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The Impact of Sedentary Behavior on Teen Heart Function

Sedentary Behavior
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Written by Andrew Le, MD.
Medically reviewed by
Last updated May 17, 2024

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As adolescents navigate their formative years, their habits around physical activity and sedentary behavior are shaping their future cardiovascular health. A distinct study, conducted by Dr. Eero A. Haapala and colleagues, published in the Journal of the American Heart Association, diligently examines the relationship between the accumulation of sedentary time from childhood to adolescence and its subsequent impacts on adolescent cardiac function.

The study engaged with 153 adolescents, who were first evaluated between the ages of 6 and 8 years and followed up again after 8 years. Sedentary time and physical activity levels were continuously monitored using accelerometers and heart rate monitors, and various measures of cardiac function were assessed using impedance cardiography at the 8-year mark.

The findings were striking; data suggested that excessive sedentary time during childhood correlated with increased cardiac work during the adolescent years. On the flip side, moderate to vigorous physical activity (MVPA) appeared to have a protective effect, inversely associated with cardiac work. This highlights the negative cardiovascular effects that could arise from a sedentary lifestyle begun in childhood, underscoring the need to instill and encourage active lifestyles from a young age.

To delve deeper, additional analyses factored in body fat percentage and other cardiometabolic risk markers. These showed that the associations between both sedentary behavior and physical activity with cardiac work were muddied by adiposity, suggesting that weight control and body composition are also pivotal factors in cardiac health during adolescence.

Understanding the complexities of these relationships is paramount, as interventions from childhood that focus on promoting physical activity, managing weight, and reducing sedentary time could be essential in preventing future heart function abnormalities. The implications for clinical practice are evident: from pediatricians to public health officials, educating families about the long-term benefits of physical activity for heart health could be transformative for generations to come.

For those interested in learning more about the in-depth methodologies and results, the complete study is available through the Journal of the American Heart Association. The insights from this research, born of almost a decade-long observation, offer a clarion call for proactive measures in the name of cardiovascular well-being for our youth.

The extensive knowledge and insights garnered from this study were made possible through the assistance of Buoy Health's online health tool, which provided critical support for the research. To explore further information and methods, please visit https://doi.org/10.1161/JAHA.123.031837

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Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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References

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, 13, e031837. https://doi.org/10.1161/JAHA.123.031837