Arterial stiffness and nocturnal hypertension in preterm children and adolescents

Athanasia Chainoglou1, Kosmas Sarafidis2, Katerina Chrysaidou1

  • 11st Department of Pediatrics, School of Medicine, Faculty of Health Sciences Aristotle University of Thessaloniki, Hippokratio Hospital, Thessaloniki, Greece.

Insights

Children born preterm face higher risks for nocturnal hypertension and arterial stiffness. Early detection of high blood pressure and obesity prevention are crucial for long-term cardiovascular health in these individuals.

Area of Science:

  • Pediatric Cardiology
  • Vascular Biology
  • Public Health

Background:

  • Preterm birth is linked to chronic diseases like hypertension in later life.
  • Understanding early cardiovascular changes in preterm individuals is vital.

Purpose of the Study:

  • To investigate the association of preterm birth with blood pressure and arterial stiffness in children and adolescents.

Main Methods:

  • A prospective case-control study involving 52 preterm and 26 full-term children.
  • Ambulatory blood pressure monitoring (ABPM) and carotid-femoral pulse wave velocity (PWV) assessment were performed.

Main Results:

  • Preterm children showed higher nocturnal systolic blood pressure (SBP) z scores.
  • Arterial stiffness (PWV z score) was significantly higher in preterm individuals.
  • Nocturnal hypertension was prevalent in 78% of ex-preterm children with ambulatory hypertension.

Conclusions:

  • Preterm birth is associated with elevated nocturnal blood pressure and increased arterial stiffness during childhood and adolescence.
  • Early hypertension detection and obesity prevention are recommended to mitigate future cardiovascular risks in preterm individuals.
Abstract

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