唐氏综合症儿童的血管健康和危险因素
2023年8月8日 更新者：Adam Ware、University of Utah
这是一项前瞻性、多中心、横断面研究，旨在评估唐氏综合症儿童血管危险因素的患病率，并确定血管疾病危险因素与早期动脉粥样硬化客观标志物之间的关联。
研究概览
研究类型
观察性的
注册 (实际的)
55
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Utah
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Salt Lake City、Utah、美国、84121
- University of Utah
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
10年 至 18年 (孩子、成人)
接受健康志愿者
是的
取样方法
非概率样本
研究人群
所有 DS 儿童（10.0-18.0 岁）都符合条件，包括易位和嵌合体儿童
描述
纳入标准：
- 所有患有唐氏综合症的儿童（10.0-18.0 岁）
- 易位和嵌合体儿童
- 有和没有冠心病的儿童
排除标准：
- 有发育不良的主动脉弓、缩窄或导管或手术为主动脉干预史的患者
- 目前正在接受治疗或在研究后 1 年内接受过癌症或骨髓增生性疾病化疗的患者
- 父母/合法授权代表 (LAR) 认为孩子无法配合血管成像研究的参与者
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
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10.0 至 18.0 岁的儿童
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我们将在我们的中心确定 DS 儿童的 CV 疾病风险概况。
我们会将这些数据与已公布的无 DS 儿童的国家标准进行比较。
风险因素数据将包括：人体测量指标；血压;先天性心脏病和相关手术、睡眠呼吸暂停、甲状腺功能减退症和癌症的病史；空腹抽血 [带亚组分的脂质组 (NMR)、胰岛素、葡萄糖和 CRP]。
我们将对 DS 儿童进行 PWV、CIMT 和 CD 研究，并将这些数据与非 DS 儿童的可用数据进行比较。
我们还将对 CV 疾病危险因素组合对 DS 患儿早期动脉粥样硬化标志物的影响进行多变量分析。
假设：CV 疾病危险因素将与 DS 患儿的早期动脉粥样硬化标志物相关，但危险因素与早期动脉粥样硬化标志物之间的关联在 DS 患儿与一般儿童人群之间会有所不同。
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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唐氏综合症患儿与非唐氏综合症患儿在一个时间点的平均脉搏波速度差异。
大体时间：一天的病人访问
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脉搏波速度 (PWV) 是动脉硬度的非侵入性成像测量。
脉搏波速度通过评估压力波穿过主动脉的时间来测量血管硬度。
速度由容器的弹性和几何形状决定。
PWV 将使用 SphygmoCor 设备进行测量。
当参与者处于仰卧位并连接心电图导线时，将使用卷尺（颈动脉）和卡尺（股骨）从胸骨上切迹标记和测量右颈动脉和右股动脉的最大脉动。
眼压计将记录颈动脉和股动脉的冲动。
设备将 PWV 计算为颈动脉到远端路径长度的差异除以 R 波到波形时间的差异（Δ距离/Δ时间，m/sec）。
测量将一式三份并取平均值。
PWV 可在约 30 分钟内完成。
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一天的病人访问
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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在 1 个时间点测量的唐氏综合症儿童与非唐氏综合症儿童的平均颈动脉内膜内侧厚度的差异。
大体时间：一天的病人访问
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颈动脉内膜内侧厚度 (CIMT) 是颈动脉厚度的非侵入性成像测量。
带有高分辨率线阵血管换能器的 B 型超声将用于记录普通、球部和内部 CIMT。
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一天的病人访问
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体重指数 (BMI) 人体测量心血管危险因素与唐氏综合症患儿 PWV 和 CIMT 的相关性。
大体时间：一天的病人访问
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身高（厘米）将使用标准测距仪测量，体重（千克）将使用每个站点提供的校准秤测量。
BMI (kg/m2) 将被计算并转换为年龄和性别匹配的唐氏综合症百分位数。
在1个时间点测量。
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一天的病人访问
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腰围人体测量心血管危险因素与唐氏综合征患儿 PWV 和 CIMT 的相关性。
大体时间：一天的病人访问
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将在髂后嵴顶部测量腰围（NHANES 标准），并通过计算腰高比进行归一化。
在1个时间点测量。
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一天的病人访问
