Related Experiment Video
Updated: May 27, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Decreased serum bilirubin is associated with arterial stiffness in men
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.
Background And Aims:
The brachial-ankle pulse wave velocity (baPWV) is a marker for early atherosclerotic changes. Serum total bilirubin (TB) is an effective antioxidant and has been associated with carotid intima-media thickness, cardiovascular disease, stroke and peripheral arterial disease, all of which may be caused by arteriosclerosis. This study aimed to investigate the association of TB with arterial stiffness.
Methods And Results:
In this cross-sectional study, we investigated the relationship between TB and baPWV in 2207 participants (1331 men, 876 women) in a general health examination. Different metabolic parameters were compared across TB quartiles. Age-adjusted mean values of baPWV gradually decreased with TB quartiles in men (Q1 = 1348, Q2 = 1266, Q3 = 1215, and Q4 = 1154 cm/s). However, the age-adjusted means of baPWV had no significance in women according to TB quartiles. Univariate analysis showed that age, smoking status, BMI, SBP, DBP, AST, ALT, GGT, TB, TG, and HDL-C were significantly associated with baPWV in men, whereas only age, BMI, SBP, DBP, TG and FPG were significantly associated with baPWV in women. In addition, BMI, SBP, TB, age, TG, and AST were significant factors in the multivariate model with baPWV in men; only BMI and FPG were significant factors with baPWV in women.
Conclusion:
The findings show that serum total bilirubin concentration is negatively correlated to arterial stiffness in Chinese men. Early detection of abnormal bilirubin levels could potentially serve as an early biomarker for arterial stiffness.
Related Concept Videos
Coronary Artery Disease I: Introduction
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Atherosclerosis III: Management
Jaundice
Cirrhosis I: Introduction
