Skip to main content
Top
Published in:

18-12-2024 | Hypertension | Research

Association Between Serum Essential Metal Elements and Blood Pressure in Children: A Cohort Study

Authors: Muhammad Fahad Tahir, Xiaofei Wu, Yuwei Wang, Qin Liu, Xizhou An, Daochao Huang, Lijing Chen, Lanling Chen, Xiaohua Liang

Published in: Cardiovascular Toxicology | Issue 1/2025

Login to get access

Abstract

A limited number of cohort studies have explored the impact of serum essential metal elements on blood pressure (BP) or glycolipids and their regulatory mechanism in children. This study aimed to investigate the relationship between serum metal concentrations of iron (Fe), zinc (Zn), calcium (Ca), copper (Cu), and magnesium (Mg) and BP in children, and explore the potential mediating effects of glycolipid profiles. This cohort study included 1993 children (3566 BP measurements) aged 6–14 years in Chongqing, China. Serum essential metals, BP, lipid profiles, and glucose and insulin levels were measured. The relationship between serum metal levels and BP was analyzed using generalized linear and regression models, and a mediation analysis was performed to examine the potential mediating role of glycolipids. After adjusting for confounders, positive associations were found between serum Fe and Zn levels and BP parameters (all P < 0.05). A “U” style relationship between Cu and BP was found. Stronger associations were found in children aged ≤ 10 years, with sex-specific differences for Fe, Zn, and Cu. The relationship between elevated BP and serum Mg and Ca was not found. Our study found that triglycerides showed a significant relationship with Fe and Zn levels (P < 0.005). Moreover, triglycerides, partially mediate the effects of Zn on elevated BP. Serum Fe, Zn, and Cu concentrations were associated with BP in children, and age and sex differences were observed. Triglycerides may play a mediating role. These findings highlight the importance of maintaining an optimal serum essential metal status for cardiovascular health in children and suggest potential early prevention strategies.
Appendix
Available only for authorised users
Literature
1.
2.
go back to reference Zhang, Y., et al. (2021). Prevalence and risk factors of hypertension among Hui population in China: A systematic review and meta-analysis based on 30,565 study participants. Medicine (Baltimore), 100(18), e25192.PubMedCrossRef Zhang, Y., et al. (2021). Prevalence and risk factors of hypertension among Hui population in China: A systematic review and meta-analysis based on 30,565 study participants. Medicine (Baltimore), 100(18), e25192.PubMedCrossRef
3.
go back to reference Yin, X.-C., et al. (2023). The relationship between dietary patterns and blood mineral concentration among children in Hunan Province of China. BMC Public Health, 23(1), 1518.PubMedPubMedCentralCrossRef Yin, X.-C., et al. (2023). The relationship between dietary patterns and blood mineral concentration among children in Hunan Province of China. BMC Public Health, 23(1), 1518.PubMedPubMedCentralCrossRef
4.
go back to reference Rosanoff, A., Weaver, C. M., & Rude, R. K. (2012). Suboptimal magnesium status in the United States: Are the health consequences underestimated? Nutrition Reviews, 70(3), 153–164.PubMedCrossRef Rosanoff, A., Weaver, C. M., & Rude, R. K. (2012). Suboptimal magnesium status in the United States: Are the health consequences underestimated? Nutrition Reviews, 70(3), 153–164.PubMedCrossRef
5.
go back to reference Jeong, H. R., et al. (2021). Hemoglobin and hematocrit levels are positively associated with blood pressure in children and adolescents 10 to 18 years old. Scientific Reports, 11(1), 19052.PubMedPubMedCentralCrossRef Jeong, H. R., et al. (2021). Hemoglobin and hematocrit levels are positively associated with blood pressure in children and adolescents 10 to 18 years old. Scientific Reports, 11(1), 19052.PubMedPubMedCentralCrossRef
6.
go back to reference Huang, W., et al. (2022). Dietary magnesium intake modifies the association between vitamin d and systolic blood pressure: results from NHANES 2007–2014. Frontiers in Nutrition, 9, 829857.PubMedPubMedCentralCrossRef Huang, W., et al. (2022). Dietary magnesium intake modifies the association between vitamin d and systolic blood pressure: results from NHANES 2007–2014. Frontiers in Nutrition, 9, 829857.PubMedPubMedCentralCrossRef
7.
