Cited by 143Diabetes, Cardiovascular Risks, and LipoproteinsBlood Pressure and Hypertension StudiesCardiovascular Function and Risk Factors

Changes in Metabolic Syndrome Variables Since Childhood in Prehypertensive and Hypertensive Subjects: The Bogalusa Heart Study

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Srinivasan, Sathanur R., Myers, Leann, Berenson, Gerald S.·2006·Hypertension

Abstract

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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Authors
Srinivasan, S. R., Myers, L., & Berenson, G. S.
Affiliations
Tulane University (US)
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
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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