Higher Body Mass Index is associated with increased arterial stiffness prior to target organ damage: a cross-sectional cohort study.


Journal

BMC cardiovascular disorders
ISSN: 1471-2261
Titre abrégé: BMC Cardiovasc Disord
Pays: England
ID NLM: 100968539

Informations de publication

Date de publication:
14 09 2023
Historique:
received: 15 04 2023
accepted: 07 09 2023
medline: 18 9 2023
pubmed: 15 9 2023
entrez: 14 9 2023
Statut: epublish

Résumé

Obesity is associated with several neurohumoral changes that play an essential role in organ damage. Increased arterial stiffness causes functional vessel wall changes and can therefore lead to accelerated target organ damage as well. Whether obesity causes an independent increase in central arterial stiffness is, however, not yet fully known. One hundred thirty-three patients (63.2% male) were included. Body Mass Index (BMI) was defined as body weight in kilograms, divided by the square of body height in meters. Chronic Kidney Disease Epidemiology Collaboration creatinine 2009 equation was used to estimate the glomerular filtration rate (eGFR). Non-invasive applanation tonometry was used for arterial stiffness measurements (Sphygmocor Atcor Medical, Sydney, Australia). All patients underwent coronarography. The mean age of our patients was 65.0 ± 9.2 years. Their mean BMI was 28.5 ± 4.4 kg/m Increased BMI is independently associated with augmented central arterial stiffness and reduced subendocardial perfusion but not with coronary artery disease, kidney function, or ABI.

Sections du résumé

BACKGROUND
Obesity is associated with several neurohumoral changes that play an essential role in organ damage. Increased arterial stiffness causes functional vessel wall changes and can therefore lead to accelerated target organ damage as well. Whether obesity causes an independent increase in central arterial stiffness is, however, not yet fully known.
METHODS
One hundred thirty-three patients (63.2% male) were included. Body Mass Index (BMI) was defined as body weight in kilograms, divided by the square of body height in meters. Chronic Kidney Disease Epidemiology Collaboration creatinine 2009 equation was used to estimate the glomerular filtration rate (eGFR). Non-invasive applanation tonometry was used for arterial stiffness measurements (Sphygmocor Atcor Medical, Sydney, Australia). All patients underwent coronarography.
RESULTS
The mean age of our patients was 65.0 ± 9.2 years. Their mean BMI was 28.5 ± 4.4 kg/m
CONCLUSION
Increased BMI is independently associated with augmented central arterial stiffness and reduced subendocardial perfusion but not with coronary artery disease, kidney function, or ABI.

Identifiants

pubmed: 37710152
doi: 10.1186/s12872-023-03503-5
pii: 10.1186/s12872-023-03503-5
pmc: PMC10503091
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