go back to reference Chen, G., et al. (2021). Associations of plasma copper, magnesium, and calcium levels with blood pressure in children: A cross-sectional study. Biological Trace Element Research, 199(3), 815–824.PubMedCrossRef Chen, G., et al. (2021). Associations of plasma copper, magnesium, and calcium levels with blood pressure in children: A cross-sectional study. Biological Trace Element Research, 199(3), 815–824.PubMedCrossRef
8.
go back to reference Taittonen, L., et al. (1997). Lack of association between copper, zinc, selenium and blood pressure among healthy children. Journal of Human Hypertension, 11(7), 429–433.PubMedCrossRef Taittonen, L., et al. (1997). Lack of association between copper, zinc, selenium and blood pressure among healthy children. Journal of Human Hypertension, 11(7), 429–433.PubMedCrossRef
9.
go back to reference Kelishadi, R., Alikhassy, H., & Amiri, M. (2002). Zinc and copper status in children with high family risk of premature cardiovascular disease. Annals of Saudi Medicine, 22(5–6), 291–294.PubMedCrossRef Kelishadi, R., Alikhassy, H., & Amiri, M. (2002). Zinc and copper status in children with high family risk of premature cardiovascular disease. Annals of Saudi Medicine, 22(5–6), 291–294.PubMedCrossRef
10.
go back to reference Gillman, M. W., et al. (1992). Inverse association of dietary calcium with systolic blood pressure in young children. JAMA, 267(17), 2340–2343.PubMedCrossRef Gillman, M. W., et al. (1992). Inverse association of dietary calcium with systolic blood pressure in young children. JAMA, 267(17), 2340–2343.PubMedCrossRef
11.
go back to reference Sinaiko, A. R., et al. (1994). Comparison of serum calcium levels between junior high school children with high-normal and low-normal blood pressure. The child and adolescent blood pressure program. American Journal of Hypertension, 7(12), 1045–1051.PubMedCrossRef Sinaiko, A. R., et al. (1994). Comparison of serum calcium levels between junior high school children with high-normal and low-normal blood pressure. The child and adolescent blood pressure program. American Journal of Hypertension, 7(12), 1045–1051.PubMedCrossRef
12.
go back to reference Laitinen, R., Vuori, E., & Viikari, J. (1989). Serum zinc and copper: associations with cholesterol and triglyceride levels in children and adolescents. Cardiovascular risk in young Finns. Journal of the American College of Nutrition, 8(5), 400–406.CrossRef Laitinen, R., Vuori, E., & Viikari, J. (1989). Serum zinc and copper: associations with cholesterol and triglyceride levels in children and adolescents. Cardiovascular risk in young Finns. Journal of the American College of Nutrition, 8(5), 400–406.CrossRef
13.
go back to reference Ma, J., et al. (2020). Urinary copper, systemic inflammation, and blood lipid profiles: Wuhan-Zhuhai cohort study. Environmental Pollution, 267, 115647.PubMedCrossRef Ma, J., et al. (2020). Urinary copper, systemic inflammation, and blood lipid profiles: Wuhan-Zhuhai cohort study. Environmental Pollution, 267, 115647.PubMedCrossRef
14.
go back to reference Kim, M.-H., & Choi, M.-K. (2013). Seven dietary minerals (Ca, P, Mg, Fe, Zn, Cu, and Mn) and their relationship with blood pressure and blood lipids in healthy adults with self-selected diet. Biological Trace Element Research, 153(1), 69–75.PubMedCrossRef Kim, M.-H., & Choi, M.-K. (2013). Seven dietary minerals (Ca, P, Mg, Fe, Zn, Cu, and Mn) and their relationship with blood pressure and blood lipids in healthy adults with self-selected diet. Biological Trace Element Research, 153(1), 69–75.PubMedCrossRef
15.
