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He W, Zhang Y, Li X, Mu K, Dou Y, Ye Y, Liu F, Yan W. Multiple non-invasive peripheral vascular function parameters with obesity and cardiometabolic risk indicators in school-aged children. BMC Pediatr 2022; 22:146. [PMID: 35305598 PMCID: PMC8934007 DOI: 10.1186/s12887-022-03214-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 03/10/2022] [Indexed: 11/10/2022] Open
Abstract
Background The Peripheral Arterial Tonometry (PAT) technique measured by Endo-PAT™, is recently introduced for peripheral vascular assessment in youth, primarily benefits from its easy and non-invasive operation. However, the value of Endo-PAT as early indicator of obesity-related cardiometabolic risk factors remains unclear, with few studies focusing solely on Reactive Hyperemia Index (RHI). A wider coverage of Endo-PAT algorithms is recommended to be applied simultaneously in youth. We evaluated the value of multiple Endo-PAT parameters on obesity and cardiometabolic risk indication in school-aged children, in comparison with another non-invasive Brachial-ankle Pulse Wave Velocity (BaPWV) method. Methods This cross-sectional sample included 545 youth (80 with overweight and 73 with obesity) aged 7–17 years. RHI, Framingham-Reactive Hyperemia Index (F-RHI), peak response and Augmentation Index normalized to Heart Rate 75 bpm (AIx75) were measured by Endo-PAT™ 2000 device. Spearman correlations of abovementioned Endo-PAT parameters and BaPWV, with adiposity (weight, waist circumference, BMI, body fat mass) and cardiometabolic indicators (glycemic response, blood pressure, lipid profiles) were calculated with non-linear adjustment on age, height, gender and baseline pulse-wave amplitude (PWA) using fractional polynomials. Analysis was repeated in students with obesity only [median BMI z score: 3.0 (2.5,3.5)] for sensitivity analysis. Results The correlations of Endo-PAT parameters with adiposity measures and cardiometabolic indicators were overall mixed and weak (DBP: r ranged from − 0.20 to − 0.13, others: |r| < 0.1) after adjustment. Except that body fat mass (AIx75: r = 0.52 p < 0.01) and triglyceride level (RHI: r = − 0.32 p < 0.01, F-RHI: r = − 0.21 p > 0.05) was moderately reversed in students with obesity. In contrast, BaPWV showed consistently moderate correlations (|r| ranged from 0.123 to 0.322, p < 0.05) with almost all adiposity measures and cardiometabolic indicators regardless of obesity status. Conclusion Contrary to previous suggestion, various Endo-PAT parameters performed similarly weak for early cardiometabolic risk indication in school-aged children, and less preferable than that by another non-invasive BaPWV method. Despite further investigation is needed to improve certainty of relevant research evidence, innovative technology and algorithms taking into account specifics of young population are worthy of consideration. Supplementary Information The online version contains supplementary material available at 10.1186/s12887-022-03214-4.
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Santos EHS, dos Santos PJ, Santos IDS. Carotid intima-media thickness in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a narrative review. SAO PAULO MED J 2018; 136:64-72. [PMID: 29590246 PMCID: PMC9924175 DOI: 10.1590/1516-3180.2017.0272141017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 10/14/2017] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Carotid intima-media thickness (CIMT), as measured by ultrasound, has been used in large studies as a non-invasive marker for subclinical atherosclerosis. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) is a cohort of 15,105 civil servants in six Brazilian cities that included CIMT evaluation in its baseline assessment. The aim of the present narrative review was to provide an overview of ELSA-Brasil CIMT articles published up to July 31, 2017. DESIGN AND SETTING Narrative review of ELSA-Brasil CIMT studies using baseline assessment data. METHODS We searched PubMed for the terms "ELSA-Brasil" and "intima-media". This search yielded 21 published articles using CIMT data from the ELSA-Brasil baseline assessment, which were included in this review. We also present information about intima-media thickness assessment from ongoing onsite reevaluations of the study participants. RESULTS Most published studies focused on the association with traditional and novel cardiovascular risk factors. Studies also presented information about the ELSA-Brasil CIMT protocol at baseline and CIMT value distribution in this large sample. CONCLUSIONS Analyses on the ELSA-Brasil data led to important insights on CIMT interpretation and physiology. Besides the highlighted contributions which have already been made in this field, new data gathered during the ongoing third onsite assessment will enable investigation of substantially new research questions.
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Affiliation(s)
- Eduardo Henrique Sena Santos
- MD. Physician, Imaging Service, and Researcher, Center for Clinical and Epidemiological Research, Hospital Universitário (HU), Universidade de São Paulo (USP), São Paulo (SP), Brazil.
| | - Pedro José dos Santos
- MD. Physician, Imaging Service, and Researcher, Center for Clinical and Epidemiological Research, Hospital Universitário (HU), Universidade de São Paulo (USP), São Paulo (SP), Brazil.
| | - Itamar de Souza Santos
- MD, PhD. Researcher, Center for Clinical and Epidemiological Research, Hospital Universitário (HU), Universidade de São Paulo (USP), and Associate Professor, Department of Internal Medicine, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo (SP), Brazil.
