دورية أكاديمية
أعرض في EDS

Relationship between BMI and aortic stiffness: influence of anthropometric indices in hypertensive men and women.

التفاصيل البيبلوغرافية
العنوان: Relationship between BMI and aortic stiffness: influence of anthropometric indices in hypertensive men and women.
المؤلفون: Vallée A; Hypertension and Cardiovascular Prevention Unit, Diagnosis and Therapeutic Center, Paris-Descartes University, Hôtel-Dieu Hospital, AP-HP, Paris., Olié V; Santé Publique France, The French Public Health Agency, Saint-Maurice, France., Lelong HÉL; Hypertension and Cardiovascular Prevention Unit, Diagnosis and Therapeutic Center, Paris-Descartes University, Hôtel-Dieu Hospital, AP-HP, Paris., Kretz S; Hypertension and Cardiovascular Prevention Unit, Diagnosis and Therapeutic Center, Paris-Descartes University, Hôtel-Dieu Hospital, AP-HP, Paris., Safar ME; Hypertension and Cardiovascular Prevention Unit, Diagnosis and Therapeutic Center, Paris-Descartes University, Hôtel-Dieu Hospital, AP-HP, Paris., Blacher J; Hypertension and Cardiovascular Prevention Unit, Diagnosis and Therapeutic Center, Paris-Descartes University, Hôtel-Dieu Hospital, AP-HP, Paris.
المصدر: Journal of hypertension [J Hypertens] 2020 Feb; Vol. 38 (2), pp. 249-256.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health, Inc Country of Publication: England NLM ID: 8306882 Publication Model: Print Cited Medium: Internet ISSN: 1473-5598 (Electronic) Linking ISSN: 02636352 NLM ISO Abbreviation: J Hypertens Subsets: MEDLINE
أسماء مطبوعة: Publication: [Alphen aan den Rijn, the Netherlands] : Wolters Kluwer Health, Inc.
Original Publication: London ; New York : Gower Academic Pub., [1983-
مواضيع طبية MeSH: Body Mass Index*, Diabetes Mellitus/*physiopathology , Hypertension/*physiopathology , Vascular Stiffness/*physiology, Aged ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Pulse Wave Analysis ; Risk Factors ; Waist Circumference/physiology ; Waist-Height Ratio ; Waist-Hip Ratio
مستخلص: Background: Increased aortic stiffness could be one of the mechanisms by which obesity increases cardiovascular risk independently of traditional risk factors. Studies have suggested that anthropometric indices may be predictors of cardiovascular risk but few studies have investigated their relations with aortic stiffness in high cardiovascular risk population. We investigated the strength of correlation between different anthropometric indices with aortic stiffness in hypertensive and diabetic patients.
Methods: A cross-sectional study was performed in 474 hypertensive patients. Anthropometric indices were calculated: BMI, waist circumference, waist-hip ratio, and waist-height ratio (WHtR). Aortic stiffness was assessed by measurement of carotid-femoral pulse wave velocity (PWV). Correlations between indices and PWV were investigated by linear regression analyses and hierarchical analyses after adjusting for cardiovascular risk factors.
Results: Regional anthropometric indices were more strongly correlated with PWV than BMI in both sexes. In linear regression analyses, WHtR presented the highest correlation with PWV than other indices in our study population. In adjusted hierarchical regression used, WHtR had the highest additive value on top of BMI while there no additive value of BMI on top of WHtR. These differences remained after adjustment on cardiovascular events. In men WHtR was more closely correlated with PWV than others. In women, waist-hip ratio and WHtR were equally correlated with PWV compared with BMI.
Conclusion: Regional anthropometric indices are more closely correlated with PWV than BMI in hypertensive patients. WHtR presents the highest correlation with PWV beyond BMI.
Registration: The study was registered in the French National Agency for Medicines and Health Products Safety (No. 2013-A00227-38) and was approved by the Advisory Committee for Protection of Persons in Biomedical Research.
References: Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014; 384:766–781.
Van Gaal LF, Mertens IL, De Block CE. Mechanisms linking obesity with cardiovascular disease. Nature 2006; 444:875–880.
Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol 2009; 53:1925–1932.
Zaninotto P, Pierce M, Breeze E, de Oliveira C, Kumari M. BMI and waist circumference as predictors of well-being in older adults: findings from the English Longitudinal Study of Ageing. Obesity 2010; 18:1981–1987.
