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Li K, Haynie DL, Gao X, Lipsky LM, Nansel T, Iannotti RJ, Vaca FE, Simons-Morton BG. Validation of a continuous measure of cardiometabolic risk among adolescents. J Pediatr Endocrinol Metab 2021; 34:763-770. [PMID: 33823099 DOI: 10.1515/jpem-2020-0600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 03/16/2021] [Indexed: 01/19/2023]
Abstract
OBJECTIVES We validated a continuous cardiometabolic risk (CMR) measure among adolescents. METHODS Five metabolic syndrome (MetS) components including waist circumference, triglycerides, high-density lipoprotein cholesterol, fasting blood glucose, and mean arterial pressure were assessed in a national cohort of U.S. adolescents (n=560; 16.5 ± 0.5 y/o at baseline) in 10th grade (2010, Wave 1 (W1)), and follow-up assessments four (W4) and seven (W7) years later. Separately by wave, linear regressions were fitted to each MetS component controlling for age, sex, and race/ethnicity, and yielded standardized residuals (Z-scores). Wave-specific component Z-scores were summed to obtain composite CMR Z-scores. Four- and seven-year CMR change (CMR-diff W1-W4 and W1-W7). and average CMR risk (CMR-avg; (W1 + W4)/2 and (W1 + W7)/2) were calculated using the CMR Z-scores. W7 MetS was determined using adult criteria. Student's t-test and receiver operating characteristic (ROC) curve were conducted. RESULTS Participants meeting the adult criteria for MetS at W7 (74 of 416, 17.8%) had statistically significant (p<0.01) higher values for W1 CMR Z-scores (0.92 vs. -0.21), W4 CMR Z-scores (1.69 vs. -0.28), W7 CMR Z-scores (2.21 vs. -0.55), W1-W4 CMR-avg (1.53 vs. -0.27), W1-W7 CMR-diff (1.29 vs. -0.21), and W1-W7 CMR-avg (1.46 vs. -0.48) than those not meeting MetS criteria. Most results were similar for males and females in the sex-stratified analyses. The areas under the ROC curve were 0.61, 0.71, and 0.75 for W1, W4 and W7 Z-scores. CONCLUSIONS Findings support the validity of the continuous CMR Z-scores calculated using linear regression in evaluating and monitoring CMR profiles from adolescence to early adulthood.
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Affiliation(s)
- Kaigang Li
- Department of Health & Exercise Science, Colorado State University, Fort Collins, CO, USA.,Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA.,Colorado School of Public Health, Fort Collins, CO, USA
| | - Denise L Haynie
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health & Human Development, Bethesda, MD, USA
| | - Xiang Gao
- Department of Health & Exercise Science, Colorado State University, Fort Collins, CO, USA
| | - Leah M Lipsky
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health & Human Development, Bethesda, MD, USA
| | - Tonja Nansel
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health & Human Development, Bethesda, MD, USA
| | | | - Federico E Vaca
- Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA.,Child Study Center, Yale School of Medicine, New Haven, CT, USA
| | - Bruce G Simons-Morton
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health & Human Development, Bethesda, MD, USA
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Body proportions, blood pressure and BMI: an association that is more than hydrostatics. Blood Press Monit 2020; 25:371. [PMID: 33156039 DOI: 10.1097/mbp.0000000000000468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Visaria A, Lo D, Maniar P, Dave B. Age and physiologic considerations for the associations among height components, blood pressure, and pulse wave velocity. J Clin Hypertens (Greenwich) 2020; 22:2163-2164. [PMID: 32941669 DOI: 10.1111/jch.14033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Accepted: 06/29/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Aayush Visaria
- Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.,North American Disease Intervention, Rutgers University, New Brunswick, NJ, USA
| | - David Lo
- North American Disease Intervention, Rutgers University, New Brunswick, NJ, USA
| | - Pranay Maniar
- North American Disease Intervention, Rutgers University, New Brunswick, NJ, USA.,New Jersey Institute of Technology, Newark, NJ, USA
| | - Bhoomi Dave
- New Jersey Institute of Technology, Newark, NJ, USA
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