Extracurricular physical activity effects on cardiovascular parameters in 11-16 years old children

Authors

  • Genti Pano Department of Biomedical and Health Sciences, Faculty of Rehabilitation Sciences, Sports University of Tirana (Albania)
  • Denis Nuriu Department of Research in Applied Movement. Sport Sciences Research Institute, Sports University of Tirana (Albania)
  • Oltiana Petri Department of Biomedical and Health Sciences, Faculty of Rehabilitation Sciences, Sports University of Tirana (Albania)
  • Anduela Lile
  • Eva Muja Department of Medical Science, Faculty of Medicine, Catholic University Hospital "Our Lady of the Good Counsel", Tirana (Albania)
  • Artemis Bajaziti Department of Research in Applied Movement. Sport Sciences Research Institute, Sports University of Tirana (Albania)

DOI:

https://doi.org/10.47197/retos.v73.117618

Keywords:

Children, cardiovascular parameters, physical activity, transthoracic echocardiography

Abstract

Introduction: In children and adolescents, cardiorespiratory fitness measures correlate with cardiometabolic risk factors, including overweight, obesity, hypertension and cardiovascular functional parameters.

Objectives: Primary objective of this study was evaluating the cardiovascular system parameters before and after an exercise intervention program in 11 to 16 yer old children.

Methodology: 140 youngsters, including 78 girls and 62 boys, from five different distinct Albanian cities were randomly selected. Transthoracic echocardiography was performed examining in the left lateral decubitus position. Participants engaged in a supplementary PA program five times per week for 16 weeks, with each session lasting 1.5 to 2 hours, after the conclusion of conventional physical education school hours. HR did not surpass 70% of HRmax (-145 beats per minute).

Results: A paired samples t-test was conducted to compare parameters before and after the intervention and in the left ventricular ejection fraction (LVEF), results showed a modest significant increase from pre (M = 68.77, SD = 2.56) to post-intervention (M = 69.66, SD = 2.98), t(138) = -3.89, p < .001, indicating acceptable stability of individual cardiovascular response to training.

Discussion: The exercise program produced a small but statistically significant increase in cardiac efficiency, as evidenced by the increase in LVEF. Findings support the potential benefits of structured daily exercise to enhance heart function in children.

Conclusions: Physical activity is a good strategy for improving early cardiovascular function and reducing lifetime disease risk in children.

References

Adegboye, A. R., Anderssen, S. A., Froberg, K., Sardinha, L. B., Heitmann, B. L., Steene-Johannessen, J., Kolle, E., & Andersen, L. B. (2010). Recommended aerobic fitness level for metabolic health in children and adolescents: a study of diagnostic accuracy. British Journal of Sports Medicine, 45(9), 722–728. https://doi.org/10.1136/bjsm.2009.068346

Cai, Y., Zhu, X., & Wu, X. (2017). Overweight, obesity, and screen-time viewing among Chinese school-aged children: National prevalence estimates from the 2016 Physical Activity and Fitness in China—The Youth Study. Journal of Sport and Health Science/Journal of Sport and Health Science, 6(4), 404–409. https://doi.org/10.1016/j.jshs.2017.09.002

Cheng, P., Zhang, X., Si, Y., Yin, Q., Chen, L., Ru, Q., Chu, C., Xiang, H., Liao, L., Ran, H., Zhang, Z., & Wu, Y. (2025). Regulatory mechanisms of exercise-induced physiological cardiac hypertrophy: progress and prospects. Frontiers in Cardiovascular Medicine, 12. https://doi.org/10.3389/fcvm.2025.1657950

Deng, Y., & Wang, X. (2024). Effect of high-intensity interval training on cardiorespiratory in children and adolescents with overweight or obesity: a meta-analysis of randomized controlled trials. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1269508

Dias, R. M., Moraes, Í. a. P., Dantas, M. T. a. P., Fernani, D. C. G. L., Fontes, A. M. G. G., Silveira, A. C., Barnabé, V., Fernandes, M., Martinelli, P. M., Monteiro, C. B. M., Garner, D. M., Abreu, L. C., & Silva, T. D. (2021). Influence of Chronic exposure to exercise on heart rate variability in children and Adolescents Affected by Obesity: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 18(21), 11065. https://doi.org/10.3390/ijerph182111065