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血清学心血管危险因素的相关性包括唐氏综合症患儿的 PWV 空腹血脂和 CIMT。
大体时间：一天的病人访问
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将获得空腹脂质谱以测量总胆固醇、甘油三酯和高密度脂蛋白胆固醇。
受过训练的儿科抽血师将在参与者禁食 ≥ 10 小时后进行抽血。
标准血脂概况将提供总胆固醇、高密度脂蛋白胆固醇和甘油三酯。
当甘油三酯 <400 mg/dL 时，将使用 Friedwald 方程计算 LDL。
对于 ≥ 400 mg/dl 的甘油三酯，将通过均相酶促测定法直接测量 LDL。
在1个时间点测量。
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一天的病人访问
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血清学心血管危险因素的相关性包括 PWV 上的脂蛋白和患有唐氏综合症的儿童的 CIMT。
大体时间：一天的病人访问
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NMR 的脂蛋白亚组分将用于描述脂质颗粒的数量和大小。
这些脂蛋白测量值可能比单独使用标准脂质谱更准确地估计 CV 风险。
脂蛋白亚分级分离将使用质子 NMR 信号完成。
在1个时间点测量。
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一天的病人访问
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血清学心血管危险因素的相关性包括唐氏综合症儿童 PWV 和 CIMT 的胰岛素抵抗。
大体时间：一天的病人访问
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胰岛素抵抗将通过空腹血糖、血红蛋白 A1C 和胰岛素水平进行评估，因为糖尿病（空腹血糖≥126 mg/dL 或血红蛋白 A1C ≥6.5%）是一个主要的危险因素。
在1个时间点测量。
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一天的病人访问
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临床心血管危险因素与唐氏综合征患儿 PWV 和 CIMT 的相关性。
大体时间：一天的病人访问
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将获得先天性心脏病 (CHD) 和相关手术、睡眠呼吸暂停、甲状腺功能减退症和癌症的详细个人病史，因为所有这些在患有唐氏综合症的人群中都很常见，并会增加成年后患心血管疾病的风险。
将从病历中获得基本的 CHD 和相关手术。
父母/LAR 将接受询问，并审查病历以了解睡眠呼吸暂停、甲状腺功能减退症和癌症的病史（是/否）。
在1个时间点测量。
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一天的病人访问
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Adam L Ware, MD、University of Utah
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Mattace-Raso FU, van der Cammen TJ, Hofman A, van Popele NM, Bos ML, Schalekamp MA, Asmar R, Reneman RS, Hoeks AP, Breteler MM, Witteman JC. Arterial stiffness and risk of coronary heart disease and stroke: the Rotterdam Study. Circulation. 2006 Feb 7;113(5):657-63. doi: 10.1161/CIRCULATIONAHA.105.555235.
- Ridker PM, Everett BM, Thuren T, MacFadyen JG, Chang WH, Ballantyne C, Fonseca F, Nicolau J, Koenig W, Anker SD, Kastelein JJP, Cornel JH, Pais P, Pella D, Genest J, Cifkova R, Lorenzatti A, Forster T, Kobalava Z, Vida-Simiti L, Flather M, Shimokawa H, Ogawa H, Dellborg M, Rossi PRF, Troquay RPT, Libby P, Glynn RJ; CANTOS Trial Group. Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease. N Engl J Med. 2017 Sep 21;377(12):1119-1131. doi: 10.1056/NEJMoa1707914. Epub 2017 Aug 27.
- Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents; National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics. 2011 Dec;128 Suppl 5(Suppl 5):S213-56. doi: 10.1542/peds.2009-2107C. Epub 2011 Nov 14. No abstract available.
- Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, de Ferranti SD, Floyd J, Fornage M, Gillespie C, Isasi CR, Jimenez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Mackey RH, Matsushita K, Mozaffarian D, Mussolino ME, Nasir K, Neumar RW, Palaniappan L, Pandey DK, Thiagarajan RR, Reeves MJ, Ritchey M, Rodriguez CJ, Roth GA, Rosamond WD, Sasson C, Towfighi A, Tsao CW, Turner MB, Virani SS, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation. 2017 Mar 7;135(10):e146-e603. doi: 10.1161/CIR.0000000000000485. Epub 2017 Jan 25. No abstract available. Erratum In: Circulation. 2017 Mar 7;135(10 ):e646. Circulation. 2017 Sep 5;136(10 ):e196.
- de Koning L, Merchant AT, Pogue J, Anand SS. Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies. Eur Heart J. 2007 Apr;28(7):850-6. doi: 10.1093/eurheartj/ehm026. Epub 2007 Apr 2.
- Glasson EJ, Sullivan SG, Hussain R, Petterson BA, Montgomery PD, Bittles AH. The changing survival profile of people with Down's syndrome: implications for genetic counselling. Clin Genet. 2002 Nov;62(5):390-3. doi: 10.1034/j.1399-0004.2002.620506.x.
- Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carroll AE, Daniels SR, de Ferranti SD, Dionne JM, Falkner B, Flinn SK, Gidding SS, Goodwin C, Leu MG, Powers ME, Rea C, Samuels J, Simasek M, Thaker VV, Urbina EM; SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017 Sep;140(3):e20171904. doi: 10.1542/peds.2017-1904. Epub 2017 Aug 21. Erratum In: Pediatrics. 2017 Nov 30;: Pediatrics. 2018 Sep;142(3):
- Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, Braun LT, de Ferranti S, Faiella-Tommasino J, Forman DE, Goldberg R, Heidenreich PA, Hlatky MA, Jones DW, Lloyd-Jones D, Lopez-Pajares N, Ndumele CE, Orringer CE, Peralta CA, Saseen JJ, Smith SC Jr, Sperling L, Virani SS, Yeboah J. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019 Jun 18;139(25):e1082-e1143. doi: 10.1161/CIR.0000000000000625. Epub 2018 Nov 10. Erratum In: Circulation. 2019 Jun 18;139(25):e1182-e1186.
- Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics. 2005 Jan;115(1):22-7. doi: 10.1542/peds.2004-0220.
- Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, Pi-Sunyer FX, Eckel RH; American Heart Association; Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss: an update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease from the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism. Circulation. 2006 Feb 14;113(6):898-918. doi: 10.1161/CIRCULATIONAHA.106.171016. Epub 2005 Dec 27.
- Duncan GE. Prevalence of diabetes and impaired fasting glucose levels among US adolescents: National Health and Nutrition Examination Survey, 1999-2002. Arch Pediatr Adolesc Med. 2006 May;160(5):523-8. doi: 10.1001/archpedi.160.5.523.
- Sharma AK, Metzger DL, Daymont C, Hadjiyannakis S, Rodd CJ. LMS tables for waist-circumference and waist-height ratio Z-scores in children aged 5-19 y in NHANES III: association with cardio-metabolic risks. Pediatr Res. 2015 Dec;78(6):723-9. doi: 10.1038/pr.2015.160. Epub 2015 Sep 2.
- Ware AL, Miller DV, Porter CB, Edwards WD. Characterization of atrial morphology and sinus node morphology in heterotaxy syndrome: an autopsy-based study of 41 cases (1950-2008). Cardiovasc Pathol. 2012 Sep-Oct;21(5):421-7. doi: 10.1016/j.carpath.2011.12.007. Epub 2012 Jan 28.
- Ware AL, Miller DV, Erickson LK, Menon SC. Marfan syndrome associated aortic disease in neonates and children: a clinical-morphologic review. Cardiovasc Pathol. 2016 Sep-Oct;25(5):418-22. doi: 10.1016/j.carpath.2016.06.002. Epub 2016 Jun 16.
- Ware AL, Malmberg E, Delgado JC, Hammond ME, Miller DV, Stehlik J, Kfoury A, Revelo MP, Eckhauser A, Everitt MD. The use of circulating donor specific antibody to predict biopsy diagnosis of antibody-mediated rejection and to provide prognostic value after heart transplantation in children. J Heart Lung Transplant. 2016 Feb;35(2):179-85. doi: 10.1016/j.healun.2015.10.006. Epub 2015 Oct 8.
