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Table 1 Clinical characteristics of pSLE subjects by nocturnal BP dipping status

From: Nocturnal blood pressure dipping as a marker of endothelial function and subclinical atherosclerosis in pediatric-onset systemic lupus erythematosus

 

All subjects, N = 20

Normal, N = 9*

Non-dipping, N = 9

p value

Demographic characteristics

 Age in years, mean (± SD)

16.5 (± 2.7)

17.1 (± 2.2)

15.6 (± 3 .2)

0.24

 Female sex, n (%)

17 (85)

7 (78)

8 (89)

1.00

 Race

  White/Caucasian

7 (35)

4 (44)

2 (22)

0.61

  Black/African American

8 (40)

2 (22)

5 (56)

 

  Asian

3 (15)

2 (22)

1 (11)

 

  Other race

2 (10)

1 (11)

1 (11)

 

  Hispanic ethnicity

3 (15)

1 (11)

2 (22)

1.00

 Highest household education

  Did not complete high school

2 (10)

2 (22)

0 (0)

0.64

  High school/general education

10 (53)

4 (44)

5 (56)

 

  Bachelor’s degree or more

7 (37)

3 (33)

3 (33)

 

 Low income household (< $25 k/year)

6 (30)

1 (12.5)

4 (44)

0.29

Traditional cardiovascular risk factors

 Physical activity score, mean (± SD)

1.9 (± 0.7)

1.8 (± 0.6)

1.9 (± 0.9)

0.83

 BMI percentile for age-sex

68.2 (28.6)

56 (± 30.4)

81 (± 19.8)

0.05

 Low-density lipoprotein (mg/dL)

90 (± 22)

90 (± 22)

88 (± 26)

0.91

 High-density lipoprotein (mg/dL)

44 (± 5)

44 (± 5)

59 (± 8)

< 0.01

 Triglycerides (mg/dL)

86 (± 43)

86 (± 43)

81 (± 30)

0.74

 Elevated hsCRP, n (%)§

2 (10)

0 (0)

2 (22)

0.47

 Elevated Lipoprotein A

2 (10)

0 (0)

1 (11)

1.00

 Prior history of hypertension^

3 (16)

2 (22)

1 (11)

0.50

 Family history early CVD

5 (25)

2 (22)

2 (22)

1.00

Disease characteristics

 Disease duration, years (± SD)

3.2 (± 2.1)

3.6 (± 2.3)

2.3 (± 1.8)

0.21

 Most recent SLEDAI-2K, mean (± SD)

2.9 (± 4.4)

2.6 (± 3.4)

2.9 (± 5.8)

0.88

 Time-averaged SLEDAI

12.4 (± 7.3)

3.9 (± 2.1)

6.3 (± 4.6)

0.14

 Proportion of time in LLDAS

0.57 (± 0.32)

0.67 (± 0.22)

0.45 (± 0.40)

0.16

 Antiphospholipid antibodies, n (%)

6 (30)

4 (44)

2 (22)

0.62

 Nephritis, n (%)

5 (25)

1 (11)

3 (33)

0.58

 Urine protein to creatinine, median [IQR]#

0.1 [0.0–0.1]

0.1 [0.0–0.1]

0.1 [0.0–0.4]

0.56

 Neuropsychiatric manifestation, n (%)

1 (5)

0 (0)

1 (11)

1.00

Current medication use

 Glucocorticoids, n (%)

5 (25)

1 (11)

4 (44)

0.29

 Months of glucocorticoid use, median [IQR]

13 [3–20]

8 [2–30]

11 [4–19]

0.91

 Hydroxychloroquine, n (%)

20 (100)

9 (100)

9 (100)

1.00

 Mycophenolate

11 (55)

2 (22)

7 (78)

0.06

 Methotrexate

5 (25)

3 (33)

2 (22)

1.00

 Azathioprine

2 (10)

1 (11)

1 (11)

1.00

 Rituximab (within last 12 months)

4 (20)

0 (0)

3 (33)

0.21

 Renin-angiotensin system blocker

4 (20)

1 (11)

2 (22)

1.00

 Other antihypertensive

2 (10)

1 (11)

0 (0)

1.00

  1. Comparison of baseline clinical characteristics by non-dipping status using Fisher’s exact, Student’s t test or Wilcoxon rank sum test as appropriate
  2. *Only 18/20 subjects completed ABPM wear to determine normal dipping vs non-dipping
  3. ^Previous hypertension diagnosis resolved by physician prior to enrollment
  4. §High-sensitivity C-reactive protein > 3.0 mg/L
  5. SLEDAI < 5, low disease activity; 6–10, moderate; 11–19, high; maximum, 105
  6. Lupus low disease activity state
  7. #Random (spot) urine protein to creatinine ratio