Cardiorespiratory Fitness Is an Indicator of Arterial Stiffness and Aortic Blood Pressure in Healthy Adolescents

<b>Background/Objectives:</b> We aimed to investigate the influence of cardiorespiratory fitness (CRF) and body composition on arterial stiffness. <b>Methods:</b> Carotid-to-femoral pulse wave velocity (cfPWV) and aortic systolic (ASBP) and diastolic (ADBP) blood pressure wer...

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Main Authors: Hwan Kim, Scott R. Collier, Valerio Bonavolontà, Austin Lassiter, Seaver Wait, Marco Meucci
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/11/9/1078
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Summary:<b>Background/Objectives:</b> We aimed to investigate the influence of cardiorespiratory fitness (CRF) and body composition on arterial stiffness. <b>Methods:</b> Carotid-to-femoral pulse wave velocity (cfPWV) and aortic systolic (ASBP) and diastolic (ADBP) blood pressure were compared between upper and lower tertiles of oxygen consumption at the aerobic threshold (VO<sub>2AerT</sub>), peak oxygen consumption (VO<sub>2peak</sub>), percentage of fat mass (FM%), and body mass index (BMI) in sixty adolescents (30 males and 30 females, 14.9 ± 2.1 years old). A stepwise multivariable linear regression analysis was performed to investigate the independent associations between VO<sub>2AerT</sub> and VO<sub>2peak</sub> and cfPWV, and between BMI and FM% and cfPWV with adjustments for age, sex, ASBP, and ADBP. <b>Results:</b> cfPWV and ADBP were lower in the second and third VO<sub>2AerT</sub> tertiles compared to the first tertile (cfPWV, 4.7 ± 0.5 and 4.7 ± 0.5 vs. 5.3 ± 0.8 m/s, <i>p</i> < 0.01; ADBP, 62 ± 7 and 62 ± 7 vs. 70 ± 8 mmHg, <i>p</i> < 0.01). ASBP was lower in the third VO<sub>2AerT</sub> tertile compared to the first tertile (94 ± 7 vs. 101 ± 12 mmHg, <i>p</i> = 0.05). ADBP was lower in the second VO<sub>2peak</sub> tertile compared to the first tertile (62 ± 7 vs. 68 ± 9 mmHg, <i>p</i> = 0.03). ASBP was lower in the first and second BMI tertiles compared to the third tertile (95 ± 8 and 95 ± 7 vs. 102 ± 11 mmHg, <i>p</i> = 0.02). The eight-variable model significantly contributed to the variance of cfPWV (F(8, 51) = 7.450, <i>p</i> < 0.01), accounting for 47% of the variance. Individually, age (<i>p</i> < 0.05) and ADBP (<i>p</i> < 0.01) significantly predicted cfPWV. <b>Conclusions:</b> Submaximal indicators of CRF such as VO<sub>2AerT</sub> should be considered as a part of the risk stratification of cardiovascular disease in healthy adolescents.
ISSN:2227-9067