Changes in Metabolic Syndrome Variables Since Childhood in Prehypertensive and Hypertensive Subjects: The Bogalusa Heart Study
Open accessAbstract
That essential hypertension is associated with metabolic syndrome is known. However, information is scant regarding the course of development of adverse levels of blood pressure and other risk variables of metabolic syndrome in youth at risk for developing hypertension. This aspect was studied, retrospectively, in a community-based cohort of normotensive (n=2206), prehypertensive (n=721), and hypertensive (n=328) subjects examined serially during childhood (4 to 11 years), adolescence (12 to 18 years), and adulthood (19 to 42 years). Prehypertensive subjects versus normotensive subjects had significantly higher body mass index and subscapular skinfold, systolic (SBP) and diastolic (DBP) blood pressures, and triglycerides beginning in childhood; higher glucose in adolescence; and higher low-density lipoprotein cholesterol, fasting insulin, and insulin resistance index in adulthood. Hypertensive subjects versus normotensive subjects had higher adiposity measures, SBP and DBP, glucose, and triglycerides beginning in childhood; higher insulin and insulin resistant index in childhood and adulthood; and lower high-density lipoprotein, cholesterol in adulthood. Most of these variables progressed adversely at an increased rate in prehypertensive and hypertensive subjects. In a multivariate analysis, adverse changes in adiposity, SBP, and DBP were independently associated with prehypertensive status; and adverse changes in adiposity, SBP and DBP, insulin resistant index, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglycerides with hypertension status. As young adults, prehypertensive and hypertensive subjects showed significantly higher prevalence of obesity, hyperinsulinemia, hyperglycemia, and dyslipidemias. Thus, excess adiposity and blood pressure beginning in childhood and accelerated adverse longitudinal changes in risk variables of metabolic syndrome through young adulthood characterize the early natural history of hypertension.
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In the Bogalusa childhood cohort, adults who were prehypertensive or mildly hypertensive had higher BPs and were heavier and more insulin resistant when tracked back to age 4 to 8 years than their normotensive counterparts.
“Studies of the Bogalusa childhood cohort who were prehypertensive or mildly hypertensive in adulthood showed that when they were tracked back to as young as 4 to 8 years old, they had higher BPs and were heavier and more insulin resistant than their normotensive counterparts.89”
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- Authors
- Srinivasan, S. R., Myers, L., & Berenson, G. S.
- Affiliations
- Tulane University (US)
- ORCID
- Myers, Leann
- Venue
- Hypertension
- Published
- 2006-07
- Volume
- 48
- Issue
- 1
- Pages
- 33-39
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2124460201
- Cited by
- 143
- References
- 57
- Citations by year
- 2026: 3 · 2025: 2 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 3 · 2017: 6 · 2016: 3 · 2015: 6 · 2014: 8 · 2013: 8 · 2012: 8
- FWCI
- 12.56
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (AG16592, R01AG016592)
- National Heart, Lung, and Blood Institute (HL 38 844)
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD43820, R03HD043820)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- metabolic syndrome, essential hypertension, prehypertension, childhood to adulthood transition, adiposity, body mass index, blood pressure, insulin resistance, hyperinsulinemia, dyslipidemia, hyperglycemia, obesity, risk factors
- MeSH terms
- Adolescent, Adult, Blood Glucose, Blood Pressure, Child, Child, Preschool, Cross-Sectional Studies, Female, Humans, Hypertension, Insulin Resistance, Lipids, Longitudinal Studies, Male, Retrospective Studies, Risk Factors, Body Mass Index, Multivariate Analysis, Metabolic Syndrome, Adiposity
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