Ambulatory hemodynamic patterns, obesity, and pulse wave velocity in children and adolescents

Stabouli, Stella; Kollios, Konstantinos; Nika, Thomaitsa; Chrysaidou, Katerina; Tramma, Despoina; Kotsis, Vasilios

doi:10.1007/s00467-020-04694-1

Cited by 17 publications

(13 citation statements)

References 49 publications

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“…35 Overweight and obesity status are also associated with increased ABP. 36 Activity increases BP; therefore, ABP values are higher than resting clinic BP measurements. One study found that increased physical activity as measured by actigraphy was positively correlated with increases in SBP, diastolic BP (DBP), and heart rate on 24-hour ABPM.…”

Section: Determinants Of Abpmentioning

confidence: 95%

Ambulatory Blood Pressure Monitoring in Children and Adolescents: 2022 Update: A Scientific Statement From the American Heart Association

Flynn¹,

Urbina²,

Brady³

et al. 2022

Hypertension

122

189

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Use of ambulatory blood pressure monitoring in children and adolescents has markedly increased since publication of the last American Heart Association scientific statement on pediatric ambulatory blood pressure monitoring in 2014. In addition, there has also been significant expansion of the evidence base for use of ambulatory blood pressure monitoring in the pediatric population, including new data linking ambulatory blood pressure levels with the development of blood pressure–related target organ damage. Last, additional data have recently been published that enable simplification of the classification of pediatric ambulatory monitoring studies. This scientific statement presents a succinct review of this new evidence, guidance on optimal application of ambulatory blood pressure monitoring in the clinical setting, and an updated classification scheme for the interpretation of ambulatory blood pressure monitoring in children and adolescents. We also highlight areas of uncertainty where additional research is needed.

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Section: Determinants Of Abpmentioning

confidence: 95%

Ambulatory Blood Pressure Monitoring in Children and Adolescents: 2022 Update: A Scientific Statement From the American Heart Association

Flynn¹,

Urbina²,

Brady³

et al. 2022

Hypertension

122

189

View full text Add to dashboard Cite

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“…Evaluation of results of reported multivariable regression analyses suggested that different indices of BP were independently associated with cfPWV in 12 of 13 (92%) studies [16–22,24–28]. SBP measured using any method including office BP, ABPM or central BP, showed the strongest association with cfPWV (eight studies, 66%) [16,18,21,22,24–27].…”

Section: Resultsmentioning

confidence: 99%

“…Five (38.5%) studies employed indirect method to measure cfPWV (brachial oscillometry with transfer function) [21,22,[24][25][26]. Two (15%) studies used z scores to report cfPWV, the mean of which was over 99th percentile in children with hypertension [23,25]. Carotid-femoral PWV was compared with normotensive CYP in 10 studies, with 9 (90%) studies reporting higher cfPWV in children with elevated BP [16][17][18][19][20][21][22][23]26,27].…”

Section: Carotid-femoral Pulse Wave Velocitymentioning

confidence: 99%

“…Age range of participants was 4-25 years (reported in 11 studies), 50% were male and 30% had elevated BP. Five (38.5%) studies employed indirect method to measure cfPWV (brachial oscillometry with transfer function) [21,22,[24][25][26]. Two (15%) studies used z scores to report cfPWV, the mean of which was over 99th percentile in children with hypertension [23,25].…”

Section: Carotid-femoral Pulse Wave Velocitymentioning

confidence: 99%

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Disparities between determinants of impaired vascular structure and function in young people with primary hypertension: a systematic review

Ažukaitis

Sinha

Obrycki

et al. 2022

Journal of Hypertension

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Objective: Early effects of primary hypertension on arterial structure and function in children and young people (CYP) and their determinants remain elusive. We aimed to review independent determinants of carotid intima-media thickness (cIMT), carotid wall cross-sectional area (WCSA) and carotid-femoral pulse wave velocity (cfPWV) in CYP with primary hypertension.Methods: We performed a systematic review of studies reporting multivariable analysis of cfPWV, cIMT and WCSA in CYP (up to 25 years of age) with primary hypertension. Literature search was performed in PubMed database and 13, 12 and two articles including 3860 (age range 4-25 years, 50% male individuals), 2038 children (5-25 years, 55% male individuals) and 136 children (5-17 years, 85% male individuals) were selected for final analysis of cfPWV, cIMT and WCSA, respectively.Results: Ninety and 86% of the studies reported higher cfPWV and cIMT in CYP with elevated blood pressure (BP) compared with normotensive controls. Different indices of BP were positively associated with cfPWV in 92% of studies, whereas BMI showed association in 31%. Carotid IMT associated with BP indices in 50% and with BMI in 25% of the studies. WCSA was studied longitudinally and its improvement associated with decrease in measures of central obesity. Conclusion:We found a disparity between the determinants of structural and functional impairment of arterial tree in CYP with primary hypertension. In contrast to cIMT and WCSA, increase of cfPWV is almost exclusively determined by BP.

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“…It is informed that in the study that obesity or overweight, low physical activity, and consumption of fatty foods increase the risk of hypertension [12][13][14] . Not only in adults, but previous studies have also informed that obesity in children and adolescents has also been found to increase the risk of hypertension 15 . On the other hand, besides physical activity, risky lifestyles such as smoking and drinking alcohol are also reported to increase the risk of hypertension 16,17 .…”

Section: Figure 2 Scatter Plot Of Prevalence Of Obesity and Prevalence Of Hypertension By Province In Indonesia 2018mentioning

confidence: 99%

Hypertension in Indonesia in 2018: An Ecological Analysis

Azizah Andzar Ridwanah,

Hario Megatsari,

Agung Dwi Laksono

2021

Indian Journal of Forensic Medicine & Toxicology

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Hypertension is a degenerative disease that is often found in conjunction with other degenerative diseases. The study was aimed at analyzing ecologically the factors related to the prevalence of hypertension in Indonesia. The study was conducted using secondary data from the 2018 Indonesia Basic Health Survey. All provinces were taken as samples. Apart from the prevalence of hypertension, 4 other variables analyzed as independent variables were the prevalence of obesity, the percentage of the population with less physical activity, the percentage of daily smokers, and the percentage of the population with salty food consumption habits ≥ 1 per day. Data were analyzed using a scatter plot. The results of the study found that the higher the prevalence of obesity in a province, the higher the prevalence of hypertension in that province. The higher the percentage of the population with less physical activity in a province, the higher the prevalence of hypertension in that province. The higher the percentage of daily smokers in a province, the higher the prevalence of hypertension in that province. The higher the percentage of the population with salty food consumption habits ≥ 1 per day, the higher the prevalence of hypertension in that province. It was concluded that the four independent variables analyzed ecologically were positively related to the prevalence of hypertension in Indonesia.

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Ambulatory hemodynamic patterns, obesity, and pulse wave velocity in children and adolescents

Cited by 17 publications

References 49 publications

Ambulatory Blood Pressure Monitoring in Children and Adolescents: 2022 Update: A Scientific Statement From the American Heart Association

Ambulatory Blood Pressure Monitoring in Children and Adolescents: 2022 Update: A Scientific Statement From the American Heart Association

Disparities between determinants of impaired vascular structure and function in young people with primary hypertension: a systematic review

Hypertension in Indonesia in 2018: An Ecological Analysis

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