Abstract
OBJECTIVE: Most arterial stiffness studies have been conducted in adult populations as a part of the aging process in the arterial system. Arterial stiffness is an important early marker of disease identification that may lead to improved cardiovascular health. The aim of this study was to assess the gender and ethnic differences in the arterial stiffness levels among children and adolescents. DESIGN: From a subgroup of schoolchildren who participated in a prospective cohort study in Minnesota, Caucasian and African-American children who completed 16 timed visits were included in this report (n=487). The participants were followed from 1978 (7.68 +/- 0.72 years) to 1987 (16.65 +/- 0.71 years). A surrogate measure of arterial stiffness-arterial pulse pressure (APP in mmHg)--was used. RESULTS: Adjusted APP differences started to appear around 12.67 years and persisted throughout the study. Boys consistently had higher APP levels than the girls. Ethnic differences in adjusted APP levels were observed at an earlier age (7.68 years) but did not persist after age 10. CONCLUSION: APP levels were different between gender and ethnic groups in youth. These early indications of arterial stiffness warrant further exploration of arterial stiffness etiology.
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Selected References
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- Arnett D. K., Evans G. W., Riley W. A. Arterial stiffness: a new cardiovascular risk factor? Am J Epidemiol. 1994 Oct 15;140(8):669–682. doi: 10.1093/oxfordjournals.aje.a117315. [DOI] [PubMed] [Google Scholar]
- Arnett D. K., Glasser S. P., McVeigh G., Prineas R., Finklestein S., Donahue R., Cohn J. N., Sinaiko A. Blood pressure and arterial compliance in young adults: the Minnesota Children's Blood Pressure Study. Am J Hypertens. 2001 Mar;14(3):200–205. doi: 10.1016/s0895-7061(00)01262-0. [DOI] [PubMed] [Google Scholar]
- Asmar R. G., Brunel P. C., Pannier B. M., Lacolley P. J., Safar M. E. Arterial distensibility and ambulatory blood pressure monitoring in essential hypertension. Am J Cardiol. 1988 May 1;61(13):1066–1070. doi: 10.1016/0002-9149(88)90127-0. [DOI] [PubMed] [Google Scholar]
- Avolio A. P., Chen S. G., Wang R. P., Zhang C. L., Li M. F., O'Rourke M. F. Effects of aging on changing arterial compliance and left ventricular load in a northern Chinese urban community. Circulation. 1983 Jul;68(1):50–58. doi: 10.1161/01.cir.68.1.50. [DOI] [PubMed] [Google Scholar]
- Avolio A. P., Deng F. Q., Li W. Q., Luo Y. F., Huang Z. D., Xing L. F., O'Rourke M. F. Effects of aging on arterial distensibility in populations with high and low prevalence of hypertension: comparison between urban and rural communities in China. Circulation. 1985 Feb;71(2):202–210. doi: 10.1161/01.cir.71.2.202. [DOI] [PubMed] [Google Scholar]
- Bao W., Srinivasan S. R., Valdez R., Greenlund K. J., Wattigney W. A., Berenson G. S. Longitudinal changes in cardiovascular risk from childhood to young adulthood in offspring of parents with coronary artery disease: the Bogalusa Heart Study. JAMA. 1997 Dec 3;278(21):1749–1754. [PubMed] [Google Scholar]
- Benetos A., Safar M., Rudnichi A., Smulyan H., Richard J. L., Ducimetieère P., Guize L. Pulse pressure: a predictor of long-term cardiovascular mortality in a French male population. Hypertension. 1997 Dec;30(6):1410–1415. doi: 10.1161/01.hyp.30.6.1410. [DOI] [PubMed] [Google Scholar]
- Blankenhorn D. H., Kramsch D. M. Reversal of atherosis and sclerosis. The two components of atherosclerosis. Circulation. 1989 Jan;79(1):1–7. doi: 10.1161/01.cir.79.1.1. [DOI] [PubMed] [Google Scholar]
