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Reduced cardiac vagal activity in obese children and adolescents

Dangardt, Frida, 1977 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
Volkmann, Reinhard, 1942 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
Chen, Yun, 1966 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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Osika, Walter, 1966 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
Mårild, Staffan, 1945 (author)
Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics
Friberg, Peter, 1956 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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 (creator_code:org_t)
2011
2011
English.
In: Clinical Physiology and Functional Imaging. - 1475-0961. ; 31:2, s. 108-13
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVE: Obese children present with various cardiovascular risk factors affecting their future health. In adults, cardiac autonomic function is a major risk factor, predicting cardiovascular morbidity and mortality. We hypothesized that obese children and adolescents had a lower cardiac vagal activity than lean subjects. We measured cardiac spontaneous baroreflex sensitivity (BRS), reflecting the dynamic regulation of cardiac vagal function, in large groups of obese and lean young individuals. METHODS AND RESULTS: Cardiac BRS, using the sequence approach, was assessed in 120 obese (59 girls), 43 overweight (23 girls) and 148 lean subjects (78 girls). Obese subjects showed a decreased BRS compared to both overweight and lean subjects [16+/-7 versus 21+/-9 (P<0.01) and 22+/-10 ms per mmHg (P<0.0001), respectively]. The differences remained after correcting for age, gender and pubertal status. CONCLUSION: Children with obesity had low vagal activity at rest, and there was no gender difference.

Keyword

Adolescent
*Baroreflex
Blood Pressure
Body Mass Index
Case-Control Studies
Child
Down-Regulation
Female
Heart/*innervation
Heart Rate
Humans
Male
Obesity/*physiopathology
Sweden
Vagus Nerve/*physiopathology

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art (subject category)

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