Decreased serum bilirubin is associated with arterial stiffness in men

Y Li1, S-y Meng, C-c Meng

  • 1Department of Geriatrics, The Second Affiliated Hospital, Harbin Medical University, NO.246 Xuefu ST, Nangang District, Harbin 150086, Heilongjiang, China.

Insights

Serum total bilirubin is negatively associated with arterial stiffness in Chinese men. Lower bilirubin levels may indicate early arterial stiffness, suggesting its potential as a biomarker.

Area of Science:

  • Cardiovascular Medicine
  • Biochemistry
  • Public Health

Background:

  • Arterial stiffness, indicated by brachial-ankle pulse wave velocity (baPWV), is an early sign of atherosclerosis.
  • Serum total bilirubin (TB) possesses antioxidant properties and has been linked to various cardiovascular conditions.

Purpose of the Study:

  • To investigate the association between serum total bilirubin (TB) levels and arterial stiffness in a general population.

Main Methods:

  • A cross-sectional study involving 2207 participants (1331 men, 876 women) undergoing health examinations.
  • Analysis of brachial-ankle pulse wave velocity (baPWV) across different quartiles of serum total bilirubin (TB).
  • Statistical analysis including univariate and multivariate models to identify significant factors associated with baPWV.

Main Results:

  • In men, age-adjusted mean baPWV significantly decreased as TB levels increased across quartiles.
  • No significant association was found between TB quartiles and baPWV in women.
  • Multivariate analysis identified TB as a significant factor associated with baPWV in men, but not in women.

Conclusions:

  • Serum total bilirubin concentration is negatively correlated with arterial stiffness in Chinese men.
  • Abnormalities in bilirubin levels may serve as an early indicator for arterial stiffness.
  • Further research is warranted to explore the role of bilirubin in arterial health.
Abstract

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