Triglycerides are a predictive factor for arterial stiffness: a community-based 4.8-year prospective study

Background Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein cholesterol goals with statin therapy. Arterial stiffness has been increasingly recognized as a strong predictor of cardiovascular disease...

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Vydáno v:Lipids in health and disease Ročník 15; číslo 1; s. 97
Hlavní autoři: Wang, Xiaona, Ye, Ping, Cao, Ruihua, Yang, Xu, Xiao, Wenkai, Zhang, Yun, Bai, Yongyi, Wu, Hongmei
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 18.05.2016
BioMed Central Ltd
Springer Nature B.V
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ISSN:1476-511X, 1476-511X
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Abstract Background Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein cholesterol goals with statin therapy. Arterial stiffness has been increasingly recognized as a strong predictor of cardiovascular disease and atherosclerotic disease. The association between triglycerides and arterial stiffness is not well characterized. We aimed to determine the relationship between triglycerides and arterial stiffness in a community-based longitudinal sample from Beijing, China. Methods We related levels of plasma TGs to measures of arterial stiffness (carotid–femoral pulse wave velocity [PWV] and carotid–radial PWV) in 1447 subjects (mean age, 61.3 years) from a community-based population in Beijing, China. Results After a median follow-up interval of 4.8 years, multiple linear regression analysis revealed that TGs were independently associated with carotid–femoral PWV (β = 0.747, P  < 0.001) and carotid-radial PWV (β = 0.367, P  = 0.001). In the group older than 65 years, the association between baseline TG levels and follow-up carotid–femoral PWV (β = 1.094, P  = 0.001) and carotid-radial PWV (β = 0.524, P  = 0.002) were strengthened. In forward stepwise multivariate logistic regression analysis, every SD increase in TGδ was associated with a 1.296-increased likelihood of the presence of carotid–femoral PWVδII (OR [per SD increase in TGδ]: 1.296; 95 % CI: 1.064 ~ 1.580; P  = 0.010) in Model 2, whereas the relationship between TGδ and carotid-radial PWVδII disappeared. In addition, the relationship was strengthened between TGδ and the presence of carotid–femoral PWVδII (OR 1.526, 95 % CI: 1.088–2.141, P  = 0.014) in the group older than 65 years but not carotid-radial PWVδII. No association was noted in subjects younger than 65 years. Conclusions Lower triglyceride levels were significantly associated with decreases in carotid–femoral PWV, indicating that achieving low TG levels may be an additional therapeutic consideration in subjects with atherosclerotic disease.
AbstractList Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein cholesterol goals with statin therapy. Arterial stiffness has been increasingly recognized as a strong predictor of cardiovascular disease and atherosclerotic disease. The association between triglycerides and arterial stiffness is not well characterized. We aimed to determine the relationship between triglycerides and arterial stiffness in a community-based longitudinal sample from Beijing, China. We related levels of plasma TGs to measures of arterial stiffness (carotid-femoral pulse wave velocity [PWV] and carotid-radial PWV) in 1447 subjects (mean age, 61.3 years) from a community-based population in Beijing, China. After a median follow-up interval of 4.8 years, multiple linear regression analysis revealed that TGs were independently associated with carotid-femoral PWV (β = 0.747, P < 0.001) and carotid-radial PWV (β = 0.367, P = 0.001). In the group older than 65 years, the association between baseline TG levels and follow-up carotid-femoral PWV (β = 1.094, P = 0.001) and carotid-radial PWV (β = 0.524, P = 0.002) were strengthened. In forward stepwise multivariate logistic regression analysis, every SD increase in TGδ was associated with a 1.296-increased likelihood of the presence of carotid-femoral PWVδII (OR [per SD increase in TGδ]: 1.296; 95% CI: 1.064 ~ 1.580; P = 0.010) in Model 2, whereas the relationship between TGδ and carotid-radial PWVδII disappeared. In addition, the relationship was strengthened between TGδ and the presence of carotid-femoral PWVδII (OR 1.526, 95% CI: 1.088-2.141, P = 0.014) in the group older than 65 years but not carotid-radial PWVδII. No association was noted in subjects younger than 65 years. Lower triglyceride levels were significantly associated with decreases in carotid-femoral PWV, indicating that achieving low TG levels may be an additional therapeutic consideration in subjects with atherosclerotic disease.
