Central and local arterial stiffness in White Europeans compared to age-, sex-, and BMI-matched South Asians
Ethnicity impacts cardiovascular disease (CVD) risk, and South Asians demonstrate a higher risk than White Europeans. Arterial stiffness is known to contribute to CVD, and differences in arterial stiffness between ethnicities could explain the disparity in CVD risk. We compared central and local art...
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Veröffentlicht in: | PloS one 2023-08, Vol.18 (8), p.e0290118 |
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creator | van der Sluijs, Koen M Thannhauser, Jos Visser, Iris M Nabeel, P. M Raj, Kiran V Malik, Afrah E. F Reesink, Koen D Eijsvogels, Thijs M. H Bakker, Esmée A Kaur, Prabhdeep Joseph, Jayaraj Thijssen, Dick H. J |
description | Ethnicity impacts cardiovascular disease (CVD) risk, and South Asians demonstrate a higher risk than White Europeans. Arterial stiffness is known to contribute to CVD, and differences in arterial stiffness between ethnicities could explain the disparity in CVD risk. We compared central and local arterial stiffness between White Europeans and South Asians and investigated which factors are associated with arterial stiffness. Data were collected from cohorts of White Europeans (the Netherlands) and South Asians (India). We matched cohorts on individual level using age, sex, and body mass index (BMI). Arterial stiffness was measured with ARTSENS® Plus. Central stiffness was expressed as carotid-femoral pulse wave velocity (cf-PWV, m/s), and local carotid stiffness was quantified using the carotid stiffness index (Beta) and pressure-strain elastic modulus (Epsilon, kPa). We compared arterial stiffness between cohorts and used multivariable linear regression to identify factors related to stiffness. We included n = 121 participants per cohort (age 53±10 years, 55% male, BMI 24 kg/m.sup.2). Cf-PWV was lower in White Europeans compared to South Asians (6.8±1.9 vs. 8.2±1.8 m/s, p0.05 for interaction). Systolic blood pressure was associated with carotid stiffness in both cohorts, whereas age was associated to carotid stiffness only in South Asians and BMI only in White Europeans. Ethnicity is associated with central but not local arterial stiffness. Conversely, ethnicity seems to modify associations between CVD risk factors and local but not central arterial stiffness. This suggests that ethnicity interacts with arterial stiffness measures and the association of these measures with CVD risk factors. |
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M ; Raj, Kiran V ; Malik, Afrah E. F ; Reesink, Koen D ; Eijsvogels, Thijs M. H ; Bakker, Esmée A ; Kaur, Prabhdeep ; Joseph, Jayaraj ; Thijssen, Dick H. J</creator><creatorcontrib>van der Sluijs, Koen M ; Thannhauser, Jos ; Visser, Iris M ; Nabeel, P. M ; Raj, Kiran V ; Malik, Afrah E. F ; Reesink, Koen D ; Eijsvogels, Thijs M. H ; Bakker, Esmée A ; Kaur, Prabhdeep ; Joseph, Jayaraj ; Thijssen, Dick H. J</creatorcontrib><description>Ethnicity impacts cardiovascular disease (CVD) risk, and South Asians demonstrate a higher risk than White Europeans. Arterial stiffness is known to contribute to CVD, and differences in arterial stiffness between ethnicities could explain the disparity in CVD risk. We compared central and local arterial stiffness between White Europeans and South Asians and investigated which factors are associated with arterial stiffness. Data were collected from cohorts of White Europeans (the Netherlands) and South Asians (India). We matched cohorts on individual level using age, sex, and body mass index (BMI). Arterial stiffness was measured with ARTSENS® Plus. Central stiffness was expressed as carotid-femoral pulse wave velocity (cf-PWV, m/s), and local carotid stiffness was quantified using the carotid stiffness index (Beta) and pressure-strain elastic modulus (Epsilon, kPa). We compared arterial stiffness between cohorts and used multivariable linear regression to identify factors related to stiffness. We included n = 121 participants per cohort (age 53±10 years, 55% male, BMI 24 kg/m.sup.2). Cf-PWV was lower in White Europeans compared to South Asians (6.8±1.9 vs. 8.2±1.8 m/s, p0.05 for interaction). Systolic blood pressure was associated with carotid stiffness in both cohorts, whereas age was associated to carotid stiffness only in South Asians and BMI only in White Europeans. Ethnicity is associated with central but not local arterial stiffness. Conversely, ethnicity seems to modify associations between CVD risk factors and local but not central arterial stiffness. This suggests that ethnicity interacts with arterial stiffness measures and the association of these measures with CVD risk factors.