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Nineteen 16 year old white boys whose systolic blood pressures were in the upper (r = 9) and lowest (r = 10) quintile of the distribution in two school surveys in 1975 and 1977 were selected. In 1979 forearm blood flow, blood pressure and heart rate were measured at rest, and during peak reactive hyperemia. Minimal forearm vascular resistance during peak reactive hyperemia was used to assess the structural contribution to vascular resistance. At rest the high quintile group again had significantly higher blood pressures than the low quintile group but their forearm vascular resistance was not significantly different. The high quintile group showed significantly higher minimal forearm vascular resistance at peak reactive hyperemia. The latter observation suggests that there is a difference in the structural contribution to forearm vascular resistance in adolescents with blood pressure in the upper versus lower quintile of the distribution.

FOREARM VASCULAR RESISTANCE IN THE UPPER AND LOWER QUINTILES OF BLOOD PRESSURE IN ADOLESCENT BOYS: The Muscatine Study