الفهرس 
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Abstract
Epidemiological studies indicate that aerobic fitness, degree of body fatness and tht patterning are important predictors of cardiovascular disease (Hubcrt et al., 1983 and Blair et al., 1989). There is evidence that cardiovascular disease orginates during childhood. For example, it has been reported that blood pressure and lipids in youth are strongly associated with coronary artery fatty streaks measured during autopsy in young adults (Newman et al., 1986). Therefore it is of interest to examine the influence of parameters such as fitness, fatness and fat patterning on blood ixessure and lipids iii children.
Recent cvidence that Egyptian children are becoming fatter (Aim El 1-lasan ct a!., 1990) and so pediatric hypertension associated with obesity is more, with suggest that the next generation may suffer from a good deal of preventable cardiovascular disease.
Blood pressure is a major cardiovascular risk factor, which in adults is related inversely to aerobic fitness and directly to fatness. (Blair et al., 1985) specially fat deposited centrally rather than peripherally (Blair et iii., 1989). Some evidence is emerging that these relationships also exist in children (Wilson et al., 1985) and there is tendency for blood pressure, thtness, plasma lipids and to some degree physical activity to “Track1’ over tile years (Ku et a!., 1986 and Shasha et al., 1988). Thus understanding and controlling blood pressure in young children may contribute to blood
pressure control later in life and for recognition of the early origins of cardiovascular disease. The National Heart, Lung and Blood Institute has fUnded several centres to study childrens activity and nutrition (SCAN). The C’olwnb:i University SCAN is a longitudinal Cohort study that began when the children were approximately 4 years old.
In our study we aim to investigate the separate and combined relations of fitness and fatness including fat patterning and plasma lipids with blood pressure in school aged Egyptian children in Sliarkia Governorate, in a cross sectional maimer.