- Dwyer J. T., Stone E. J., Yang M., Feldman H., Webber L. S., Must A., Perry C. L., Nader P. R., Parcel G. S. Predictors of overweight and overfatness in a multiethnic pediatric population. Child and Adolescent Trial for Cardiovascular Health Collaborative Research Group. Am J Clin Nutr. 1998 Apr;67(4):602–610. doi: 10.1093/ajcn/67.4.602. [DOI] [PubMed] [Google Scholar]
- Folsom A. R., Burke G. L., Ballew C., Jacobs D. R., Jr, Haskell W. L., Donahue R. P., Liu K. A., Hilner J. E. Relation of body fatness and its distribution to cardiovascular risk factors in young blacks and whites. The role of insulin. Am J Epidemiol. 1989 Nov;130(5):911–924. doi: 10.1093/oxfordjournals.aje.a115424. [DOI] [PubMed] [Google Scholar]
- Franklin S. S., Khan S. A., Wong N. D., Larson M. G., Levy D. Is pulse pressure useful in predicting risk for coronary heart Disease? The Framingham heart study. Circulation. 1999 Jul 27;100(4):354–360. doi: 10.1161/01.cir.100.4.354. [DOI] [PubMed] [Google Scholar]
- Hirai T., Sasayama S., Kawasaki T., Yagi S. Stiffness of systemic arteries in patients with myocardial infarction. A noninvasive method to predict severity of coronary atherosclerosis. Circulation. 1989 Jul;80(1):78–86. doi: 10.1161/01.cir.80.1.78. [DOI] [PubMed] [Google Scholar]
- Hodes R. J., Lakatta E. G., McNeil C. T. Another modifiable risk factor for cardiovascular disease? Some evidence points to arterial stiffness. J Am Geriatr Soc. 1995 May;43(5):581–582. doi: 10.1111/j.1532-5415.1995.tb06111.x. [DOI] [PubMed] [Google Scholar]
- Johnson W. T., Salanga G., Lee W., Marshall G. A., Himelstein A. L., Wall S. J., Horwitz O. Arterial intimal embrittlement. A possible factor in atherogenesis. Atherosclerosis. 1986 Feb;59(2):161–171. doi: 10.1016/0021-9150(86)90045-6. [DOI] [PubMed] [Google Scholar]
- Kannel W. B., Wolf P. A., McGee D. L., Dawber T. R., McNamara P., Castelli W. P. Systolic blood pressure, arterial rigidity, and risk of stroke. The Framingham study. JAMA. 1981 Mar 27;245(12):1225–1229. [PubMed] [Google Scholar]
- Kelly R., Hayward C., Avolio A., O'Rourke M. Noninvasive determination of age-related changes in the human arterial pulse. Circulation. 1989 Dec;80(6):1652–1659. doi: 10.1161/01.cir.80.6.1652. [DOI] [PubMed] [Google Scholar]
- Kotchen J. M., Kotchen T. A., Guthrie G. P., Jr, Cottrill C. M., McKean H. E. Correlates of adolescent blood pressure at five-year follow-up. Hypertension. 1980 Jul-Aug;2(4 Pt 2):124–129. [PubMed] [Google Scholar]
- Laogun A. A., Gosling R. G. In vivo arterial compliance in man. Clin Phys Physiol Meas. 1982 Aug;3(3):201–212. doi: 10.1088/0143-0815/3/3/004. [DOI] [PubMed] [Google Scholar]
- Levenson J., Simon A. C., Cambien F. A., Beretti C. Cigarette smoking and hypertension. Factors independently associated with blood hyperviscosity and arterial rigidity. Arteriosclerosis. 1987 Nov-Dec;7(6):572–577. doi: 10.1161/01.atv.7.6.572. [DOI] [PubMed] [Google Scholar]
- Li Shengxu, Chen Wei, Srinivasan Sathanur R., Berenson Gerald S. Childhood blood pressure as a predictor of arterial stiffness in young adults: the bogalusa heart study. Hypertension. 2004 Jan 26;43(3):541–546. doi: 10.1161/01.HYP.0000115922.98155.23. [DOI] [PubMed] [Google Scholar]
- Liao D., Arnett D. K., Tyroler H. A., Riley W. A., Chambless L. E., Szklo M., Heiss G. Arterial stiffness and the development of hypertension. The ARIC study. Hypertension. 1999 Aug;34(2):201–206. doi: 10.1161/01.hyp.34.2.201. [DOI] [PubMed] [Google Scholar]
