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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7316 p338
11 September 2004

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Can vessel endothelium predict cardiovascular risk in children?

Changes in children’s small blood vessel function may predict future heart disease. So said Dr Faisal Khan, of Dundee university, speaking at this week’s British Association science festival in Exeter.

In a conference session on the microcirculation, Dr Khan highlighted his previous work testing microvascular function in children. His group had studied 145 normal, healthy children aged 11 to 14.

They found that about 20 per cent of the children tested had signs of endothelial dysfunction, though none had symptoms of heart disease. Endothelial dysfunction is recognised to have a key role in atherosclerosis and is related to many risk factors associated with the development of cardiovascular disease in later life. The group found that microvascular function was poorer in those with higher body fat and signs of insulin resistance, both cardiovascular risk factors.

Dr Khan suggested that, with indicators of cardiac risk apparent in childhood, lifestyle interventions should be made at this age. Unhealthy lifestyle factors should be identified and physical activity, weight management and a healthy diet promoted, he added.

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