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Updated: Aug 25, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Prevalence and correlates of carotid atherosclerosis among elderly Japanese men
Akihiko Kitamura1, Hiroyasu Iso, Hironori Imano
1Osaka Medical Center for Health Science and Promotion, 1-3-2 Nakamichi, Higashinari-ku, Osaka 537-0025, Japan. xkita@kenkoukagaku.jp
Insights
Intima-media thickness (IMT) and carotid artery diameter were measured in elderly Japanese men. Increased IMT and diameter were linked to cardiovascular risk factors, suggesting carotid atherosclerosis may predict stroke risk.
Area of Science:
- Cardiovascular Medicine
- Gerontology
- Medical Imaging
Background:
- Carotid atherosclerosis is a significant indicator of cardiovascular disease.
- Understanding the relationship between carotid artery measures and risk factors is crucial for preventative strategies.
Purpose of the Study:
- To determine intima-media thickness (IMT) and carotid artery diameter in elderly Japanese men.
- To estimate correlations between these measures and cardiovascular risk factors.
- To assess the potential of carotid atherosclerosis as a stroke predictor.
Main Methods:
- A cardiovascular risk survey was conducted on 1129 men aged 60-74 years in three Japanese communities.
- Intima-media thickness (IMT) and carotid artery diameter were measured.
- Multivariate logistic regression analysis was used to assess associations with risk factors.
Main Results:
- Increased IMT in the common carotid artery (CCA) was associated with age, hypertension, serum total cholesterol, and history of stroke.
- Increased IMT in the internal carotid artery (ICA) was associated with age, hypertension, current smoking, and history of stroke.
- Age, hypertension, smoking, and history of coronary heart disease were independent determinants of CCA diameter.
Conclusions:
- Carotid atherosclerosis, indicated by IMT and diameter, is associated with multiple cardiovascular risk factors in elderly Japanese men.
- Carotid atherosclerosis may serve as a risk factor for stroke in this population.
- Further prospective studies are needed to confirm these findings.
Abstract:
We determined intima-media thickness (IMT) and diameter of carotid artery and estimated their correlations with cardiovascular risk factors in 1129 men aged 60-74 years, who participated in a cardiovascular risk survey in three Japanese communities. The multivariate odds ratios (95% confidence interval) for the maximum IMT > or = 1.1 mm in the common carotid artery (CCA) were 1.3 (1.1-1.5) per 4 years of age, 1.8 (1.4-2.5) for hypertension, 1.4 (1.2-1.7) for a 34.4 mg/dl increase in serum total cholesterol, 0.7 (0.6-0.8) for a 14.7 mg/dl increase in serum HDL-cholesterol, and 2.4 (1.1-5.0) for history of stroke, while the maximum IMT > or = 1.5mm in the internal carotid artery (ICA) were 1.6 (1.4-1.8) per 4 years of age, 1.9 (1.5-2.4) for hypertension, 1.6 (1.2-2.1) for current smoking, and 3.5 (1.6-7.6) for history of stroke. Age, height, hypertension, current smoking, ethanol intake and history of coronary heart disease were independent determinants of both the outer and inner CCA diameter. Maximum IMT correlated positively with the outer diameter and inversely with the inner diameter in the CCA. Carotid atherosclerosis suggests to be a risk factor for stroke among Japanese elderly men, although future prospective studies are required to confirm this finding.
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