Cardiovascular Risk in Children With Chronic Conditions Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 300
- 试验地点
- 3
- 主要终点
- Arterial stiffness
研究概览
简要总结
Children living with chronic health conditions face a higher risk of developing cardiovascular diseases than their peers, largely due to the accelerated aging of the heart and blood vessels. Although experts recognize this elevated risk and recommend close monitoring and early intervention, the underlying mechanisms driving this phenomenon remain poorly understood. At present, no effective interventions specifically target its root causes.
Recent research shows that both large blood vessels (such as the carotid artery) and small vessels (such as those in the retina) can display early signs of damage decades before clinically apparent heart or vascular disease emerges. This accelerated vascular aging can result from multiple factors - including disease-related processes such as persistent inflammation and metabolic disturbances, treatment-related effects such as chemotherapy or long-term steroid use, and lifestyle changes associated with chronic illness, such as reduced physical activity and altered eating habits. However, it is still unclear how these factors influence the development and progression of vascular changes in children as they grow. Importantly, these changes can be monitored through non-invasive methods, offering a unique opportunity to study at-risk patients many years before overt cardiovascular disease develops.
Identifying these early changes may enable us to detect and track individuals at heightened risk well in advance of clinical disease. This study aims to deepen our understanding of the causes of increased cardiovascular risk in children with chronic conditions and to lay the groundwork for earlier, more targeted prevention strategies.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 6 Years 至 25 Years(Child, Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Arterial stiffness
时间窗: At baseline and at the time of annual follow-up
Assessed by carotid-femoral pulse wave velocity
Endothelial function of the brachial artery
时间窗: At baseline and at the time of annual follow-up
Evaluated using flow-mediated dilation measured by ultrasound
Retinal vessel diameter
时间窗: At baseline and at the time of annual follow-up
Assessed by static retinal vessel analysis
Retinal vessel fractal dimension and tortuosity
时间窗: At baseline and at the time of annual follow-up
Assessed by static retinal vessel analysis
次要结局
- Endothelial function in capillaries(At baseline and at the time of annual follow-up)
- Retinal neurovascular coupling(At baseline and at the time of annual follow-up)
研究者
Dr. Kiss Tamás
Principal Investigator
Semmelweis University