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Jankowiak S, Backé E, Liebers F, Schulz A, Hegewald J, Garthus-Niegel S, Nübling M, Blankenberg S, Pfeiffer N, Lackner KJ, Beutel M, Blettner M, Münzel T, Wild PS, Seidler A, Letzel S, Latza U. Current and cumulative night shift work and subclinical atherosclerosis: results of the Gutenberg Health Study. Int Arch Occup Environ Health 2016; 89:1169-1182. [PMID: 27379667 PMCID: PMC5052298 DOI: 10.1007/s00420-016-1150-6] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Accepted: 06/22/2016] [Indexed: 12/20/2022]
Abstract
PURPOSE The study examines the association between exposure to current and cumulative night shift work and subclinical parameters of atherosclerosis. METHODS Participants of a population-based cohort study (the Gutenberg Health Study, N = 15,010) aged 35-64 years were examined at baseline (2007-2012). Investigations included measurements of arterial stiffness, vascular function [reactive hyperaemia (RH) index], and intima media thickness (IMT). Also, a complete job history (including up to 15 periods), occupational exposures, a variety of lifestyle, and dispositional variables were enquired. RESULTS Night shift work was performed by 1071 out of 8065 currently employed individuals. The strongest association after adjustment for age, sex, job complexity level, being a manager, overtime work, and noise appeared for more than 660 night shifts within the last 10 years and a significantly increased arterial stiffness of 0.33 m/s. This reflects a 4 % flow velocity increase for individuals with more than 660 night shifts compared to non-night workers. Regarding the entire professional life, night shift workers showed a significantly decreased vascular function by -0.054 RH index points by using the same adjustment. IMT values did not differ statistically from non-night workers. Lifestyle and dispositional factors showed an influence on all used subclinical atherosclerosis parameters. CONCLUSIONS The cross-sectional results demonstrate an association between night work and detrimental changes in the atherosclerotic process. The association is more pronounced with more years in night shift and is partly explained by lifestyle and dispositional factors. Longitudinal analyses are necessary to confirm the results.
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Affiliation(s)
- S Jankowiak
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Noeldnerstr. 40-42, 10317, Berlin, Germany
| | - E Backé
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Noeldnerstr. 40-42, 10317, Berlin, Germany
| | - F Liebers
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Noeldnerstr. 40-42, 10317, Berlin, Germany
| | - A Schulz
- Preventive Cardiology and Preventive Medicine, Department of Medicine 2, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany
| | - J Hegewald
- Faculty of Medicine, Institute and Policlinic of Occupational and Social Medicine, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany
| | - S Garthus-Niegel
- Faculty of Medicine, Institute and Policlinic of Occupational and Social Medicine, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.,Department of Psychosomatics and Health Behaviour, Norwegian Institute of Public Health, 0403, Oslo, Norway
| | - M Nübling
- FFAS, Freiburg Research Centre for Occupational and Social Medicine, Bertoldstr. 27, 79098, Freiburg, Germany
| | - S Blankenberg
- Department of General and Interventional Cardiology, University Heart Center Hamburg, Martinistr. 52, 20251, Hamburg, Germany
| | - N Pfeiffer
- Department of Ophthalmology, University Medical Center Mainz, Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Germany
| | - K J Lackner
- Institute for Clinical Chemistry and Laboratory Medicine, University Medical Center, Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Germany
| | - M Beutel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Johannes Gutenberg-Universität Mainz, Langenbeckstr. 1, 55131, Mainz, Germany
| | - M Blettner
- Institute of Medical Biostatistics, Epidemiology and Informatics, University Medical Centre, Johannes Gutenberg-Universität Mainz, Obere Zahlbacher Straße 69, 55131, Mainz, Germany
| | - T Münzel
- Preventive Cardiology and Preventive Medicine, Department of Medicine 2, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site Rhein-Main, Langenbeckstr. 1, 55131, Mainz, Germany
| | - P S Wild
- Preventive Cardiology and Preventive Medicine, Department of Medicine 2, University Medical Center Mainz, Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site Rhein-Main, Langenbeckstr. 1, 55131, Mainz, Germany.,Center of Thrombosis and Hemostasis (CTH), University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany
| | - A Seidler
- Faculty of Medicine, Institute and Policlinic of Occupational and Social Medicine, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany
| | - S Letzel
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Straße 67, 55131, Mainz, Germany
| | - U Latza
- Division Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Noeldnerstr. 40-42, 10317, Berlin, Germany.
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