go back to reference Pattan, V., et al. (2021). Daily intake and serum levels of copper, selenium and zinc according to glucose metabolism: Cross-sectional and comparative study. Nutrients, 13(11), 4044.PubMedPubMedCentralCrossRef Pattan, V., et al. (2021). Daily intake and serum levels of copper, selenium and zinc according to glucose metabolism: Cross-sectional and comparative study. Nutrients, 13(11), 4044.PubMedPubMedCentralCrossRef
16.
go back to reference de Lima, E. P., et al. (2024). Glycolipid metabolic disorders, metainflammation, oxidative stress, and cardiovascular diseases: Unraveling pathways. Biology, 13(7), 519.PubMedPubMedCentralCrossRef de Lima, E. P., et al. (2024). Glycolipid metabolic disorders, metainflammation, oxidative stress, and cardiovascular diseases: Unraveling pathways. Biology, 13(7), 519.PubMedPubMedCentralCrossRef
17.
go back to reference Joshi, A., et al. (2024). Review article on molecular mechanism of regulation of hypertension by macro-elements (Na, K, Ca and Mg), micro-elements/trace metals (Zn and Cu) and toxic elements (Pb and As). Biological Trace Element Research, 202(4), 1477–1502.PubMedCrossRef Joshi, A., et al. (2024). Review article on molecular mechanism of regulation of hypertension by macro-elements (Na, K, Ca and Mg), micro-elements/trace metals (Zn and Cu) and toxic elements (Pb and As). Biological Trace Element Research, 202(4), 1477–1502.PubMedCrossRef
18.
go back to reference Liang, X., et al. (2024). The impact of air temperature and humidity on children’s blood pressure mediated by lipids: A prospective cohort study. Environment International, 192, 109040.PubMedCrossRef Liang, X., et al. (2024). The impact of air temperature and humidity on children’s blood pressure mediated by lipids: A prospective cohort study. Environment International, 192, 109040.PubMedCrossRef
19.
go back to reference Wolide, A. D., et al. (2017). Association of trace metal elements with lipid profiles in type 2 diabetes mellitus patients: A cross sectional study. BMC Endocrine Disorders, 17(1), 64.PubMedPubMedCentralCrossRef Wolide, A. D., et al. (2017). Association of trace metal elements with lipid profiles in type 2 diabetes mellitus patients: A cross sectional study. BMC Endocrine Disorders, 17(1), 64.PubMedPubMedCentralCrossRef
20.
go back to reference Liang, X., et al. (2020). Prevalence and risk factors of childhood hypertension from birth through childhood: A retrospective cohort study. Journal of Human Hypertension, 34(2), 151–164.PubMedCrossRef Liang, X., et al. (2020). Prevalence and risk factors of childhood hypertension from birth through childhood: A retrospective cohort study. Journal of Human Hypertension, 34(2), 151–164.PubMedCrossRef
21.
go back to reference Liang, X., et al. (2022). The impact of PM2.5 on children’s blood pressure growth curves: A prospective cohort study. Environment International, 158, 107012.PubMedCrossRef Liang, X., et al. (2022). The impact of PM2.5 on children’s blood pressure growth curves: A prospective cohort study. Environment International, 158, 107012.PubMedCrossRef
23.
go back to reference Hui, F., Yinkun, Y., & Mijie (2017). Reference standards for blood pressure by gender, age and height in children aged 3–17 years old in China. 25(5), 428–435. Hui, F., Yinkun, Y., & Mijie (2017). Reference standards for blood pressure by gender, age and height in children aged 3–17 years old in China. 25(5), 428–435.
24.
go back to reference Liu, Y., et al. (2022). Associations of exposure to multiple metals with blood pressure and hypertension: A cross-sectional study in Chinese preschool children. Chemosphere, 307, 135985.PubMedCrossRef Liu, Y., et al. (2022). Associations of exposure to multiple metals with blood pressure and hypertension: A cross-sectional study in Chinese preschool children. Chemosphere, 307, 135985.PubMedCrossRef
25.
