Regional pulse wave velocities and their cardiovascular risk factors among healthy middle-aged men: a cross-sectional population-based study

BMC Cardiovascular Disorders

Akira Sekikawa⁷  Kim Sutton-Tyrrell⁷  Lewis H Kuller⁷  Rhobert W Evans⁷  Rachel H Mackey⁷  Lakshmi Venkitachalam²  Katsuyuki Miura¹  Sunghee Lee⁷  Hirotsugu Ueshima¹  Todd B Seto⁵  Bradley J Willcox⁵  Kamal Masaki⁴  Emma Barinas-Mitchell⁷  Chol Shin³  Jina Choo⁶ 

[1] Department of Health Science, Shiga University of Medical Science, Otsu, Japan;Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas, MO, USA;Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, South Korea;Department of Gerontology, University of Hawaii, Honolulu, HI, USA;The Queen’s Medical Center, Honolulu, HI, USA;College of Nursing, Korea University, Anam-Dong, Seongbuk-Gu, Seoul 136-705, South Korea;Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA

关键词: Femoral artery;    Brachial artery;    Carotid arteries;    Aorta;    Arterial stiffness;   

Others  :  855515
DOI  :  10.1186/1471-2261-14-5

 received in 2013-04-02, accepted in 2014-01-09,  发布年份 2014

【 摘 要 】

Background

Both carotid-femoral (cf) pulse wave velocity (PWV) and brachial-ankle (ba) PWV employ arterial sites that are not consistent with the path of blood flow. Few previous studies have reported the differential characteristics between cfPWV and baPWV by simultaneously comparing these with measures of pure central (aorta) and peripheral (leg) arterial stiffness, i.e., heart-femoral (hf) PWV and femoral-ankle (fa) PWV in healthy populations. We aimed to identify the degree to which these commonly used measures of cfPWV and baPWV correlate with hfPWV and faPWV, respectively, and to evaluate whether both cfPWV and baPWV are consistent with either hfPWV or faPWV in their associations with cardiovascular (CV) risk factors.

Methods

A population-based sample of healthy 784 men aged 40–49 (202 white Americans, 68 African Americans, 202 Japanese-Americans, and 282 Koreans) was examined in this cross-sectional study. Four regional PWVs were simultaneously measured by an automated tonometry/plethysmography system.

Results

cfPWV correlated strongly with hfPWV (r = .81, P < .001), but weakly with faPWV (r = .12, P = .001). baPWV correlated moderately with both hfPWV (r = .47, P < .001) and faPWV (r = .62, P < .001). After stepwise regression analyses with adjustments for race, cfPWV shared common significant correlates with both hfPWV and faPWV: systolic blood pressure (BP) and body mass index (BMI). However, BMI was positively associated with hfPWV and cfPWV, and negatively associated with faPWV. baPWV shared common significant correlates with hfPWV: age and systolic BP. baPWV also shared the following correlates with faPWV: systolic BP, triglycerides, and current smoking.

Conclusions

Among healthy men aged 40 – 49, cfPWV correlated strongly with central PWV, and baPWV correlated with both central and peripheral PWVs. Of the CV risk factors, systolic BP was uniformly associated with all the regional PWVs. In the associations with factors other than systolic BP, cfPWV was consistent with central PWV, while baPWV was consistent with both central and peripheral PWVs.

【 授权许可】

   
2014 Choo et al.; licensee BioMed Central Ltd.

【 图 表 】

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