- Ware AL, Tani LY, Weng HY, Wilkes J, Menon SC. Resource utilization and outcomes of infective endocarditis in children. J Pediatr. 2014 Oct;165(4):807-12.e1. doi: 10.1016/j.jpeds.2014.06.026. Epub 2014 Jul 23.
- Ware AL, Young PC, Weng C, Presson AP, Minich LL, Menon SC. Prevalence of Coronary Artery Disease Risk Factors and Metabolic Syndrome in Children with Heart Disease. Pediatr Cardiol. 2018 Feb;39(2):261-267. doi: 10.1007/s00246-017-1750-2. Epub 2017 Oct 23.
- Head E, Phelan MJ, Doran E, Kim RC, Poon WW, Schmitt FA, Lott IT. Cerebrovascular pathology in Down syndrome and Alzheimer disease. Acta Neuropathol Commun. 2017 Dec 1;5(1):93. doi: 10.1186/s40478-017-0499-4.
- Wilcock DM, Schmitt FA, Head E. Cerebrovascular contributions to aging and Alzheimer's disease in Down syndrome. Biochim Biophys Acta. 2016 May;1862(5):909-14. doi: 10.1016/j.bbadis.2015.11.007. Epub 2015 Nov 26.
- Sobey CG, Judkins CP, Sundararajan V, Phan TG, Drummond GR, Srikanth VK. Risk of Major Cardiovascular Events in People with Down Syndrome. PLoS One. 2015 Sep 30;10(9):e0137093. doi: 10.1371/journal.pone.0137093. eCollection 2015.
- Yla-Herttuala S, Luoma J, Nikkari T, Kivimaki T. Down's syndrome and atherosclerosis. Atherosclerosis. 1989 Apr;76(2-3):269-72. doi: 10.1016/0021-9150(89)90110-x.
- Brattstrom L, Englund E, Brun A. Does Down syndrome support homocysteine theory of arteriosclerosis? Lancet. 1987 Feb 14;1(8529):391-2. doi: 10.1016/s0140-6736(87)91772-7. No abstract available.
- Murdoch JC, Rodger JC, Rao SS, Fletcher CD, Dunnigan MG. Down's syndrome: an atheroma-free model? Br Med J. 1977 Jul 23;2(6081):226-8. doi: 10.1136/bmj.2.6081.226.
- Alexander M, Petri H, Ding Y, Wandel C, Khwaja O, Foskett N. Morbidity and medication in a large population of individuals with Down syndrome compared to the general population. Dev Med Child Neurol. 2016 Mar;58(3):246-54. doi: 10.1111/dmcn.12868. Epub 2015 Aug 18.
- Vis JC, Winter MM, Weijerman ME, et al. Down syndrome Congenital heart defects in Down syndrome Prevalence of congenital heart defects. 2019;53(5):1-22
- Parra P, Costa R, de Asua DR, Moldenhauer F, Suarez C. Atherosclerotic Surrogate Markers in Adults With Down Syndrome: A Case-Control Study. J Clin Hypertens (Greenwich). 2017 Feb;19(2):205-211. doi: 10.1111/jch.12890. Epub 2016 Aug 6.
- Vis JC, Duffels MG, Winter MM, Weijerman ME, Cobben JM, Huisman SA, Mulder BJ. Down syndrome: a cardiovascular perspective. J Intellect Disabil Res. 2009 May;53(5):419-25. doi: 10.1111/j.1365-2788.2009.01158.x. Epub 2009 Feb 18.
- Zhu JL, Hasle H, Correa A, Schendel D, Friedman JM, Olsen J, Rasmussen SA. Survival among people with Down syndrome: a nationwide population-based study in Denmark. Genet Med. 2013 Jan;15(1):64-9. doi: 10.1038/gim.2012.93. Epub 2012 Aug 9.