go back to reference Zhu, Y., et al. (2019). Markers of iron status, blood pressure and incident hypertension among Chinese adults. Nutrition, Metabolism, and Cardiovascular Diseases, 29(8), 830–836.PubMedCrossRef Zhu, Y., et al. (2019). Markers of iron status, blood pressure and incident hypertension among Chinese adults. Nutrition, Metabolism, and Cardiovascular Diseases, 29(8), 830–836.PubMedCrossRef
27.
go back to reference Xi, X., et al. (2023). The association between iron metabolism with the change of blood pressure and risk of hypertension: A large cross-sectional study. Journal of Trace Elements in Medicine and Biology, 79, 127193.PubMedCrossRef Xi, X., et al. (2023). The association between iron metabolism with the change of blood pressure and risk of hypertension: A large cross-sectional study. Journal of Trace Elements in Medicine and Biology, 79, 127193.PubMedCrossRef
28.
go back to reference Bagheri, B., et al. (2013). Association between serum iron and the severity of coronary artery disease. International Cardiovascular Research Journal, 7(3), 95–98.PubMedPubMedCentral Bagheri, B., et al. (2013). Association between serum iron and the severity of coronary artery disease. International Cardiovascular Research Journal, 7(3), 95–98.PubMedPubMedCentral
29.
30.
go back to reference Li, S., et al. (2024). Higher serum ferritins are associated with higher blood pressure: A cross-sectional study. Medicine (Baltimore), 103(12), e37485.PubMedCrossRef Li, S., et al. (2024). Higher serum ferritins are associated with higher blood pressure: A cross-sectional study. Medicine (Baltimore), 103(12), e37485.PubMedCrossRef
31.
go back to reference Cinar, Y., Senyol, A. M., & Duman, K. (2001). Blood viscosity and blood pressure: Role of temperature and hyperglycemia. American Journal of Hypertension, 14(5 Pt 1), 433–438.PubMedCrossRef Cinar, Y., Senyol, A. M., & Duman, K. (2001). Blood viscosity and blood pressure: Role of temperature and hyperglycemia. American Journal of Hypertension, 14(5 Pt 1), 433–438.PubMedCrossRef
32.
go back to reference Hara, T., et al. (2023). Zinc in cardiovascular functions and diseases: Epidemiology and molecular mechanisms for therapeutic development. International Journal of Molecular Sciences, 24(8), 7152.PubMedPubMedCentralCrossRef Hara, T., et al. (2023). Zinc in cardiovascular functions and diseases: Epidemiology and molecular mechanisms for therapeutic development. International Journal of Molecular Sciences, 24(8), 7152.PubMedPubMedCentralCrossRef
33.
go back to reference Yao, B., et al. (2020). Associations between copper and zinc and high blood pressure in children and adolescents aged 8–17 years: An exposure-response analysis of NHANES 2007–2016. Biological Trace Element Research, 198(2), 423–429.PubMedCrossRef Yao, B., et al. (2020). Associations between copper and zinc and high blood pressure in children and adolescents aged 8–17 years: An exposure-response analysis of NHANES 2007–2016. Biological Trace Element Research, 198(2), 423–429.PubMedCrossRef
34.
go back to reference Taneja, S. K., & Mandal, R. (2007). Mineral factors controlling essential hypertension–a study in the Chandigarh, India population. Biological Trace Element Research, 120(1–3), 61–73.PubMedCrossRef Taneja, S. K., & Mandal, R. (2007). Mineral factors controlling essential hypertension–a study in the Chandigarh, India population. Biological Trace Element Research, 120(1–3), 61–73.PubMedCrossRef
35.
go back to reference Nevárez-López, S. C., et al. (2021). Zinc deficiency is an independent risk factor for prehypertension in healthy subjects. International Journal for Vitamin and Nutrition Research, 91(1–2), 25–30.PubMedCrossRef Nevárez-López, S. C., et al. (2021). Zinc deficiency is an independent risk factor for prehypertension in healthy subjects. International Journal for Vitamin and Nutrition Research, 91(1–2), 25–30.PubMedCrossRef
36.
go back to reference Zhu, Q., et al. (2021). Association between serum zinc concentrations and metabolic risk factors among Chinese children and adolescents. British Journal of Nutrition, 126(10), 1529–1536.PubMedCrossRef Zhu, Q., et al. (2021). Association between serum zinc concentrations and metabolic risk factors among Chinese children and adolescents. British Journal of Nutrition, 126(10), 1529–1536.PubMedCrossRef
37.
