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Relationship between pulmonary function and peripheral vascular function in older Chinese: Guangzhou biobank cohort
Jing Pan1, Lin Xu2,3, Tai Hing Lam4,5
1Guangzhou No.12 Hospital, Guangzhou, Guangdong, China.
BMC Pulmonary Medicine
|May 23, 2018
Summary
Reduced lung function in older adults is linked to increased arterial stiffness, a key indicator of cardiovascular health. This study highlights the inverse relationship between pulmonary function and vascular stiffness in Chinese adults.
Area of Science:
- Cardiology
- Pulmonology
- Gerontology
Background:
- Inconclusive findings exist regarding the link between pulmonary and peripheral vascular function.
- The Guangzhou Biobank Cohort Study-Cardiovascular Subcohort (GBCS-CVD) was utilized to investigate this relationship.
Purpose of the Study:
- To explore the association between pulmonary function and vascular stiffness in older Chinese adults.
- To determine if pulmonary function is related to arterial stiffness and peripheral arterial disease (PAD).
Main Methods:
- Pulmonary function was assessed using spirometry, measuring forced expiratory volume in 1s (FEV1) and forced vital capacity (FVC).
- Vascular stiffness was evaluated using brachial-ankle pulse wave velocity (baPWV) and ankle-brachial index (ABI).
- Regression analyses were performed to examine the associations, adjusting for potential confounders.
Main Results:
- A significant negative association was found between pulmonary function (FEV1 and FVC) and arterial stiffness (baPWV) after adjusting for confounders.
- Lower pulmonary function was associated with a higher risk of arterial stiffness.
- The association between pulmonary function and peripheral arterial disease (PAD) was weaker and not statistically significant.
Conclusions:
- Pulmonary function is inversely associated with arterial stiffness in older, relatively healthy Chinese adults.
- The relationship between pulmonary function and PAD is less pronounced than with arterial stiffness.
- Findings suggest pulmonary function may be an indicator of vascular health in older populations.
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