Increased rate of arterial stiffening with obesity in adolescents: a five-year follow-up study

We prospectively and longitudinally determined the effects of childhood obesity on arterial stiffening and vascular wall changes. Changes in arterial stiffness measured as pulse wave velocity (PWV) and vascular morphology of the radial (RA) and dorsal pedal arteries (DPA) were examined in obese adol...

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Veröffentlicht in:PloS one 2013-02, Vol.8 (2), p.e57454-e57454
Hauptverfasser: Dangardt, Frida, Chen, Yun, Berggren, Krister, Osika, Walter, Friberg, Peter
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Chen, Yun
Berggren, Krister
Osika, Walter
Friberg, Peter
description We prospectively and longitudinally determined the effects of childhood obesity on arterial stiffening and vascular wall changes. Changes in arterial stiffness measured as pulse wave velocity (PWV) and vascular morphology of the radial (RA) and dorsal pedal arteries (DPA) were examined in obese adolescents compared to lean subjects in a 5-year follow-up study. A total of 28 obese subjects and 14 lean controls participated in both baseline (14 years old) and follow-up studies. PWV was measured by tonometer (SphygmoCor®) and recorded at RA and carotid artery, respectively. Intima thickness (IT), intima-media thickness (IMT) and RA and DPA diameters were measured using high-resolution ultrasound (Vevo 770™). Over the course of 5 years, PWV increased by 25% in the obese subjects as compared to 3% in the controls (p = 0.01). Diastolic blood pressure (DBP) increased by 23% in the obese subjects as opposed to 6% in controls (p = 0.009). BMI increased similarly in both groups, as did the IT and IMT. The change in PWV was strongly associated to the baseline BMI z -score (r = 0.51, p
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Changes in arterial stiffness measured as pulse wave velocity (PWV) and vascular morphology of the radial (RA) and dorsal pedal arteries (DPA) were examined in obese adolescents compared to lean subjects in a 5-year follow-up study. A total of 28 obese subjects and 14 lean controls participated in both baseline (14 years old) and follow-up studies. PWV was measured by tonometer (SphygmoCor®) and recorded at RA and carotid artery, respectively. Intima thickness (IT), intima-media thickness (IMT) and RA and DPA diameters were measured using high-resolution ultrasound (Vevo 770™). Over the course of 5 years, PWV increased by 25% in the obese subjects as compared to 3% in the controls (p = 0.01). Diastolic blood pressure (DBP) increased by 23% in the obese subjects as opposed to 6% in controls (p = 0.009). BMI increased similarly in both groups, as did the IT and IMT. The change in PWV was strongly associated to the baseline BMI z -score (r = 0.51, p&lt;0.001), as was the change in DBP (r = 0.50, p = 0.001). During the transition from early to late adolescence, there was a general increase in arterial stiffness, which was aggravated by childhood obesity. 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Changes in arterial stiffness measured as pulse wave velocity (PWV) and vascular morphology of the radial (RA) and dorsal pedal arteries (DPA) were examined in obese adolescents compared to lean subjects in a 5-year follow-up study. A total of 28 obese subjects and 14 lean controls participated in both baseline (14 years old) and follow-up studies. PWV was measured by tonometer (SphygmoCor®) and recorded at RA and carotid artery, respectively. Intima thickness (IT), intima-media thickness (IMT) and RA and DPA diameters were measured using high-resolution ultrasound (Vevo 770™). Over the course of 5 years, PWV increased by 25% in the obese subjects as compared to 3% in the controls (p = 0.01). Diastolic blood pressure (DBP) increased by 23% in the obese subjects as opposed to 6% in controls (p = 0.009). BMI increased similarly in both groups, as did the IT and IMT. The change in PWV was strongly associated to the baseline BMI z -score (r = 0.51, p&lt;0.001), as was the change in DBP (r = 0.50, p = 0.001). During the transition from early to late adolescence, there was a general increase in arterial stiffness, which was aggravated by childhood obesity. The increase in arterial stiffness and DBP after 5 years was closely correlated to the baseline BMI z -score, indicating that childhood obesity has an adverse impact on vascular adaptation.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23451232</pmid><doi>10.1371/journal.pone.0057454</doi><tpages>e57454</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescent obesity
Adolescents
all-cause
Arteries
Blood Flow Velocity - physiology
Blood pressure
Body mass
Body mass index
cardiovascular risk-factors
Carotid Arteries - pathology
Carotid artery
Case-Control Studies
childhood
Childhood obesity
Children
Comparative analysis
Follow-Up Studies
Fysiologi och anatomi
Health risk assessment
Humans
Longitudinal Studies
Medicine
Obesity
Obesity - pathology
Physiology and Anatomy
Prospective Studies
pulse-wave velocity
Stiffening
Stiffness
Teenagers
Tunica Intima - pathology
Ultrasound
Vascular Stiffness - physiology
Veins & arteries
wall thickness
Wave velocity
young finns
Youth
title Increased rate of arterial stiffening with obesity in adolescents: a five-year follow-up study
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