go back to reference Seo, J. A., et al. (2014). The associations between serum zinc levels and metabolic syndrome in the Korean population: Findings from the 2010 Korean National Health and Nutrition Examination Survey. PLoS ONE, 9(8), e105990.PubMedPubMedCentralCrossRef Seo, J. A., et al. (2014). The associations between serum zinc levels and metabolic syndrome in the Korean population: Findings from the 2010 Korean National Health and Nutrition Examination Survey. PLoS ONE, 9(8), e105990.PubMedPubMedCentralCrossRef
38.
go back to reference Ghasemi, A., et al. (2014). Gender differences in the relationship between serum zinc concentration and metabolic syndrome. Annals of Human Biology, 41(5), 436–442.PubMedCrossRef Ghasemi, A., et al. (2014). Gender differences in the relationship between serum zinc concentration and metabolic syndrome. Annals of Human Biology, 41(5), 436–442.PubMedCrossRef
39.
go back to reference Miao, Q., et al. (2024). Association between copper intake and essential hypertension: Dual evidence from Mendelian randomization analysis and the NHANES database. Frontiers in Nutrition, 11, 1454669.PubMedPubMedCentralCrossRef Miao, Q., et al. (2024). Association between copper intake and essential hypertension: Dual evidence from Mendelian randomization analysis and the NHANES database. Frontiers in Nutrition, 11, 1454669.PubMedPubMedCentralCrossRef
40.
go back to reference Kim, M. H., & Choi, M. K. (2013). Seven dietary minerals (Ca, P, Mg, Fe, Zn, Cu, and Mn) and their relationship with blood pressure and blood lipids in healthy adults with self-selected diet. Biological Trace Element Research, 153(1–3), 69–75.PubMedCrossRef Kim, M. H., & Choi, M. K. (2013). Seven dietary minerals (Ca, P, Mg, Fe, Zn, Cu, and Mn) and their relationship with blood pressure and blood lipids in healthy adults with self-selected diet. Biological Trace Element Research, 153(1–3), 69–75.PubMedCrossRef
41.
go back to reference Zang, X., et al. (2018). The association between serum copper concentrations and cardiovascular disease risk factors in children and adolescents in NHANES. Environmental Science and Pollution Research International, 25(17), 16951–16958.PubMedCrossRef Zang, X., et al. (2018). The association between serum copper concentrations and cardiovascular disease risk factors in children and adolescents in NHANES. Environmental Science and Pollution Research International, 25(17), 16951–16958.PubMedCrossRef
42.
go back to reference Warembourg, C., et al. (2019). Early-life environmental exposures and blood pressure in children. Journal of the American College of Cardiology, 74(10), 1317–1328.PubMedPubMedCentralCrossRef Warembourg, C., et al. (2019). Early-life environmental exposures and blood pressure in children. Journal of the American College of Cardiology, 74(10), 1317–1328.PubMedPubMedCentralCrossRef
43.
go back to reference Liu, C., et al. (2021). The association between serum copper concentrations and elevated blood pressure in US children and adolescents: National Health and Nutrition Examination Survey 2011–2016. BMC Cardiovascular Disorders, 21(1), 57.PubMedPubMedCentralCrossRef Liu, C., et al. (2021). The association between serum copper concentrations and elevated blood pressure in US children and adolescents: National Health and Nutrition Examination Survey 2011–2016. BMC Cardiovascular Disorders, 21(1), 57.PubMedPubMedCentralCrossRef
44.
go back to reference Vezzoli, G., et al. (1985). Calcium ATPase in erythrocytes of spontaneously hypertensive rats of the Milan strain. Journal of Hypertension, 3(6), 645–648.PubMedCrossRef Vezzoli, G., et al. (1985). Calcium ATPase in erythrocytes of spontaneously hypertensive rats of the Milan strain. Journal of Hypertension, 3(6), 645–648.PubMedCrossRef
45.
