کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2957335 1578098 2007 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Overweight and hyperinsulinemia provide individual contributions to compromises in brachial artery distensibility in healthy adolescents and young adults
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی سیستم های درون ریز و اتونومیک
پیش نمایش صفحه اول مقاله
Overweight and hyperinsulinemia provide individual contributions to compromises in brachial artery distensibility in healthy adolescents and young adults
چکیده انگلیسی

Brachial artery distensibility (BrachD) was measured in healthy children to identify associations with atherosclerotic risk factors. Nine hundred sixty-nine black and white subjects, 13–22 years of age, were classified as lean (L) or overweight (O) and as hyperinsulinemic (H-I) or normoinsulinemic (N-I). Blood pressure (BP) and BrachD were obtained with a DynaPulse Pathway instrument. Analysis of variance was performed, looking for group mean differences. Correlations between BrachD and risk variables were examined. Determinates of BrachD were determined by backward elimination regression, stratified by body mass index (BMI)-insulin group. Decreased BrachD correlated with male gender, O, higher BP, heart rate, fasting glucose, and log of fasting insulin after adjusting for pulse pressure (PP). BrachD was greatest in L+N-I, with progressive decreases seen in L+H-I, O+N-I, and O+H-I subjects. Regression modeling found that PP and HR were major determinates of BrachD. Glucose was significant for subjects with N-I, regardless of adiposity. Excluding BP, glucose remained important in N-I subjects. Gender was significant for all. HR retained significance only in O subjects, regardless of insulin level. In healthy adolescents, hyperinsulinemia and obesity adversely affect brachial artery function, with overweight contributing to a greater degree. In normoinsulinemic subjects, fasting glucose was inversely related to BrachD. Metabolic factors may play a role in vascular function in youth.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Society of Hypertension - Volume 1, Issue 3, May–June 2007, Pages 200–207
نویسندگان
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