- Foerste T, Sabin M, Reid S, Reddihough D. Understanding the causes of obesity in children with trisomy 21: hyperphagia vs physical inactivity. J Intellect Disabil Res. 2016 Sep;60(9):856-64. doi: 10.1111/jir.12259. Epub 2016 Mar 3.
- van Gameren-Oosterom HB, van Dommelen P, Schonbeck Y, Oudesluys-Murphy AM, van Wouwe JP, Buitendijk SE. Prevalence of overweight in Dutch children with Down syndrome. Pediatrics. 2012 Dec;130(6):e1520-6. doi: 10.1542/peds.2012-0886. Epub 2012 Nov 12.
- Adelekan T, Magge S, Shults J, Stallings V, Stettler N. Lipid profiles of children with Down syndrome compared with their siblings. Pediatrics. 2012 Jun;129(6):e1382-7. doi: 10.1542/peds.2011-1262. Epub 2012 May 14.
- Rouch L, Cestac P, Sallerin B, Andrieu S, Bailly H, Beunardeau M, Cohen A, Dubail D, Hernandorena I, Seux ML, Vidal JS, Hanon O. Pulse Wave Velocity Is Associated With Greater Risk of Dementia in Mild Cognitive Impairment Patients. Hypertension. 2018 Nov;72(5):1109-1116. doi: 10.1161/HYPERTENSIONAHA.118.11443.
- Rodrigues AN, Coelho LC, Goncalves WL, Gouvea SA, Vasconcellos MJ, Cunha RS, Abreu GR. Stiffness of the large arteries in individuals with and without Down syndrome. Vasc Health Risk Manag. 2011;7:375-81. doi: 10.2147/VHRM.S21273. Epub 2011 Jun 9.
- Kulsum-Mecci N, Goss C, Kozel BA, Garbutt JM, Schechtman KB, Dharnidharka VR. Effects of Obesity and Hypertension on Pulse Wave Velocity in Children. J Clin Hypertens (Greenwich). 2017 Mar;19(3):221-226. doi: 10.1111/jch.12892. Epub 2016 Aug 11.
- Khan SS, Ning H, Wilkins JT, Allen N, Carnethon M, Berry JD, Sweis RN, Lloyd-Jones DM. Association of Body Mass Index With Lifetime Risk of Cardiovascular Disease and Compression of Morbidity. JAMA Cardiol. 2018 Apr 1;3(4):280-287. doi: 10.1001/jamacardio.2018.0022.
- Kotlyarevska K, Wolfgram P, Lee JM. Is waist circumference a better predictor of insulin resistance than body mass index in U.S. adolescents? J Adolesc Health. 2011 Sep;49(3):330-3. doi: 10.1016/j.jadohealth.2010.12.008. Epub 2011 May 4.
- Hatch-Stein JA, Zemel BS, Prasad D, Kalkwarf HJ, Pipan M, Magge SN, Kelly A. Body Composition and BMI Growth Charts in Children With Down Syndrome. Pediatrics. 2016 Oct;138(4):e20160541. doi: 10.1542/peds.2016-0541. Epub 2016 Sep 14.
- Bertapelli F, Pitetti K, Agiovlasitis S, Guerra-Junior G. Overweight and obesity in children and adolescents with Down syndrome-prevalence, determinants, consequences, and interventions: A literature review. Res Dev Disabil. 2016 Oct;57:181-92. doi: 10.1016/j.ridd.2016.06.018. Epub 2016 Jul 19.
- Yang Q, Rasmussen SA, Friedman JM. Mortality associated with Down's syndrome in the USA from 1983 to 1997: a population-based study. Lancet. 2002 Mar 23;359(9311):1019-25. doi: 10.1016/s0140-6736(02)08092-3.
- Akhuemonkhan E, Lazo M. Association between family history of diabetes and cardiovascular disease and lifestyle risk factors in the United States population: The 2009-2012 National Health and Nutrition Examination Survey. Prev Med. 2017 Mar;96:129-134. doi: 10.1016/j.ypmed.2016.12.015. Epub 2016 Dec 19.
