Association between impaired lung function and carotid intima-media thickness in children

Talha Rafiq1, Koon K Teo2,3,4, Katherine M Morrison5,6

  • 1Medical Sciences Graduate Program, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.

ERJ Open Research
|November 1, 2023
PubMed

Insights

Childhood obstructive lung disease is linked to thicker carotid artery walls, indicating early cardiovascular disease risks. This connection suggests lung health in youth impacts long-term heart health.

Area of Science:

  • Pediatric Medicine
  • Cardiovascular Health
  • Pulmonology

Background:

  • Cardiovascular disease (CVD) risk factors often track from childhood into adulthood.
  • Obstructive lung diseases are increasingly recognized as potential contributors to CVD.
  • Early life factors influencing both lung function and cardiovascular health require further investigation.

Purpose of the Study:

  • To investigate the association between obstructive lung function impairment and subclinical cardiovascular changes in childhood.
  • To determine if this association persists after controlling for established cardiovascular risk factors.

Main Methods:

  • Cross-sectional study design.
  • Assessment of lung function using spirometry to identify obstructive patterns.
  • Measurement of carotid intima-media thickness (cIMT) as a marker of subclinical atherosclerosis.
  • Statistical analysis accounting for potential confounders such as age, sex, socioeconomic status, and lifestyle factors.

Main Results:

  • A significant association was found between obstructive lung function impairment and higher cIMT in children.
  • This association remained evident even after adjusting for common cardiovascular risk factors.
  • The findings highlight a potential link between early-life lung health and vascular development.

Conclusions:

  • Obstructive lung function impairment in childhood is associated with subclinical atherosclerosis.
  • This suggests a developmental pathway linking early lung disease to later cardiovascular disease.
  • Interventions targeting lung health in early life may have long-term cardiovascular benefits.

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