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Body mass index is decreased in children and adolescents with postural tachycardia syndrome.
Turk J Pediatr. 2019; 61(1):52-58.TJ

Abstract

Lin J, Zhao H, Ma L, Jiao F. Body mass index is decreased in children and adolescents with postural tachycardia syndrome. Turk J Pediatr 2019; 61: 52-58. Our intent was to explore the predictive value of body mass index (BMI) in differentiating between vasovagal syncope (VVS) and postural tachycardia syndrome (POTS) in children and adolescents. A total of 111 children and adolescents with POTS and 154 children and adolescents with VVS were included in our study. The control group included 82 healthy children and adolescents. Height and weight were measured in all participants. The headup tilt test was performed in participants in all groups (POTS, VVS, and control). BMI was significantly lower in children and adolescents with POTS (18.3±3.4) than in children and adolescents with VVS (20.3±4.2) and the control group (20.5±2.9). The receiver operating characteristic curve was performed to determine the predictive value of BMI differentiation between POTS and VVS and showed that a BMI of 19.30 was the cutoff value for the probability of distinction. However, the results (BMI of 19.30) produced unsatisfactory sensitivity (57.1%) and specificity (28.8%) rates of correctly discriminating between patients with POTS and patients with VVS. Children and adolescents with POTS have a lower BMI compared with healthy peers or children and adolescents with VVS.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Lin J
School of Public Health, the Third Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, China.
Zhao H
Departments of Urology, the Third Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, China.
Ma L
Departments of Pediatrics, the Third Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, China.
Jiao F
Departments of Pediatrics, the Third Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, China.

MeSH

AdolescentBody Mass IndexCase-Control StudiesChildDiagnosis, DifferentialFemaleHumansMalePostural Orthostatic Tachycardia SyndromeROC CurveRetrospective StudiesSensitivity and SpecificitySyncope, VasovagalTilt-Table Test

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31559722

Citation

Lin, Jing, et al. "Body Mass Index Is Decreased in Children and Adolescents With Postural Tachycardia Syndrome." The Turkish Journal of Pediatrics, vol. 61, no. 1, 2019, pp. 52-58.
Lin J, Zhao H, Ma L, et al. Body mass index is decreased in children and adolescents with postural tachycardia syndrome. Turk J Pediatr. 2019;61(1):52-58.
Lin, J., Zhao, H., Ma, L., & Jiao, F. (2019). Body mass index is decreased in children and adolescents with postural tachycardia syndrome. The Turkish Journal of Pediatrics, 61(1), 52-58. https://doi.org/10.24953/turkjped.2019.01.009
Lin J, et al. Body Mass Index Is Decreased in Children and Adolescents With Postural Tachycardia Syndrome. Turk J Pediatr. 2019;61(1):52-58. PubMed PMID: 31559722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Body mass index is decreased in children and adolescents with postural tachycardia syndrome. AU - Lin,Jing, AU - Zhao,Huacai, AU - Ma,Lei, AU - Jiao,Fuyong, PY - 2019/9/28/entrez PY - 2019/9/29/pubmed PY - 2020/1/24/medline KW - body mass index KW - differential diagnosis KW - postural tachycardia syndrome KW - vasovagal syncope SP - 52 EP - 58 JF - The Turkish journal of pediatrics JO - Turk J Pediatr VL - 61 IS - 1 N2 - Lin J, Zhao H, Ma L, Jiao F. Body mass index is decreased in children and adolescents with postural tachycardia syndrome. Turk J Pediatr 2019; 61: 52-58. Our intent was to explore the predictive value of body mass index (BMI) in differentiating between vasovagal syncope (VVS) and postural tachycardia syndrome (POTS) in children and adolescents. A total of 111 children and adolescents with POTS and 154 children and adolescents with VVS were included in our study. The control group included 82 healthy children and adolescents. Height and weight were measured in all participants. The headup tilt test was performed in participants in all groups (POTS, VVS, and control). BMI was significantly lower in children and adolescents with POTS (18.3±3.4) than in children and adolescents with VVS (20.3±4.2) and the control group (20.5±2.9). The receiver operating characteristic curve was performed to determine the predictive value of BMI differentiation between POTS and VVS and showed that a BMI of 19.30 was the cutoff value for the probability of distinction. However, the results (BMI of 19.30) produced unsatisfactory sensitivity (57.1%) and specificity (28.8%) rates of correctly discriminating between patients with POTS and patients with VVS. Children and adolescents with POTS have a lower BMI compared with healthy peers or children and adolescents with VVS. SN - 2791-6421 UR - https://www.unboundmedicine.com/medline/citation/31559722/Body_mass_index_is_decreased_in_children_and_adolescents_with_postural_tachycardia_syndrome_ DB - PRIME DP - Unbound Medicine ER -