- Centers for Disease Control and Prevention (CDC). Prevalence of abnormal lipid levels among youths --- United States, 1999-2006. MMWR Morb Mortal Wkly Rep. 2010 Jan 22;59(2):29-33. Erratum In: MMWR Morb Mortal Wkly Rep. 2010 Jan 29;59(3):78.
- Saaddine JB, Fagot-Campagna A, Rolka D, Narayan KM, Geiss L, Eberhardt M, Flegal KM. Distribution of HbA(1c) levels for children and young adults in the U.S.: Third National Health and Nutrition Examination Survey. Diabetes Care. 2002 Aug;25(8):1326-30. doi: 10.2337/diacare.25.8.1326.
- Ford ES, Li C, Zhao G, Mokdad AH. Concentrations of low-density lipoprotein cholesterol and total cholesterol among children and adolescents in the United States. Circulation. 2009 Mar 3;119(8):1108-15. doi: 10.1161/CIRCULATIONAHA.108.816769. Epub 2009 Feb 16.
- Loprinzi P, Cardinal B, Crespo C, Brodowicz G, Andersen R, Sullivan E, Smit E. Objectively measured physical activity and C-reactive protein: National Health and Nutrition Examination Survey 2003-2004. Scand J Med Sci Sports. 2013 Mar;23(2):164-70. doi: 10.1111/j.1600-0838.2011.01356.x. Epub 2011 Aug 3.
- Urbina EM, Williams RV, Alpert BS, Collins RT, Daniels SR, Hayman L, Jacobson M, Mahoney L, Mietus-Snyder M, Rocchini A, Steinberger J, McCrindle B; American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee of the Council on Cardiovascular Disease in the Young. Noninvasive assessment of subclinical atherosclerosis in children and adolescents: recommendations for standard assessment for clinical research: a scientific statement from the American Heart Association. Hypertension. 2009 Nov;54(5):919-50. doi: 10.1161/HYPERTENSIONAHA.109.192639. Epub 2009 Sep 3. Erratum In: Hypertension. 2010 Sep;56(3):e36.
- Iwakiri T, Yano Y, Sato Y, Hatakeyama K, Marutsuka K, Fujimoto S, Kitamura K, Kario K, Asada Y. Usefulness of carotid intima-media thickness measurement as an indicator of generalized atherosclerosis: findings from autopsy analysis. Atherosclerosis. 2012 Dec;225(2):359-62. doi: 10.1016/j.atherosclerosis.2012.10.033. Epub 2012 Oct 12.
- Park MH, Skow A, De Matteis S, Kessel AS, Saxena S, Viner RM, Kinra S. Adiposity and carotid-intima media thickness in children and adolescents: a systematic review. BMC Pediatr. 2015 Oct 16;15:161. doi: 10.1186/s12887-015-0478-5.
- Urbina EM. Abnormalities of vascular structure and function in pediatric hypertension. Pediatr Nephrol. 2016 Jul;31(7):1061-70. doi: 10.1007/s00467-015-3188-1. Epub 2015 Aug 15.
- Doyon A, Kracht D, Bayazit AK, Deveci M, Duzova A, Krmar RT, Litwin M, Niemirska A, Oguz B, Schmidt BM, Sozeri B, Querfeld U, Melk A, Schaefer F, Wuhl E; 4C Study Consortium. Carotid artery intima-media thickness and distensibility in children and adolescents: reference values and role of body dimensions. Hypertension. 2013 Sep;62(3):550-6. doi: 10.1161/HYPERTENSIONAHA.113.01297. Epub 2013 Jul 1.
- Croymans DM, Sanchez A, Barth JD, Roberts CK. Carotid intima-media thickness, dietary intake, and cardiovascular phenotypes in adolescents: relation to metabolic syndrome. Metabolism. 2010 Apr;59(4):533-9. doi: 10.1016/j.metabol.2009.08.016. Epub 2009 Oct 20.
- Mittelman SD, Gilsanz P, Mo AO, Wood J, Dorey F, Gilsanz V. Adiposity predicts carotid intima-media thickness in healthy children and adolescents. J Pediatr. 2010 Apr;156(4):592-7.e2. doi: 10.1016/j.jpeds.2009.10.014. Epub 2009 Dec 14.
