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Published on: April 1, 2015
Association between fibrinogen/albumin ratio and arterial stiffness in patients with type 2 diabetes: A
Chun-Mei Chen1, Chun-Feng Lu2, Wang-Shu Liu2
1Department of Geriatrics, Affiliated Hospital 2 of Nantong University and First People's Hospital of Nantong City, Nantong, China.
Insights
The fibrinogen albumin ratio (FAR) is linked to arterial stiffness in men with type 2 diabetes. This ratio may help detect arterial stiffness in male T2D patients.
Area of Science:
- Cardiovascular Medicine
- Endocrinology
- Biomarkers
Background:
- Fibrinogen albumin ratio (FAR) correlates with cardiovascular disease (CVD) severity and prognosis.
- Arterial stiffness, an early CVD lesion, has not been previously linked to FAR.
- Investigating the relationship between FAR and arterial stiffness in type 2 diabetes (T2D) is crucial.
Purpose of the Study:
- To examine the relationship between FAR and arterial stiffness in T2D patients.
- To assess arterial stiffness using brachial-ankle pulse wave velocity (baPWV).
- To determine if FAR is an independent predictor of arterial stiffness in T2D.
Main Methods:
- Cross-sectional study of 413 T2D patients (Jan 2021-Apr 2022).
- Measured serum fibrinogen, albumin, and baPWV.
- Defined arterial stiffness as baPWV > 1800 cm/s.
Main Results:
- 18.6% of T2D patients had arterial stiffness.
- Significant differences in baPWV and arterial stiffness proportion across FAR quartiles (p < .001).
- FAR independently associated with arterial stiffness in men with T2D (OR 1.075; 95% CI 1.031-1.120).
- Optimal FAR cutoff for arterial stiffness in men: 76.67 mg/g.
Conclusions:
- FAR shows an independent, positive correlation with arterial stiffness in male T2D patients.
- This correlation was not observed in female T2D patients.
- FAR may serve as a potential biomarker for arterial stiffness in men with T2D.
Abstract:
Background: Fibrinogen albumin ratio (FAR) is significantly correlated with the severity and prognosis of cardiovascular disease (CVD). Arterial stiffness is an early lesion of CVD, but no studies have examined the correlation between arterial stiffness and FAR. This study aimed to examine the relationship between FAR and arterial stiffness in patients with type 2 diabetes (T2D), as measured by brachial-ankle pulse wave velocity (baPWV). Methods: In this cross-sectional investigation, patients with T2D were enrolled between January 2021 and April 2022. In each patient, the levels of fibrinogen and albumin in the serum, and baPWV in the serum were measured. A baPWV greater than 1800 cm/s was utilized to diagnose arterial stiffness. Results: The study included 413 T2D patients. The mean age of these participants was 52.56 ± 11.53 years, 60.8% of them were male, and 18.6% of them had arterial stiffness. There were significant differences in baPWV level and proportion of arterial stiffness (p < .001) between the four subgroups categorized by the FAR quartile. The relationships between the FAR and baPWV and arterial stiffness were significantly favorable in the overall population and subgroups of elderly men and non-elderly men (p < .01), while they were insignificant in subgroups of elderly and non-elderly women (p > .05). To investigate the correlation between the FAR and baPWV, the arterial stiffness and the FAR in male T2D patients, respectively, multivariable logistic regression analysis and multiple linear regression analysis were developed. The lnFAR and lnbaPWV had a significant relationship in the multiple linear regression analysis fully adjusted model. After adjusting for potential covariables, multivariable logistic regression analysis revealed that the FAR was independently associated with arterial stiffness [OR (95% CI), 1.075 (1.031-1.120)]. In addition, receiver operating characteristic analysis indicated that the best FAR cutoff value for detecting arterial stiffness in male T2D patients was 76.67 mg/g. Conclusion: The level of FAR had an independent and positive correlation with baPWV and arterial stiffness in male patients with T2D, but not in female patients.
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