go back to reference Shih, Y. H., et al. (2021). Exposure to metal mixtures in relation to blood pressure among children 5–7 years old: An observational study in Bangladesh. Environmental Epidemiology, 5(2), e135.PubMedPubMedCentralCrossRef Shih, Y. H., et al. (2021). Exposure to metal mixtures in relation to blood pressure among children 5–7 years old: An observational study in Bangladesh. Environmental Epidemiology, 5(2), e135.PubMedPubMedCentralCrossRef
46.
go back to reference Williams, B., et al. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Journal of Hypertension, 36(10), 1953–2041.PubMedCrossRef Williams, B., et al. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Journal of Hypertension, 36(10), 1953–2041.PubMedCrossRef
47.
go back to reference Beghi, S., et al. (2022). Calcium signalling in heart and vessels: Role of calmodulin and downstream calmodulin-dependent protein kinases. International Journal of Molecular Sciences, 23(24), 16139.PubMedPubMedCentralCrossRef Beghi, S., et al. (2022). Calcium signalling in heart and vessels: Role of calmodulin and downstream calmodulin-dependent protein kinases. International Journal of Molecular Sciences, 23(24), 16139.PubMedPubMedCentralCrossRef
48.
go back to reference Gillman, M. W., et al. (1995). Effect of calcium supplementation on blood pressure in children. The Journal of Pediatrics, 127(2), 186–192.PubMedCrossRef Gillman, M. W., et al. (1995). Effect of calcium supplementation on blood pressure in children. The Journal of Pediatrics, 127(2), 186–192.PubMedCrossRef
49.
go back to reference Resnick, L. M., Gupta, R. K., & Laragh, J. H. (1984). Intracellular free magnesium in erythrocytes of essential hypertension: Relation to blood pressure and serum divalent cations. Proceedings of the National academy of Sciences of the United States of America, 81(20), 6511–6515.PubMedPubMedCentralCrossRef Resnick, L. M., Gupta, R. K., & Laragh, J. H. (1984). Intracellular free magnesium in erythrocytes of essential hypertension: Relation to blood pressure and serum divalent cations. Proceedings of the National academy of Sciences of the United States of America, 81(20), 6511–6515.PubMedPubMedCentralCrossRef
50.
go back to reference Ma, J., et al. (1995). Associations of serum and dietary magnesium with cardiovascular disease, hypertension, diabetes, insulin, and carotid arterial wall thickness: the ARIC study. Atherosclerosis Risk in Communities Study. Journal of Clinical Epidemiology, 48(7), 927–940.PubMedCrossRef Ma, J., et al. (1995). Associations of serum and dietary magnesium with cardiovascular disease, hypertension, diabetes, insulin, and carotid arterial wall thickness: the ARIC study. Atherosclerosis Risk in Communities Study. Journal of Clinical Epidemiology, 48(7), 927–940.PubMedCrossRef
51.
go back to reference Guerrero-Romero, F., et al. (2016). Low serum magnesium levels and its association with high blood pressure in children. Journal of Pediatrics, 168, 93-98.e1.PubMedCrossRef Guerrero-Romero, F., et al. (2016). Low serum magnesium levels and its association with high blood pressure in children. Journal of Pediatrics, 168, 93-98.e1.PubMedCrossRef
52.
go back to reference Landau, R., Scott, J. A., & Smiley, R. M. (2004). Magnesium-induced vasodilation in the dorsal hand vein. BJOG, 111(5), 446–451.PubMedCrossRef Landau, R., Scott, J. A., & Smiley, R. M. (2004). Magnesium-induced vasodilation in the dorsal hand vein. BJOG, 111(5), 446–451.PubMedCrossRef
53.
go back to reference Lurbe, E., & Redon, J. (2023). Neurohumoral and autonomic regulation of blood pressure. In J. T. Flynn, J. R. Ingelfinger, & T. M. Brady (Eds.), Pediatric hypertension (pp. 3–19). Springer.CrossRef Lurbe, E., & Redon, J. (2023). Neurohumoral and autonomic regulation of blood pressure. In J. T. Flynn, J. R. Ingelfinger, & T. M. Brady (Eds.), Pediatric hypertension (pp. 3–19). Springer.CrossRef
54.