- White D, Place R, Michael T, Hoffman E, Gordon PM, Visich P. The Relationship between Coronary Artery Disease Risk Factors and Carotid Intima-Media Thickness in Children. J Pediatr. 2017 Nov;190:38-42. doi: 10.1016/j.jpeds.2017.07.034. Epub 2017 Sep 11.
- Vergeer M, Zhou R, Bots ML, Duivenvoorden R, Koglin J, Akdim F, Mitchel YB, Huijgen R, Sapre A, de Groot E, Sijbrands EJ, Pasternak RC, Gagne C, Marais AD, Ballantyne CM, Isaacsohn JL, Stalenhoef AF, Kastelein JJ. Carotid atherosclerosis progression in familial hypercholesterolemia patients: a pooled analysis of the ASAP, ENHANCE, RADIANCE 1, and CAPTIVATE studies. Circ Cardiovasc Imaging. 2010 Jul;3(4):398-404. doi: 10.1161/CIRCIMAGING.109.909655. Epub 2010 May 21.
- Giannini C, Diesse L, D'Adamo E, Chiavaroli V, de Giorgis T, Di Iorio C, Chiarelli F, Mohn A. Influence of the Mediterranean diet on carotid intima-media thickness in hypercholesterolaemic children: a 12-month intervention study. Nutr Metab Cardiovasc Dis. 2014 Jan;24(1):75-82. doi: 10.1016/j.numecd.2013.04.005. Epub 2013 Jun 25.
- Mikola H, Pahkala K, Niinikoski H, Ronnemaa T, Viikari JSA, Jula A, Juonala M, Raitakari OT. Cardiometabolic Determinants of Carotid and Aortic Distensibility From Childhood to Early Adulthood. Hypertension. 2017 Aug;70(2):452-460. doi: 10.1161/HYPERTENSIONAHA.117.09027. Epub 2017 Jun 26.
- Leone N, Ducimetiere P, Gariepy J, Courbon D, Tzourio C, Dartigues JF, Ritchie K, Alperovitch A, Amouyel P, Safar ME, Zureik M. Distension of the carotid artery and risk of coronary events: the three-city study. Arterioscler Thromb Vasc Biol. 2008 Jul;28(7):1392-7. doi: 10.1161/ATVBAHA.108.164582. Epub 2008 Apr 17.
- Yang EY, Chambless L, Sharrett AR, Virani SS, Liu X, Tang Z, Boerwinkle E, Ballantyne CM, Nambi V. Carotid arterial wall characteristics are associated with incident ischemic stroke but not coronary heart disease in the Atherosclerosis Risk in Communities (ARIC) study. Stroke. 2012 Jan;43(1):103-8. doi: 10.1161/STROKEAHA.111.626200. Epub 2011 Oct 27.
- Khoury M, Manlhiot C, Dobbin S, Gibson D, Chahal N, Wong H, Davies J, Stearne K, Fisher A, McCrindle BW. Role of waist measures in characterizing the lipid and blood pressure assessment of adolescents classified by body mass index. Arch Pediatr Adolesc Med. 2012 Aug;166(8):719-24. doi: 10.1001/archpediatrics.2012.126.
- Jeyarajah EJ, Cromwell WC, Otvos JD. Lipoprotein particle analysis by nuclear magnetic resonance spectroscopy. Clin Lab Med. 2006 Dec;26(4):847-70. doi: 10.1016/j.cll.2006.07.006.
- Greenland S, Robins JM. Estimation of a common effect parameter from sparse follow-up data. Biometrics. 1985 Mar;41(1):55-68.
- Schwarzer G. meta: An R Package for Meta-Analysis. R News. 2007;7:40-45
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2021年2月2日
初级完成 (实际的)
2023年6月30日
研究完成 (实际的)
2023年6月30日
研究注册日期
首次提交
2020年11月12日
首先提交符合 QC 标准的
2021年1月29日
首次发布 (实际的)
2021年2月3日
研究记录更新
最后更新发布 (实际的)
2023年8月14日
上次提交的符合 QC 标准的更新
2023年8月8日
最后验证
2023年8月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.