Aortic intima-media thickness and aortic diameter in small for gestational age and growth restricted fetuses
The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses. Case-control study performed between June 2011 and Jun...
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Published in | PloS one Vol. 10; no. 5; p. e0126842 |
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Main Authors | , , , , , |
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27.05.2015
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Abstract | The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses.
Case-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks.
Median aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447-0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258-4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028).
Growth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease. |
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AbstractList | The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses. Case-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks. Median aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447-0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258-4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028). Growth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease. Objective The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses. Methods Case-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks. Results Median aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447–0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258–4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028). Conclusions Growth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease. Abstract OBJECTIVE: The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses. METHODS: Case-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks. RESULTS: Median aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447-0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258-4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028). CONCLUSIONS: Growth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease. The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses.OBJECTIVEThe objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses.Case-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks.METHODSCase-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks.Median aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447-0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258-4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028).RESULTSMedian aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447-0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258-4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028).Growth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease.CONCLUSIONSGrowth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease. The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses. Case-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks. Median aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447-0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258-4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028). Growth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease. Objective The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small for gestational age (SGA) fetuses, and intrauterine growth restricted (IUGR) fetuses. Methods Case-control study performed between June 2011 and June 2012. Forty-nine AGA fetuses, 40 SGA fetuses, and 35 IUGR fetuses underwent concomitant measurement of aIMT and AD at a mean gestational age of 34.4 weeks. Results Median aIMT was higher in fetuses with IUGR (0.504 mm [95%CI: 0.477-0.530 mm]), than in SGA fetuses (0.466 mm [95% CI: 0.447–0.485 mm]), and AGA fetuses (0.471 mm [95% CI: 0.454-0.488 mm]) (p = 0.023). Mean AD was significantly lower in fetuses with IUGR (4.451 mm [95% CI: 4.258–4.655 mm]), than in AGA fetuses (4.74 mm [95% CI: 4.63-4.843 mm]) (p = 0.028). Conclusions Growth restricted fetuses have a thicker aortic wall than AGA and SGA fetuses, which possibly represents preclinical atherosclerosis and a predisposition to later cardiovascular disease. |
Audience | Academic |
Author | Fernandez-Arias, Mireia Mazarico, Edurne Guirado, Laura Valladares, Esther Vela, Antonio Gomez-Roig, M Dolores |
AuthorAffiliation | 2 SAMID Network (Spanish Collaborative and Child Health Research Network), Madrid, Spain Medical Faculty, Otto-von-Guericke University Magdeburg, Medical Faculty, GERMANY 1 Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain |
AuthorAffiliation_xml | – name: Medical Faculty, Otto-von-Guericke University Magdeburg, Medical Faculty, GERMANY – name: 1 Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain – name: 2 SAMID Network (Spanish Collaborative and Child Health Research Network), Madrid, Spain |
Author_xml | – sequence: 1 givenname: M Dolores surname: Gomez-Roig fullname: Gomez-Roig, M Dolores organization: Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain; SAMID Network (Spanish Collaborative and Child Health Research Network), Madrid, Spain – sequence: 2 givenname: Edurne surname: Mazarico fullname: Mazarico, Edurne organization: Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain; SAMID Network (Spanish Collaborative and Child Health Research Network), Madrid, Spain – sequence: 3 givenname: Esther surname: Valladares fullname: Valladares, Esther organization: Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain – sequence: 4 givenname: Laura surname: Guirado fullname: Guirado, Laura organization: Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain – sequence: 5 givenname: Mireia surname: Fernandez-Arias fullname: Fernandez-Arias, Mireia organization: Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain – sequence: 6 givenname: Antonio surname: Vela fullname: Vela, Antonio organization: Department of Obstetrics and Gynecology, Sant Joan de Déu University Hospital, Barcelona, Spain; SAMID Network (Spanish Collaborative and Child Health Research Network), Madrid, Spain |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26017141$$D View this record in MEDLINE/PubMed |
