Key result
Assisted reproductive technology shows no association with increased arterial stiffness versus spontaneous conception.
Why the study?
Multiple studies reported signs of vascular dysfunction in subjects conceived through assisted reproductive technologies, but arterial stiffness assessment in this cohort was lacking.
Does conception through assisted reproductive technologies increase arterial stiffness in children and adolescents compared to spontaneous conception?
Cross-Sectional (n=153)
No
Does conception through assisted reproductive technologies increase arterial stiffness in children and adolescents compared to spontaneous conception?
Children and adolescents conceived through ART do not display significantly increased arterial stiffness compared to spontaneously conceived peers, though they may have a tendency toward higher systolic blood pressure.
Arterial stiffness evaluation may aid risk stratification in ART offspring; hypothesis-generating and requires prospective validation before clinical use.
Multiple studies reported signs of vascular dysfunction in subjects conceived through assisted reproductive technologies (ART). The assessment of arterial stiffness in this cohort seems beneficial for risk stratification. Regional arterial stiffness of the abdominal aorta (AAO) and the common carotid arteries (CCA) was evaluated sonographically using two-dimensional speckle tracking in subjects conceived through ART and spontaneously conceived peers. Global arterial stiffness was assessed utilizing an oscillometric blood pressure device. The cohorts of 67 ART subjects and 86 spontaneously conceived peers (11.31 (8.10–18.20) years vs. 11.85 (8.72–18.27) years, p = 0.43) did not differ significantly in parameters of regional and global arterial stiffness. In the sub-analysis of study participants ≥10 years of age, markers of arterial stiffness did not display significant differences between both groups. However, a higher tendency of brachial systolic blood pressure was demonstrated in the ART cohort compared to the control group (120.18 ± 9.57 mmHg vs. 116.55 ± 8.05 mmHg, p = 0.050). The present study displayed no significant differences in arterial stiffness between ART subjects and spontaneously conceived peers. Moreover, this study suggests that arterial stiffness does not elevate more profoundly in ART subjects with increasing age. Further studies are required for a more detailed cardiovascular risk stratification of the ART cohort.
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Langer et al. (2022) conducted a cross-sectional in Conception via Assisted Reproductive Technologies (n=153). Assisted Reproductive Technologies (ART) vs. Spontaneous conception was evaluated on Pulse wave velocity (PWV, m/s) (p=0.88). Conception through assisted reproductive technologies was not associated with significant differences in regional or global arterial stiffness compared to spontaneous conception.
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