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Title:

Body Weight and Not Exercise Capacity Determines Central Systolic Blood Pressure, a Surrogate for Arterial Stiffness, in Children and Adolescents.

Document type:
Journal Article
Author(s):
Müller, Jan; Meyer, Joanna; Elmenhorst, Julia; Oberhoffer, Renate
Abstract:
Cardiopulmonary fitness benefits cardiovascular health. Various studies have shown a strong negative correlation between exercise capacity and arterial stiffness in adults. However, evidence for this connection in children and adolescents is scarce. About 320 healthy children and adolescents (252 male, 14.0±2.1 years) were evaluated with regard to their demographic, anthropometric and hemodynamic parameters, and their peak oxygen uptake. Peripheral and central systolic blood pressures were measured with patients in a supine position using an oscillometric device. Peak oxygen uptake was assessed by cardiopulmonary exercise testing. In multivariate regression, only peripheral systolic blood pressure (?=0.653, P<.001) and body weight (?=0.284, P<.001) emerged as independent determinants for central systolic blood pressure. Body weight therefore determines central systolic blood pressure in children and adolescents rather than measures of cardiorespiratory fitness. The prevention of overweight in childhood is necessary to reduce stiffening of the arteries and delay the onset of cardiovascular disease.
Journal title abbreviation:
J Clin Hypertens (Greenwich)
Year:
2016
Journal volume:
18
Journal issue:
8
Pages contribution:
762-5
Language:
eng
Fulltext / DOI:
doi:10.1111/jch.12754
Pubmed ID:
http://view.ncbi.nlm.nih.gov/pubmed/26689169
Print-ISSN:
1524-6175
TUM Institution:
Klinik für Kinderkardiologie und angeborene Herzfehler (Prof. Hess)
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