Journal article
Associations of Novel and Traditional Vascular Biomarkers of Arterial Stiffness: Results of the SAPALDIA 3 Cohort Study.
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Endes S
Department of Sport, Exercise and Health, Div. Sports and Exercise Medicine, University of Basel, Switzerland.
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Caviezel S
Swiss Tropical and Public Health Institute, Basel, Switzerland.
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Schaffner E
Swiss Tropical and Public Health Institute, Basel, Switzerland.
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Dratva J
Swiss Tropical and Public Health Institute, Basel, Switzerland.
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Schindler C
Swiss Tropical and Public Health Institute, Basel, Switzerland.
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Künzli N
Swiss Tropical and Public Health Institute, Basel, Switzerland.
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Bachler M
Biomedical Systems, Health & Environment Department, AIT Austrian Institute of Technology GmbH, Vienna, Austria.
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Wassertheurer S
Biomedical Systems, Health & Environment Department, AIT Austrian Institute of Technology GmbH, Vienna, Austria.
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Probst-Hensch N
Swiss Tropical and Public Health Institute, Basel, Switzerland.
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Schmidt-Trucksäss A
Department of Sport, Exercise and Health, Div. Sports and Exercise Medicine, University of Basel, Switzerland.
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English
BACKGROUND AND OBJECTIVES
There is a lack of evidence concerning associations between novel parameters of arterial stiffness as cardiovascular risk markers and traditional structural and functional vascular biomarkers in a population-based Caucasian cohort. We examined these associations in the second follow-up of the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults (SAPALDIA 3).
METHODS
Arterial stiffness was measured oscillometrically by pulse wave analysis to derive the cardio-ankle vascular index (CAVI), brachial-ankle (baPWV) and aortic pulse wave velocity (aPWV), and amplitude of the forward and backward wave. Carotid ultrasonography was used to measure carotid intima-media thickness (cIMT) and carotid lumen diameter (LD), and to derive a distensibility coefficient (DC). We used multivariable linear regression models adjusted for several potential confounders for 2,733 people aged 50-81 years.
RESULTS
CAVI, aPWV and the amplitude of the forward and backward wave were significant predictors of cIMT (p < 0.001). All parameters were significantly associated with LD (p < 0.001), with aPWV and the amplitude of the forward wave explaining the highest proportion of variance (2%). Only CAVI and baPWV were significant predictors of DC (p < 0.001), explaining more than 0.3% of the DC variance.
CONCLUSION
We demonstrated that novel non-invasive oscillometric arterial stiffness parameters are differentially associated with specific established structural and functional local stiffness parameters. Longitudinal studies are needed to follow-up on these cross-sectional findings and to evaluate their relevance for clinical phenotypes.
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Language
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Open access status
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gold
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Identifiers
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Persistent URL
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https://sonar.ch/global/documents/124458
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