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. 2022 Apr 29;11(9):2512.
doi: 10.3390/jcm11092512.

Arterial Stiffness Determinants for Primary Cardiovascular Prevention among Healthy Participants

Alexandre Vallée  1
Affiliations

Arterial Stiffness Determinants for Primary Cardiovascular Prevention among Healthy Participants

Alexandre Vallée. J Clin Med. .

Abstract

Background: Arterial stiffness (AS), measured by arterial stiffness index (ASI), can be considered as a major denominator in cardiovascular (CV) diseases. Thus, it remains essential to highlight the risk factors influencing its increase among healthy participants. Methods: According to European consensus, AS is defined as ASI > 10 m/s. The purpose of this study was to investigate the determinants of the arterial stiffness (ASI > 10 m/s) among UK Biobank normotensive and healthy participants without comorbidities and previous CV diseases. Thus, a cross-sectional study was conducted on 22,452 healthy participants. Results: Participants were divided into two groups, i.e., ASI > 10 m/s (n = 5782, 25.8%) and ASI < 10 m/s (n = 16,670, 74.2%). All the significant univariate covariables were included in the multivariate analysis. The remaining independent factors associated with AS were age (OR = 1.063, threshold = 53.0 years, p < 0.001), BMI (OR = 1.0450, threshold = 24.9 kg/m2, p < 0.001), cystatin c (OR = 1.384, threshold = 0.85 mg/L, p = 0.011), phosphate (OR = 2.225, threshold = 1.21 mmol/L, p < 0.001), triglycerides (OR = 1.281, threshold = 1.09 mmol/L, p < 0.001), mean BP (OR = 1.028, threshold = 91.2 mmHg, p < 0.001), HR (OR = 1.007, threshold = 55 bpm, p < 0.001), Alkaline phosphate (OR = 1.002, threshold = 67.9 U/L, p = 0.004), albumin (OR = 0.973, threshold = 46.0 g/L, p < 0.001), gender (male, OR = 1.657, p < 0.001) and tobacco use (current, OR = 1.871, p < 0.001). Conclusion: AS is associated with multiple parameters which should be investigated in future prospective studies. Determining the markers of increased ASI among healthy participants participates in the management of future CV risk for preventive strategies.

Keywords: BMI; age; albumin; alkaline phosphatase; arterial stiffness; arterial stiffness index; cystatin c; heart rate; mean blood pressure; phosphate; tobacco; triglycerides.

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Conflict of interest statement

The author declares no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart. CV: cardiovascular; CKD: chronic kidney disease; ASI: arterial stiffness index.
Figure 2
Figure 2
AUC (area under the ROC curve) of the multivariate analysis (cf. Table 2).
See this image and copyright information in PMC

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