Triglyceride level is associated with wave reflections and arterial stiffness in apparently healthy middle-aged men
Konstantinos Aznaouridis1, Charalambos Vlachopoulos, Ioanna Dima
1Peripheral Vessels Unit, 1st Department of Cardiology, University of Athens Medical School, Hippokration Hospital, Athens, Greece.
Insights
In healthy men, higher serum triglyceride levels correlate with increased arterial stiffness and wave reflections, indicating higher cardiovascular risk. Further research is needed to understand this link in women.
Area of Science:
- Cardiovascular Physiology
- Metabolic Health
- Vascular Biology
Background:
- Arterial stiffness and wave reflections are key predictors of cardiovascular risk.
- Serum triglyceride levels are a common metabolic parameter with implications for cardiovascular health.
- Understanding the interplay between triglycerides and vascular function is crucial for risk assessment.
Purpose of the Study:
- To examine the association between serum triglyceride levels and measures of arterial stiffness and wave reflections in healthy adults.
- To determine if this association differs between men and women.
- To investigate the independence of this relationship from other cardiovascular risk factors.
Main Methods:
- A cross-sectional study involving 213 healthy adults (141 men, 72 women) without prior cardiovascular disease or medication use, excluding smokers.
- Measurements included central (aortic) augmentation index (AIx) as a composite measure of arterial stiffness and wave reflections.
- Fasting lipid profiles (including triglycerides) and the 10-year Framingham Risk Score (FRS) were assessed.
Main Results:
- Men exhibited higher serum triglyceride levels and lower AIx compared to women.
- Serum triglyceride levels were significantly associated with FRS and AIx in both genders.
- In men, triglyceride levels remained associated with AIx independently of other risk factors; this association was not observed in women.
Conclusions:
- Serum triglyceride levels are linked to arterial stiffness and wave reflections in healthy men, suggesting a role in cardiovascular risk.
- The relationship between triglycerides and vascular function in women requires further investigation.
- These findings highlight potential sex-specific differences in the impact of triglycerides on cardiovascular health.
Objective:
To investigate the relationship of arterial stiffness and wave reflections, which are predictors of cardiovascular risk, with serum triglyceride level in healthy adults.
Design:
Cross-sectional study at the University Department of Cardiology. 213 healthy individuals (141 men and 72 premenopausal women) not taking any medication and without known cardiovascular disease and risk factors, except for smoking.
Main Outcome Measures:
Central (aortic) augmentation index (AIx, a composite measure of arterial stiffness and wave reflections), fasting lipid profile (including triglycerides) and 10-year Framingham Risk Score (FRS).
Results:
Compared with women, men had higher serum triglyceride level (median (interquartile range) (89 (67-117) vs 73 (54-96) mg/dl, p<0.01) and lower AIx (17.7 (1.0) vs 26.3 (1.4), p<0.001). In both genders, serum triglyceride levels were significantly associated with FRS (men: r = 0.43, p<0.001; women: r = 0.37, p<0.01) and AIx (men: r = 0.21, p<0.05; women: r = 0.26, p<0.05). In men, multivariate linear regression analysis showed an association between triglyceride level and AIx (standardised beta coefficient = 0.19, p = 0.009), independent of age, blood pressure, heart rate, height, weight, smoking habits, total cholesterol and HDL-cholesterol levels. On the other hand, in women, the unadjusted correlation between triglyceride level and AIx was largely explained when the above mentioned confounders were taken into account (beta = -0.016, p = 0.86).
Conclusion:
In healthy men, serum triglyceride levels are associated with indices of arterial stiffness and wave reflections, which are important determinants of cardiovascular function and risk. The role of triglycerides in the vascular function of women warrants further investigation.
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