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Hemorheological parameters and aging
Gergely Feher1, Katalin Koltai, Gabor Kesmarky
1First Department of Medicine Division of Cardiology, University of Pecs, School of Medicine, Pecs, Hungary.
Insights
Hemorheological parameters show minimal clinical correlation with advancing age, suggesting disease, not aging, drives changes in older adults. This impacts understanding cardiovascular and cerebrovascular event risks.
Area of Science:
- Cardiovascular Science
- Gerontology
- Hematology
Background:
- Impaired hemorheological parameters are linked to increased cardiovascular and cerebrovascular event risk.
- Aging is a significant factor in cardiovascular health, necessitating investigation into age-related hemorheological changes.
Purpose of the Study:
- To investigate the relationship between hemorheological parameters and advancing age in patients with cardio- and cerebrovascular conditions.
- To determine if age-related hemorheological changes have clinical significance or are primarily associated with co-occurring diseases.
Main Methods:
- Analysis of hemorheological data (hematocrit, fibrinogen, red blood cell aggregation, plasma and whole blood viscosity) from 6236 cardio- and cerebrovascular patients.
- Stratification of patients into age groups (young, middle-aged, old) and a selected subgroup with matched parameters to control for confounding factors.
- Blood samples collected after overnight fasting for precise parameter determination.
Main Results:
- A statistically significant but low correlation was observed between hemorheological parameters and age in the overall population.
- In specific age groups, particularly older males, hematocrit, red blood cell aggregation, and whole blood viscosity showed negative correlations with age.
- In a selected population controlling for risk factors, hemorheological parameters did not correlate with advancing age.
Conclusions:
- The correlation between hemorheological parameters and age in the general population lacks clinical significance due to large sample size.
- Hemorheological parameters appear largely independent of aging itself; elevated levels are more indicative of underlying diseases rather than advanced age.
- Findings suggest focusing on disease management rather than age alone when assessing hemorheological risks in patients.
Background:
There is increasing evidence that impaired hemorheological parameters are associated with increased risk of cardio- and cerebrovascular events. The aim of our present study was to examine the relationship of these parameters to the advancing age.
Methods:
The data of 6236 cardio- and cerebrovascular patients (3774 males, mean age 59.8 +/- 13.2 years and 2462 females, mean age 60.9 +/- 12.8 years) were included into this analysis. Males and females were divided into three groups, A < 45 years of age (young), B 45-65 years (middle-aged), C > 65 years (old). To exclude the effect of risk profile, previous diseases and medication, 623 patients (397 males, mean age 60.2 +/- 12.7 yrs and 226 females, mean age 60.5 +/- 12.4 yrs) were selected from the examined group with matching parameters. Blood was collected after an overnight fasting. Hematocrit, fibrinogen, red blood cell aggregation, plasma and whole blood viscosity were determined.
Results:
All the measured parameters correlated significantly with advancing age in the whole population (p < 0.01), however the values of the correlation coefficients were very low. On the other hand, examining the different age-groups we found that these parameters did not consequently correlate with age, in fact hematocrit, red blood cell aggregation and whole blood viscosity values were negatively correlated with age in old males (p < 0.05). In the selected population these parameters did not correlate with advancing age.
Conclusions:
In the whole population the correlation of hemorheological parameters and advancing age may be just of statistical, but not clinical significance because of the high number of subjects. In the selected population these parameters did not correlate with advancing age. Our results suggest that these parameters are mostly independent of aging, increased values are not associated with older age but the more frequently occurring diseases.
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