Increased arterial stiffness is found in adolescents with obesity or obesity-related type 2 diabetes mellitus.

Abstract:

OBJECTIVE:Adults with obesity or obesity-related type 2 diabetes (T2DM) are at higher risk for cardiovascular disease possibly due to increased arterial stiffness. We sought to determine if arterial stiffness is increased in youth with obesity or T2DM as compared with lean controls. METHODS:Youth age 10-24 years (N = 670, 62% non-Caucasian, 35% male) were examined. They were stratified by the 85th% of BMI as lean (L=241), obese (O=234) or obese with T2DM (T2DM=195). Questionnaire, anthropometric, BP, laboratory (fasting glucose, insulin, HbA1c, lipids, CRP), physical activity, and DXA were collected. Brachial artery distensibility (BrachD), pulse wave velocity (PWV) and augmentation index (AIx) were measured. Group differences were evaluated by ANOVA. General linear multivariate models were constructed to elucidate independent determinates of arterial stiffness. RESULTS:CV risk profile deteriorated from L to O to T2DM group. There was a progressive increase in AIx and PWV-trunk with progressive decline in BrachD from L to O to T2DM individuals (all P < 0.05). Group (status as L, O or T2DM) was an independent predictor of arterial stiffness even after adjusting for CV risk factors. CONCLUSION:Arterial stiffness is increased in young individuals with obesity and obesity-related T2DM even after correction for risk factors.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Urbina EM,Kimball TR,Khoury PR,Daniels SR,Dolan LM

doi

10.1097/HJH.0b013e32833a6132

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

1692-8

issue

8

eissn

0263-6352

issn

1473-5598

pii

00004872-201008000-00014

journal_volume

28

pub_type

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