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October 6, 2020AtherosclerosisOpen Access

Sex differences in impact of long-term burden and trends of body mass index and blood pressure from childhood to adulthood on arterial stiffness in adults: A 30-year cohort study

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Key result

Long-term BMI trends linked to increased arterial stiffening in adult males but not females.

  • P=0.019
  • n=1,553

Why the study?

Obesity and hypertension contribute to arterial stiffness, but sex differences in the impact of cumulative long-term burden and trends of BMI and BP since childhood on adult arterial stiffness needed investigation.

Does the long-term burden and trend of BMI and BP from childhood to adulthood impact arterial stiffness differently in males and females?

Population

1553 individuals aged 6-15 years examined 4 or more times for BMI and BP since childhood

Comparison

Long-term burden and trends of BMI and BP from childhood to adulthood evaluated by sex

Design

Longitudinal cohort study

Follow-up

30 years

Authors

YLYue‐Yuan LiaoMinistry of Education of the People's Republic of ChinaCCChao ChuGeneral / Preventive / LipidsYWYang WangAcademy of Military Medical Sciences

Discussion

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Implication

Incremental BMI trends linked to stiffness only in males; leaves open sex-specific prevention trials.

Study Design

Type

Cohort (n=1,553)

Structured PICO

Does the long-term burden and trend of BMI and BP from childhood to adulthood impact arterial stiffness differently in males and females?

P
Population
1,553 individuals aged 6-15 years at baseline, examined 4 or more times for BMI and BP since childhood
I
Intervention
Long-term burden (total AUC) and trends (incremental AUC) of body mass index (BMI) and blood pressure (BP) from childhood to adulthood
O
Outcome
Arterial stiffness in adulthood, measured by brachial-ankle pulse wave velocity (baPWV)surrogate

Main Result

p-value: p=0.019

Long-term increases in BMI from childhood to adulthood are associated with increased arterial stiffness in men but not women, whereas cumulative blood pressure burden increases stiffness in both sexes.

Cite This Study

Liao et al. (2020) conducted a cohort in Arterial stiffness (n=1,553). Long-term burden and trends of BMI and blood pressure was evaluated on Brachial-ankle pulse wave velocity (baPWV) in adulthood (p=0.019). Long-term trends in body mass index (incremental AUC) were associated with an increased risk of arterial stiffening in adult males but not females (p=0.019 for interaction).

synapsesocial.com/papers/6a0514affba2ba61ab55fcc8https://doi.org/10.1016/j.atherosclerosis.2020.10.003
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association between new anthropometric parameters and arterial stiffness based on brachial-ankle pulse wave velocity2019 · 44 citations
  2. 2Vascular aging and its relationship with lifestyles and other risk factors in the general Spanish population: Early Vascular Ageing Study2020 · 55 citations
  3. 3Common Carotid Artery Diameter and Risk of Cardiovascular Events and Mortality2018 · 63 citations
  4. 4Associations of risk factors in childhood with arterial stiffness 26 years later2017 · 59 citations
  5. 5Longitudinal Trajectories of Arterial Stiffness and the Role of Blood Pressure2013 · 423 citations