A Lifestyle with Moderate-to-Vigorous Physical Activity Lowers Resting Heart Rate in Adolescents
DOI:
https://doi.org/10.59141/-.v8i1.493Keywords:
Physical activity, Resting heart rate, Adolescent, Cardiovascular, IPAQ-LAbstract
Physical activity plays an important role in maintaining cardiovascular health and preventing early cardiometabolic risk. However, global evidence indicates that a large proportion of adolescents do not meet the recommended levels of physical activity, which may negatively influence cardiovascular indicators such as resting heart rate (RHR). Elevated RHR has been widely recognized as an early marker of cardiovascular risk and autonomic imbalance. This study aimed to analyze the association between physical activity levels and resting heart rate among adolescents aged 20–24 years. This research employed an analytic observational design with a cross-sectional approach. A total of 100 participants were recruited using convenience sampling from the Faculty of Medicine, Duta Wacana Christian University, Yogyakarta. Physical activity levels were assessed using the International Physical Activity Questionnaire Long Form (IPAQ-L), while resting heart rate was measured through radial pulse palpation after a five-minute seated rest. Statistical analysis was conducted using SPSS software with Chi-square testing. The results showed that 47% of participants engaged in moderate physical activity, 24% in vigorous activity, and 29% in low activity. Most participants (62%) had a resting heart rate above 80 bpm. A significant inverse association was found between physical activity level and resting heart rate (p = 0.019), indicating that adolescents with higher levels of physical activity tended to have lower resting heart rates. In conclusion, moderate-to-vigorous physical activity is associated with healthier resting heart rate values, suggesting improved cardiovascular function in adolescents.
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Bahrainy, S., Levy, W. C., Busey, J. M., Caldwell, J. H., & Stratton, J. R. (2016). Exercise training bradycardia is largely explained by reduced intrinsic heart rate. International Journal of Cardiology, 222, 213–216. https://doi.org/10.1016/j.ijcard.2016.07.072
Benedetti, M. G., Furlini, G., Zati, A., & Mauro, G. L. (2018). The effectiveness of physical exercise on bone density in osteoporotic patients. BioMed Research International, 2018, Article 4840531. https://doi.org/10.1155/2018/4840531
Böhm, M., Schumacher, H., Teo, K. K., Lonn, E. M., Mahfoud, F., Ukena, C., Mann, J. F. E., Mancia, G., Redon, J., Schmieder, R. E., Sliwa, K., Marx, N., Weber, M. A., Williams, B., & Yusuf, S. (2018). Resting heart rate and cardiovascular outcomes in diabetic and non-diabetic individuals at high cardiovascular risk: Analysis from the ONTARGET/TRANSCEND trials. European Heart Journal. https://doi.org/10.1093/eurheartj/ehy808
Carson, V., Gramaglia, C., Cardon, G., Tremblay, M. S., Chastin, S., & Alberga, A. S. (2020). Is vigorous physical activity associated with health-related outcomes in children and adolescents? A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(17), 6306. https://doi.org/10.3390/ijerph17176306
Carson, V., Tremblay, M. S., Chaput, J.-P., & Chastin, S. F. M. (2016). Associations between sleep duration, sedentary time, physical activity, and health indicators among Canadian children and youth using compositional analyses. Applied Physiology, Nutrition, and Metabolism, 41(6 Suppl 3), S294–S302. https://doi.org/10.1139/apnm-2016-0026
Christofaro, D. G. D., Andrade, S. M., Vanderlei, L. C. M., Fernandes, R. A., & Mota, J. (2018). Sports practice is related to resting heart rate in adolescents regardless of confounding factors: A cross-sectional study. Science & Sports, 33(3), e63–e69. https://doi.org/10.1016/j.scispo.2018.02.014
da Silva, C. C. G., Pereira, L. M., Cardoso, J. R., et al. (2014). The effect of physical training on heart rate variability in healthy children: A systematic review with meta-analysis. Pediatric Exercise Science, 26(2), 147–158. https://doi.org/10.1123/pes.2013-0063
Gatzke-Kopp, L., & Ram, N. (2018). Developmental dynamics of autonomic function in childhood. Psychophysiology, 55, e13218. https://doi.org/10.1111/psyp.13218
