Impaired cardiac autonomic nervous system function is associated with pediatric hypertension independent of adiposity

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Abstract

Background:We examined whether sympathetic nervous system activity influences hypertension status and systolic blood pressure (SBP) independent of adiposity in youth ranging from normal-weight to severe obesity.Methods:We examined the association of heart rate variability (HRV) with hypertension status and SBP among youth (6-18 y old; n = 188; 103 female). Seated SBP was measured using an automated cuff. Prehypertension (SBP percentile ≥ 90th to <95th) and hypertension (SBP percentile ≥ 95th) were defined by age-, sex-, and height-norms. Autonomic nervous system activity was measured using HRV via SphygmoCor MM3 system and analyzed for time-and frequency-domains. Total body fat was measured via dual-energy X-ray absorptiometry.Results:Logistic regression models demonstrated lower values in each time-domain HRV measure and larger low-frequency (LF):high-frequency (HF) ratio to be significantly associated with higher odds of being prehypertensive/hypertensive (11-47% higher odds) independent of total body fat (P < 0.05). In linear regression analysis, lower time-domain, but not frequency-domain, HRV measures were significantly associated with higher SBP independent of total body fat (P < 0.05).Conclusion:These data suggest that impaired cardiac autonomic nervous system function, at rest, is associated with higher odds of being prehypertensive/hypertensive and higher SBP which may be independent of adiposity in youth.

Original languageEnglish (US)
Pages (from-to)49-54
Number of pages6
JournalPediatric Research
Volume79
Issue number1
DOIs
StatePublished - Jan 1 2016

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Autonomic Nervous System
Adiposity
Pediatrics
Blood Pressure
Hypertension
Heart Rate
Adipose Tissue
Logistic Models
Prehypertension
Morbid Obesity
Sympathetic Nervous System
Photon Absorptiometry
Linear Models
Regression Analysis

Cite this

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title = "Impaired cardiac autonomic nervous system function is associated with pediatric hypertension independent of adiposity",
abstract = "Background:We examined whether sympathetic nervous system activity influences hypertension status and systolic blood pressure (SBP) independent of adiposity in youth ranging from normal-weight to severe obesity.Methods:We examined the association of heart rate variability (HRV) with hypertension status and SBP among youth (6-18 y old; n = 188; 103 female). Seated SBP was measured using an automated cuff. Prehypertension (SBP percentile ≥ 90th to <95th) and hypertension (SBP percentile ≥ 95th) were defined by age-, sex-, and height-norms. Autonomic nervous system activity was measured using HRV via SphygmoCor MM3 system and analyzed for time-and frequency-domains. Total body fat was measured via dual-energy X-ray absorptiometry.Results:Logistic regression models demonstrated lower values in each time-domain HRV measure and larger low-frequency (LF):high-frequency (HF) ratio to be significantly associated with higher odds of being prehypertensive/hypertensive (11-47{\%} higher odds) independent of total body fat (P < 0.05). In linear regression analysis, lower time-domain, but not frequency-domain, HRV measures were significantly associated with higher SBP independent of total body fat (P < 0.05).Conclusion:These data suggest that impaired cardiac autonomic nervous system function, at rest, is associated with higher odds of being prehypertensive/hypertensive and higher SBP which may be independent of adiposity in youth.",
author = "Ryder, {Justin R} and Michael O'Connell and Bosch, {Tyler A} and Chow, {Lisa S} and Kyle Rudser and Dengel, {Donald R} and Fox, {Claudia K} and Julia Steinberger and Kelly, {Aaron S}",
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T1 - Impaired cardiac autonomic nervous system function is associated with pediatric hypertension independent of adiposity

AU - Ryder, Justin R

AU - O'Connell, Michael

AU - Bosch, Tyler A

AU - Chow, Lisa S

AU - Rudser, Kyle

AU - Dengel, Donald R

AU - Fox, Claudia K

AU - Steinberger, Julia

AU - Kelly, Aaron S

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background:We examined whether sympathetic nervous system activity influences hypertension status and systolic blood pressure (SBP) independent of adiposity in youth ranging from normal-weight to severe obesity.Methods:We examined the association of heart rate variability (HRV) with hypertension status and SBP among youth (6-18 y old; n = 188; 103 female). Seated SBP was measured using an automated cuff. Prehypertension (SBP percentile ≥ 90th to <95th) and hypertension (SBP percentile ≥ 95th) were defined by age-, sex-, and height-norms. Autonomic nervous system activity was measured using HRV via SphygmoCor MM3 system and analyzed for time-and frequency-domains. Total body fat was measured via dual-energy X-ray absorptiometry.Results:Logistic regression models demonstrated lower values in each time-domain HRV measure and larger low-frequency (LF):high-frequency (HF) ratio to be significantly associated with higher odds of being prehypertensive/hypertensive (11-47% higher odds) independent of total body fat (P < 0.05). In linear regression analysis, lower time-domain, but not frequency-domain, HRV measures were significantly associated with higher SBP independent of total body fat (P < 0.05).Conclusion:These data suggest that impaired cardiac autonomic nervous system function, at rest, is associated with higher odds of being prehypertensive/hypertensive and higher SBP which may be independent of adiposity in youth.

AB - Background:We examined whether sympathetic nervous system activity influences hypertension status and systolic blood pressure (SBP) independent of adiposity in youth ranging from normal-weight to severe obesity.Methods:We examined the association of heart rate variability (HRV) with hypertension status and SBP among youth (6-18 y old; n = 188; 103 female). Seated SBP was measured using an automated cuff. Prehypertension (SBP percentile ≥ 90th to <95th) and hypertension (SBP percentile ≥ 95th) were defined by age-, sex-, and height-norms. Autonomic nervous system activity was measured using HRV via SphygmoCor MM3 system and analyzed for time-and frequency-domains. Total body fat was measured via dual-energy X-ray absorptiometry.Results:Logistic regression models demonstrated lower values in each time-domain HRV measure and larger low-frequency (LF):high-frequency (HF) ratio to be significantly associated with higher odds of being prehypertensive/hypertensive (11-47% higher odds) independent of total body fat (P < 0.05). In linear regression analysis, lower time-domain, but not frequency-domain, HRV measures were significantly associated with higher SBP independent of total body fat (P < 0.05).Conclusion:These data suggest that impaired cardiac autonomic nervous system function, at rest, is associated with higher odds of being prehypertensive/hypertensive and higher SBP which may be independent of adiposity in youth.

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