Small infrarenal aortic diameter associated with lower-extremity peripheral artery disease in Chinese hypertensive adults

Several studies suggest that infrarenal aortic diameter is associated with lower-extremity peripheral artery disease (LE-PAD). However, data regarding the associations between infrarenal aortic diameter and LE-PAD are limited, especially in large sample populations and Asian or Chinese populations....

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Veröffentlicht in:Scientific reports 2017-11, Vol.7 (1), p.14547-8, Article 14547
Hauptverfasser: Liu, Jie, Jia, Xin, Jia, Senhao, Qin, Xianhui, Zhang, Tao, Liu, Lishun, Li, Haibo, Rong, Dan, Zhou, Ziyi, Song, Yuxiang, Zuo, Shangwei, Duan, Chen, Wu, Zhongyin, Wei, Ren, Ge, Yangyang, Wang, Xian, Kong, Wei, Xu, Xiping, Khalil, Raouf A., Huo, Yong, Guo, Wei
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container_issue 1
container_start_page 14547
container_title Scientific reports
container_volume 7
creator Liu, Jie
Jia, Xin
Jia, Senhao
Qin, Xianhui
Zhang, Tao
Liu, Lishun
Li, Haibo
Rong, Dan
Zhou, Ziyi
Song, Yuxiang
Zuo, Shangwei
Duan, Chen
Wu, Zhongyin
Wei, Ren
Ge, Yangyang
Wang, Xian
Kong, Wei
Xu, Xiping
Khalil, Raouf A.
Huo, Yong
Guo, Wei
description Several studies suggest that infrarenal aortic diameter is associated with lower-extremity peripheral artery disease (LE-PAD). However, data regarding the associations between infrarenal aortic diameter and LE-PAD are limited, especially in large sample populations and Asian or Chinese populations. Our analysis included 17279 Chinese hypertensive adults comprising 6590 men and 10689 women with a mean age of 64.74 ± 7.41 years. Participants were selected from 22693 candidates from two large population-based cohort-studies. The primary noninvasive test for diagnosis of LE-PAD is the ankle–brachial index (ABI) at rest and typically an ABI ≤ 0.90 is used to define LE-PAD. The prevalence of LE-PAD was found to significantly decrease as the aortic diameter increased according to the tertile of the aortic diameter. LE-PAD was significantly more prevalent in the lowest tertile (OR = 1.58, 95% CI = 1.29–1.94, p  0.05). In conclusion, Small aortic diameter (as opposed to large aortic diameter) is significantly associated with LE-PAD in Chinese hypertensive adults.
doi_str_mv 10.1038/s41598-017-12587-x
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However, data regarding the associations between infrarenal aortic diameter and LE-PAD are limited, especially in large sample populations and Asian or Chinese populations. Our analysis included 17279 Chinese hypertensive adults comprising 6590 men and 10689 women with a mean age of 64.74 ± 7.41 years. Participants were selected from 22693 candidates from two large population-based cohort-studies. The primary noninvasive test for diagnosis of LE-PAD is the ankle–brachial index (ABI) at rest and typically an ABI ≤ 0.90 is used to define LE-PAD. The prevalence of LE-PAD was found to significantly decrease as the aortic diameter increased according to the tertile of the aortic diameter. LE-PAD was significantly more prevalent in the lowest tertile (OR = 1.58, 95% CI = 1.29–1.94, p &lt; 0.001) and similarly prevalent in the highest tertile (OR = 0.92, 95% CI = 0.73–1.16, p = 0.49) when compared with the median tertile. No significant interactions between the aortic diameter and any of the stratified variables were found (all p &gt; 0.05). In conclusion, Small aortic diameter (as opposed to large aortic diameter) is significantly associated with LE-PAD in Chinese hypertensive adults.