Inflammation, adiposity, and progression of arterial stiffness in adolescents with type 1 diabetes: The SEARCH CVD Study

We examined the association between inflammation and progression of arterial stiffness in a population of youth with type 1 diabetes (T1D). A total of 287 youth with T1D (median age 13 years) from SEARCH CVD, an ancillary study to the SEARCH for Diabetes in Youth, were included. Markers of inflammat...

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Veröffentlicht in:Journal of diabetes and its complications 2018-11, Vol.32 (11), p.995-999
Hauptverfasser: Alman, Amy C., Talton, Jennifer W., Wadwa, R. Paul, Urbina, Elaine M., Dolan, Lawrence M., Hamman, Richard F., D'Agostino, Ralph B., Marcovina, Santica M., Dabelea, Dana M.
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container_issue 11
container_start_page 995
container_title Journal of diabetes and its complications
container_volume 32
creator Alman, Amy C.
Talton, Jennifer W.
Wadwa, R. Paul
Urbina, Elaine M.
Dolan, Lawrence M.
Hamman, Richard F.
D'Agostino, Ralph B.
Marcovina, Santica M.
Dabelea, Dana M.
description We examined the association between inflammation and progression of arterial stiffness in a population of youth with type 1 diabetes (T1D). A total of 287 youth with T1D (median age 13 years) from SEARCH CVD, an ancillary study to the SEARCH for Diabetes in Youth, were included. Markers of inflammation (CRP, IL-6, fibrinogen, leptin, and adiponectin) and measures of pulse wave velocity (PWV) of the arm (PWV-R), trunk (PWV-T), and lower extremity (PWV-LE) were measured at baseline. Measures of PWV were repeated approximately five years later. PWV-R (0.50 m/s), PWV-T (0.65 m/s), and PWV-LE (1.0 m/s) significantly increased over the follow-up (p 
doi_str_mv 10.1016/j.jdiacomp.2018.08.004
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Paul ; Urbina, Elaine M. ; Dolan, Lawrence M. ; Hamman, Richard F. ; D'Agostino, Ralph B. ; Marcovina, Santica M. ; Dabelea, Dana M.</creator><creatorcontrib>Alman, Amy C. ; Talton, Jennifer W. ; Wadwa, R. Paul ; Urbina, Elaine M. ; Dolan, Lawrence M. ; Hamman, Richard F. ; D'Agostino, Ralph B. ; Marcovina, Santica M. ; Dabelea, Dana M.</creatorcontrib><description>We examined the association between inflammation and progression of arterial stiffness in a population of youth with type 1 diabetes (T1D). A total of 287 youth with T1D (median age 13 years) from SEARCH CVD, an ancillary study to the SEARCH for Diabetes in Youth, were included. Markers of inflammation (CRP, IL-6, fibrinogen, leptin, and adiponectin) and measures of pulse wave velocity (PWV) of the arm (PWV-R), trunk (PWV-T), and lower extremity (PWV-LE) were measured at baseline. Measures of PWV were repeated approximately five years later. PWV-R (0.50 m/s), PWV-T (0.65 m/s), and PWV-LE (1.0 m/s) significantly increased over the follow-up (p &lt; 0.001 for each). A significant interaction was found between waist circumference and fibrinogen (p = 0.036) on the progression of PWV-T, suggesting that fibrinogen is more strongly associated with PWV progression in lean participants. Improved understanding of adiposity, inflammation, and functional changes in the vascular system in patients with T1D is crucial.</description><identifier>ISSN: 1056-8727</identifier><identifier>EISSN: 1873-460X</identifier><identifier>DOI: 10.1016/j.jdiacomp.2018.08.004</identifier><identifier>PMID: 30209019</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age ; Arterial stiffness ; Atherosclerosis ; Cardiovascular disease ; Cholesterol ; Cytokines ; Diabetes ; Fibrinogen ; Inflammation ; Insulin resistance ; Laboratories ; Lipoproteins ; Metabolism ; Population ; Proteins ; Pulse wave analysis ; Teenagers ; Triglycerides ; Type 1 diabetes mellitus ; Waist circumference ; Young adults</subject><ispartof>Journal of diabetes and its complications, 2018-11, Vol.32 (11), p.995-999</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. 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Paul</creatorcontrib><creatorcontrib>Urbina, Elaine M.</creatorcontrib><creatorcontrib>Dolan, Lawrence M.</creatorcontrib><creatorcontrib>Hamman, Richard F.</creatorcontrib><creatorcontrib>D'Agostino, Ralph B.</creatorcontrib><creatorcontrib>Marcovina, Santica M.</creatorcontrib><creatorcontrib>Dabelea, Dana M.</creatorcontrib><title>Inflammation, adiposity, and progression of arterial stiffness in adolescents with type 1 diabetes: The SEARCH CVD Study</title><title>Journal of diabetes and its complications</title><addtitle>J Diabetes Complications</addtitle><description>We examined the association between inflammation and progression of arterial stiffness in a population of youth with type 1 diabetes (T1D). A total of 287 youth with T1D (median age 13 years) from SEARCH CVD, an ancillary study to the SEARCH for Diabetes in Youth, were included. Markers of inflammation (CRP, IL-6, fibrinogen, leptin, and adiponectin) and measures of pulse wave velocity (PWV) of the arm (PWV-R), trunk (PWV-T), and lower extremity (PWV-LE) were measured at baseline. Measures of PWV were repeated approximately five years later. PWV-R (0.50 m/s), PWV-T (0.65 m/s), and PWV-LE (1.0 m/s) significantly increased over the follow-up (p &lt; 0.001 for each). A significant interaction was found between waist circumference and fibrinogen (p = 0.036) on the progression of PWV-T, suggesting that fibrinogen is more strongly associated with PWV progression in lean participants. 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Markers of inflammation (CRP, IL-6, fibrinogen, leptin, and adiponectin) and measures of pulse wave velocity (PWV) of the arm (PWV-R), trunk (PWV-T), and lower extremity (PWV-LE) were measured at baseline. Measures of PWV were repeated approximately five years later. PWV-R (0.50 m/s), PWV-T (0.65 m/s), and PWV-LE (1.0 m/s) significantly increased over the follow-up (p &lt; 0.001 for each). A significant interaction was found between waist circumference and fibrinogen (p = 0.036) on the progression of PWV-T, suggesting that fibrinogen is more strongly associated with PWV progression in lean participants. Improved understanding of adiposity, inflammation, and functional changes in the vascular system in patients with T1D is crucial.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30209019</pmid><doi>10.1016/j.jdiacomp.2018.08.004</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-3609-2595</orcidid><oa>free_for_read</oa></addata></record>
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source Elsevier ScienceDirect Journals
subjects Age
Arterial stiffness
Atherosclerosis
Cardiovascular disease
Cholesterol
Cytokines
Diabetes
Fibrinogen
Inflammation
Insulin resistance
Laboratories
Lipoproteins
Metabolism
Population
Proteins
Pulse wave analysis
Teenagers
Triglycerides
Type 1 diabetes mellitus
Waist circumference
Young adults
title Inflammation, adiposity, and progression of arterial stiffness in adolescents with type 1 diabetes: The SEARCH CVD Study
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