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Cardiovascular risk factors (obesity, metabolism, hypertension, etc.) can significantly impact a person’s lifespan. While obesity rates are currently stagnant, they still remain very high. Cardiovascular risk factors have thus become the focus of health research to understand what behaviors might contribute to increased risk. The majority of these studies have been aimed specifically at adults, but little is understood about the origins of these risk factors in childhood. Laurie Wideman, et al thus sought to create a longitudinal study that investigated social and emotional development, called the RIGHT Track Health Study. The RIGHT track study followed participants from infancy to young adult to understand how their self-regulation and increased autonomy via their health behaviors might contribute to cardiovascular risks factors. Participants were measured at five ages: two, four, five, seven, and ten. Participants performed a variety of assessments including body composition, fitness tests, orthostatic challenge (while having heart rate variability recorded), 7-day accelerometry for physical activity and sleep, 24-hour dietary recalls, and blood analysis for various related biomarkers. Researchers also had participants complete extensive self-report measures related to diet, sleep, physical activity, and medical history. Heart rate variability (HRV) was measured using BIOPAC’s dual-channel BioNomadix wireless ECG and Respiration transmitter while participants performed the orthostatic challenge. Heart rate variability measured from the orthostatic challenge was compared to HRV collected during the early years of the study where the infants underwent psychological stressors. Through their RIGHT track health study, the researchers were able to provide valuable about the influence of childhood regulatory abilities on youth healthcare. The researchers hope that their findings will help illuminate potential critical “windows,” or specific points in childhood where people may be more at risk. Assessing when these windows occur could help greatly reduce certain risk factors and help our understanding of how to prevent chronic disease earlier in life.

The negative effects of stress on the body have been widely studied. Stress can be defined as a situation that is causing the current state, or homeostasis, under pressure to change. The human body’s nervous system reacts to stress by changing the amount produced of certain biomarkers. For example, when heart rate elevates, blood pressure rises and the human body reacts and secretes hormones (epinephrine, cortisol, etc.). Experimenters tested the change in the production of specific biomarkers of people with different training backgrounds to understand how acute psychological stress affects their physiological responses. The three group classifications were sedentary subjects, endurance athletes, and strength athletes.
 
EDA (skin conductance), ECG (EKG), and breathing frequency were measured continuously; BP and cortisol were measured after each experiment segment. EDA, ECG, and breathing frequency were measured during the acute psychological stress test using the BIOPAC MP150 data acquisition unit connected to wireless biopotential amplifiers and recorded on BIOPAC’s AcqKnowledge software.

Psychological stress was induced in participants using a Stroop color-word test and math problems. These problems were presented in a slide show where the subjects had a limited amount of time to solve for the correct answers. The researchers found numerous differences in changes in the biomarkers measured in response to the acute psychological stress activities between the three groups. On average, athletes’ cortisol levels changed differently when compared to the sedentary group. Also, skin conductance was shown to have higher levels in the sedentary group than in the athletes. The athletes also had a higher recovery level for systolic blood pressure, which was observed to decrease over the test for the sedentary group.
 
The participants reported to have experienced psychological stress over the course of the activities and this was reinforced by the change in values of the biomarkers measured. This experiment showed that people with different training backgrounds had different responses to psychological stress for related biomarkers. The experimenters concluded that people with different training backgrounds react differently in their changes of certain biomarkers to psychological stress.

Very little is known about the origins of cardiovascular risk factors like obesity and altered glucose metabolism and their development during childhood. Adolescence is a time when individuals develop their own health behaviors while gaining increasing autonomy from their parents and this development has an effect on their cardiovascular health later in life. The RIGHT Track Health Study is a longitudinal study that followed participants from age two through young adulthood in an effort to understand how self-regulatory behavior throughout childhood alters the trajectory of various cardiovascular risk factors during late adolescence via health behaviors. For this study, individuals in the RIGHT Track program were re-contacted and invited to participate in adolescent data collection in an effort to gain insight into the origins of behavior that could contribute to an increase in cardiovascular risk factors later in life. This information could be valuable to helping researchers and public health policy administrators target intervention efforts in early childhood, when preventing chronic diseases is most cost-effective and behavior is more malleable.

The researchers used an orthostatic challenge to assess autonomic function, via changes in participant’s heart rate variability (HRV), to a mild physiological stressor. This physical stressor was used as a way of comparing the autonomic function to the physiological stressor paradigms that participants underwent during their early developmental years as part of the RIGHT Track program. HRV measurements provided complementary information regarding the role of autonomic nervous system as a regulator of cardiac control. ECG and respiration recorded using a BioNomadix wireless amplifier set with wearable transmitter to collect HRV at rest. Physiological signals were sent to a BIOPAC MP150 Research System with AcqKnowledge software for collecting and exporting the data in real time.

Data from the RIGHT Track Health Study will provide valuable information for youth healthcare about how health behaviors developed during an individual’s adolescence—such as diet, physical activity, sleep and substance abuse—can later affect cardiovascular health and potentially indicate critical times for reducing certain cardiovascular risk factors by assessing their trajectories.