Evidence map›Paper›PMID 24763405›Full record

ArticleAtherosclerosis2014

Younger age is associated with lower reactive hyperemic index but not lower flow-mediated dilation among children and adolescents.

Aaron S Kelly, Kara L Marlatt, Julia Steinberger, Donald R Dengel

Open access · greenAbstract readComparative Study
In one paragraph

Article in Atherosclerosis, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 25 citations in OpenAlex.

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  11. Endothelial Dysfunction in South African Youth Living With Perinatally Acquired Human Immunodeficiency Virus on Antiretroviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
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  15. Children and Adolescents Macrovascular Reactivity Level and Dynamics, But Not the Microvascular Response, is Associated with Body Mass Index and Arterial Stiffness Levels.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2017
    Article
  16. Microvascular endothelial function in Japanese early adolescents.Journal of clinical biochemistry and nutrition · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Aaron S KellyDepartment of Pediatrics, University of Minnesota Medical School, and University of Minnesota Amplatz Children's Hospital, Minneapolis, MN 55455, USA; Department of Medicine, University of Minnesota Medical School, Minneapolis, MN 55455, USA. Electronic address: kelly105@umn.edu.
Kara L MarlattSchool of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USA.
Julia SteinbergerDepartment of Pediatrics, University of Minnesota Medical School, and University of Minnesota Amplatz Children's Hospital, Minneapolis, MN 55455, USA.
Donald R DengelSchool of Kinesiology, University of Minnesota, Minneapolis, MN 55455, USA.
University of Minnesota · USUniversity of Minnesota Children's Hospital · USUniversity of Minnesota Medical Center · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
YOUTH DRUG ABUSE, ADHD, AND RELATED DISRUPTIVE DISORDERSM01RR000400 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BACHANOVA, VERONIKA S · 1985 to 2009
$33.7M
UNIVERSITY OF MINNESOTA CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE (UMN CTSI)UL1RR033183 · NCRR · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2011 to 2011
$8.9M
Cardiovascular Risk and Insulin Resistance: Age 7-40R01DK072124 · NIDDK · UNIVERSITY OF MINNESOTA · PI STEINBERGER, JULIA · 2007 to 2011
$3.0M
NCATS NIH HHS UL1 TR000114NCRR NIH HHS 1UL1RR033183NCRR NIH HHS M01 RR000400NCRR NIH HHS M01-RR00400NCRR NIH HHS UL1 RR033183NIDDK NIH HHS R01 DK072124NIDDK NIH HHS R01DK072124-01A3
6 · The paper itself

Abstract

backgroundThe use of digital reactive hyperemia as a measure of endothelial function among children and adolescents is becoming increasingly common. However, unexpected observations of low reactive hyperemic index values in younger children in our laboratory led us to conduct a study evaluating the influence of age, sex, height, weight, blood pressure, body mass index (BMI), and finger volume on RHI values.

methodsEndothelial function, measured by digital reactive hyperemia (reactive hyperemic index: RHI) was assessed in 113 children and adolescents (mean age 12.4 ± 3.8 years; 64 males), with 102 also assessed for brachial artery flow-mediated dilation (FMD) using ultrasound imaging. Associations with age, sex, height, weight, systolic and diastolic blood pressure (SBP, DBP), BMI, and finger volume were evaluated.

resultsUsing GLM regression, age (β = 0.03, P = 0.014) and SBP (β = 0.015, P = 0.004) were significantly associated with RHI. No measures were associated with FMD. In the subset of individuals with measured finger volume, age (β = 0.025, P = 0.037) was the only measure significantly associated with log RHI. Similarly, no measures were associated with FMD.

conclusionYounger age is associated with lower RHI but not lower FMD among children and adolescents. These findings call into question the validity and usefulness of digital reactive hyperemia as a method to quantify endothelial function among younger children.

Indexed as

Diagnostic Techniques, CardiovascularVasodilationAdolescentAge FactorsBlood PressureBody Mass IndexBrachial ArteryChildCross-Sectional StudiesEndothelium, VascularFemaleFingersHumansHyperemiaMalePredictive Value of TestsAdolescentsChildrenEndothelial functionFlow-mediated dilationReactive hyperemic index

Identifiers

PMID24763405
PMCPMC4063084
OpenAlexW2054396563

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.