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Updated: Jul 5, 2026

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Published on: June 16, 2014
Advanced age is associated with endothelial dysfunction in healthy elderly subjects
B B Yavuz1, B Yavuz, Dede D Sener
1Division of Geriatric Medicine, Hacettepe University, Faculty of Medicine, Ankara, Turkey. bbyavuz@hacettepe.edu.tr
Endothelial function, measured by flow-mediated dilation (FMD), declines with age in healthy individuals. Advanced age predicts impaired endothelial function, an early marker of atherosclerosis risk.
Area of Science:
- Cardiovascular Research
- Aging Biology
- Vascular Physiology
Background:
- Aging increases atherosclerosis risk, with endothelial dysfunction as an early indicator.
- Endothelial dysfunction plays a crucial role in the development of cardiovascular diseases.
- Identifying age-related changes in vascular health is vital for preventative strategies.
Purpose of the Study:
- To investigate the impact of increasing age on endothelial function in healthy subjects.
- To determine if endothelial function differs between younger and elderly healthy populations.
- To establish the relationship between chronological age and vascular endothelial health.
Main Methods:
- Evaluated endothelial function using flow-mediated dilation (FMD) of the brachial artery via ultrasound.
- Assessed a cohort of healthy elderly (n=30) and younger (n=36) individuals.
- Ruled out structural heart disease using transthoracic echocardiography in all participants.
Main Results:
- Elderly subjects exhibited significantly lower FMD compared to younger subjects (7.9% vs. 10.8%, p < 0.001).
- A strong negative correlation was observed between age and FMD (r = -0.528, p < 0.001).
- Baseline characteristics were comparable between groups, highlighting age as the primary differentiator.
Conclusions:
- Endothelial function, assessed by FMD, demonstrably declines with advancing age in healthy individuals.
- Advanced age is identified as a significant predictor of impaired endothelial function.
- These findings underscore the importance of age as a factor in vascular health and atherosclerosis risk.
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