Forså, M. I., Bjerring, A. W., Haugaa, K. H., Smedsrud, M. K., Sarvari, S. I., Landgraff, H. W., Hallén, J., & Edvardsen, T. (2023). Young athlete’s growing heart: sex differences in cardiac adaptation to exercise training during adolescence. Open Heart, 10(1), e002155. https://doi.org/10.1136/openhrt-2022-002155

Green, D. J., Marsh, C. E., Thomas, H. J., Maslen, B. A., Collis, J., Lester, L., & Naylor, L. H. (2024). Cardiac functional adaptation to resistance and endurance exercise training: a randomized crossover study. AJP Heart and Circulatory Physiology, 326(4), H929–H937. https://doi.org/10.1152/ajpheart.00579.2023

Guo, L., & Wang, C. (2025). The effect of exercise on cardiovascular disease risk factors in sedentary population: a systematic review and meta-analysis. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1470947

Hellín-Martínez, M., García-Jiménez, J. V., García-Pellicer, J. J., & Alfonso-Asencio, M. (2021). Frecuencia cardiaca y niveles de actividad física durante recreos escolares. Un estudio descriptivo (Heart rate and physical activity levels during school recess. A descriptive study). Retos, 43, 422–427. https://doi.org/10.47197/retos.v43i0.88648

Laitinen, E., Soininen, S., Leppänen, M. H., Waller, K., Bond, B., Lintu, N., Faigenbaum, A. D., Laitinen, T., Haapala, E. A., & Lakka, T. A. (2025). Associations of Physical Fitness During Childhood with Arterial Structure and Stiffness in Adolescence: An 8-Year Follow-up Study. Sports Medicine - Open, 11(1). https://doi.org/10.1186/s40798-025-00841-w

Liang, Y., Yang, Y., Yuan, Y., Chen, L., Wang, T., Luo, B., Wang, J., & Zhuang, J. (2025). Effects of physical activity interventions on physical fitness in preschool children: a meta-analysis of randomized controlled trials and dose–response study. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-24156-3

Luca, A. C., Țarcă, E., Tănase, V., Pădureț, I., Dragoiu, T., Butnariu, L. I., Roșu, S. T., Roca, I. C., & Mîndru, D. (2024). Benefits of Physical Activity in Children with Cardiac Diseases—A Concise Summary for Pediatricians. Children, 11(12), 1432. https://doi.org/10.3390/children11121432

Manojlović, M., Roklicer, R., Trivic, T., Milic, R., Maksimović, N., Tabakov, R., Sekulic, D., Bianco, A., & Drid, P. (2023b). Effects of school-based physical activity interventions on physical fitness and cardiometabolic health in children and adolescents with disabilities: a systematic review. Frontiers in Physiology, 14. https://doi.org/10.3389/fphys.2023.1180639

Martin, A., Booth, J. N., Laird, Y., Sproule, J., Reilly, J. J., & Saunders, D. H. (2018). Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight. Cochrane Library, 2018(3). https://doi.org/10.1002/14651858.cd009728.pub4

Medina-Morales, A., Navarrete-Escalona, M., Moraga-Muñoz, R., Olate-Pastén, Y., Gutiérrez-Turner, E., Pavez-Adasme, G., Reyes-Rodríguez, A., & Gómez-Álvarez, N. (2022). Prevalencia de malnutrición por exceso y cambios antropométricos asociados a riesgo cardiometabólico en escolares de colegios públicos pertenecientes la zona centro sur de Chile con una alta densidad rural y de bajos ingresos (Prevalence of malnutrition. Retos, 45, 496–501. https://doi.org/10.47197/retos.v45i0.92405

Men, J., Zhu, G., Li, Y., Wu, S., Yu, Z., Wang, P., Zhang, Y., An, W., Wang, J., Huang, X., Wu, Y., & Hou, X. (2025). Impact of exercise on cardiovascular disease risk in overweight or obese children and adolescents: a systematic review and meta-analysis. BMC Sports Science Medicine and Rehabilitation, 17(1). https://doi.org/10.1186/s13102-025-01228-w

