Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study

Abstract Hemodynamic alteration with postural change from supine to sitting has been unclear in the young. In the cross-sectional study, 686 participants (371 boys and 315 girls, aged 6–18 years) were recruited from 4 schools in Kaifeng city, the central area of China. The active sitting test was pe...

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Autores principales:	Chunyan Tao, Zhenhui Han, Yongqiang Yan, Zhitao Pan, Hanwen Zhu, Xueying Li, Hongxia Li, Yuanyuan Wang, Ping Liu, Yuli Wang, Min Jiang, Chaoshu Tang, Hongfang Jin, Junbao Du
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8aa640c318a14049bec5310c531c4db5
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spelling	oai:doaj.org-article:8aa640c318a14049bec5310c531c4db52021-12-02T16:46:33ZSitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study10.1038/s41598-020-70925-y2045-2322https://doaj.org/article/8aa640c318a14049bec5310c531c4db52020-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-70925-yhttps://doaj.org/toc/2045-2322Abstract Hemodynamic alteration with postural change from supine to sitting has been unclear in the young. In the cross-sectional study, 686 participants (371 boys and 315 girls, aged 6–18 years) were recruited from 4 schools in Kaifeng city, the central area of China. The active sitting test was performed to obtain heart rate (HR) and blood pressure (BP) changes from supine to sitting in children and adolescents. Hemodynamic change-associated sitting intolerance was analyzed. In the study participants, the 95th percentile (P95) values of changes in HR and BP within 3 min from supine to sitting were 25 beats/min and 18/19 mm Hg, respectively. Sixty-six participants had sitting intolerance symptoms. Compared with participants without sitting intolerance symptoms, those with symptoms more frequently had HR increase ≥ P95 or BP increase ≥ P95 within 3 min from supine to sitting (P < 0.001). Risk factors for sitting intolerance were age (odds ratio 1.218, 95% confidence interval 1.072–1.384, P = 0.002) and changes in HR or BP ≥ P95 within 3 min after sitting (odds ratio 2.902, 95% confidence interval 1.572–5.357, P = 0.001). We firstly showed hemodynamic changing profiles from supine to sitting and their association with sitting intolerance in children and adolescents. Sitting tachycardia is likely suggested with a change in HR ≥ 25 beats/min and sitting hypertension with a change in BP ≥ 20/20 mm Hg when changing from supine to sitting within 3 min. The age and changes in HR or BP were independent risk factors for sitting intolerance.Chunyan TaoZhenhui HanYongqiang YanZhitao PanHanwen ZhuXueying LiHongxia LiYuanyuan WangPing LiuYuli WangMin JiangChaoshu TangHongfang JinJunbao DuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chunyan Tao Zhenhui Han Yongqiang Yan Zhitao Pan Hanwen Zhu Xueying Li Hongxia Li Yuanyuan Wang Ping Liu Yuli Wang Min Jiang Chaoshu Tang Hongfang Jin Junbao Du Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study
description	Abstract Hemodynamic alteration with postural change from supine to sitting has been unclear in the young. In the cross-sectional study, 686 participants (371 boys and 315 girls, aged 6–18 years) were recruited from 4 schools in Kaifeng city, the central area of China. The active sitting test was performed to obtain heart rate (HR) and blood pressure (BP) changes from supine to sitting in children and adolescents. Hemodynamic change-associated sitting intolerance was analyzed. In the study participants, the 95th percentile (P95) values of changes in HR and BP within 3 min from supine to sitting were 25 beats/min and 18/19 mm Hg, respectively. Sixty-six participants had sitting intolerance symptoms. Compared with participants without sitting intolerance symptoms, those with symptoms more frequently had HR increase ≥ P95 or BP increase ≥ P95 within 3 min from supine to sitting (P < 0.001). Risk factors for sitting intolerance were age (odds ratio 1.218, 95% confidence interval 1.072–1.384, P = 0.002) and changes in HR or BP ≥ P95 within 3 min after sitting (odds ratio 2.902, 95% confidence interval 1.572–5.357, P = 0.001). We firstly showed hemodynamic changing profiles from supine to sitting and their association with sitting intolerance in children and adolescents. Sitting tachycardia is likely suggested with a change in HR ≥ 25 beats/min and sitting hypertension with a change in BP ≥ 20/20 mm Hg when changing from supine to sitting within 3 min. The age and changes in HR or BP were independent risk factors for sitting intolerance.
format	article
author	Chunyan Tao Zhenhui Han Yongqiang Yan Zhitao Pan Hanwen Zhu Xueying Li Hongxia Li Yuanyuan Wang Ping Liu Yuli Wang Min Jiang Chaoshu Tang Hongfang Jin Junbao Du
author_facet	Chunyan Tao Zhenhui Han Yongqiang Yan Zhitao Pan Hanwen Zhu Xueying Li Hongxia Li Yuanyuan Wang Ping Liu Yuli Wang Min Jiang Chaoshu Tang Hongfang Jin Junbao Du
author_sort	Chunyan Tao
title	Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study
title_short	Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study
title_full	Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study
title_fullStr	Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study
title_full_unstemmed	Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study
title_sort	sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/8aa640c318a14049bec5310c531c4db5
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Sitting-induced hemodynamic changes and association with sitting intolerance in children and adolescents: a cross-sectional study

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