- Liu K., Ruth K. J., Flack J. M., Jones-Webb R., Burke G., Savage P. J., Hulley S. B. Blood pressure in young blacks and whites: relevance of obesity and lifestyle factors in determining differences. The CARDIA Study. Coronary Artery Risk Development in Young Adults. Circulation. 1996 Jan 1;93(1):60–66. doi: 10.1161/01.cir.93.1.60. [DOI] [PubMed] [Google Scholar]
- Madhavan S., Ooi W. L., Cohen H., Alderman M. H. Relation of pulse pressure and blood pressure reduction to the incidence of myocardial infarction. Hypertension. 1994 Mar;23(3):395–401. doi: 10.1161/01.hyp.23.3.395. [DOI] [PubMed] [Google Scholar]
- Naidu Madireddy Umamaheshwar Rao, Reddy Budda Muralidhar, Yashmaina Sridhar, Patnaik Amar Narayana, Rani Pingali Usha. Validity and reproducibility of arterial pulse wave velocity measurement using new device with oscillometric technique: a pilot study. Biomed Eng Online. 2005 Aug 23;4:49–49. doi: 10.1186/1475-925X-4-49. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Keefe J. H., Wetzel M., Moe R. R., Bronsnahan K., Lavie C. J. Should an angiotensin-converting enzyme inhibitor be standard therapy for patients with atherosclerotic disease? J Am Coll Cardiol. 2001 Jan;37(1):1–8. doi: 10.1016/s0735-1097(00)01044-5. [DOI] [PubMed] [Google Scholar]
- O'Rourke M. F. The arterial pulse in health and disease. Am Heart J. 1971 Nov;82(5):687–702. doi: 10.1016/0002-8703(71)90340-1. [DOI] [PubMed] [Google Scholar]
- Oliver James J., Webb David J. Noninvasive assessment of arterial stiffness and risk of atherosclerotic events. Arterioscler Thromb Vasc Biol. 2003 Feb 6;23(4):554–566. doi: 10.1161/01.ATV.0000060460.52916.D6. [DOI] [PubMed] [Google Scholar]
- Resnicow K., Morabia A. The relation between body mass index and plasma total cholesterol in a multiracial sample of US schoolchildren. Am J Epidemiol. 1990 Dec;132(6):1083–1090. doi: 10.1093/oxfordjournals.aje.a115751. [DOI] [PubMed] [Google Scholar]
- Riley W. A., Jr, Barnes R. W., Schey H. M. An approach to the noninvasive periodic assessment of arterial elasticity in the young. Prev Med. 1984 Mar;13(2):169–184. doi: 10.1016/0091-7435(84)90049-5. [DOI] [PubMed] [Google Scholar]
- Safar M. E. Systolic blood pressure, pulse pressure and arterial stiffness as cardiovascular risk factors. Curr Opin Nephrol Hypertens. 2001 Mar;10(2):257–261. doi: 10.1097/00041552-200103000-00015. [DOI] [PubMed] [Google Scholar]
- Smulyan H., Vardan S., Griffiths A., Gribbin B. Forearm arterial distensibility in systolic hypertension. J Am Coll Cardiol. 1984 Feb;3(2 Pt 1):387–393. doi: 10.1016/s0735-1097(84)80024-8. [DOI] [PubMed] [Google Scholar]
- WOOLAM G. L., SCHNUR P. L., VALLBONA C., HOFF H. E. The pulse wave velocity as an early indicator of atherosclerosis in diabetic subjects. Circulation. 1962 Mar;25:533–539. doi: 10.1161/01.cir.25.3.533. [DOI] [PubMed] [Google Scholar]
- Winkleby M. A., Robinson T. N., Sundquist J., Kraemer H. C. Ethnic variation in cardiovascular disease risk factors among children and young adults: findings from the Third National Health and Nutrition Examination Survey, 1988-1994. JAMA. 1999 Mar 17;281(11):1006–1013. doi: 10.1001/jama.281.11.1006. [DOI] [PubMed] [Google Scholar]
- de Simone G., Roman M. J., Daniels S. R., Mureddu G., Kimball T. R., Greco R., Devereux R. B. Age-related changes in total arterial capacitance from birth to maturity in a normotensive population. Hypertension. 1997 Jun;29(6):1213–1217. doi: 10.1161/01.hyp.29.6.1213. [DOI] [PubMed] [Google Scholar]
