Atherosclerosis of the aorta and coronary arteries and cardiovascular risk factors in persons aged 6 to 30 years and studied at necropsy (the Bogalusa Heart Study)

Berenson, Gerald S.; Wattigney, Wendy A.; Tracy, Richard E.; Newman, William P.; Srinivasan, Sathanur R.; Webber, Larry S.; Dalferes, Edward R.; Strong, Jack P.

doi:10.1016/0002-9149(92)90726-f

Cited by 591Lipoproteins and Cardiovascular HealthAtherosclerosis and Cardiovascular DiseasesDiabetes, Cardiovascular Risks, and Lipoproteins

Atherosclerosis of the aorta and coronary arteries and cardiovascular risk factors in persons aged 6 to 30 years and studied at necropsy (the Bogalusa Heart Study)

Berenson, Gerald S., Wattigney, Wendy A., Tracy, Richard E., Newman, William P., Srinivasan, Sathanur R., Webber, Larry S., Dalferes, Edward R., Strong, Jack P.·1992·The American Journal of Cardiology

DOI 10.1016/0002-9149(92)90726-f

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Abstract

Race and sex differences in aorta and coronary atherosclerotic lesions were studied in 150 persons aged 6 to 30 years. The intimal surface involvement with aorta fatty streaks was extensive, 0 to 71%, and greater in blacks than in whites (32 vs 20%, p less than 0.001). Coronary artery fatty streaks were more extensive in male than in female subjects (range 0 to 22%). Fibrous plaque lesions were present but not extensive in either the aorta (0 to 12%) or the coronary artery (0 to 24%) specimens. Lesions were more prevalent in male than in female persons, particularly white male subjects. The relation of fatty streaks to fibrous plaques was greater in the coronary vessels than in the aorta. In male subjects, aorta fatty streaks were strongly related to antemortem levels of total cholesterol, low-density lipoprotein cholesterol and ponderal index in white male subjects. Coronary artery fatty streaks in white male persons were significantly associated with serum triglycerides, very low density lipoprotein cholesterol, systolic and diastolic blood pressure and ponderal index. These results link antemortem risk factors to the development of atherosclerotic lesions and emphasize the need for preventive cardiology in early life.

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Signs of coronary disease, namely fatty streaks in the coronary arteries, have been detected in overweight teenagers and in autopsies of children.
“atherosclerotic fatty streaks in the coronary arteries, indicative of coronary heart disease, have been found in overweight adolescents (Haque 2008), and postmortem in children (Berenson 1992).”
From School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18 (2013) · cites this paper as Berenson 1992

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Authors: Berenson, G. S., Wattigney, W. A., Tracy, R. E., Newman, W. P., Srinivasan, S. R., Webber, L. S., Dalferes, E. R., & Strong, J. P.
Affiliations: Tulane University (US)
ORCID: Wattigney, Wendy A.
Srinivasan, Sathanur R.
Venue: The American Journal of Cardiology
Publisher: Elsevier BV
Published: 1992-10
Volume: 70
Issue: 9
Pages: 851-858
ISSN: 0002-9149 (ISSN-L)
DOI: 10.1016/0002-9149(92)90726-f
OpenAlex: W1974698688
Cited by: 591
References: 31
Citations by year: 2026: 6 · 2025: 8 · 2024: 2 · 2023: 13 · 2022: 14 · 2021: 11 · 2020: 11 · 2019: 20 · 2018: 13 · 2017: 22 · 2016: 16 · 2015: 15 · 2014: 15 · 2013: 20 · 2012: 24
FWCI: 9.78
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The American Journal of Cardiology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (2r01hl038844-06)
National Heart, Lung, and Blood Institute (5R01-HL38844)
Topics: Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: atherosclerosis, aorta, coronary arteries, fatty streaks, fibrous plaque, cardiovascular risk factors, racial differences, sex differences, young adults, total cholesterol, LDL cholesterol, triglycerides, blood pressure, ponderal index, Bogalusa Heart Study, preventive cardiology
MeSH terms: Adolescent, Adult, Age Factors, Aorta, Aortic Diseases, Arteriosclerosis, Autopsy, Cardiovascular Diseases, Child, Coronary Artery Disease, Coronary Vessels, Female, Humans, Lipids, Lipoproteins, Male, Risk Factors, Sex Factors, Black People

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Atherosclerosis of the aorta and coronary arteries and cardiovascular risk factors in persons aged 6 to 30 years and studied at necropsy (the Bogalusa Heart Study)

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