Rueda-Clausen CF, Lahera V, Calderón J, Bolivar IC, Castillo VR, Gutiérrez M, et al. The presence of abdominal obesity is associated with changes in vascular function independently of other cardiovascular risk factors. Int J Cardiol 2010; 139:32–41.
Ashwell M, Cole TJ, Dixon AK. Ratio of waist circumference to height is strong predictor of intra-abdominal fat. BMJ 1996; 313:559–560.
Savva SC, Lamnisos D, Kafatos AG. Predicting cardiometabolic risk: waist-to-height ratio or BMI. A meta-analysis. Diabetes Metab Syndr Obes Targets Ther 2013; 6:403–419.
Laurent S, Boutouyrie P, Asmar R, Gautier I, Laloux B, Guize L, et al. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension 2001; 37:1236–1241.
Safar ME, O’Rourke M. Handbook of hypertension, volume 23: arterial stiffness in hypertension. Amsterdam: Elsevier; 2006.
O’Rourke MF, Staessen JA, Vlachopoulos C, Duprez D, Plante GE. Clinical applications of arterial stiffness; definitions and reference values. Am J Hypertens 2002; 15:426–444.
Zhong Q, Hu M-J, Cui Y-J, Liang L, Zhou M-M, Yang Y-W, et al. Carotid–femoral pulse wave velocity in the prediction of cardiovascular events and mortality: an updated systematic review and meta-analysis. Angiology 2018; 69:617–629.
Safar ME, Toto-Moukouo JJ, Bouthier JA, Asmar RE, Levenson JA, Simon AC, et al. Arterial dynamics, cardiac hypertrophy, and antihypertensive treatment. Circulation 1987; 75:I156–I161.
Mitchell GF, Hwang S-J, Vasan RS, Larson MG, Pencina MJ, Hamburg NM, et al. Arterial stiffness and cardiovascular events: the Framingham Heart Study. Circulation 2010; 121:505–511.
Ben-Shlomo Y, Spears M, Boustred C, May M, Anderson SG, Benjamin EJ, et al. Aortic pulse wave velocity improves cardiovascular event prediction: an individual participant meta-analysis of prospective observational data from 17,635 subjects. J Am Coll Cardiol 2014; 63:636–646.
Smulyan H, Lieber A, Safar ME. Hypertension, diabetes, type II, and their association: role of arterial stiffness. Am J Hypertens 2016; 29:5–13.
Gerstein HC, Miller ME, Byington RP, Goff DC, Bigger JT, Buse JB, et al. Action to Control Cardiovascular Risk in Diabetes Study Group. Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med 2008; 358:2545–2559.
Blacher J, Asmar R, Djane S, London GM, Safar ME. Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients. Hypertension 1999; 33:1111–1117.
Cruickshank K, Riste L, Anderson SG, Wright JS, Dunn G, Gosling RG. Aortic pulse-wave velocity and its relationship to mortality in diabetes and glucose intolerance: an integrated index of vascular function? Circulation 2002; 106:2085–2090.
Safar ME, Slama G, Blacher J. Concomitant hypertension and diabetes: role of aortic stiffness and glycemic management. Am J Hypertens 2018; 31:169–171.
van den Munckhof ICL, Holewijn S, de Graaf J, Rutten JHW. Sex differences in fat distribution influence the association between BMI and arterial stiffness. J Hypertens 2017; 35:1219–1225.
Wohlfahrt P, Somers VK, Cifkova R, Filipovsky J, Seidlerova J, Krajcoviechova A, et al. Relationship between measures of central and general adiposity with aortic stiffness in the general population. Atherosclerosis 2014; 235:625–631.
Nordstrand N, Gjevestad E, Dinh KN, Hofsø D, Røislien J, Saltvedt E, et al. The relationship between various measures of obesity and arterial stiffness in morbidly obese patients. BMC Cardiovasc Disord 2011; 11:7.
Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM, et al. Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. Hypertension 1995; 26:485–490.
Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 2006; 27:2588–2605.
Reference Values for Arterial Stiffness’ Collaboration. Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: “establishing normal and reference values.”. Eur Heart J 2010; 31:2338–2350.
