The effect of adiposity on children's left ventricular mass and geometry and haemodynamic responses to stress

K L Pflieger1, F A Treiber, H Davis

  • 1Division of Cardiology, Children's Medical Center, Dallas, Texas.

Insights

Overweight children with a family history of hypertension show increased cardiovascular strain. Early obesity intervention is crucial to prevent long-term heart health issues in youth.

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Physiology
  • Obesity Research

Background:

  • Essential hypertension often has a genetic component.
  • Childhood obesity is a growing public health concern.
  • Early cardiovascular changes in at-risk youth require investigation.

Purpose of the Study:

  • To examine the link between adiposity and cardiovascular parameters in normotensive children with a family history of hypertension.
  • To assess resting and stress-induced hemodynamic responses in overweight versus non-overweight children.
  • To evaluate left ventricular mass and geometry in relation to body weight in this pediatric cohort.

Main Methods:

  • Evaluated 69 normotensive children with a positive family history of essential hypertension.
  • Classified children as overweight based on the 85th percentile of weight-for-height.
  • Measured resting and stress-induced hemodynamic parameters and performed echocardiography.

Main Results:

  • Overweight children exhibited higher resting systolic and diastolic blood pressures, heart rate (HR), cardiac output (CO), and stroke volume (SV).
  • Overweight children had lower resting total peripheral resistance and increased left ventricular mass indexed by height^2.7, interventricular septal thickness, and left ventricular end-diastolic diameter (LVEDD).
  • No significant differences in hemodynamic reactivity to stressors were observed between groups.

Conclusions:

  • Elevated resting pressures in overweight children are associated with increased preload (higher HR, SV, CO, LVEDD).
  • Obesity exerts early detrimental effects on the cardiovascular system in children at risk for hypertension.
  • Emphasizes the need for effective obesity prevention and intervention programs in pediatric populations.

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