460

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

Références

Prog Cardiovasc Dis. 2015 Mar-Apr;57(5):409-22
pubmed: 25475073
J Hypertens. 2009 Dec;27(12):2377-85
pubmed: 19898251
Hypertension. 2013 Dec;62(6):1105-10
pubmed: 24060894
Circulation. 2006 Feb 7;113(5):657-63
pubmed: 16461838
Arterioscler Thromb Vasc Biol. 2015 Jan;35(1):243-52
pubmed: 25414255
Obesity (Silver Spring). 2010 Jan;18(1):92-8
pubmed: 19521345
Circulation. 2004 Jan 20;109(2):184-9
pubmed: 14662706
Nat Rev Endocrinol. 2019 May;15(5):288-298
pubmed: 30814686
Stroke. 2012 Feb;43(2):543-4
pubmed: 22076001
Pharmacoeconomics. 2015 Jul;33(7):673-89
pubmed: 25471927
BMC Endocr Disord. 2023 May 4;23(1):98
pubmed: 37143027
Arterioscler Thromb Vasc Biol. 2005 May;25(5):932-43
pubmed: 15731494
Cardiovasc Endocrinol Metab. 2020 Jul 16;10(1):22-30
pubmed: 33634252
J Clin Pathol. 2001 Feb;54(2):139-45
pubmed: 11215283
JACC Cardiovasc Interv. 2015 Sep;8(11):1445-1453
pubmed: 26404197
Front Pediatr. 2021 Dec 16;9:795301
pubmed: 34976899
Int J Cardiol. 2017 Jan 15;227:338-341
pubmed: 27839806
Atherosclerosis. 2002 Mar;161(1):233-42
pubmed: 11882337
Arterioscler Thromb Vasc Biol. 2012 May;32(5):1132-41
pubmed: 22383702
Kidney Blood Press Res. 2015;40(6):565-74
pubmed: 26517083
Circ Cardiovasc Interv. 2020 Jun;13(6):e009019
pubmed: 32519879
Circulation. 2002 Oct 8;106(15):1919-24
pubmed: 12370213
Pediatrics. 2009 Sep;124 Suppl 1:S35-41
pubmed: 19720666
Front Cardiovasc Med. 2018 Jun 11;5:64
pubmed: 29951487
J Hypertens. 2005 Mar;23(3):619-24
pubmed: 15716705
Nutr Metab Cardiovasc Dis. 2015 May;25(5):495-502
pubmed: 25770757
J Am Soc Nephrol. 2006 Apr;17(4 Suppl 2):S109-11
pubmed: 16565231
Int J Environ Res Public Health. 2022 Jan 28;19(3):
pubmed: 35162521
Microcirculation. 2018 Jul;25(5):e12458
pubmed: 29729094
Arterioscler Thromb Vasc Biol. 1999 Apr;19(4):972-8
pubmed: 10195925
J Hum Hypertens. 2012 Jan;26(1):64-70
pubmed: 21228823
Pulse (Basel). 2015 Sep;3(2):134-40
pubmed: 26587462
Open Cardiovasc Med J. 2016 Aug 31;10:188-95
pubmed: 27651842
Am Heart J. 1986 Jul;112(1):136-40
pubmed: 3728268
Bull World Health Organ. 2003;81(9):646-56
pubmed: 14710506
Cardiorenal Med. 2019;9(1):41-50
pubmed: 30408781
Physiol Rep. 2021 May;9(9):e14852
pubmed: 33991440
Obes Rev. 2017 Jul;18(7):715-723
pubmed: 28489290
Vasc Health Risk Manag. 2016 Jul 29;12:305-11
pubmed: 27536125
Diab Vasc Dis Res. 2021 Nov-Dec;18(6):14791641211047135
pubmed: 34772282
Lancet. 2009 Mar 28;373(9669):1083-96
pubmed: 19299006
Diabetologia. 2000 May;43(5):665-72
pubmed: 10855542
Blood Purif. 2013;36(1):26-8
pubmed: 23735512
Am J Physiol Regul Integr Comp Physiol. 2018 Mar 1;314(3):R387-R398
pubmed: 29167167
PLoS One. 2013;8(2):e57454
pubmed: 23451232

Auteurs

Nejc Piko (N)

Department of Dialysis, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000, Maribor, Slovenia. nejc.piko@gmail.com.

Sebastjan Bevc (S)

Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000, Maribor, Slovenia.
Medical Faculty, University of Maribor, Taborska Ulica 8, 2000, Maribor, Slovenia.

Radovan Hojs (R)

Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000, Maribor, Slovenia.
Medical Faculty, University of Maribor, Taborska Ulica 8, 2000, Maribor, Slovenia.

Tadej Petreski (T)

Department of Nephrology, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000, Maribor, Slovenia.

Robert Ekart (R)

Department of Dialysis, Clinic for Internal Medicine, University Medical Centre Maribor, Ljubljanska Ulica 5, 2000, Maribor, Slovenia.
Medical Faculty, University of Maribor, Taborska Ulica 8, 2000, Maribor, Slovenia.

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