Associations of Cardiovascular Health Metrics in Childhood and Adolescence With Arterial Health Indicators in Adolescence : The PANIC Study
Kraav, J., Zagura, M., Viitasalo, A., Soininen, S., Veijalainen, A., Kähönen, M., Jürimäe, J., Tillmann, V., Haapala, E., & Lakka, T. (2024). Associations of Cardiovascular Health Metrics in Childhood and Adolescence With Arterial Health Indicators in Adolescence : The PANIC Study. Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease, Early online. https://doi.org/10.1161/JAHA.124.035790
Julkaistu sarjassa
Journal of the American Heart Association Cardiovascular and Cerebrovascular DiseaseTekijät
Päivämäärä
2024Tekijänoikeudet
© 2024 The Author(s). Published on behalf of the American Heart Association, Inc., by Wiley.
Background
Our aim was to assess the relationships of cardiovascular health metrics, cardiorespiratory fitness, lean mass, and fat percentage with arterial structure and function from childhood to adolescence.
Methods and Results
Five hundred four children aged 6 to 9 years were examined in the PANIC (Physical Activity and Nutrition in Children) study at baseline, 2 and 8 years later. The associations of adjusted American Heart Association cardiovascular health metrics (smoking status, body mass index—SD score, moderate‐to‐vigorous physical activity, diet quality, plasma total cholesterol, systolic blood pressure, plasma glucose categorized into poor, intermediate, and ideal), the American Heart Association cardiovascular health score, cardiorespiratory fitness measured by maximal oxygen uptake in a bicycle exercise test, lean mass and fat percentage with carotid intima–media thickness (cIMT) and pulse wave velocity (PWV) were analyzed cross‐sectionally and longitudinally in 277 participants at age 15 to 17 years. Higher American Heart Association cardiovascular health score at baseline was associated with lower PWV at 8‐year follow‐up (ß, −0.19 [95% CI, –0.32 to −0.05]). Higher body mass index—SD score and systolic blood pressure were associated with higher cIMT (ß, 0.18 [95% CI, 0.05–0.31]); and (ß, 0.13 [95% CI, 0.00–0.25]; respectively) and PWV (ß, 0.20 [95% CI, 0.07–0.34]) and (ß, 0.13 [95% CI, 0.00–0.26]; respectively) at 8‐year follow‐up. Higher moderate‐to‐vigorous physical activity was associated with higher cIMT (ß, 0.25 [95% CI, 0.07–0.43]); yet lower PWV (ß, −0.25 [95% CI, ‐0.44 to ‐0.06]) at 8‐year follow‐up. Better cardiorespiratory fitness (ß, 0.29 [95% CI, 0.08–0.51]) and higher lean mass (ß, 0.51 [95% CI, 0.03–0.98]) were associated with higher cIMT after accounting for American Heart Association cardiovascular health score at 8‐year follow‐up.
Conclusions
While our results suggest that higher cardiometabolic risk factors in childhood may exert unfavorable effects on arterial health during adolescence, we demonstrated the complexity of relationships between cardiovascular health metrics and arterial health indicators in childhood and adolescence. We found different associations of cardiovascular health metrics with cIMT and PWV in childhood and adolescence, calling for caution when interpreting the results of various cardiovascular risk factors with measures of arterial health, particularly in youth.
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Julkaisija
John Wiley & SonsISSN Hae Julkaisufoorumista
2047-9980Asiasanat
Julkaisu tutkimustietojärjestelmässä
https://converis.jyu.fi/converis/portal/detail/Publication/243867492
Metadata
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Lisätietoja rahoituksesta
The PANIC Study has been financially supported by grants from Ministry of Education and Culture of Finland, Ministry of Social Affairs and Health of Finland, Academy of Finland, Research Committee of the Kuopio University Hospital Catchment Area (State Research Funding), Finnish Innovation Fund Sitra, Social Insurance Institution of Finland, Finnish Cultural Foundation, Foundation for Pediatric Research, Diabetes Research Foundation in Finland, Finnish Foundation for Cardiovascular Research, Juho Vainio Foundation, Paavo Nurmi Foundation, Yrjö Jahnsson Foundation, and the city of Kuopio. S. Soininen was supported by a personal grant from Orion Research Foundation sr. The current study was also supported by the Estonian Ministry of Education and Research institutional grant PRG 1428. ...Lisenssi
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