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Updated: Jan 21, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
The association between cumulative C-reactive protein and brachial-ankle pulse wave velocity
Lixia Sun1, Chunhong Ning2, Jiqiang Liu3
1Department of Emergency, Affiliated Hospital, North China University of Science and Technology, No. 73 Jianshe South Road, Lubei District, Tangshan, 063000, China. drlixiasun@sina.com.
Insights
Elevated cumulative C-reactive protein (cumCRP) is linked to greater arterial stiffness. This finding highlights the role of chronic inflammation in cardiovascular health, specifically in the development of stiff arteries.
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Public Health
Background:
- Arterial stiffness is a key indicator of cardiovascular risk.
- Chronic inflammation, indicated by C-reactive protein (CRP), may contribute to arterial stiffening.
- Understanding the long-term effects of CRP on vascular health is crucial.
Purpose of the Study:
- To investigate the association between cumulative C-reactive protein (cumCRP) and arterial stiffness.
- To quantify the risk of arterial stiffness based on different levels of cumCRP exposure.
Main Methods:
- A cross-sectional study of 15,432 participants from the Kailuan Cohort.
- Participants categorized into four groups based on cumCRP quartiles.
- Brachial-ankle pulse wave velocity (baPWV) and arterial stiffness rates analyzed using multiple logistic regression.
Main Results:
- Average baPWV and the rate of arterial stiffness significantly increased across cumCRP quartiles (P < 0.001).
- The highest cumCRP quartile showed a 42% increased risk of arterial stiffness compared to the lowest (adjusted OR 1.42).
- Each 1 SD increase in cumCRP was associated with a 10% increase in arterial stiffness risk (adjusted OR 1.10).
Conclusions:
- Higher cumulative C-reactive protein exposure is significantly associated with increased arterial stiffness.
- Chronic inflammation plays a role in the development and progression of arterial stiffness.
- Findings suggest cumCRP as a potential biomarker for cardiovascular risk assessment.
Background And Aims:
This study aimed to investigate the association between cumulative C-reactive protein (cumCPR) and arterial stiffness.
Methods:
The cross-sectional study included 15,432 participants from the Kailuan Cohort. The participants were divided into four groups according to cumCRP quartiles. The average brachial-ankle pulse wave velocity (baPWV) and detective rate of increased arterial stiffness were compared between exposure groups. Statistical analysis was performed with multiple logistic regression analysis to estimate the association between cumCRP and arterial stiffness by calculating the odds ratios (ORs) and 95% confidence intervals (CIs). The several sensitivity analyses were performed to test the robustness of our findings.
Results:
The average baPWV increased from 1425.70 cm/s of Q1 group to 1626.48 cm/s of Q4 group. And the detective rate of arterial stiffness increased from 44.7 to 70.1% (P < 0.001). Multiple logistic regression analysis showed that after adjusting the confounding factors, compared to the Q1 group, the Q4 group had 42% (adjusted OR 1.42; 95% CI 1.24-1.63) higher arterial stiffness risk. In addition, 10% (adjusted OR 1.10; 95% CI 1.02-1.18) arterial stiffness risk was increased per 1 standard deviation (SD) of cumCRP after a fully adjusted regression model.
Conclusion:
Higher cumCRP exposure is associated with increased arterial stiffness.
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