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Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
Arterial stiffness association with chronic inflammatory disorders in the UK Biobank study
Alex Dregan1,2
1School of Population Health Sciences, King's College London, London, UK.
Insights
Arterial stiffness is elevated in individuals with chronic inflammatory disorders. Increased inflammation biomarkers correlate with higher arterial stiffness, suggesting a link between inflammation and cardiovascular health.
Area of Science:
- Cardiovascular Health
- Inflammation Research
- Biomarker Analysis
Background:
- Arterial stiffness is a key indicator of cardiovascular risk.
- Chronic inflammatory disorders are prevalent and associated with various health complications.
- The relationship between arterial stiffness and inflammatory disorders requires further elucidation.
Purpose of the Study:
- To test the hypothesis that arterial stiffness is elevated in individuals with inflammatory disorders compared to those without.
- To investigate the association between specific inflammatory biomarkers and arterial stiffness.
Main Methods:
- Utilized UK Biobank data from 171,125 adults aged 40-70, free of cardiovascular disease.
- Assessed arterial stiffness using a non-invasive technique.
- Analyzed chronic inflammatory disorders and inflammatory biomarkers (leukocytes, granulocytes) as exposures.
Main Results:
- A 14% increase in mean arterial stiffness was observed in participants with chronic inflammatory disorders.
- Arterial stiffness showed a positive trend with increasing tertiles of leukocytes and granulocytes.
- Associations were noted with specific inflammatory conditions like psoriasis and rheumatoid arthritis.
Conclusions:
- Arterial stiffness is significantly associated with multiple chronic inflammatory disorders.
- Inflammatory biomarkers correlate with increased arterial stiffness, highlighting a potential pathway for cardiovascular risk.
- Further research is warranted to explore arterial stiffness's predictive value for cardiovascular events in inflammatory conditions.
Objective:
The present study tested the hypothesis that arterial stiffness will be elevated across overall and specific inflammatory disorders compared with an inflammation-free comparison group.
Methods:
Adults (n=171 125) aged 40-70 years from the UK Biobank who were cardiovascular disease (CVD) free and who had their arterial stiffness assessed at the time of study recruitment between 2006 and 2010 were included. The main exposure was represented by a global measure of chronic inflammatory disorders. Two inflammatory biomarker measures (eg, leucocytes count, granulocytes count) were included as markers of inflammation severity. The arterial stiffness index assessed by a non-invasive technique represented the study primary outcome measure.
Results:
A total of 5976 (3%) participants diagnosed with inflammatory disorders and 165 149 participants without an inflammatory disorder had data on arterial stiffness. Adjusted linear regression analyses revealed a 14% increment in mean arterial stiffness for chronic inflammatory disorders (beta coefficient (β) 1.14, 95% CI 1.05 to 1.24, P=0.002) compared with no chronic inflammatory disorder. Arterial stiffness tended to increase (P value=0.031) with tertiles of leucocytes and granulocytes count. For instance, mean arterial stiffness values increased from 1.11 (95% CI 0.96 to 1.29) in the first tertile to 1.17 (95% CI 1.02 to 1.34) in the second tertile, and 1.21 (95% CI 1.05 to 1.39) in the third tertile of leucocytes count. There was evidence for similar associations with some of the most common individual inflammatory disorders, including psoriasis and rheumatoid arthritis.
Conclusion:
Arterial stiffness was associated with multiple chronic inflammatory disorders. An increasing trend in mean arterial stiffness was also documented with increasing tertiles of different inflammatory biomarkers. Future studies are needed to investigate the discriminant value of arterial stiffness to predict major CVD events within various inflammatory disorders.
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