Mercê, C., Branco, M., Rodrigues-Ferreira, M., VencesBrito, A., Catela, D., Seabra, A. P., Milheiro, V., & Cynarski, W. (2021). The Influence of Sport Practices on Body Composition, Maturation and Maximum Oxygen uptake in children and youth (La influencia de las prácticas deportivas en la composición corporal, la maduración y la absorción máxima de oxígeno en niños y jóvenes). Retos, 44, 649–658. https://doi.org/10.47197/retos.v44i0.90968

Mura, G., Vellante, M., Nardi, A., Machado, S., & Carta, M. (2015). Effects of school-based physical activity interventions on cognition and academic achievement: a systematic review. CNS & Neurological Disorders - Drug Targets, 14(9), 1194–1208. https://doi.org/10.2174/1871527315666151111121536

Myers, J., McAuley, P., Lavie, C. J., Despres, J., Arena, R., & Kokkinos, P. (2014). Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status. Progress in Cardiovascular Diseases, 57(4), 306–314. https://doi.org/10.1016/j.pcad.2014.09.011

Neto, V. G. C., Rosário, J. a. D., Bodell, N., Da Silva Araujo, G., Da Silva Telles, L. G., De Freitas, J. P., Colonna, M. J. C. M., Da Silva Triani, F., Da Silva, R. S., & Monteiro, E. R. (2021). Blood pressure, heart rate, and rate pressure product behavior during interval and continuous aerobic exercise (Comportamiento de la presión arterial, frecuencia cardíaca y doble producto durante el ejercicio aeróbico a intervalos y continuo). Retos, 43, 579–585. https://doi.org/10.47197/retos.v43i0.88363

Perkins, D. R., Talbot, J. S., Lord, R. N., Dawkins, T. G., Baggish, A. L., Zaidi, A., Uzun, O., Mackintosh, K. A., McNarry, M. A., Cooper, S., Lloyd, R. S., Oliver, J. L., Shave, R. E., & Stembridge, M. (2023). Adaptation of Left Ventricular Twist Mechanics in Exercise-Trained Children Is Only Evident after the Adolescent Growth Spurt. Journal of the American Society of Echocardiography, 37(5), 538–549. https://doi.org/10.1016/j.echo.2023.11.024

Santos-Beneit, G., Fernández-Alvira, J. M., Tresserra-Rimbau, A., Bodega, P., De Cos-Gandoy, A., De Miguel, M., Ramírez-Garza, S. L., Laveriano-Santos, E. P., Arancibia-Riveros, C., Carral, V., Orrit, X., Rodríguez, C., Carvajal, I., Haro, D., Peyra, C., Martínez-Gómez, J., Álvarez-Benavides, A., Estruch, R., Lamuela-Raventós, R. M., . . . Fuster, V. (2023). School-Based cardiovascular health promotion in adolescents. JAMA Cardiology, 8(9), 816. https://doi.org/10.1001/jamacardio.2023.2231

Sequi-Dominguez, I., Mavridis, D., Cavero-Redondo, I., Saz-Lara, A., Martinez-Vizcaino, V., & De Arenas-Arroyo, S. N. (2023). Comparative effectiveness of different types of exercise in reducing arterial stiffness in children and adolescents: a systematic review and network meta-analysis. British Journal of Sports Medicine, 57(15), 997–1002. https://doi.org/10.1136/bjsports-2022-106285

Wang, Q., Wang, H., Du, B., Wu, Y., Li, Z., Niu, Y., Ouyang, F., Bai, K., Wang, J., & Sun, K. (2024). Association between physical activity and cardiovascular parameters in 7-year-old children: a Chinese cross-sectional study. BMC Pediatrics, 24(1). https://doi.org/10.1186/s12887-023-04468-2

Downloads

Published

10-11-2025

Issue

Section

Original Research Article

How to Cite

Pano, G., Nuriu, D., Petri, O., Lile, A., Muja, E., & Bajaziti, A. (2025). Extracurricular physical activity effects on cardiovascular parameters in 11-16 years old children. Retos, 73, 1101-1111. https://doi.org/10.47197/retos.v73.117618