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Cardiovascular risk factors associated with pulse pressure in a screened cohort in Okinawa, Japan
Taku Inoue1, Mitsuteru Matsuoka, Kazufumi Nagahama
1Third Department of Internal Medicine, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan. imtak-ryk@umin.ac.jp
Insights
Higher pulse pressure (PP) is linked to increased cardiovascular risk factors in adults. This association between elevated PP and conditions like diabetes and obesity was observed in both men and women.
Area of Science:
- Cardiology
- Public Health
Background:
- Pulse pressure (PP) is a potential indicator of cardiovascular health.
- Understanding the relationship between PP and cardiovascular risk factors is crucial for preventative strategies.
Purpose of the Study:
- To evaluate the association between pulse pressure (PP) and various cardiovascular risk factors in a large screened cohort.
- To determine if these associations differ between men and women.
Main Methods:
- A cohort of 8,508 subjects (5,299 men, 3,209 women) aged 18-89 years was analyzed.
- Exclusion criteria included medication use for hypertension/heart disease, no ECG, or arrhythmia history.
- Subjects were categorized into four PP groups, and multiple regression analysis was employed.
Main Results:
- In men, PP was associated with age, diabetes mellitus, uric acid, body mass index, heart rate, smoking, and drinking.
- In women, PP was associated with age, diabetes mellitus, body mass index, heart rate, and exercise.
- A significant increase in PP was observed with a higher number of risk factors, including diabetes mellitus, obesity, drinking, elevated heart rate, and hyperuricemia, in both sexes.
Conclusions:
- Higher pulse pressure is significantly associated with multiple cardiovascular risk factors.
- These associations were consistent in both men and women, highlighting PP as a relevant clinical marker.
Abstract:
We evaluated the association between pulse pressure (PP) and cardiovascular risk factors in a screened cohort. Individuals who were receiving medications for hypertension or heart disease, who had no ECG record, or who had a record of arrhythmia were excluded. In total, 8,508 subjects (5,299 men and 3,209 women; age range, 18 to 89 years) were studied. Subjects were divided into four PP classes: PP.1 (PP < or = 40 mmHg, n=2,127), PP.2 (40 < or = PP < or = 44 mmHg, n=2,127), PP.3 (44 < or = PP < or = 50 mmHg, n=2,127) and PP.4 (50 mmHg < or = PP, n=2,127). Multiple regression analysis was used for evaluating the association between PP and cardiovascular risk factor or lifestyle. In men, the regression coefficient was 0.27 for age, 2.50 for diabetes mellitus, 0.33 for uric acid, 0.20 for body mass index, 0.07 for heart rate, -0.83 for current smoking habit and 1.23 for habitual drinking. In women, the regression coefficient was 0.37 for age, 4.09 for diabetes mellitus, 0.42 for body mass index, 0.14 for heart rate, and 0.84 for habitual exercise. In both men and women, PP was significantly increased in association with an increase in the number of risk factors (diabetes mellitus, obesity, current drinking status, heart rate, and hyperuricemia). In conclusion, higher PP was associated with cardiovascular risk factors. These associations were similar in both men and women.
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