Background Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein cholesterol goals with statin therapy. Arterial stiffness has been increasingly recognized as a strong predictor of cardiovascular disease and atherosclerotic disease. The association between triglycerides and arterial stiffness is not well characterized. We aimed to determine the relationship between triglycerides and arterial stiffness in a community-based longitudinal sample from Beijing, China. Methods We related levels of plasma TGs to measures of arterial stiffness (carotid-femoral pulse wave velocity [PWV] and carotid-radial PWV) in 1447 subjects (mean age, 61.3 years) from a community-based population in Beijing, China. Results After a median follow-up interval of 4.8 years, multiple linear regression analysis revealed that TGs were independently associated with carotid-femoral PWV (β = 0.747, P < 0.001) and carotid-radial PWV (β = 0.367, P = 0.001). In the group older than 65 years, the association between baseline TG levels and follow-up carotid-femoral PWV (β = 1.094, P = 0.001) and carotid-radial PWV (β = 0.524, P = 0.002) were strengthened. In forward stepwise multivariate logistic regression analysis, every SD increase in TGδ was associated with a 1.296-increased likelihood of the presence of carotid-femoral PWVδII (OR [per SD increase in TGδ]: 1.296; 95 % CI: 1.064 ~ 1.580; P = 0.010) in Model 2, whereas the relationship between TGδ and carotid-radial PWVδII disappeared. In addition, the relationship was strengthened between TGδ and the presence of carotid-femoral PWVδII (OR 1.526, 95 % CI: 1.088-2.141, P = 0.014) in the group older than 65 years but not carotid-radial PWVδII. No association was noted in subjects younger than 65 years. Conclusions Lower triglyceride levels were significantly associated with decreases in carotid-femoral PWV, indicating that achieving low TG levels may be an additional therapeutic consideration in subjects with atherosclerotic disease.
Background Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein cholesterol goals with statin therapy. Arterial stiffness has been increasingly recognized as a strong predictor of cardiovascular disease and atherosclerotic disease. The association between triglycerides and arterial stiffness is not well characterized. We aimed to determine the relationship between triglycerides and arterial stiffness in a community-based longitudinal sample from Beijing, China. Methods We related levels of plasma TGs to measures of arterial stiffness (carotid–femoral pulse wave velocity [PWV] and carotid–radial PWV) in 1447 subjects (mean age, 61.3 years) from a community-based population in Beijing, China. Results After a median follow-up interval of 4.8 years, multiple linear regression analysis revealed that TGs were independently associated with carotid–femoral PWV (β = 0.747, P  < 0.001) and carotid-radial PWV (β = 0.367, P  = 0.001). In the group older than 65 years, the association between baseline TG levels and follow-up carotid–femoral PWV (β = 1.094, P  = 0.001) and carotid-radial PWV (β = 0.524, P  = 0.002) were strengthened. In forward stepwise multivariate logistic regression analysis, every SD increase in TGδ was associated with a 1.296-increased likelihood of the presence of carotid–femoral PWVδII (OR [per SD increase in TGδ]: 1.296; 95 % CI: 1.064 ~ 1.580; P  = 0.010) in Model 2, whereas the relationship between TGδ and carotid-radial PWVδII disappeared. In addition, the relationship was strengthened between TGδ and the presence of carotid–femoral PWVδII (OR 1.526, 95 % CI: 1.088–2.141, P  = 0.014) in the group older than 65 years but not carotid-radial PWVδII. No association was noted in subjects younger than 65 years. Conclusions Lower triglyceride levels were significantly associated with decreases in carotid–femoral PWV, indicating that achieving low TG levels may be an additional therapeutic consideration in subjects with atherosclerotic disease.
Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein cholesterol goals with statin therapy. Arterial stiffness has been increasingly recognized as a strong predictor of cardiovascular disease and atherosclerotic disease. The association between triglycerides and arterial stiffness is not well characterized. We aimed to determine the relationship between triglycerides and arterial stiffness in a community-based longitudinal sample from Beijing, China.BACKGROUNDEpidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein cholesterol goals with statin therapy. Arterial stiffness has been increasingly recognized as a strong predictor of cardiovascular disease and atherosclerotic disease. The association between triglycerides and arterial stiffness is not well characterized. We aimed to determine the relationship between triglycerides and arterial stiffness in a community-based longitudinal sample from Beijing, China.We related levels of plasma TGs to measures of arterial stiffness (carotid-femoral pulse wave velocity [PWV] and carotid-radial PWV) in 1447 subjects (mean age, 61.3 years) from a community-based population in Beijing, China.METHODSWe related levels of plasma TGs to measures of arterial stiffness (carotid-femoral pulse wave velocity [PWV] and carotid-radial PWV) in 1447 subjects (mean age, 61.3 years) from a community-based population in Beijing, China.After a median follow-up interval of 4.8 years, multiple linear regression analysis revealed that TGs were independently associated with carotid-femoral PWV (β = 0.747, P < 0.001) and carotid-radial PWV (β = 0.367, P = 0.001). In the group older than 65 years, the association between baseline TG levels and follow-up carotid-femoral PWV (β = 1.094, P = 0.001) and carotid-radial PWV (β = 0.524, P = 0.002) were strengthened. In forward stepwise multivariate logistic regression analysis, every SD increase in TGδ was associated with a 1.296-increased likelihood of the presence of carotid-femoral PWVδII (OR [per SD increase in TGδ]: 1.296; 95% CI: 1.064 ~ 1.580; P = 0.010) in Model 2, whereas the relationship between TGδ and carotid-radial PWVδII disappeared. In addition, the relationship was strengthened between TGδ and the presence of carotid-femoral PWVδII (OR 1.526, 95% CI: 1.088-2.141, P = 0.014) in the group older than 65 years but not carotid-radial PWVδII. No association was noted in subjects younger than 65 years.RESULTSAfter a median follow-up interval of 4.8 years, multiple linear regression analysis revealed that TGs were independently associated with carotid-femoral PWV (β = 0.747, P < 0.001) and carotid-radial PWV (β = 0.367, P = 0.001). In the group older than 65 years, the association between baseline TG levels and follow-up carotid-femoral PWV (β = 1.094, P = 0.001) and carotid-radial PWV (β = 0.524, P = 0.002) were strengthened. In forward stepwise multivariate logistic regression analysis, every SD increase in TGδ was associated with a 1.296-increased likelihood of the presence of carotid-femoral PWVδII (OR [per SD increase in TGδ]: 1.296; 95% CI: 1.064 ~ 1.580; P = 0.010) in Model 2, whereas the relationship between TGδ and carotid-radial PWVδII disappeared. In addition, the relationship was strengthened between TGδ and the presence of carotid-femoral PWVδII (OR 1.526, 95% CI: 1.088-2.141, P = 0.014) in the group older than 65 years but not carotid-radial PWVδII. No association was noted in subjects younger than 65 years.Lower triglyceride levels were significantly associated with decreases in carotid-femoral PWV, indicating that achieving low TG levels may be an additional therapeutic consideration in subjects with atherosclerotic disease.CONCLUSIONSLower triglyceride levels were significantly associated with decreases in carotid-femoral PWV, indicating that achieving low TG levels may be an additional therapeutic consideration in subjects with atherosclerotic disease.
ArticleNumber 97
Audience Academic
Author Wang, Xiaona
Wu, Hongmei
Cao, Ruihua
Xiao, Wenkai
Yang, Xu
Bai, Yongyi
Ye, Ping
Zhang, Yun
Author_xml – sequence: 1
  givenname: Xiaona
  surname: Wang
  fullname: Wang, Xiaona
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
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  givenname: Ping
  surname: Ye
  fullname: Ye, Ping
  email: yeping301@sina.com
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
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  givenname: Ruihua
  surname: Cao
  fullname: Cao, Ruihua
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
– sequence: 4
  givenname: Xu
  surname: Yang
  fullname: Yang, Xu
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
– sequence: 5
  givenname: Wenkai
  surname: Xiao
  fullname: Xiao, Wenkai
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
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  givenname: Yun
  surname: Zhang
  fullname: Zhang, Yun
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
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  givenname: Yongyi
  surname: Bai
  fullname: Bai, Yongyi
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
– sequence: 8
  givenname: Hongmei
  surname: Wu
  fullname: Wu, Hongmei
  organization: Department of Geriatric Cardiology, Chinese PLA General Hospital
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27192979$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords Carotid–radial pulse wave velocity
Triglycerides
Carotid–femoral pulse wave velocity
Language English
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Snippet Background Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density...
Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density lipoprotein...
Background Epidemiological studies have disclosed an independent effect of triglycerides on coronary heart disease despite achievement of low-density...
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StartPage 97
SubjectTerms Aged
Arteries
Arteries - physiopathology
Biomedical and Life Sciences
China
Clinical Nutrition
Female
Humans
Life Sciences
Lipidology
Longitudinal Studies
Male
Medical Biochemistry
Middle Aged
Physiological aspects
Prospective Studies
Triglycerides
Triglycerides - blood
Vascular Stiffness - physiology
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Title Triglycerides are a predictive factor for arterial stiffness: a community-based 4.8-year prospective study
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