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The effects of sex and pubertal maturation on cardiovagal baroreflex sensitivity
Journal of Pediatrics
  • Daniele Chirico, Brock University
  • Jian Liu, Brock University
  • Panagiota Klentrou, Brock University
  • J. Kevin Shoemaker, Western University
  • Deborah D. O'Leary, Brock University
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Copyright © 2015 Elsevier Inc. All rights reserved. Objective To examine baroreflex sensitivity (BRS) across different stages of pubertal maturation in healthy children and adolescents. Study design This study was cross-sectional and included 104 participants (53 males and 51 females) aged 8-18 years old. Participants were organized into 5 pubertal groups based on the criteria of Tanner; prepubertal (Tanner 1, n = 19), early-pubertal (Tanner 2, n = 16), peripubertal (Tanner 3, n = 24), late-pubertal (Tanner 4, n = 23), and postpubertal (Tanner 5 and 6, n = 22). Adiposity (fat-free mass, fat mass, and body fat%), body mass index, and demographic variables were collected. Beat-by-beat blood pressure and R-R interval were collected during supine rest to determine BRS. BRS was assessed by transfer function analysis in the low frequency range (0.05-0.15 Hz). Results The results demonstrated a sex-by-maturation interaction [F(4, 94) = 3.202, P =.019]. BRS decreased from early-to postpuberty in males (30 [7.1] vs 13.2 [7.8] ms/mm Hg), and remained unchanged in females. This led to significantly greater BRS in females compared with males, postpuberty (27 [7.3] vs 13.2 [7.8] ms/mm Hg). Conclusions Controlling for both sex and maturation when examining BRS in children and adolescents with cardiovascular disease risk factors will aid in interpreting abnormally high or low BRS values.

Citation Information
Daniele Chirico, Jian Liu, Panagiota Klentrou, J. Kevin Shoemaker, et al.. "The effects of sex and pubertal maturation on cardiovagal baroreflex sensitivity" Journal of Pediatrics Vol. 167 Iss. 5 (2015) p. 1067 - 1073
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