely obese children: a prospective study. Lancet 358 (9291), 1400-1404 (2001) (Pubitemid 33055740)
48. Ledoux S, Queguiner J, Msika S et al. Angiogenesis associated with visceral and subcutaneous adipose tissue in severe human obesity. Diabetes 57(12), 3247-3257 (2008)
49. Kapiotis S, Holzer G, Schaller G et al. A Proinflammatory state is detectable in obese children and is accompanied by functional and morphological vascular changes. Arterioscler. Thromb. Vasc. Biol. 26(11), 2541-2546 (2006) (Pubitemid 44607478)
50. Rocchini AP, Katch V, Anderson J et al. Blood pressure in obese adolescents: effect of weight loss. Pediatrics 82(1), 16-23 (1988)
51. Sorof JM, Turner J, Martin D et al. Cardiovascular risk factors and sequelae in hypertensive children by referral versus school-based screening. Hypertension 43(2), 214-218 (2004) (Pubitemid 38174177)
52. Sorof JM, Alexandrov A, Cardwell G, Portman RJ. Carotid artery intimal-medial thickness and left ventricular hypertrophy in children with elevated blood pressure. Pediatrics 111(1), 61-66 (2003) (Pubitemid 36071032)
53. Lurbe E, Carvajal E, Torro I, Aguilar F, Alvarez J, Redon J. Influence of concurrent obesity and low birth weight on blood pressure phenotype in youth. Hypertension 53(6), 912-917 (2009)
54. Adair LS, Cole TJ. Rapid child growth raises blood pressure in adolescent boys who were thin at birth. Hypertension 41(3), 451-456 (2003) (Pubitemid 36314615)
55. Martyn CN, Barker DJ, Jespersen S, Greenwald S, Osmond C, Berry C. Growth in utero, adult blood pressure and arterial compliance. Br. Heart J. 73(2), 116-121 (1995)
56. Adair LS, Martorell R, Stein AD et al. Sizeat birth, weight gain in infancy and childhood, and adult blood pressure in 5 low- and middle-income-countrycohorts: when does weight gain matter? Am. J. Clin. Nutr. 89(5), 1383-1392 (2009)
57. Intersalt Cooperative Research Group. Intersalt: an international study of electrolyte excretion and blood pressure: results for 24 h urinary sodium and potassium excretion. BMJ 297(6644), 319-328 (1988)
58. Mancilha-Carvalho JJ, de Oliveira R, Esposito RJ. Blood pressure and electrolyte excretion in the Yanomamo Indians, an isolated population. J. Hum. Hypertens. 3(5), 309-314 (1989) (Pubitemid 19247898)
59. He FJ, MacGregor GA. Effect of modest salt reduction on blood pressure: a meta-analysis of randomized trials: implications for public health. J. Hum. Hypertens. 16(11), 761-770 (2002) (Pubitemid 36007929)
60. Cook NR, Cutler JA, Obarzanek E et al. Long term effects of dietary sodium reduction on cardiovascular disease outcomes: observational follow-up of the Trials Of Hypertension Prevention (TOHP)BMJ 334(7599), 885-888 (2007) (Pubitemid 46724330)
61. Frank GC, Webber LS, Nicklas TA, Berenson GS. Sodium, potassium, calcium, magnesium, and phosphorus intakes of infants and children: Bogalusa Heart Study. J. Am. Diet. Assoc. 88(7), 801-807 (1988)
62. Hofman A, Hazebroek A, Valkenburg HA. A randomized trial of sodium intake and blood pressure in newborn infants. JAMA 250(3), 370-373 (1983) (Pubitemid 13071737)
63. Geleijnse JM, Hofman A, Witteman JC, Hazebroek AA, Valkenburg HA, Grobbee DE. Long-term effect of neonatal sodium restriction on blood pressure. Hypertension 29(4), 913-917 (1997) (Pubitemid 27152458)
64. Maldonado-Martín A, García-Matarín L, Gil-Extremera B et al. Blood pressure and urinary excretion of electrolytes in Spanish schoolchildren. J. Hum. Hypertens. 16(7), 473-478 (2002) (Pubitemid 34790338)
65. Howe PR, Cobiac L, Smith RM. Lack of effect of short-term changes in sodium intake on blood pressure in adolescent school children. J. Hypertens. 9(2), 181-186 (1991)
66. Sinaiko AR, Gomez-Marin O, Prineas RJ. Effect of low sodium diet or potassium supplementation on adolescent blood pressure. Hypertension 21(6 Pt 2), 989-994 (1993) (Pubitemid 23166954)
67. He FJ, MacGregor GA. Importance of salt in determining blood pressure in children: meta-analysis of controlled trials. Hypertension 48(5), 861-869 (2006) (Pubitemid 44610998)
