Endothelial function and mechanical arterial properties in children born small for gestational age: comparison with

B Jouret1, Y Dulac, R Bassil Eter

  • 1Division of Endocrinology, Genetics, Gynecology and Bone Diseases, Children's Hospital, 330 avenue de Grande Bretagne,Toulouse Cedex 9, France.

Insights

Children born small for gestational age (SGA) exhibit endothelial dysfunction, a key indicator of early cardiovascular risk. Despite normal intima-media thickness, their arterial function is impaired compared to controls.

Area of Science:

  • Pediatric Cardiology
  • Vascular Biology
  • Developmental Pediatrics

Background:

  • Children born small for gestational age (SGA) are at risk for early cardiovascular events.
  • Atherosclerosis development may be preceded by early vascular changes in SGA children.

Purpose of the Study:

  • To detail the mechanical and functional arterial properties of SGA children.
  • To compare SGA children with obese children and controls to assess vascular dysfunction severity.

Main Methods:

  • Inclusion of three groups: SGA (n=60), obese (n=49), and controls (n=55), aged 7-15 years.
  • Carotid and brachial artery measurements using ultrasound and flow-mediated dilation.
  • Biological measurements in SGA and obese groups.

Main Results:

  • SGA children had lower blood pressure and intima-media thickness than obese children (p < 0.001, p = 0.004).
  • Flow-mediated dilation was significantly reduced in SGA children compared to both obese children and controls (p < 0.001).

Conclusions:

  • Children born SGA demonstrate endothelial dysfunction.
  • Intima-media thickness remains normal in SGA children despite functional arterial impairment.
Abstract

Related Concept Videos