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Updated: May 22, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Are changes in conduit artery function associated with intima-medial thickness in young subjects?
Nicola Dominique Hopkins1, Inge van den Munckhof, Dick Henricus Julianus Thijssen
1Liverpool John Moores University, Liverpool, UK.
Insights
In children, impaired brachial artery endothelial function (flow-mediated dilation) did not predict carotid intima-medial thickness over 30 months. Arterial changes in youth may require longer observation before predicting atherosclerosis.
Area of Science:
- Pediatric cardiovascular health
- Vascular function assessment
- Atherosclerosis development
Background:
- Impaired brachial artery endothelial function (flow-mediated dilation, FMD) predicts cardiovascular events in adults.
- The relationship between FMD and carotid intima-medial thickness (cIMT) in young people is not well understood.
- This study investigated FMD and cIMT in children.
Purpose of the Study:
- To determine if impaired FMD predicts cIMT in children.
- To assess changes in FMD over a 30-month period.
- To explore the relationship between FMD changes and cIMT in a pediatric cohort.
Main Methods:
- High-resolution Doppler ultrasound was used to assess FMD and cIMT in 53 children (aged 10.3 ± 0.3 years).
- FMD was measured at baseline, 4 months, and 30 months.
- cIMT was measured at 30 months.
Main Results:
- No significant relationship was found between baseline FMD and cIMT at 30 months.
- FMD showed a significant decrease at 4 months but not at 30 months.
- Changes in FMD over 30 months did not correlate with cIMT.
Conclusions:
- Arterial function changes occurred in young subjects over 30 months but were unrelated to cIMT.
- These findings contrast with adult studies, suggesting longer periods of impairment are needed for atherosclerotic changes to manifest in youth.
- A potential 'window of opportunity' for preventative interventions in children is indicated.
Background:
Impaired brachial artery endothelial function, assessed by flow-mediated dilation (FMD), provides a strong prognostic index of cardiovascular events in asymptomatic adults and those with cardiovascular disease. However, the relationship between FMD and carotid intima-medial thickness (cIMT) in young people is unknown. We hypothesized that impaired FMD, and decreased FMD over time, would predict cIMT.
Design And Methods:
FMD and cIMT were assessed using high-resolution Doppler ultrasound in 53 children (18 boys) aged 10.3 ± 0.3 years. FMD was assessed at baseline and 4-month and 30-month follow up. cIMT was assessed at 30-months.
Results:
There was no significant relationship between FMD measured at baseline (10.7 ± 4.3) and cIMT at 30 months. FMD was depressed at 4 months (7.2 ± 3.5, p < 0.05) and 30 months (8.2 ± 3.3, p = 0.51). However, there was no correlation between changes in FMD and cIMT.
Conclusion:
Changes in arterial function occurred in young subjects across a 30-month time frame; however, these changes were unrelated to individual differences in cIMT in this cohort. These data contrast with findings in adults and indicate that longer periods of functional impairment may be necessary before atherosclerotic wall thickening becomes apparent in young people, suggesting there is a 'window of opportunity' for preventative intervention strategies.
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