Gordan, R., Gwathmey, J. K., & Xie, L.-H. (2015). Autonomic and endocrine control of cardiovascular function. World Journal of Cardiology, 7(4), 204–214. https://doi.org/10.4330/wjc.v7.i4.204
Green, D. J., Hopman, M. T. E., Padilla, J., Laughlin, M. H., & Thijssen, D. H. J. (2017). Vascular adaptation to exercise in humans: Role of hemodynamic stimuli. Physiological Reviews, 97(2), 495–528. https://doi.org/10.1152/physrev.00014.2016
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1.6 million participants. The Lancet Child & Adolescent Health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2
Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247–257. https://doi.org/10.1016/S0140-6736(12)60646-1
Huai, P., Xun, H., Reilly, K. H., Wang, Y., Ma, W., & Xi, B. (2013). Physical activity and risk of hypertension: A meta-analysis of prospective cohort studies. Hypertension, 62(6), 1021–1026. https://doi.org/10.1161/HYPERTENSIONAHA.113.01965
Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., Hu, F. B., Hubbard, V. S., Jakicic, J. M., Kushner, R. F., Loria, C. M., Millen, B. E., Nonas, C. A., Pi-Sunyer, F. X., Stevens, J., Stevens, V. J., Wadden, T. A., Wolfe, B. M., & Yanovski, S. Z. (2014). 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults. Journal of the American College of Cardiology, 63(25), 2985–3023. https://doi.org/10.1016/j.jacc.2013.11.004
Kementerian Kesehatan Republik Indonesia. (2019). Laporan Nasional RISKESDAS 2018. Badan Penelitian dan Pengembangan Kesehatan.
Monahan, K. D., Dinenno, F. A., Seals, D. R., Clevenger, C. M., Desouza, C. A., & Tanaka, H. (2017). Regular aerobic exercise improves baroreflex sensitivity in young adults. Hypertension, 69(4), 667–673. https://doi.org/10.1161/HYPERTENSIONAHA.116.08483
Nanchen, D., Leening, M. J. G., Locatelli, I., Cornuz, J., Kors, J. A., Heeringa, J., et al. (2013). Resting heart rate and the risk of heart failure in healthy adults: The Rotterdam Study. Circulation: Heart Failure, 6(3), 403–410. https://doi.org/10.1161/CIRCHEARTFAILURE.112.000208
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The Lancet Child & Adolescent Health, 2(3), 223–228. https://doi.org/10.1016/S2352-4642(18)30022-1
Saunders, T. J., McIsaac, T., Douillette, K., Gaulton, N., Hunter, S., Rhodes, R. E., Prince, S. A., Carson, V., & Tremblay, M. S. (2020). Sedentary behaviour and health in adults: An overview of systematic reviews. Applied Physiology, Nutrition, and Metabolism, 45(10), S197–S217. https://doi.org/10.1139/apnm-2020-0272
Silva, D. A. S., Lima, T. R., & Tremblay, M. S. (2018). Association between resting heart rate and health-related physical fitness in Brazilian adolescents. BioMed Research International, 2018, Article 1910482. https://doi.org/10.1155/2018/1910482
Sluik, D., Buijsse, B., Muckelbauer, R., Kaaks, R., Teucher, B., Johnsen, N. F., et al. (2012). Physical activity and mortality in individuals with diabetes mellitus: A prospective study and meta-analysis. Archives of Internal Medicine, 172(17), 1285–1295. https://doi.org/10.1001/archinternmed.2012.3130
Telama, R., Yang, X., Leskinen, E., Kankaanpää, A., Hirvensalo, M., Tammelin, T., Viikari, J. S. A., & Raitakari, O. T. (2014). Tracking of physical activity from early childhood through youth into adulthood. Medicine & Science in Sports & Exercise, 46(5), 955–962.
Wiratama, B. S., & Hidayat, R. (2019). Association between physical inactivity and resting heart rate among adolescents in Yogyakarta. Jurnal Kedokteran UGM, 41(3), 145–152. https://doi.org/10.22146/jku.34567
World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization. https://doi.org/10.1016/j.jshs.2020.10.003
Zanuto, E. F., Ritti-Dias, R. M., Tebar, W. R., Christofaro, D. G. D., & Fernandes, R. A. (2020). Is physical activity associated with resting heart rate in boys and girls? A representative study controlled for confounders. Journal of Pediatrics (Rio de Janeiro), 96(2), 247–254. https://doi.org/10.1016/j.jped.2018.10.007
Zhang, D., Shen, X., & Qi, X. (2016). Resting heart rate and all-cause and cardiovascular mortality in the general population: A meta-analysis. CMAJ, 188(3), E53–E63. https://doi.org/10.1503/cmaj.150535
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