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24-h Systolic blood...
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Framme, JennyGothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
(författare)
24-h Systolic blood pressure and heart rate recordings in lean and obese adolescents
- Artikel/kapitelEngelska2006
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LIBRIS-ID:oai:gup.ub.gu.se/53109
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https://gup.ub.gu.se/publication/53109URI
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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OBJECTIVE: We assessed the hypothesis that differences in day and night-time systolic blood pressure (SBP) and heart rate (HR) recordings were smaller in obese versus lean children and adolescents, and whether measurements obtained during a school week or during weekends or holidays influenced these nocturnal falls. We also wanted to determine whether the results were influenced by gender. METHODS: Ambulatory 24-h BP and HR measurements were performed in 80 subjects, 51 girls and 29 boys. Lean (n = 25) and obese (n = 55) subjects were classified according to body mass index (BMI)-standard deviation (SD) criteria. Forty-eight subjects had their 24-h recordings performed during a school week and 32 during leisure time. RESULTS: The SBP nocturnal dipping response was less pronounced in obese subjects (16.2 +/- 6.3 mmHg) compared with lean controls (21.1 +/- 5.7 mmHg) (P < 0.01) of which the girls constituted most of the difference. HR change between day and night was similar in both groups being approximately 15 b/min. A small but statistical negative correlation was observed between BMI-SD and nocturnal fall in SBP (r = -0.3, P = 0.0065). In all subjects, regardless of BMI-SD, daytime SBP was higher when readings were obtained during a school week (123 +/- 7 mmHg) than during weekends or holidays (119 +/- 7 mmHg) (P = 0.029). CONCLUSION: Obese children and adolescents showed smaller nocturnal falls in SBP compared with lean subjects. This pattern may cause increased cardiovascular loading; thus, it may reflect an early sign of high blood pressure development and adds to cardiovascular risk in young obese individuals.
Ämnesord och genrebeteckningar
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Adolescent
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*Blood Pressure
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*Blood Pressure Monitoring
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Ambulatory
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Body Mass Index
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Body Weight
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Child
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Circadian Rhythm
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Cohort Studies
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Female
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*Heart Rate
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Humans
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Leisure Activities
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Male
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Obesity
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Schools
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Dangardt, Frida,1977Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xdanfr
(författare)
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Mårild, Staffan,1945Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences(Swepub:gu)xmarst
(författare)
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Osika, Walter,1966Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xosiwa
(författare)
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Wahrborg, P.
(författare)
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Friberg, Peter,1956Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine(Swepub:gu)xfrpet
(författare)
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Göteborgs universitetInstitutionen för medicin, avdelningen för molekylär och klinisk medicin
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Clin Physiol Funct Imaging26:4, s. 235-91475-0961
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Framme, Jenny
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Dangardt, Frida, ...
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Mårild, Staffan, ...
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Osika, Walter, 1 ...
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Wahrborg, P.
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Friberg, Peter, ...
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Clin Physiol Fun ...
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Göteborgs universitet