P2.01 INITIAL DATA ON THE NATURAL HISTORY OF APWV IN WEST AFRICAN INFANTS
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- 10.1016/j.artres.2009.10.017How to use a DOI?
- Abstract
Introduction: Aortic pulse wave velocity (aPWV) may measure vascular structure and function (distensibility) more precisely than blood pressure (BP). Few data exist on arterial distensibility in infancy; none on the effects of malaria in African children.
Methods: Healthy women with singleton pregnancies were recruited at Adeoyo Maternity Hospital, Ibadan, Nigeria. Measures of anthropometry, resting BP and aPWV using a Doppler device were taken on mothers and their babies at birth and three months later.
Results: 147 mother-baby pairs were measured at birth; 74 mothers had slide-positive malaria. 79 mother-baby pairs were measured at 3 months of age, but only 24 at both times. At birth, mean (SD) aPWV of infants whose mothers had malaria was 4.6 (1.6) m/s and SBP/DBP of 75.0/38.5 mmHg compared with those without 5.6 (1.6) m/s and 72.0/35.8 mmHg. Adjusting for birthweight, these differences were not significant.
By 3 months, children with maternal malaria had aPWV & BP of 7.2 (2.8) m/s and 88.2/47.8 mmHg compared to those without at 7.0 (3.0) m/s and 87.6/48.6 mmHg.
Neonatal aPWV was significantly related only to heart rate (R=0.40;p<0.001), but at 3 months to heart rate (R=0.27;p=0.015) and maternal age (R=0.25;p=0.028), independent of maternal and infant BP.
Discussion: aPWV on average increased during the first three months of life, uncorrelated between birth and 3 months. Children with maternal malaria had slightly lower aPWV at birth, catching up by 3 months. Whether higher aPWV develops sooner in babies with malaria than in those without malaria will be examined in follow-up.
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TY - JOUR AU - J. Kips AU - O. Ayoola AU - S. Greenwald AU - W. Balogun AU - P. Clayton AU - L. Van Bortel AU - P. Segers AU - J.K. Cruickshank PY - 2009 DA - 2009/12/03 TI - P2.01 INITIAL DATA ON THE NATURAL HISTORY OF APWV IN WEST AFRICAN INFANTS JO - Artery Research SP - 177 EP - 177 VL - 3 IS - 4 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2009.10.017 DO - 10.1016/j.artres.2009.10.017 ID - Kips2009 ER -