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0290118</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Age ; Asia ; Asian people ; Asians ; Biology and Life Sciences ; Blood pressure ; Body mass ; Body mass index ; Body size ; Cardiovascular diseases ; Care and treatment ; Carotid arteries ; Cholesterol ; Comparative analysis ; Confidence intervals ; Demographic aspects ; Diabetes ; Ethics ; Ethnicity ; Europeans ; Evaluation ; Glucose ; Health risks ; Heart diseases ; High density lipoprotein ; Hypertension ; Low density lipoprotein ; Mechanical properties ; Medicine and Health Sciences ; Minority & ethnic groups ; Modulus of elasticity ; Mortality ; People and Places ; Physical Sciences ; Regression analysis ; Risk factors ; Sex ; Statistical analysis ; Stiffness ; Strain ; Tobacco ; Type 2 diabetes ; Ultrasonic imaging ; Variables ; Veins & arteries ; Wave velocity</subject><ispartof>PloS one, 2023-08, Vol.18 (8), p.e0290118</ispartof><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 van der Sluijs et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2023 van der Sluijs et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>2023 van der Sluijs et al 2023 van der Sluijs et al</rights><rights>2023 van der Sluijs et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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M</creatorcontrib><creatorcontrib>Raj, Kiran V</creatorcontrib><creatorcontrib>Malik, Afrah E. F</creatorcontrib><creatorcontrib>Reesink, Koen D</creatorcontrib><creatorcontrib>Eijsvogels, Thijs M. H</creatorcontrib><creatorcontrib>Bakker, Esmée A</creatorcontrib><creatorcontrib>Kaur, Prabhdeep</creatorcontrib><creatorcontrib>Joseph, Jayaraj</creatorcontrib><creatorcontrib>Thijssen, Dick H. J</creatorcontrib><title>Central and local arterial stiffness in White Europeans compared to age-, sex-, and BMI-matched South Asians</title><title>PloS one</title><description>Ethnicity impacts cardiovascular disease (CVD) risk, and South Asians demonstrate a higher risk than White Europeans. Arterial stiffness is known to contribute to CVD, and differences in arterial stiffness between ethnicities could explain the disparity in CVD risk. We compared central and local arterial stiffness between White Europeans and South Asians and investigated which factors are associated with arterial stiffness. Data were collected from cohorts of White Europeans (the Netherlands) and South Asians (India). We matched cohorts on individual level using age, sex, and body mass index (BMI). Arterial stiffness was measured with ARTSENS® Plus. Central stiffness was expressed as carotid-femoral pulse wave velocity (cf-PWV, m/s), and local carotid stiffness was quantified using the carotid stiffness index (Beta) and pressure-strain elastic modulus (Epsilon, kPa). We compared arterial stiffness between cohorts and used multivariable linear regression to identify factors related to stiffness. We included n = 121 participants per cohort (age 53±10 years, 55% male, BMI 24 kg/m.sup.2). Cf-PWV was lower in White Europeans compared to South Asians (6.8±1.9 vs. 8.2±1.8 m/s, p0.05 for interaction). Systolic blood pressure was associated with carotid stiffness in both cohorts, whereas age was associated to carotid stiffness only in South Asians and BMI only in White Europeans. Ethnicity is associated with central but not local arterial stiffness. Conversely, ethnicity seems to modify associations between CVD risk factors and local but not central arterial stiffness. This suggests that ethnicity interacts with arterial stiffness measures and the association of these measures with CVD risk factors.</description><subject>Age</subject><subject>Asia</subject><subject>Asian people</subject><subject>Asians</subject><subject>Biology and Life Sciences</subject><subject>Blood pressure</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cardiovascular diseases</subject><subject>Care and treatment</subject><subject>Carotid arteries</subject><subject>Cholesterol</subject><subject>Comparative analysis</subject><subject>Confidence intervals</subject><subject>Demographic aspects</subject><subject>Diabetes</subject><subject>Ethics</subject><subject>Ethnicity</subject><subject>Europeans</subject><subject>Evaluation</subject><subject>Glucose</subject><subject>Health risks</subject><subject>Heart diseases</subject><subject>High density lipoprotein</subject><subject>Hypertension</subject><subject>Low density lipoprotein</subject><subject>Mechanical properties</subject><subject>Medicine and Health Sciences</subject><subject>Minority & ethnic groups</subject><subject>Modulus of elasticity</subject><subject>Mortality</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Regression analysis</subject><subject>Risk factors</subject><subject>Sex</subject><subject>Statistical analysis</subject><subject>Stiffness</subject><subject>Strain</subject><subject>Tobacco</subject><subject>Type 2 diabetes</subject><subject>Ultrasonic imaging</subject><subject>Variables</subject><subject>Veins & arteries</subject><subject>Wave velocity</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhosouK7-A8GCIAp2TJqmTa9kHNbdgZUF14_LcJqPaYa2GZNU1n9vulNlK3shhfSQPOc9OS85SfIcoxUmFX63t6MboFsd7KBWKK8RxuxBcoJrkmdljsjDO_Hj5In3e4QoYWV5knQbNQQHXQqDTDsrpsgF5UwMfDBaD8r71Azp99YElZ6Nzh4UDD4Vtj-AUzINNoWdyt6mXt3EddL58Gmb9RBEG4-v7RjadO1NTHqaPNLQefVs_p8mXz-efdlcZJdX59vN-jITJUIhA6FJpbTWGEAIVkqQEjRmlWryMteENqUgsR9JMK4LJFmhEaZN3jAJTEBBTpMXR91DZz2f3fE8Z7SsWFFWNBLbIyEt7PnBmR7cL27B8NsN63Y82mBEpzgWVdSnuqCUFlSWrJCUqEbWDABRhKPW-7na2PRKiqOhC9HlyWBavrM_OUZFUce2osLrWcHZH6PygffGC9V1MCg73l68YhRX-XTxl_-g97c3UzuIHZhB21hYTKJ8XcVXUNQ1mcqu7qHiJ1VvRHxL2sT9RcKbRUJkgroJOxi959vrz__PXn1bsq_usK2CLrTedmMwdvBLsDiCwlnvndJ_XcaIT6Pwxw0-jQKfR4H8BrNL-1E</recordid><startdate>20230824</startdate><enddate>20230824</enddate><creator>van der Sluijs, Koen M</creator><creator>Thannhauser, Jos</creator><creator>Visser, Iris M</creator><creator>Nabeel, P. 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M</au><au>Raj, Kiran V</au><au>Malik, Afrah E. F</au><au>Reesink, Koen D</au><au>Eijsvogels, Thijs M. H</au><au>Bakker, Esmée A</au><au>Kaur, Prabhdeep</au><au>Joseph, Jayaraj</au><au>Thijssen, Dick H. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Central and local arterial stiffness in White Europeans compared to age-, sex-, and BMI-matched South Asians</atitle><jtitle>PloS one</jtitle><date>2023-08-24</date><risdate>2023</risdate><volume>18</volume><issue>8</issue><spage>e0290118</spage><pages>e0290118-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Ethnicity impacts cardiovascular disease (CVD) risk, and South Asians demonstrate a higher risk than White Europeans. Arterial stiffness is known to contribute to CVD, and differences in arterial stiffness between ethnicities could explain the disparity in CVD risk. We compared central and local arterial stiffness between White Europeans and South Asians and investigated which factors are associated with arterial stiffness. Data were collected from cohorts of White Europeans (the Netherlands) and South Asians (India). We matched cohorts on individual level using age, sex, and body mass index (BMI). Arterial stiffness was measured with ARTSENS® Plus. Central stiffness was expressed as carotid-femoral pulse wave velocity (cf-PWV, m/s), and local carotid stiffness was quantified using the carotid stiffness index (Beta) and pressure-strain elastic modulus (Epsilon, kPa). We compared arterial stiffness between cohorts and used multivariable linear regression to identify factors related to stiffness. We included n = 121 participants per cohort (age 53±10 years, 55% male, BMI 24 kg/m.sup.2). Cf-PWV was lower in White Europeans compared to South Asians (6.8±1.9 vs. 8.2±1.8 m/s, p0.05 for interaction). Systolic blood pressure was associated with carotid stiffness in both cohorts, whereas age was associated to carotid stiffness only in South Asians and BMI only in White Europeans. Ethnicity is associated with central but not local arterial stiffness. Conversely, ethnicity seems to modify associations between CVD risk factors and local but not central arterial stiffness. This suggests that ethnicity interacts with arterial stiffness measures and the association of these measures with CVD risk factors.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0290118</doi><tpages>e0290118</tpages><orcidid>https://orcid.org/0000-0002-2605-3739</orcidid><orcidid>https://orcid.org/0000-0001-7280-0048</orcidid><orcidid>https://orcid.org/0000-0003-3899-471X</orcidid><orcidid>https://orcid.org/0000-0003-0747-4471</orcidid><orcidid>https://orcid.org/0000-0001-6330-4157</orcidid><orcidid>https://orcid.org/0000-0003-2358-1795</orcidid><oa>free_for_read</oa></addata></record> |
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identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2023-08, Vol.18 (8), p.e0290118 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_2856784675 |
source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
subjects | Age Asia Asian people Asians Biology and Life Sciences Blood pressure Body mass Body mass index Body size Cardiovascular diseases Care and treatment Carotid arteries Cholesterol Comparative analysis Confidence intervals Demographic aspects Diabetes Ethics Ethnicity Europeans Evaluation Glucose Health risks Heart diseases High density lipoprotein Hypertension Low density lipoprotein Mechanical properties Medicine and Health Sciences Minority & ethnic groups Modulus of elasticity Mortality People and Places Physical Sciences Regression analysis Risk factors Sex Statistical analysis Stiffness Strain Tobacco Type 2 diabetes Ultrasonic imaging Variables Veins & arteries Wave velocity |
title | Central and local arterial stiffness in White Europeans compared to age-, sex-, and BMI-matched South Asians |
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