{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:42:00Z","timestamp":1790700120907,"version":"4.1.0"},"reference-count":45,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T00:00:00Z","timestamp":1708646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Regional Development Fund","award":["313011W875"],"award-info":[{"award-number":["313011W875"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Arterial stiffness represents an independent predictor of the risk of subsequent cardiovascular events. Early identification of high-risk individuals is necessary for effective prevention and targeted interventions. Carotid wall echo-tracking is a modern method for an accurate evaluation of the structural and functional properties of carotid arteries. This study aimed to assess age and sex-specific reference values of the echo-tracking parameters of carotid stiffness in 400 healthy children and adolescents and to evaluate the potential early effect of elevated blood pressure and overweight in 69 overweight normotensives, 45 white coat hypertensives, and 44 essential hypertensives. Stiffness index \u03b2, pressure\u2013strain elastic modulus (Ep), arterial compliance (AC), and pulse wave velocity \u03b2 (PWV \u03b2) were evaluated using Aloka ProSound F75. Both white coat and essential hypertension were associated with impaired carotid wall properties with the greatest effect on Ep, followed by PWV \u03b2, index \u03b2, and AC. The excess weight showed a weaker effect on Ep and PWV \u03b2. This is the first study to compare the effects of white coat and essential hypertension on carotid arterial stiffness assessed using the echo-tracking technique in childhood and adolescence with direct application of pediatric reference values specific to age and sex.<\/jats:p>","DOI":"10.3390\/life14030300","type":"journal-article","created":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T10:47:30Z","timestamp":1708685250000},"page":"300","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Effect of Age, Hypertension, and Overweight on Arterial Stiffness Assessed Using Carotid Wall Echo-Tracking in Childhood and Adolescence"],"prefix":"10.3390","volume":"14","author":[{"given":"Tomas","family":"Jurko","sequence":"first","affiliation":[{"name":"Clinic of Neonatology, Jessenius Faculty of Medicine in Martin (JFM CU), Comenius University in Bratislava, University Hospital Martin, Kollarova 2, 03659 Martin, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1146-6610","authenticated-orcid":false,"given":"Michal","family":"Mestanik","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnostics, DONsP L. 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Jege Hospital Dolny Kubin, Nemocnicna 1944\/10, 02614 Dolny Kubin, Slovakia"},{"name":"Pediatric Cardiology Clinic, Kollarova 13, 03601 Martin, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Jurkova","sequence":"additional","affiliation":[{"name":"Clinic of Children and Adolescents, Jessenius Faculty of Medicine in Martin (JFM CU), Comenius University in Bratislava, University Hospital Martin, Kollarova 2, 03659 Martin, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0416-2985","authenticated-orcid":false,"given":"Kamil","family":"Zelenak","sequence":"additional","affiliation":[{"name":"Clinic of Radiology, Jessenius Faculty of Medicine in Martin (JFM CU), Comenius University in Bratislava, University Hospital Martin, Kollarova 2, 03659 Martin, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6338-9055","authenticated-orcid":false,"given":"Eva","family":"Klaskova","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry, Palacky University, University Hospital Olomouc, Zdravotniku 248\/7, 77900 Olomouc, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Jurko","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Clinic, Kollarova 13, 03601 Martin, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,23]]},"reference":[{"key":"ref_1","first-page":"E603","article-title":"Cardiovascular Risk Reduction in High-Risk Pediatric Patients: A Scientific Statement From the American Heart Association","volume":"139","author":"Steinberger","year":"2019","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1161\/HYPERTENSIONAHA.110.156109","article-title":"Carotid Stiffness in Young Adults: A Life-Course Analysis of Its Early Determinants: The Amsterdam Growth and Health Longitudinal Study","volume":"59","author":"Ferreira","year":"2012","journal-title":"Hypertension"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1888","DOI":"10.1056\/NEJMoa2109191","article-title":"Childhood Cardiovascular Risk Factors and Adult Cardiovascular Events","volume":"386","author":"Jacobs","year":"2022","journal-title":"N. 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