PMID- 19430383 OWN - NLM STAT- MEDLINE DCOM- 20090817 LR - 20151119 IS - 1530-0447 (Electronic) IS - 0031-3998 (Linking) VI - 65 IP - 6 DP - 2009 Jun TI - Relationship between adiponectin and ambulatory blood pressure in obese adolescents. PG - 691-5 LID - 10.1203/PDR.0b013e31819ea776 [doi] AB - Obesity is associated with elevated blood pressure (BP), insulin resistance, and altered plasma adiponectin levels; the relationship between the biochemical features of obesity and 24-h ambulatory blood pressure (24-h ABP) parameters in adolescents remains unknown. Anthropometric measurements and 24-h ABP monitoring were obtained on 41 obese adolescents with and without type 2 diabetes mellitus (T2DM). Serum adiponectin, high sensitivity C-reactive protein (hs-CRP), lipid profile, insulin, fasting glucose, liver enzymes, Hb A1c (HbA1c), and two random urine samples were obtained for creatinine and microalbumin measurements. The determinants of 24-h systolic (SBP) and diastolic (DBP) BP were examined using multivariate linear regression models with BP parameters as outcome variables. Forty-one obese adolescents were studied. Adiponectin levels were reduced and hs-CRP levels were elevated, and were inversely and significantly correlated (rho = -0.3, p = 0.05). ABP showed blunted nocturnal SBP dipping. Twenty-four hour SBP and DBP indexes were significantly (p < 0.05) and inversely correlated with adiponectin (rho = -0.4 and -0.42), respectively. In multivariate models, lower adiponectin level was independently associated with 24-h SBP and DBP. Adiponectin inversely correlate with ABP parameters in obese adolescents. Larger studies are needed to examine the relationship between adiponectin and mechanisms of BP regulation. FAU - Shatat, Ibrahim F AU - Shatat IF AD - Division of Pediatric Nephrology, The Medical University of South Carolina Children's Hospital, Charleston, SC 29425, USA. Shatat@musc.edu FAU - Freeman, Katherine D AU - Freeman KD FAU - Vuguin, Patricia M AU - Vuguin PM FAU - Dimartino-Nardi, Joan R AU - Dimartino-Nardi JR FAU - Flynn, Joseph T AU - Flynn JT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Pediatr Res JT - Pediatric research JID - 0100714 RN - 0 (Adiponectin) RN - 0 (Biomarkers) SB - IM MH - Adiponectin/*blood MH - Adolescent MH - Anthropometry MH - Biomarkers/metabolism MH - Blood Pressure/*physiology MH - *Blood Pressure Monitoring, Ambulatory MH - Child MH - Diabetes Mellitus, Type 2/blood/physiopathology MH - Female MH - Humans MH - Male MH - *Obesity/blood/physiopathology MH - Young Adult EDAT- 2009/05/12 09:00 MHDA- 2009/08/18 09:00 CRDT- 2009/05/12 09:00 PHST- 2009/05/12 09:00 [entrez] PHST- 2009/05/12 09:00 [pubmed] PHST- 2009/08/18 09:00 [medline] AID - 10.1203/PDR.0b013e31819ea776 [doi] PST - ppublish SO - Pediatr Res. 2009 Jun;65(6):691-5. doi: 10.1203/PDR.0b013e31819ea776.