Abstract 321: Central Blood Pressure Regulation in Relation to Hypertension and Adiposity in Youth
Introduction: The relationship between different central BP measurements with hypertension status in youth is not well documented. We hypothesized that measures of central BP would be positively associated with hypertension status in youth independent of adiposity. Methods: We recruited 149 males and 160 females for this cross-sectional analysis (mean±SD: age = 12.8±2.7; BMI percentile (%) = 78.5±27.8). Body fat % was measured by dual energy X-ray absorptiometry (DXA) and brachial BP was measured using an automated cuff to calculate systolic BP (SBP) and diastolic BP (DBP). Determined by systolic percentile, there were 238 normotensive (<90 th ), 29 pre-hypertensive (<90 th - <95 th ), and 42 hypertensive (<95 th ) individuals enrolled. Central BP was determined using the SphygmoCor MM3 system to calculate carotid-aorta SBP (caSBP) carotid-aorta DBP (caDBP) radial-aorta SBP (raSBP) and radial-aorta DBP (raDBP). Central BP measures were compared across hypertension status groups using ANCOVA, with post-hoc Tukey HSD, adjusted for age, sex, and race. Pearson correlations (unadjusted) and multiple linear regression models, examining the relationship between central BP measures with brachial BP adjusted for age, sex, race, and height, were conducted with further adjustment for body fat % (shown as β±SE). Results: raSBP, caSBP, raDBP, and caDBP were significantly different between the normotensive and hypertensive groups (all p<0.001). No statistically significant differences were found between normotensive and pre-hypertensive or between pre-hypertensive and hypertensive groups. raSBP and caSBP were correlated to SBP (r=0.59, r=0.62, respectively, p<0.001). raDBP and caDBP were correlated to DBP (r=0.58, r=0.6, respectively, p<0.001). In regression analysis, SBP was positively associated with both raSBP and caSBP (β=0.3±0.06, p<0.001) and (β=0.28±0.08, p<0.001), respectively. DBP was positively associated with raDBP and caDBP (β=0.31±0.06, p<0.001) and (β=0.31 ±0.06, p<0.001), respectively. All associations remained significant after adjustment for body fat %. Conclusion: These data suggest that central BP, regardless of measurement site, is highly associated with brachial BP and hypertension status in youth independent of adiposity.