68. Falkner B, Kushner H, Khalsa DK, Canessa M, Katz S. Sodium sensitivity, growth and family history of hypertension in young blacks. J. Hypertens. 4(Suppl. 5), S381-S383 (1986) (Pubitemid 17054556)
69. Simonetti GD, Raio L, Surbel D et al. Salt sensitivity of children with low birth weight. Hypertension 52(4), 625-630 (2008)
70. de Boer MP, Ijzerman RG, de Jongh RT et al. Birth weight relates to salt sensitivity of blood pressure in healthy adults. Hypertension 51(4), 928-932 (2008) (Pubitemid 351654706)
71. Kimura G, Dohi Y, Fukuda M. Salt sensitivity and circadian rhythm of blood pressure: the keys to connect CKD with cardiovascular events. Hypertens. Res. 33(6), 515-510 (2010)
72. Sachdeva A, Weder AB. Nocturnal sodium excretion, blood pressure dipping, and sodium sensitivity. Hypertension 48(4), 527-533 (2006) (Pubitemid 44843846)
73. Wilson DK, Sica DA, Miller SB. Ambulatory blood pressure nondipping status in salt-sensitive and salt-resistant black adolescents. Am. J. Hypertens. 12(2 Pt 1), 159-165 (1999) (Pubitemid 29130417)
74. Simonetti GD, Farese S, Aregger F, Uehlinger D, Frey FJ, Mohaupt MG. Nocturnal dipping behaviour in normotensive white children and young adults in response to changes in salt intake. J. Hypertens. 28(5), 1027-1033 (2010)
75. Yuan CM, Manunta P, Hamlyn JM et al. Long-term ouabain administration produces hypertension in rats. Hypertension 22(2), 178-187 (1993) (Pubitemid 23234064)
76. Hamlyn JM, Manunta P. Endogenous ouabain: a link between sodium intake and hypertension. Curr. Hypertens. Rep. 13(1), 14-20 (2011)
77. Frisbee JC, Lombard JH. Acute elevations in salt intake and reduced renal mass hypertension compromise arteriolar dilation in rat cremaster muscle. Microvasc. Res. 57(3), 273-283 (1999) (Pubitemid 29393272)
78. Frisbee JC, Lombard JH. Chronic elevations in salt intake and reduced renal mass hypertension compromise mechanisms of arteriolar dilation. Microvasc. Res. 56(3), 218-227 (1998) (Pubitemid 28560183)
79. Falkner B, Michel S. Blood pressure response to sodium in children and adolescents. Am. J. Clin. Nutr. 65(Suppl. 65), 618S-621S (1997) (Pubitemid 27063062)
80. Thompson PD, Buchner D, Pina IL et al. American Heart Association Council on Clinical Cardiology Subcommittee on Exercise, Rehabilitation and Prevention; American Heart Association Council on Nutrition, Physical Activity and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation and Prevention) and the Council on Nutrition, Physical Activity and Metabolism (Subcommittee on Physical Activity)Circulation 107(24), 3109-3116 (2003)
81. Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann. Intern. Med. 136(7), 493-503 (2002) (Pubitemid 34252283)
82. Barengo NC, Hu G, Kastarinen M et al. Low physical activity as a predictor for antihypertensive drug treatment in 25-64-year-old populations in eastern and south-western Finland. J. Hypertens. 23(2), 293-299 (2005) (Pubitemid 40279632)
83. Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA; American College of Sports Medicine. American College of Sports Medicine position stand. Exercise and hypertension. Med. Sci. Sports Exerc. 36(3), 533-553 (2004)
84. Quinn TJ. Twenty-four hour, ambulatory blood pressure responses following acute exercise: impact of exercise intensity. J. Hum. Hypertens. 14(9), 547-553 (2000)
85. Halbert JA, Silagy CA, Finucane P, Withers RT, Hamdorf PA, Andrews GR. The effectiveness of exercise training in lowering blood pressure: a meta-analysis of randomised controlled trials of 4 weeks or longer. J. Hum. Hypertens. 11(10), 641-649 (1997) (Pubitemid 27494059)
86. Grassi G, Seravalle G, Calhoun DA, Mancia G. Physical training and baroreceptor control of sympathetic nerve activity in humans. Hypertension 23(3), 294-301 (1994) (Pubitemid 24076710)
87. Brownley KA, Hinderliter AL, West SG, Girdler SS, Sherwood A, Light KC. Sympathoadrenergic mechanisms in reduced hemodynamic stress responses after exercise. Med. Sci. Sports Exerc. 35(6), 978-986 (2003) (Pubitemid 36706286)
88. Nagai N, Moritani T. Effect of physical activity on autonomic nervous system function in lean and obese children. Int. J. Obes. Relat. Metab. Disord. 28(1), 27-33 (2004) (Pubitemid 38141987)
