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患有和未患有可能的发育性协调障碍的儿童的动脉僵硬度

Arterial stiffness in children with and without probable developmental coordination disorder.

作者信息

Philips Nicole E, Chirico Daniele, Cairney John, Hay John, Faught Brent E, O'Leary Deborah D

机构信息

Faculty of Applied Health Sciences, Brock University, St. Catharines, ON L2S 3A1, Canada.

Department of Psychiatry and Behavioural Neuroscience, Family Medicine, Kinesiology, and CanChild, Centre for Childhood Disability Research, McMaster University, Hamilton, ON L8P 0A1, Canada.

出版信息

Res Dev Disabil. 2016 Dec;59:138-146. doi: 10.1016/j.ridd.2016.07.011. Epub 2016 Aug 20.

Abstract

BACKGROUND

Children with cardiovascular disease risk factors demonstrate adverse arterial alterations that are predictive of cardiovascular morbidity and mortality in adults. Children with developmental coordination disorder (DCD) are at cardiovascular risk as they are more likely to be obese and inactive.

AIM

The purpose of this study was to assess arterial structure and function in children with and without probable DCD (p-DCD).

METHODS

A cross-sectional study of 33 children with p-DCD (22 male) and 53 without (30 male). The Movement Assessment Battery for Children was used to classify those with p-DCD. Adiposity was assessed using the BOD POD. Compliance, distensibility, and intima-media thickness were measured at the common carotid artery (CCA). ECG R-wave-to-toe pulse wave velocity (PWV) was also measured.

RESULTS

Compared to controls, males with p-DCD had lower CCA distensibility (p=0.034) and higher PWV (p=0.001). No differences were evident in females. Body fat percent was a significant predictor of CCA distensibility and removed the effect of p-DCD on PWV in males.

CONCLUSIONS

The present study demonstrates augmented arterial stiffness in males with p-DCD, likely attributed to body fat. These findings underscore the importance of targeted interventions in children with p-DCD, specifically males, in order to prevent future cardiovascular risk.

摘要

背景

患有心血管疾病风险因素的儿童表现出不良的动脉改变,这些改变可预测成人的心血管发病率和死亡率。患有发育协调障碍(DCD)的儿童存在心血管风险,因为他们更有可能肥胖且缺乏运动。

目的

本研究的目的是评估患有和未患有可能的DCD(p-DCD)的儿童的动脉结构和功能。

方法

对33名患有p-DCD的儿童(22名男性)和53名未患p-DCD的儿童(30名男性)进行横断面研究。使用儿童运动评估量表对患有p-DCD的儿童进行分类。使用BOD POD评估肥胖程度。在颈总动脉(CCA)测量顺应性、扩张性和内膜中层厚度。还测量了心电图R波到趾脉搏波速度(PWV)。

结果

与对照组相比,患有p-DCD的男性CCA扩张性较低(p=0.034),PWV较高(p=0.001)。女性中未发现明显差异。体脂百分比是CCA扩张性的重要预测指标,并消除了p-DCD对男性PWV的影响。

结论

本研究表明,患有p-DCD的男性动脉僵硬度增加,可能归因于体脂。这些发现强调了对患有p-DCD的儿童,特别是男性进行有针对性干预以预防未来心血管风险的重要性。

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