OBJECTIVE: To determine the role of pubertal status on microvascular function in healthy children and adolescents. STUDY DESIGN: Children and adolescents (n = 112; age 10-16 years) were investigated in 2 separate prospective cross-sectional studies. The main outcome measure was microvascular function, assessed by peripheral arterial tonometry to determine the reactive hyperemic index (RHI). Physical activity was assessed using 7-day recall in one study and accelerometry in the other study. Subjects were grouped based on their self-assessed pubertal status according to Tanner stage: group 1 (prepuberty, Tanner I), group 2 (mid-puberty, Tanner II/III), and group 3 (late puberty, Tanner IV/V). Stepwise multiple regression analysis was performed to identify independent predictors of the RHI. RESULTS: Complete data were available for 94 subjects (55 females) with a median (IQR) age of 14 (3.0) years and a mean body mass index of 19.0 ± 3.63 kg·m(-2). Significant correlations with RHI were observed for Tanner stage (r = 0.569; P < .001), age (r = 0.567; P < .001), stature (r = 0.553; P < .001), systolic blood pressure (r = 0.494; P < .001), and body mass index (r = 0.309; P = .001), but not for sex and moderate-to-vigorous physical activity. In stepwise regression analysis, pubertal status was the only independent predictor of microvascular function (R(2) = 0.242; β = 0.492; P < .001). Prepubertal children (group 1) had a significantly lower RHI [1.14 (0.24)] compared with group 2 [1.65 (0.57)] and group 3 [1.70 (0.75)] (all P < .001). CONCLUSION: Pubertal status was the main predictor of microvascular function in healthy children and adolescents. Future studies investigating microvascular function in this age group should assess and control for pubertal maturation.
OBJECTIVE: To determine the role of pubertal status on microvascular function in healthy children and adolescents. STUDY DESIGN:Children and adolescents (n = 112; age 10-16 years) were investigated in 2 separate prospective cross-sectional studies. The main outcome measure was microvascular function, assessed by peripheral arterial tonometry to determine the reactive hyperemic index (RHI). Physical activity was assessed using 7-day recall in one study and accelerometry in the other study. Subjects were grouped based on their self-assessed pubertal status according to Tanner stage: group 1 (prepuberty, Tanner I), group 2 (mid-puberty, Tanner II/III), and group 3 (late puberty, Tanner IV/V). Stepwise multiple regression analysis was performed to identify independent predictors of the RHI. RESULTS: Complete data were available for 94 subjects (55 females) with a median (IQR) age of 14 (3.0) years and a mean body mass index of 19.0 ± 3.63 kg·m(-2). Significant correlations with RHI were observed for Tanner stage (r = 0.569; P < .001), age (r = 0.567; P < .001), stature (r = 0.553; P < .001), systolic blood pressure (r = 0.494; P < .001), and body mass index (r = 0.309; P = .001), but not for sex and moderate-to-vigorous physical activity. In stepwise regression analysis, pubertal status was the only independent predictor of microvascular function (R(2) = 0.242; β = 0.492; P < .001). Prepubertal children (group 1) had a significantly lower RHI [1.14 (0.24)] compared with group 2 [1.65 (0.57)] and group 3 [1.70 (0.75)] (all P < .001). CONCLUSION: Pubertal status was the main predictor of microvascular function in healthy children and adolescents. Future studies investigating microvascular function in this age group should assess and control for pubertal maturation.
Authors: Lisa C Hudgins; Vidhya Annavajjhala; Arzu Kovanlikaya; Maura D Frank; Aliza Solomon; Thomas S Parker; Rubin S Cooper Journal: Cardiol Young Date: 2015-05-05 Impact factor: 1.093
Authors: Luc Bruyndonckx; Vicky Y Hoymans; Amaryllis H Van Craenenbroeck; Dirk K Vissers; Christiaan J Vrints; José Ramet; Viviane M Conraads Journal: Oxid Med Cell Longev Date: 2013-04-03 Impact factor: 6.543
Authors: Carolina Bastos da Cunha; Fernando Sicuro; Priscila Alves Maranhão; Marcos Antonio Borges; Fátima Z Cyrino; Fernanda Mussi Gazolla; Isabel Rey Madeira; Maria Alice Neves Bordallo; Eliete Bouskela; Luiz Guilherme Kraemer-Aguiar Journal: J Endocr Soc Date: 2017-06-09