IMR Press / RCM / Volume 24 / Issue 5 / DOI: 10.31083/j.rcm2405144
Open Access Original Research
Arterial Stiffness, Body Mass Index and Cardiovascular Disease Risk in Chinese Females at Various Ages
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1 Department of Ultrasound, Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, 200052 Shanghai, China
2 Department of Neurosurgery, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, 200080 Shanghai, China
3 Department of Medical Imaging, Weifang Medical University, 261053 Weifang, Shandong, China
4 Department of Ultrasound, Mindong Hospital Affiliated to Fujian Medical University, 355000 Ningde, Fujian, China
5 Department of Ultrasound, Shanghai General Hospital Jiading Branch, Shanghai Jiaotong University School of Medicine, 201812 Shanghai, China
6 Department of Ultrasound, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, 200080 Shanghai, China
7 School of Informatics, College of Science & Engineering, The University of Edinburgh, EH8 9AB Edinburgh, UK
*Correspondence: lzj_1975@sina.com (Zhaojun Li)
These authors contributed equally.
Rev. Cardiovasc. Med. 2023, 24(5), 144; https://doi.org/10.31083/j.rcm2405144
Submitted: 24 November 2022 | Revised: 24 December 2022 | Accepted: 7 January 2023 | Published: 11 May 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: This study investigated the correlation in parameters of arterial stiffness and cardiovascular disease (CVD) risk on age and body mass index (BMI) in Chinese females. Methods: This cross-sectional study enrolled 2220 females. Arterial stiffness was assessed by the measurement of arterial velocity pulse index (AVI) and arterial pressure volume index (API). Individual 10-year cardiovascular risk was calculated for each patient using the Framingham cardiovascular risk score (FCVRS). Results: API and AVI had a significant J-shaped relationship with age. Beginning at the age of 30 years, the API started to increase, while after 49 years, the increase in API was even steeper. AVI increased from the age of 32 years, and increased more rapidly after 56 years. The linear association between API and BMI following adjustment for age was significant (β = 0.324, 95% CI 0.247–0.400, p < 0.001). In the total study cohort, FCVRS scores increased by 0.16 scores for every 1 kg/m2 increase in BMI and by 0.11 scores for each 1 value increase in API in the age adjusted model. Conclusions: API and BMI correlate with 10-year cardiovascular risk at various ages in females. Regardless of age, overweight females have a higher risk of increased API. Therefore API can be used for the early detection of CVD so that preventive therapy can be instituted in these high risk patients. Clinical Trial Registration: Registered on the official website of the China Clinical Trial Registration Center (20/08/2020, ChiCTR2000035937).

Keywords
cardiovascular risk
arterial stiffness
women
aging
body mass index
Funding
21ZR1451400/Natural Science Foundation of Shanghai
202240235/Shanghai Health and Family Planning Commission Fund
2021-KY-10/Shanghai Jiading District Health and Family Planning Commission Fund
Figures
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