89. Goto C, Higashi Y, Kimura M et al. Effect of different intensities of exercise on endothelium-dependent vasodilation in humans: role of endothelium-dependent nitric oxide and oxidative stress. Circulation 108(5), 530-535 (2003) (Pubitemid 36961165)
90. Carnethon MR, Gulati M, Greenland P. Prevalence and cardiovascular disease correlates of low cardiorespiratory fitness in adolescents and adults. JAMA 294(23), 2981-2988 (2005) (Pubitemid 41817659)
91. Lobelo F, Pate RR, Dowda M, Liese AD, Daniels SR. Cardiorespiratory fitness and clustered cardiovascular disease risk in U.S. adolescents. J. Adolesc. Health 47(4), 352-359 (2010)
92. Grøntved A, Brage S, Møller NC, Kristensen PL, Wedderkopp N, Froberg K. Hemodynamic variables during exercise in childhood and resting systolic blood pressure levels 6 years later in adolescence: the European Youth Heart Study. J. Hum. Hypertens. DOI: 10.1038/jhh.2010.103 (2010) (Epub ahead of print)
93. Maximova K, O'Loughlin J, Paradis G, Hanley JA, Lynch J. Declines in physical activity and higher systolic blood pressure in adolescence. Am. J. Epidemiol. 170(9), 1084-1094 (2009)
94. Hagberg JM, Ehsani AA, Goldring D, Hernandez A, Sinacore DR, Holloszy JO. Effect of weight training on blood pressure and hemodynamics in hypertensive adolescents. J. Pediatr. 104(1), 147-151 (1984) (Pubitemid 14178482)
95. Kelley GA, Kelley KS, Tran ZV. The effects of exercise on resting blood pressure in children and adolescents: a meta-analysis of randomized controlled trials. Prev. Cardiol. 6(1), 8-16 (2003) (Pubitemid 36278871)
96. Torrance B, McGuire KA, Lewanczuk R, McGavock J. Overweight, physical activity and high blood pressure in children: a review of the literature. Vasc. Health Risk Manag. 3(1), 139-149 (2007) (Pubitemid 46860723)
97. Farpour-Lambert NJ, Aggoun Y, Marchand LM, Martin XE, Herrmann FR, Beghetti M. Physical activity reduces systemic blood pressure and improves early markers of atherosclerosis in pre-pubertal obese children. J. Am. Coll. Cardiol. 54(25), 2396-2406 (2009)
98. Maggio AB, Aggoun Y, Martin XE, Marchand LM, Beghetti M, Farpour- Lambert NJ. Long-term follow-up of cardiovascular risk factors after exercise training in obese children. Int. J. Pediatr. Obes. DOI: 10.3109/17477166.2010.530665 (2010) (Epub ahead of print)
99. Meyer AA, Kundt G, Lenschow U, Schuff-Werner P, Kienast W. Improvement of early vascular changes and cardiovascular risk factors in obese children after a six-month exercise program. J. Am. Coll. Cardiol. 48(9), 1865-1870 (2006) (Pubitemid 44648607)
100. Moore LL, Lombardi DA, White MJ, Campbell JL, Oliveria SA, Ellison RC. Influence of parents' physical activity levels on activity levels of young children. J. Pediatr. 118(2), 215-219 (1991)
101. Lee KS, Loprinzi PD, Trost SG. Determinants of physical activity in Singaporean adolescents. Int. J. Behav. Med. 17(4), 279-286 (2010)
102. Rosner B, Prineas R, Daniels SR, Loggie J. Blood pressure differences between blacks and whites in relation to body size among US children and adolescents. Am. J. Epidemiol. 151(10), 1007-1019 (2000) (Pubitemid 30463580)
103. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 103(6 Pt 1), 1175-1182 (1999) (Pubitemid 29258789)
104. Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ. Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 113 (3 Pt 1), 475-482 (2004) (Pubitemid 38280786)
105. McNiece KL, Poffenbarger TS, Turner JL, Franco KD, Sorof JM, Portman RJ. Prevalence of hypertension and pre-hypertension among adolescents. J. Pediatr. 150(6), 640-644 (2007)
106. Paradis G, Lambert M, O'Loughlin J, Lavallée C, Aubin J, Delvin E. Blood pressure and adiposity in children and adolescents. Circulation 110(13), 1832-1838 (2004) (Pubitemid 39299226)
107. Harding S, Maynard MJ, Cruickshank K, Teyhan A. Overweight, obesity and high blood pressure in an ethnically diverse sample of adolescents in Britain: the Medical Research Council DASH study. Int. J. Obes. (Lond.) 32(1), 82-90 (2008).