go back to reference Ortiz-Marrón, H., et al. (2023). Association between biomarkers of iron status and cardiometabolic risk in Spanish children aged 9–10 years. The ELOIN study. European Journal of Pediatrics, 182(12), 5649–5659.PubMedPubMedCentralCrossRef Ortiz-Marrón, H., et al. (2023). Association between biomarkers of iron status and cardiometabolic risk in Spanish children aged 9–10 years. The ELOIN study. European Journal of Pediatrics, 182(12), 5649–5659.PubMedPubMedCentralCrossRef
56.
go back to reference Martínez-Navarro, I., et al. (2023). Relationship of serum zinc levels with cardiometabolic traits in overweight and obese schoolchildren from Mexico City. Biological Trace Element Research, 201(9), 4307–4319.PubMedCrossRef Martínez-Navarro, I., et al. (2023). Relationship of serum zinc levels with cardiometabolic traits in overweight and obese schoolchildren from Mexico City. Biological Trace Element Research, 201(9), 4307–4319.PubMedCrossRef
57.
go back to reference Shridhar, K., et al. (2019). Serum calcium concentrations, chronic inflammation and glucose metabolism: A cross-sectional analysis in the Andhra Pradesh children and parents study (APCaPS). Current Developments in Nutrition, 3(3), nzy085.PubMedCrossRef Shridhar, K., et al. (2019). Serum calcium concentrations, chronic inflammation and glucose metabolism: A cross-sectional analysis in the Andhra Pradesh children and parents study (APCaPS). Current Developments in Nutrition, 3(3), nzy085.PubMedCrossRef
58.
59.
60.
go back to reference Song, X., et al. (2018). Association between serum copper and serum lipids in adults. Annals of Nutrition & Metabolism, 73(4), 282–289.CrossRef Song, X., et al. (2018). Association between serum copper and serum lipids in adults. Annals of Nutrition & Metabolism, 73(4), 282–289.CrossRef
61.
go back to reference Sawicki, K. T., De Jesus, A., & Ardehali, H. (2023). Iron metabolism in cardiovascular disease: Physiology, mechanisms, and therapeutic targets. Circulation Research, 132(3), 379–396.PubMedPubMedCentralCrossRef Sawicki, K. T., De Jesus, A., & Ardehali, H. (2023). Iron metabolism in cardiovascular disease: Physiology, mechanisms, and therapeutic targets. Circulation Research, 132(3), 379–396.PubMedPubMedCentralCrossRef
62.
go back to reference Chen, J., et al. (2020). The molecular mechanisms of copper metabolism and its roles in human diseases. Pflugers Archiv European Journal of Physiology, 472(10), 1415–1429.PubMedCrossRef Chen, J., et al. (2020). The molecular mechanisms of copper metabolism and its roles in human diseases. Pflugers Archiv European Journal of Physiology, 472(10), 1415–1429.PubMedCrossRef
63.
go back to reference Villa-Etchegoyen, C., et al. (2019). Mechanisms involved in the relationship between low calcium intake and high blood pressure. Nutrients, 11(5), 1112.PubMedPubMedCentralCrossRef Villa-Etchegoyen, C., et al. (2019). Mechanisms involved in the relationship between low calcium intake and high blood pressure. Nutrients, 11(5), 1112.PubMedPubMedCentralCrossRef
64.
go back to reference Schutten, J. C., et al. (2018). magnesium and blood pressure: A physiology-based approach. Advances in Chronic Kidney Disease, 25(3), 244–250.PubMedCrossRef Schutten, J. C., et al. (2018). magnesium and blood pressure: A physiology-based approach. Advances in Chronic Kidney Disease, 25(3), 244–250.PubMedCrossRef
65.
go back to reference Liang, X., et al. (2020). Prevalence and risk factors of childhood hypertension in urban-rural areas of China: A cross-sectional study. International Journal of Hypertension, 2020, 2374231.PubMedPubMedCentralCrossRef Liang, X., et al. (2020). Prevalence and risk factors of childhood hypertension in urban-rural areas of China: A cross-sectional study. International Journal of Hypertension, 2020, 2374231.PubMedPubMedCentralCrossRef
66.