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-017-12587-x</identifier><identifier>PMID: 29109408</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 692/499 ; 692/699/75/593/1920 ; 692/699/75/593/2100 ; Aged ; Aneurysms ; Ankle ; Ankle Brachial Index ; Aorta ; Aorta, Abdominal - pathology ; China - epidemiology ; Female ; Humanities and Social Sciences ; Humans ; Hypertension ; Hypertension - etiology ; Hypertension - pathology ; Leg - blood supply ; Logistic Models ; Male ; Middle Aged ; multidisciplinary ; Peripheral Arterial Disease - epidemiology ; Peripheral Arterial Disease - etiology ; Peripheral Arterial Disease - pathology ; Population studies ; Prevalence ; Risk Factors ; Science ; Science (multidisciplinary) ; Vascular diseases</subject><ispartof>Scientific reports, 2017-11, Vol.7 (1), p.14547-8, Article 14547</ispartof><rights>The Author(s) 2017</rights><rights>2017. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c425t-963121459c37945c346fd21f6a773ada83d90ccda1a0a8a19e6cb64d69b24e723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674057/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5674057/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,41120,42189,51576,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29109408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Jie</creatorcontrib><creatorcontrib>Jia, Xin</creatorcontrib><creatorcontrib>Jia, Senhao</creatorcontrib><creatorcontrib>Qin, Xianhui</creatorcontrib><creatorcontrib>Zhang, Tao</creatorcontrib><creatorcontrib>Liu, Lishun</creatorcontrib><creatorcontrib>Li, Haibo</creatorcontrib><creatorcontrib>Rong, Dan</creatorcontrib><creatorcontrib>Zhou, Ziyi</creatorcontrib><creatorcontrib>Song, Yuxiang</creatorcontrib><creatorcontrib>Zuo, Shangwei</creatorcontrib><creatorcontrib>Duan, Chen</creatorcontrib><creatorcontrib>Wu, Zhongyin</creatorcontrib><creatorcontrib>Wei, Ren</creatorcontrib><creatorcontrib>Ge, Yangyang</creatorcontrib><creatorcontrib>Wang, Xian</creatorcontrib><creatorcontrib>Kong, Wei</creatorcontrib><creatorcontrib>Xu, Xiping</creatorcontrib><creatorcontrib>Khalil, Raouf A.</creatorcontrib><creatorcontrib>Huo, Yong</creatorcontrib><creatorcontrib>Guo, Wei</creatorcontrib><title>Small infrarenal aortic diameter associated with lower-extremity peripheral artery disease in Chinese hypertensive adults</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Several studies suggest that infrarenal aortic diameter is associated with lower-extremity peripheral artery disease (LE-PAD). However, data regarding the associations between infrarenal aortic diameter and LE-PAD are limited, especially in large sample populations and Asian or Chinese populations. Our analysis included 17279 Chinese hypertensive adults comprising 6590 men and 10689 women with a mean age of 64.74 ± 7.41 years. Participants were selected from 22693 candidates from two large population-based cohort-studies. The primary noninvasive test for diagnosis of LE-PAD is the ankle–brachial index (ABI) at rest and typically an ABI ≤ 0.90 is used to define LE-PAD. The prevalence of LE-PAD was found to significantly decrease as the aortic diameter increased according to the tertile of the aortic diameter. LE-PAD was significantly more prevalent in the lowest tertile (OR = 1.58, 95% CI = 1.29–1.94, p &lt; 0.001) and similarly prevalent in the highest tertile (OR = 0.92, 95% CI = 0.73–1.16, p = 0.49) when compared with the median tertile. No significant interactions between the aortic diameter and any of the stratified variables were found (all p &gt; 0.05). 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subjects 692/308/174
692/499
692/699/75/593/1920
692/699/75/593/2100
Aged
Aneurysms
Ankle
Ankle Brachial Index
Aorta
Aorta, Abdominal - pathology
China - epidemiology
Female
Humanities and Social Sciences
Humans
Hypertension
Hypertension - etiology
Hypertension - pathology
Leg - blood supply
Logistic Models
Male
Middle Aged
multidisciplinary
Peripheral Arterial Disease - epidemiology
Peripheral Arterial Disease - etiology
Peripheral Arterial Disease - pathology
Population studies
Prevalence
Risk Factors
Science
Science (multidisciplinary)
Vascular diseases
title Small infrarenal aortic diameter associated with lower-extremity peripheral artery disease in Chinese hypertensive adults
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