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Updated: Jan 25, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Urinary Metabolites and Their Link with Premature Arterial Stiffness in Black Boys: The ASOS Study
Dalene Erasmus1, Carina M C Mels1,2, Roan Louw3
1Hypertension in Africa Research Team (HART), North-West University - Potchefstroom Campus, Potchefstroom, South Africa.
Insights
Black boys aged 6-8 have higher pulse wave velocity, indicating potential vascular issues. Specific urinary metabolites like β-alanine and 1-methylhistidine are associated with pulse wave velocity in these children.
Area of Science:
- Pediatric cardiovascular health
- Metabolomics research
- Vascular function assessment
Background:
- Higher pulse wave velocity (PWV) observed in Black boys (6-8 years) suggests potential early vascular compromise.
- Existing research indicates a need to explore underlying metabolic factors contributing to these vascular differences.
Purpose of the Study:
- To compare urinary metabolite profiles between Black and White boys (6-8 years).
- To investigate associations between PWV and specific urinary metabolites in this pediatric cohort.
Main Methods:
- Included 40 Black and 40 White healthy boys aged 6-8 years.
- Measured femoral PWV and analyzed urinary metabolites using liquid chromatography tandem mass spectrometry (LC-MS/MS) and gas chromatography-time of flight-mass spectrometry (GC-TOF-MS).
Main Results:
- Black boys exhibited higher PWV and diastolic blood pressure compared to White boys (p ≤ 0.002).
- Significant differences in urinary metabolites were observed: lower isovalerylcarnitine and tended lower 1-methylhistidine, and tended higher L-proline in Black boys.
- PWV correlated inversely with β-alanine and 1-methylhistidine, and positively with L-proline, threonic acid, and malonic acid in Black boys.
Conclusions:
- This study is the first to identify associations between PWV and specific metabolites (β-alanine, 1-methylhistidine, L-proline) in South African children.
- Findings suggest potential early compromise in cardiac-protective metabolic pathways in Black boys as young as 6 years.
Background And Aims:
Black boys (6-8 years of age) were shown to have higher pulse wave velocity with potential early vascular compromise. We aimed to compare predefined urinary metabolites in black and white boys to explore associations of pulse wave velocity with these metabolites.
Methods And Results:
We included 40 white and 40 black apparently healthy boys between the ages of 6 and 8 years. Femoral pulse wave velocity was measured along with various metabolites using liquid chromatography tandem mass spectrometry (LC-MS/MS) and gas chromatography-time of flight-mass spectrometry (GC-TOF-MS) methods. Pulse wave velocity and diastolic blood pressure were higher in the black compared to the white boys (both p ≤ 0.002). Isovalerylcarnitine was lower and 1-metylhistidine tended to be lower (p = 0.002 and p = 0.073, respectively), whereas L-proline levels tended to be higher (p = 0.079) in the black compared to the white boys. In single, partial, and multiple regression analyses, pulse wave velocity correlated inversely with β-alanine (β = -0.414; p = 0.008) and 1-methylhistidine (β = -0.347; p = 0.032) and positively with L-proline (β = 0.420; p = 0.008), threonic acid (β = 0.977; p = 0.033), and malonic acid (β = 0.348; p = 0.030) in black boys only.
Conclusion:
Our study is the first to discover the associations of pulse wave velocity with β-alanine, 1-methylhistidine, and L-proline in children from South Africa, which may suggest potential early compromise in cardiac protective metabolic pathways in black boys as young as 6 years of age.
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