Measurement and prognostic significance of retinal vessel parameters in childhood

Funded Activity Summary

We propose that structural micro-vessel changes associated with blood pressure develop early in childhood and that these may predict future cardiovascular risk in adulthood. In order to address this important issue, we will measure retinal vascular diameter and other microvascular signs from retinal photographs taken of a large population-based sample of Sydney schoolchildren (n-4,093) during 2003-2005. This project included 1740 6-year olds and 2353 12-year olds from 52 schools across Sydney. Almost all had photos taken. We will test the hypothesis that retinal arteriolar calibre in children is strongly influenced by ambient (current) blood pressure, after accounting for confounding influences of image magnification (eye shape , size and refraction) and size of the child (body mass). We also predict that familial, eye and general health factors also determe diameter of retinal vessels, and will account for these in the analysis. We will test the notion that certain retinal vessel branches or trunks will be more affected by blood pressure variability than others. This finding, if shown, could improve our understanding of retinal micro-vessel signs in older adult populations and may assist developments of rapid image scanning to assess vessel diameter. In a pilot study grading retinal vessel diameters from one eye of a random sample of the 6-year old images, we found that increasing blood pressure was strongly associated with slightly narrower retinal arterioles. Though modest in magnitude, this effect was highly significant and was independent of other factors found to determine retinal vessel diameter. Evidence is emerging that cardiovascular disease may be linked to BP levels in early life. It seems possible that retinal micro-vessel changes in children may also predict future cardiovascular risk in adulthood. This research will evaluate measures to study the long-term effects of variations in blood pressure and its genesis in childhood.

Funded Activity Details

Start Date: 01-01-2007

End Date: 01-01-2009

Funding Scheme: NHMRC Project Grants

Funding Amount: $264,175.00

Funder: National Health and Medical Research Council

Research Topics

ANZSRC Field of Research (FoR)

Cardiology (incl. Cardiovascular Diseases)

ANZSRC Socio-Economic Objective (SEO)

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Other Keywords

Blood pressure | Cardiovascular health | Cardiovascular risk | Child health | Childhood obesity | Microvascular | Retinal vessels | Risk factors for cardiovascular disease | Vascular biology | Vascular development

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