Evidence map›Paper›PMID 26389821›Full record

ArticlePediatric research2016

Impaired cardiac autonomic nervous system function is associated with pediatric hypertension independent of adiposity.

Justin R Ryder, Michael O'Connell, Tyler A Bosch, Lisa Chow, Kyle D Rudser, Donald R Dengel, Claudia K Fox, Julia Steinberger, Aaron S Kelly

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Pediatric research, 2016. 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
1.7field-weighted citation impact, top 14% 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, 24 citations in OpenAlex.

  1. Article
  2. Early-life adversity before age 5 is associated with reduced cardiometabolic health characterized by increased arterial stiffness and inflammation in adolescence.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  3. Article
  4. Article
  5. Predictors of Cardiac Autonomic Dysfunction in Obesity-Related Hypertension.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2024
    Article
  6. Article
  7. Article
  8. Obesity, metabolic syndrome, and primary hypertension.Pediatric nephrology (Berlin, Germany) · 2021
    Article
  9. Haemodynamics of Hypertension in Children.Current hypertension reports · 2020
    Review
  10. Article
  11. Article
  12. Article
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  16. 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

9 authors at 2 institutions in 1 country.

Justin R RyderDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota.ORCID http://orcid.org/0000-0002-7506-9497
Michael O'ConnellDivision of Biostatistics, University of Minnesota School of Public Health, Minneapolis, Minnesota.
Tyler A BoschDepartment of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota.ORCID http://orcid.org/0000-0002-1207-0626
Lisa ChowDepartment of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota.
Kyle D RudserDivision of Biostatistics, University of Minnesota School of Public Health, Minneapolis, Minnesota.
Donald R DengelDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota.
Claudia K FoxDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota.
Julia SteinbergerDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota.
Aaron S KellyDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota.
University of Minnesota Medical Center · USUniversity of Minnesota · 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
Obesity and Energy Metabolism CoreP30DK050456 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI JEFFERY, ROBERT W · 1995 to 2015
$17.0M
Minnesota Obesity Prevention Training (MnOPT)T32DK083250 · NIDDK · UNIVERSITY OF MINNESOTA · PI KOTZ, CATHERINE M, LASKA, MELISSA N. · 2010 to 2024
$5.1M
Validation of Circulating Endothelial Cells and Microparticles in YouthR01HL110957 · NHLBI · UNIVERSITY OF MINNESOTA · PI KELLY, AARON S · 2012 to 2016
$3.2M
Longitudinal assessment of novel biomarkers for predicting cardiovascular disease in youthF32HL127851 · NHLBI · UNIVERSITY OF MINNESOTA · PI RYDER, JUSTIN R. · 2015 to 2016
$61k
NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1TR000114NHLBI NIH HHS F32 HL127851NHLBI NIH HHS R01 HL110957NHLBI NIH HHS R01HL110957NIDDK NIH HHS P30 DK050456NIDDK NIH HHS T32 DK083250NIDDK NIH HHS T32-DK083250
6 · The paper itself

Abstract

backgroundWe examined whether sympathetic nervous system activity influences hypertension status and systolic blood pressure (SBP) independent of adiposity in youth ranging from normal-weight to severe obesity.

methodsWe examined the association of heart rate variability (HRV) with hypertension status and SBP among youth (6-18 y old; n = 188; 103 female). Seated SBP was measured using an automated cuff. Prehypertension (SBP percentile ≥ 90th to <95th) and hypertension (SBP percentile ≥ 95th) were defined by age-, sex-, and height-norms. Autonomic nervous system activity was measured using HRV via SphygmoCor MM3 system and analyzed for time- and frequency-domains. Total body fat was measured via dual-energy X-ray absorptiometry.

resultsLogistic regression models demonstrated lower values in each time-domain HRV measure and larger low-frequency (LF):high-frequency (HF) ratio to be significantly associated with higher odds of being prehypertensive/hypertensive (11-47% higher odds) independent of total body fat (P < 0.05). In linear regression analysis, lower time-domain, but not frequency-domain, HRV measures were significantly associated with higher SBP independent of total body fat (P < 0.05).

conclusionThese data suggest that impaired cardiac autonomic nervous system function, at rest, is associated with higher odds of being prehypertensive/hypertensive and higher SBP which may be independent of adiposity in youth.

Indexed as

AdiposityAdolescentAnthropometryAutonomic Nervous System DiseasesBlood PressureBody CompositionChildCross-Sectional StudiesFemaleHeart Conduction SystemHeart RateHumansHypertensionLogistic ModelsMaleObesity

Identifiers

PMID26389821
PMCPMC4724304
OpenAlexW2472898024

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.