Role of birth weight and postnatal growth on pulse wave velocity in teenagers

Purpose: Low birth weight and accelerated postnatal growth appear to play a significant role in the pathogenesis of hypertensionandcardiovascular disease in adulthood.Theaimof the present studywas to characterize the factors determining pulse wave velocity (PWV) in teenagers and, in particular, to verify the relationship with birth weight, postnatal growth, timing of adiposity rebound, lifestyle, and hemodynamic parameters. Methods: Carotid-femoral and carotid-radial pulse wave velocities of 558 healthy teenagers (age range: 16.2–19.9 years) were determined by means of a PulsePen tonometer. Birth weight and gestational age were obtained from obstetrical records, and data regarding postnatal growth were obtained from pediatric clinical records. Results: No change in aortic PWV was found in association with birth weight, postnatal growth, and timing of adiposity rebound. However, the study showed a strong association between accelerated growth from 0 to 12 months and carotid-radialPWV(trend: p .02). Subjects with birth weight values 2,500 g showed higher values of upper limb PWV (p .05) and higher values of diastolic and mean arterial pressure (p .05). Stepwise regression analysis revealed that mean arterial pressure, age, and height were the main independent factors determining aortic PWV in this young population. Conclusions: These results suggest that there is no linear correlation between birth weight and hemodynamic parameters in teenagers; however, subjects characterized by very low birth weight and accelerated postnatal weight gain appear to demonstrate increased upper limb PWV and diastolic and mean arterial pressure values