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Copyright | COPYRIGHT 2015 Public Library of Science 2015 Gomez-Roig et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. cc-by (c) Gómez Roig, Ma. Dolores et al., 2015 info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/3.0/es 2015 Gomez-Roig et al 2015 Gomez-Roig et al |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Competing Interests: The authors have declared that no competing interests exist. Conceived and designed the experiments: MD GR EM EV AV. Performed the experiments: EM EV LG MFA AV. Analyzed the data: EV EM. Contributed reagents/materials/analysis tools: EM EV LG MFA. Wrote the paper: EM EV MDGR. |
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References_xml | – ident: ref13 – volume: 128 start-page: 741 issue: 7 year: 2000 ident: ref8 article-title: Lipid profile in newborns with intrauterine growth retardation publication-title: Rev Med Chil contributor: fullname: M Molina – volume: 80 start-page: 119 issue: 1 year: 2011 ident: ref5 article-title: Intrauterine growth Restriction is associated with persistent aortic wall thickening and glomerular proteinuria during infancy publication-title: Kidney Int doi: 10.1038/ki.2011.99 contributor: fullname: V Zanardo – volume: 340 start-page: 14 issue: 1 year: 1999 ident: ref12 article-title: Carotid-artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults. Cardiovascular health Study Collaborative Research Group publication-title: N Engl J Med doi: 10.1056/NEJM199901073400103 contributor: fullname: DH O’Leary – volume: 298 start-page: 2028 issue: 17 year: 2007 ident: ref1 article-title: Cardiovascular risk factors, mortality and overweight publication-title: JAMA contributor: fullname: K Mc Tigue – volume: 215 start-page: 1617 issue: 10 year: 1971 ident: ref2 article-title: Premature mortality from coronary heart disease: the Framingham Study publication-title: JAMA doi: 10.1001/jama.1971.03180230027005 contributor: fullname: T Gordon – volume: 104 start-page: 2943 year: 2001 ident: ref9 article-title: Increased aortic intima-media thickness: a marker of preclinical aterosclerosis in high- risk children publication-title: Circulation doi: 10.1161/hc4901.100522 contributor: fullname: M Jarvisalo – volume: 49 start-page: 270 year: 2006 ident: ref7 article-title: Adult consequences of fetal growth restriction publication-title: Clin Obstet Gynecol doi: 10.1097/00003081-200606000-00009 contributor: fullname: DJ Barker – volume: 114 start-page: 1109 issue: 5 year: 2009 ident: ref4 article-title: Aortic intima media thickness in fetuses and children with intrauterine growth restriction publication-title: Obstet Gynecol doi: 10.1097/AOG.0b013e3181bb23d3 contributor: fullname: E Cosmi – volume: 20 start-page: 836 year: 2000 ident: ref3 article-title: Effects of coronary heart disease risk factor on aterosclerosis of selected regions of the aorta and right coronary artery. PDAY Research Group. Pathobiological Determinants of Atherosclerosis in Youth publication-title: Arterioscler Thromb Vasc Biol doi: 10.1161/01.ATV.20.3.836 contributor: fullname: HC McGill Jr – volume: 365 start-page: 1484 year: 2005 ident: ref11 article-title: Aortic wall thickness in newborns with intrauterine growth restriction publication-title: Lancet doi: 10.1016/S0140-6736(05)66419-7 contributor: fullname: MR Skilton – volume: 36 start-page: 440 issue: 5 year: 2013 ident: ref6 article-title: Fetal aortic wall thickness: a marker of hypertension in IUGR children? publication-title: Hypertens Res doi: 10.1038/hr.2012.219 contributor: fullname: V Zanardo – ident: ref14 doi: 10.1002/uog.13245 – volume: 31 start-page: 33 year: 1999 ident: ref10 article-title: Imaging of subclinical atherosclerosis in children and young adults publication-title: Ann Med doi: 10.1080/07853890.1999.11904397 contributor: fullname: OT Raitakari |
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Snippet | The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA) fetuses, small... Objective The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA)... Abstract OBJECTIVE: The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age... Objective The objective of this study is to measure aortic intima-media thickness (aIMT) and aortic diameter (AD) in appropriate for gestational age (AGA)... |
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SubjectTerms | Adult Age Anthropometry Antropometria Aorta Aorta - diagnostic imaging Arteriosclerosis Aterosclerosi Atherosclerosis Body measurements Cardiovascular disease Cardiovascular diseases Carotid Intima-Media Thickness Case studies Case-Control Studies Control methods Creixement fetal Demographic aspects Estudi de casos Female Fetal growth Fetal Growth Retardation - diagnostic imaging Fetal Growth Retardation - physiopathology Fetus Fetuses Gestational Age Health risk assessment Humans Infant, Newborn Infant, Small for Gestational Age Malalties cardiovasculars Male Maternal Age Physiological aspects Pregnancy Pregnancy Trimester, Third Risk factors Small for gestational age Ultrasonography, Prenatal Veins & arteries |
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Title | Aortic intima-media thickness and aortic diameter in small for gestational age and growth restricted fetuses |
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