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Updated: May 23, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
Relationship between brachial-ankle pulse wave velocity and cardiovascular risk factors: a multi-ethnic study
En-Zhi Jia1, Feng-Hui An, Pu Liu
1Department of Cardiovascular Medicine, the First Affiliated Hospital of Nanjing Medical University, China.
Insights
Brachial-ankle pulse wave velocity (baPWV) is linked to cardiovascular risks in Chinese adults. Higher age, blood pressure, triglycerides, and cholesterol independently predict increased baPWV, indicating arterial stiffness.
Area of Science:
- Cardiovascular Health
- Vascular Biology
- Public Health
Background:
- Arterial stiffness, measured by brachial-ankle pulse wave velocity (baPWV), is a marker of cardiovascular risk.
- Understanding the association between baPWV and cardiovascular risk factors in diverse ethnic populations is crucial for targeted interventions.
Purpose of the Study:
- To investigate the relationship between brachial-ankle pulse wave velocity (baPWV) and various cardiovascular risk factors in a multi-ethnic Chinese population.
- To identify independent predictors of elevated baPWV in this cohort.
Main Methods:
- A cross-sectional study involving 264 adult subjects from diverse ethnic backgrounds in China.
- Measurements included anthropometrics, baPWV, and laboratory parameters (fasting blood glucose, hemoglobin, erythrocyte count).
- Statistical analyses included Spearman correlation and multiple regression to assess associations.
Main Results:
- Significant differences in age, systolic blood pressure, diastolic blood pressure, fasting blood glucose, and hemoglobin were observed across baPWV quartiles.
- baPWV showed significant positive correlations with age, systolic blood pressure, diastolic blood pressure, and fasting blood glucose.
- baPWV demonstrated significant negative associations with erythrocyte number and hemoglobin levels.
Conclusions:
- Age, systolic blood pressure, triglycerides, and cholesterol are independently and positively associated with brachial-ankle pulse wave velocity (baPWV).
- These findings highlight key modifiable and non-modifiable factors contributing to arterial stiffness in the studied population.
Objective:
The objective of the present multi-ethnic study was to explore whether an association exists between brachial-ankle pulse wave velocity (baPWV) and cardiovascular risk factors in China.
Methods:
Two hundred sixty-four adult subjects (152 subjects were of Han nationality, 70 subjects were from Uygur, 19 subjects were from Kazakh, 15 subjects were from Hui, and 8 subjects were of other nationalities.) aged 30-82 years were enrolled in the present study. The subjects' anthropometric, baPWV and laboratory measurements were recorded.
Results:
Age (p=0.000), systolic blood pressure (p=0.000), diastolic blood pressure (p=0.002), fasting blood glucose (p=0.000), and hemoglobin (p=0.019) differed significantly among the subjects in the baPWV quartile. Spearman correlation analyses indicated that baPWV was significantly and positively associated with age (r=0.584, p=0.000), systolic blood pressure (r=0.396, p=0.000), diastolic blood pressure (r=0.217, p=0.000), and fasting blood glucose (r=0.231, p=0.000). baPWV was significantly and negatively associated with erythrocyte number (r=-0.181, p=0.003) and hemoglobin (r=-0.192, p=0.002) levels. Multiple regression analyses suggested that age (β=0.573, p=0.000), systolic blood pressure (β=0.181, p=0.003), triglycerides (β=0.160, p=0.008), and cholesterol (β=0.132, p=0.020) were independently associated with baPWV.
Conclusion:
Age, SBP, triglycerides, and cholesterol levels are independently and positively associated with baPWV.
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