Arterial disease but not hypertension predisposes to varicose veins
L A Mäkivaara1, T M Ahti, T Luukkaala
1School of Public Health, 33014 University of Tampere, Finland. liisa.makivaara@uta.fi
Insights
Individuals with arterial disease (AD) face a higher risk of developing varicose veins (VV). Hypertension does not appear to significantly increase VV risk. This study highlights AD as a key risk factor for VV.
Area of Science:
- Vascular Medicine
- Epidemiology
- Cardiovascular Health
Background:
- Cardiovascular diseases (CVD) encompass conditions like arterial disease (AD) and hypertension.
- Varicose veins (VV) are a common vascular condition with multifactorial causes.
- The relationship between specific CVDs and VV risk requires further elucidation.
Purpose of the Study:
- To investigate the association between CVD (specifically AD and hypertension) and the risk of developing varicose veins (VV).
- To compare the prevalence and incidence of VV in individuals with and without AD or hypertension.
Main Methods:
- A population-based study involving 4903 participants aged 40, 50, and 60 years in Tampere, Finland.
- Validated questionnaires were used to assess VV prevalence and incidence over a five-year follow-up period.
- Analysis focused on new VV occurrences in individuals without pre-existing VV (n=3065).
Main Results:
- A higher prevalence of VV was observed in individuals with CVD (OR 1.3).
- Arterial disease (AD) was associated with increased VV prevalence (OR 1.7) and incidence (IOR 1.4, significant in women).
- Hypertension showed no significant association with increased VV prevalence (OR 1.1) or incidence (IOR 1.1).
Conclusions:
- Arterial disease (AD) presents a significant additional risk factor for varicose veins (VV).
- Hypertension does not appear to confer a substantial additional risk for VV development.
- These findings emphasize the importance of considering arterial health in VV risk assessment.
Objectives:
The aim of the study was to find out if persons with cardiovascular diseases (CVD) (arterial disease or hypertension) have additional risk of varicose veins (VV) compared with those without arterial disease (AD) or hypertension.
Methods:
We studied, using a validated questionnaire, the prevalence and incidence of VVs in those with and without CVD in a population of 4903 including 40-, 50- and 60-year-old men and women in Tampere, Finland. During the five years of follow-up, we had a special interest on the appearance of new VVs in those without VVs at entry (n = 3065).
Results:
We found a higher prevalence of VVs in persons with CVD than in those without CVD (with sex and age adjusted odds ratio [OR] 1.3 [95% confidence interval, CI 1.1-1.5]). The prevalence of VVs was higher in persons with AD (OR 1.7 [CI 1.4-2.2]), but not in persons with hypertension (OR 1.1 [CI 0.9-1.2]) than in those who were free of AD or hypertension, respectively. Subjects with AD had higher incidence of VVs (incidence odds ratio, IOR 1.4 [CI 0.8-2.7]) than subjects without AD and the effect was statistically significant in women (IOR 2.2 [CI 1.1-4.5]). Also the incidence of VVs was more affected by AD than by hypertension (IOR 1.1 [CI 0.7-1.8]).
Conclusion:
There seems to exist a relatively strong additional risk of VVs in persons with AD and practically none in those with hypertension compared to those without.
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