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Updated: May 28, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
[Prevalence of arterial calcification and related risk factors. The multicenter population-based ARTPER study]
Maria Teresa Alzamora1, Rosa Forés, Pere Torán
1Centro de Salud Riu Nord-Riu Sud, Institut Català de la Salut, Santa Coloma de Gramenet, Barcelona, España.
Insights
Arterial calcification affects 6.2% of adults over 49, being more common in men. Early detection via ankle-brachial index measurement is recommended for at-risk individuals.
Area of Science:
- Cardiovascular Health
- Epidemiology
- Vascular Medicine
Context:
- Arterial calcification is a significant risk factor for cardiovascular disease.
- The ankle-brachial index (ABI) is a non-invasive measure of peripheral artery disease.
- Prevalence and associated factors of arterial calcification in the general population over 49 years old require further investigation.
Purpose:
- To determine the prevalence of arterial calcification, defined as an ABI ≥1.4, in individuals over 49 years old.
- To identify factors associated with arterial calcification in this demographic.
Summary:
- A cross-sectional study of 3,786 participants aged >49 years was conducted.
- Arterial calcification (ABI ≥1.4) was present in 6.2% of the population.
- Factors associated with arterial calcification included older age, prior cardiovascular events, diabetes, obesity, and reduced physical activity.
Impact:
- The findings highlight the importance of measuring ABI in primary care to screen for arterial calcification.
- Recommendations include screening men, individuals with diabetes, overweight/obesity, physical activity limitations, and those with left ventricular hypertrophy.
- Early detection can facilitate timely interventions to mitigate cardiovascular risk.
Objective:
To determine the prevalence of arterial calcification (ankle-brachial index ≥1.4) and its related factors among the general population aged >49 years.
Methods:
We performed a cross-sectional study of 3,786 people randomly selected from 28 centers. To assess the factors associated with arterial calcification using a multivariate logistic model, the whole sample was used to compute prevalence, excluding persons with peripheral arterial disease (ankle-brachial index <0.9).
Results:
Arterial calcification was found in 235 persons (prevalence: 6.2%; 95% CI: 5.6-7.0), and was twice as frequent in men as in women. Patients with arterial calcification were older, had more previous cardiovascular events, diabetes and obesity, and were less able to perform physical activity than persons with a healthy ankle-brachial index.
Conclusions:
We recommend measurement of the ankle-brachial index in primary care centers to detect arterial calcification among men, persons with diabetes, overweight, obesity or difficulty in performing physical activity, and in those with left ventricular hypertrophy.
Related Concept Videos
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
Coronary Artery Disease I: Introduction
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Coronary Artery Disease IV: Preventive Measures
Peripheral Artery Disease I: Introduction
Atherosclerosis I: Introduction

