PMID- 28508156 OWN - NLM STAT- MEDLINE DCOM- 20180404 LR - 20181113 IS - 1432-1076 (Electronic) IS - 0340-6199 (Linking) VI - 176 IP - 7 DP - 2017 Jul TI - Pulse wave velocity measurement as a marker of arterial stiffness in pediatric inflammatory bowel disease: a pilot study. PG - 983-987 LID - 10.1007/s00431-017-2927-7 [doi] AB - In adults with inflammatory bowel disease (IBD), the incidence of cardiovascular events is increased, leading to long-term morbidity. Arterial stiffness (AS) measured by pulse wave velocity (PWV) is a validated early precursor of cardiovascular disease (CVD), and measurement of PWV was shown to be a feasible test in children. The aim of this study was to assess AS in children with IBD. In this prospective study, we determined PWV between the carotid and femoral artery (PWV(cf)) in 25 children and adolescents with IBD (11 females, median age 14.1 years, median disease duration 2.8 years). The majority (68%) of the subjects were in clinical remission, and 48% received anti-tumor necrosis factor alpha (TNFalpha) treatment. AS was not increased in this cohort of children and adolescents with IBD, who did not have signs of cardiovascular disease, such as arterial hypertension. CONCLUSION: PWV seems to be normal in children with IBD in remission or with mild disease activity. Larger studies should assess its potential role as a valid and non-invasive follow-up marker in children with IBD, to avoid cardiovascular complications. What is Known : * Inflammatory bowel disease (IBD) is a risk factor of cardiovascular disease (CVD). * Pulse wave velocity (PWV) measurement is the current gold standard to assess arterial stiffness (AS), which is an early predictor of CVD. What is New: * This is the first study using PWV measurements to determine AS in children with IBD. * In children with IBD in remission or only mild disease activity AS is not increased. FAU - Lurz, Eberhard AU - Lurz E AD - Division of Pediatric Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland. AD - Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Hospital for Sick Children, Toronto, ON, Canada. FAU - Aeschbacher, Eliane AU - Aeschbacher E AD - Division of Pediatric Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland. AD - Division of Pediatric Nephrology, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland. FAU - Carman, Nicholas AU - Carman N AD - Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Hospital for Sick Children, Toronto, ON, Canada. FAU - Schibli, Susanne AU - Schibli S AD - Division of Pediatric Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland. FAU - Sokollik, Christiane AU - Sokollik C AD - Division of Pediatric Gastroenterology, Hepatology and Nutrition, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland. FAU - Simonetti, Giacomo D AU - Simonetti GD AD - Division of Pediatric Nephrology, University Children's Hospital, Inselspital, University of Bern, Bern, Switzerland. giacomo.simonetti@eoc.ch. AD - Pediatric Department of Southern Switzerland, 6500, Bellinzona, Switzerland. giacomo.simonetti@eoc.ch. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20170515 PL - Germany TA - Eur J Pediatr JT - European journal of pediatrics JID - 7603873 SB - IM MH - Adolescent MH - Cardiovascular Diseases/diagnosis/etiology MH - Carotid Arteries/*physiopathology MH - Child MH - Cross-Sectional Studies MH - Female MH - Femoral Artery/*physiopathology MH - Humans MH - Inflammatory Bowel Diseases/complications/*physiopathology MH - Linear Models MH - Male MH - Pilot Projects MH - Prospective Studies MH - *Pulse Wave Analysis MH - *Vascular Stiffness OTO - NOTNLM OT - Arterial stiffness OT - Cardiovascular disease OT - IBD OT - Inflammation OT - PWV OT - Pulse wave velocity EDAT- 2017/05/17 06:00 MHDA- 2018/04/05 06:00 CRDT- 2017/05/17 06:00 PHST- 2016/12/09 00:00 [received] PHST- 2017/05/08 00:00 [accepted] PHST- 2017/05/03 00:00 [revised] PHST- 2017/05/17 06:00 [pubmed] PHST- 2018/04/05 06:00 [medline] PHST- 2017/05/17 06:00 [entrez] AID - 10.1007/s00431-017-2927-7 [pii] AID - 10.1007/s00431-017-2927-7 [doi] PST - ppublish SO - Eur J Pediatr. 2017 Jul;176(7):983-987. doi: 10.1007/s00431-017-2927-7. Epub 2017 May 15.