Vallée A, Yannoutsos A, Temmar M, Dreyfuss Tubiana C, Spinu I, Zhang Y, et al. Determinants of the aortic pulse wave velocity index in hypertensive and diabetic patients: predictive and therapeutic implications. J Hypertens 2018; 36:2324–2332.
Mancia G, Fagard R, Narkiewicz K, Redón J, Zanchetti A, Böhm M, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2013; 31:1281–1357.
World Health Organization, International Diabetes Federation. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia: report of a WHO/IDF consultation. 2006; Geneva: WHO, http://www.who.int/diabetes/publications/diagnosis_diabetes2006/en/http://www.who.int/diabetes/publications/diagnosis_diabetes2006/en/. [Accessed 19 December 2018].
Shi H, Clegg DJ. Sex differences in the regulation of body weight. Physiol Behav 2009; 97:199–204.
Nichols W, O’Rourke M. McDonald's blood flow in arteries theoretical, experimental and clinical principles. 4th ed.London: Edward Arnold; 2006.
Oh SW. Body-mass index and mortality in Korean men and women. N Engl J Med 2006; 355:2701author reply 2701–2702.
Wilson PWF, D’Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med 2002; 162:1867–1872.
Teoh WL, Price JF, Williamson RM, Payne RA, Van Look LAF, Reynolds RM, et al. Metabolic parameters associated with arterial stiffness in older adults with type 2 diabetes: the Edinburgh Type 2 diabetes study. J Hypertens 2013; 31:1010–1017.
Geer EB, Shen W. Gender differences in insulin resistance, body composition, and energy balance. Gend Med 2009; 6: (Suppl 1): 60–75.
Snijder MB, Flyvbjerg A, Stehouwer CDA, Frystyk J, Henry RMA, Seidell JC, et al. Relationship of adiposity with arterial stiffness as mediated by adiponectin in older men and women: the Hoorn Study. Eur J Endocrinol 2009; 160:387–395.
Recio-Rodriguez JI, Gomez-Marcos MA, Patino-Alonso MC, Agudo-Conde C, Rodriguez-Sanchez E, Garcia-Ortiz L, et al. Abdominal obesity vs general obesity for identifying arterial stiffness, subclinical atherosclerosis and wave reflection in healthy, diabetics and hypertensive. BMC Cardiovasc Disord 2012; 12:3.
Cornier M-A, Després J-P, Davis N, Grossniklaus DA, Klein S, Lamarche B, et al. Assessing adiposity: a scientific statement from the American Heart Association. Circulation 2011; 124:1996–2019.
Okorodudu DO, Jumean MF, Montori VM, Romero-Corral A, Somers VK, Erwin PJ, et al. Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis. Int J Obes 2010; 34:791–799.
Coutinho T, Goel K, Corrêa de Sá D, Carter RE, Hodge DO, Kragelund C, et al. Combining body mass index with measures of central obesity in the assessment of mortality in subjects with coronary disease: role of “normal weight central obesity”. J Am Coll Cardiol 2013; 61:553–560.
Stewart AD, Millasseau SC, Kearney MT, Ritter JM, Chowienczyk PJ. Effects of inhibition of basal nitric oxide synthesis on carotid–femoral pulse wave velocity and augmentation index in humans. Hypertension 2003; 42:915–918.
Bergman RN, Ader M. Free fatty acids and pathogenesis of type 2 diabetes mellitus. Trends Endocrinol Metab 2000; 11:351–356.
Aronson D. Cross-linking of glycated collagen in the pathogenesis of arterial and myocardial stiffening of aging and diabetes. J Hypertens 2003; 21:3–12.
Singhal A, Farooqi IS, Cole TJ, O’Rahilly S, Fewtrell M, Kattenhorn M, et al. Influence of leptin on arterial distensibility: a novel link between obesity and cardiovascular disease? Circulation 2002; 106:1919–1924.
Schneider HJ, Klotsche J, Silber S, Stalla GK, Wittchen H-U. Measuring abdominal obesity: effects of height on distribution of cardiometabolic risk factors risk using waist circumference and waist-to-height ratio. Diabetes Care 2011; 34:e7.
تواريخ الأحداث: Date Created: 20190829 Date Completed: 20210408 Latest Revision: 20210408
رمز التحديث: 20221213
DOI: 10.1097/HJH.0000000000002228
PMID: 31460994
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-5598
DOI:10.1097/HJH.0000000000002228