go back to reference Zhao, W., Mo, L., & Pang, Y. (2021). Hypertension in adolescents: The role of obesity and family history. Journal of Clinical Hypertension (Greenwich, Conn.), 23(12), 2065–2070.PubMedCrossRef Zhao, W., Mo, L., & Pang, Y. (2021). Hypertension in adolescents: The role of obesity and family history. Journal of Clinical Hypertension (Greenwich, Conn.), 23(12), 2065–2070.PubMedCrossRef
67.
go back to reference Köchli, S., et al. (2021). Socioeconomic status and parental lifestyle are associated with vascular phenotype in children. Frontiers in Public Health, 9, 610268.PubMedPubMedCentralCrossRef Köchli, S., et al. (2021). Socioeconomic status and parental lifestyle are associated with vascular phenotype in children. Frontiers in Public Health, 9, 610268.PubMedPubMedCentralCrossRef
68.
go back to reference Shi, Y., de Groh, M., & Morrison, H. (2012). Increasing blood pressure and its associated factors in Canadian children and adolescents from the Canadian Health Measures Survey. BMC Public Health, 12, 388.PubMedPubMedCentralCrossRef Shi, Y., de Groh, M., & Morrison, H. (2012). Increasing blood pressure and its associated factors in Canadian children and adolescents from the Canadian Health Measures Survey. BMC Public Health, 12, 388.PubMedPubMedCentralCrossRef
69.
go back to reference Ishøy, P. L., et al. (2017). Effect of GLP-1 receptor agonist treatment on body weight in obese antipsychotic-treated patients with schizophrenia: A randomized, placebo-controlled trial. Diabetes, Obesity & Metabolism, 19(2), 162–171.CrossRef Ishøy, P. L., et al. (2017). Effect of GLP-1 receptor agonist treatment on body weight in obese antipsychotic-treated patients with schizophrenia: A randomized, placebo-controlled trial. Diabetes, Obesity & Metabolism, 19(2), 162–171.CrossRef
70.
go back to reference Sreedevi, A., et al. (2021). Uncontrolled blood pressure and associated factors among persons with diabetes: A community based study from Kerala, India. Frontiers in Public Health, 9, 778235.PubMedCrossRef Sreedevi, A., et al. (2021). Uncontrolled blood pressure and associated factors among persons with diabetes: A community based study from Kerala, India. Frontiers in Public Health, 9, 778235.PubMedCrossRef
71.
go back to reference Hong, Z., et al. (2019). Combined effects of cigarette smoking, alcohol drinking and eNOS Glu298Asp polymorphism on blood pressure in Chinese male hypertensive subjects. Tobacco Induced Diseases, 17, 59.PubMedPubMedCentralCrossRef Hong, Z., et al. (2019). Combined effects of cigarette smoking, alcohol drinking and eNOS Glu298Asp polymorphism on blood pressure in Chinese male hypertensive subjects. Tobacco Induced Diseases, 17, 59.PubMedPubMedCentralCrossRef
Metadata
Title
Association Between Serum Essential Metal Elements and Blood Pressure in Children: A Cohort Study
Authors
Muhammad Fahad Tahir
Xiaofei Wu
Yuwei Wang
Qin Liu
Xizhou An
Daochao Huang
Lijing Chen
Lanling Chen
Xiaohua Liang
Publication date
18-12-2024
Publisher
Springer US
Published in
Cardiovascular Toxicology / Issue 1/2025
Print ISSN: 1530-7905
Electronic ISSN: 1559-0259
DOI
https://doi.org/10.1007/s12012-024-09948-0

Keynote series | Spotlight on menopause

Menopause can have a significant impact on the body, with effects ranging beyond the endocrine and reproductive systems. Learn about the systemic effects of menopause, so you can help patients in your clinics through the transition.   

Prof. Martha Hickey
Dr. Claudia Barth
Dr. Samar El Khoudary
Developed by: Springer Medicine
Watch now
Video

A quick guide to ECGs

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

PD Dr. Carsten W. Israel
Developed by: Springer Medizin
Start the cases