Document Detail


Relationship between elevated arterial stiffness and increased left ventricular mass in adolescents and young adults.
MedLine Citation:
PMID:  21300369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether arterial stiffness relates to left ventricular mass (LVM) in adolescents and young adults.
STUDY DESIGN: Demographic, anthropometric, laboratory, echo, carotid ultrasound and arterial stiffness data were obtained in 670 subjects 10 to 24 years of age (35% male, 62% non-Caucasian). Global stiffness index (GSI) was calculated from five measures of carotid artery stiffness, augmentation index, brachial distensibility, and pulse wave velocity (1 point if ≥95th% for subjects with body mass index <85th%). Stiff arteries (S = 73) were defined as GSI ≥95th%. Differences between flexible (F = 597) and S groups were evaluated by t tests. Models were constructed to determine whether GSI was an independent determinant of LVM index or relative wall thickness (RWT).
RESULTS: The S group had more adverse cardiovascular risk factors, higher LVM index and RWT (P ≤ .05) with a trend for abnormal cardiac geometry. Independent determinants of LVM index were higher GSI, age, body mass index, systolic blood pressure, heart rate, glycated hemoglobin A1c, male sex, and sex-by-heart rate interaction (r(2) = 0.52; P ≤ .05). GSI was also an independent determinant of RWT.
CONCLUSIONS: Increased arterial stiffness in adolescents and young adults is associated with LVM index independently of traditional cardiovascular risk factors. Screening for arterial stiffness may be useful to identify high risk adolescents and young adults.
Authors:
Elaine M Urbina; Lawrence M Dolan; Connie E McCoy; Philip R Khoury; Stephen R Daniels; Thomas R Kimball
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  158     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-12     Completed Date:  2011-06-16     Revised Date:  2012-05-02    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  715-21     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 Mosby, Inc. All rights reserved.
Affiliation:
Department of Pediatrics, Cincinnati Children's Hospital & University of Cincinnati, Cincinnati, OH, USA. Elaine.Urbina@cchmc.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Blood Pressure / physiology
Body Mass Index*
Cardiovascular Diseases / epidemiology,  etiology,  physiopathology*
Carotid Arteries / physiopathology*,  ultrasonography
Child
Echocardiography
Female
Heart Ventricles / physiopathology,  ultrasonography*
Humans
Incidence
Male
Obesity / complications*,  epidemiology,  physiopathology
Risk Factors
Sex Factors
United States / epidemiology
Vascular Resistance / physiology*
Young Adult
Grant Support
ID/Acronym/Agency:
R01 HL076269/HL/NHLBI NIH HHS; R01 HL076269-04/HL/NHLBI NIH HHS; R01 HL105591-02/HL/NHLBI NIH HHS; UL1 RR026314/RR/NCRR NIH HHS
Comments/Corrections
Comment In:
J Pediatr. 2011 May;158(5):709-714.e1   [PMID:  21147488 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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