Effects of prolonged sitting and physical activity breaks on measures of arterial stiffness and cortisol in adolescents

Acta Paediatr. 2023 May;112(5):1011-1018. doi: 10.1111/apa.16702. Epub 2023 Feb 13.

Abstract

Aim: In adults, prolonged periods of sitting have been linked to acute negative effects on vascular structure and function. The aim of this study was to evaluate the acute effects of physical activity (PA) breaks during prolonged sitting on arterial stiffness, cortisol and psychological factors in adolescents.

Methods: Adolescents underwent different short (3-min) breaks starting every 20 min, during 80 min of sitting on three separate days. Breaks were (A) social seated breaks (SOC), (B) low-intensity simple resistance activity PA breaks (SRA) and (C) moderate-intensity step-up PA breaks (STEP). The arterial stiffness measures were augmentation index (AIx), AIx@75 and pulse wave velocity (PWV). Cortisol was measured from saliva. Psychological factors were self-reported.

Results: Eleven girls and six boys (average age 13.6 ± 0.7 years) participated, with average baseline heart rates of 72 ± 11 bpm, systolic/diastolic blood pressure 111 ± 7/64 ± 6 mmHg and cortisol 10.9 ± 5.8 nmoL/L. PWV, cortisol and psychological factors did not change after any of the conditions. AIx@75 increased significantly (4.9 ± 8.7-9.2 ± 13.2) after the STEP intervention compared with SOC and SRA (time × condition p < 0.05).

Conclusion: Arterial stiffness increased after prolonged sitting with frequent, short step-up activity breaks. The results indicate potential important intensity-dependent effects of physical activity on vascular regulation in youth.

Keywords: AIx; PWV; activity breaks; adolescents; arterial stiffness; cortisol.

MeSH terms

  • Adolescent
  • Adult
  • Blood Pressure
  • Child
  • Exercise
  • Female
  • Humans
  • Hydrocortisone
  • Male
  • Pulse Wave Analysis
  • Vascular Stiffness*

Substances

  • Hydrocortisone