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The importance of carotid artery stiffness and increased intima-media thickness in obese children

Atherosclerosis that starts in childhood invariably advances during adulthood. Aim. We aimed to study the effect of obesity on main carotid artery intima-media thickness and arterial stiffness. A total of 78 children were studied from October 2010 to February 2011. They were divided into obese (42 -...

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Published in:South African medical journal 2012-05, Vol.102 (5), p.295-299
Main Authors: Ozcetin, Mustafa, Celikyay, Z Ruken Yuksekkaya, Celik, Atac, Yilmaz, Resul, Yerli, Yasemin, Erkorkmaz, Unal
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container_title South African medical journal
container_volume 102
creator Ozcetin, Mustafa
Celikyay, Z Ruken Yuksekkaya
Celik, Atac
Yilmaz, Resul
Yerli, Yasemin
Erkorkmaz, Unal
description Atherosclerosis that starts in childhood invariably advances during adulthood. Aim. We aimed to study the effect of obesity on main carotid artery intima-media thickness and arterial stiffness. A total of 78 children were studied from October 2010 to February 2011. They were divided into obese (42 - group 1) and normal (36 - group 2). All the children were subjected to physical examination, routine biochemical and haematological analysis, carotid ultrasonography and echocardiographic measurements. A detailed medical history was obtained. Body mass index (BMI) was calculated by dividing participants' weight in kilograms by the square of their height in metres. Stiffness index β was calculated using blood pressure and diameter of the systolic and diastolic artery. Intima-media thickness was also measured. The mean age of the obese and normal (control) groups were 10.12±2.12 years and 9.78±1.78 years respectively. Weight, BMI, and systolic and and diastolic blood pressure values were significantly higher in the obese group (all p
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In terms of arterial stiffness and carotid intima-media thickness (CIMT) measurements, all parameters were higher in the obese group than the control (p&lt;0.001). There was a relationship between the degree of obesity and CIMT or stiffness index β. In addition, dilatation and hypertrophy levels in the left ventricle were higher in obese children. Obese children with risk factors for multiple atherosclerosis could have increased CIMT dimensions and consequently should be screened for these risks. 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source Directory of Open Access Journals
subjects Adolescent
Atherosclerosis
Body Mass Index
Cardiovascular Diseases - prevention & control
Care and treatment
Carotid Arteries - diagnostic imaging
Carotid Arteries - pathology
Carotid artery diseases
Carotid Intima-Media Thickness
Case-Control Studies
Child
Child Welfare
Diagnosis
Female
Health Status
Humans
Male
Measurement
Obesity - physiopathology
Obesity in children
Risk Factors
Severity of Illness Index
South Africa
Tunica Intima - diagnostic imaging
Tunica Intima - pathology
Vascular Resistance
title The importance of carotid artery stiffness and increased intima-media thickness in obese children
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