Arterial Stiffness and Diabetes Risk in Framingham Heart Study and UK Biobank

Microvascular damage from large artery stiffness (LAS) in pancreatic, hepatic, and skeletal muscles may affect glucose homeostasis. Our goal was to evaluate the association between LAS and the risk of type 2 diabetes using prospectively collected, carefully phenotyped measurements of LAS as well as...

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Published in:Circulation research Vol. 131; no. 6; p. 545
Main Authors: Cohen, Jordana B, Mitchell, Gary F, Gill, Dipender, Burgess, Stephen, Rahman, Mahboob, Hanff, Thomas C, Ramachandran, Vasan S, Mutalik, Karen M, Townsend, Raymond R, Chirinos, Julio A
Format: Journal Article
Language:English
Published: United States 02.09.2022
Subjects:
Biological Specimen Banks
Brachial Artery
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - genetics
Glucose
Humans
Longitudinal Studies
Male
Prospective Studies
Pulse Wave Analysis
Vascular Stiffness - genetics
blood pressure
human genetics
vascular stiffness
hemodynamics
carotid-femoral pulse wave velocity
ISSN:1524-4571, 1524-4571
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Summary:Microvascular damage from large artery stiffness (LAS) in pancreatic, hepatic, and skeletal muscles may affect glucose homeostasis. Our goal was to evaluate the association between LAS and the risk of type 2 diabetes using prospectively collected, carefully phenotyped measurements of LAS as well as Mendelian randomization analyses. Carotid-femoral pulse wave velocity (CF-PWV) and brachial and central pulse pressure were measured in 5676 participants of the FHS (Framingham Heart Study) without diabetes. We used Cox proportional hazards regression to evaluate the association of CF-PWV and pulse pressure with incident diabetes. We subsequently performed 2-sample Mendelian randomization analyses evaluating the associations of genetically predicted brachial pulse pressure with type 2 diabetes in the UKBB (United Kingdom Biobank). In FHS, individuals with higher CF-PWV were older, more often male, and had higher body mass index and mean arterial pressure compared to those with lower CF-PWV. After a median follow-up of 7 years, CF-PWV and central pulse pressure were associated with an increased risk of new-onset diabetes (per SD increase, multivariable-adjusted CF-PWV hazard ratio, 1.36 [95% CI, 1.03-1.76]; =0.030; central pulse pressure multivariable-adjusted CF-PWV hazard ratio, 1.26 [95% CI, 1.08-1.48]; =0.004). In United Kingdom Biobank, genetically predicted brachial pulse pressure was associated with type 2 diabetes, independent of mean arterial pressure (adjusted odds ratio, 1.16 [95% CI, 1.00-1.35]; =0.049). Using prospective cohort data coupled with Mendelian randomization analyses, we found evidence supporting that greater LAS is associated with increased risk of developing diabetes. LAS may play an important role in glucose homeostasis and may serve as a useful marker of future diabetes risk.
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ISSN:1524-4571
1524-4571
DOI:10.1161/CIRCRESAHA.122.320796