Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean Adults

The correlation between body fat parameters and arterial stiffness is still under debate. This study aimed to examine the associations of body mass index (BMI) and waist circumference (WC) with estimated pulse wave velocity (ePWV). We utilized data from 14,228 subjects (mean age 53.4 ± 16.8 years; 5...

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Main Authors: Hack-Lyoung Kim, Hyun Sung Joh, Woo-Hyun Lim, Jae-Bin Seo, Sang-Hyun Kim, Joo-Hee Zo, Myung-A Kim
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/13/10/1082
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author Hack-Lyoung Kim
Hyun Sung Joh
Woo-Hyun Lim
Jae-Bin Seo
Sang-Hyun Kim
Joo-Hee Zo
Myung-A Kim
author_facet Hack-Lyoung Kim
Hyun Sung Joh
Woo-Hyun Lim
Jae-Bin Seo
Sang-Hyun Kim
Joo-Hee Zo
Myung-A Kim
author_sort Hack-Lyoung Kim
collection DOAJ
description The correlation between body fat parameters and arterial stiffness is still under debate. This study aimed to examine the associations of body mass index (BMI) and waist circumference (WC) with estimated pulse wave velocity (ePWV). We utilized data from 14,228 subjects (mean age 53.4 ± 16.8 years; 56.9% were female) from the Korean National Health and Nutrition Examination Survey. The ePWV was calculated using a formula based on age and blood pressure. Simple linear correlation analyses revealed significant associations between both BMI and ePWV (<i>r</i> = 0.098; <i>p</i> < 0.001) and WC and ePWV (<i>r</i> = 0.291; <i>p</i> < 0.001), with a stronger correlation observed between WC and ePWV. Multiple linear regression analysis demonstrated that WC remained significantly associated with ePWV after adjusting for potential confounders (<i>β</i> = 0.020; <i>p</i> = 0.001). However, a statistically significant association was not found between BMI and ePWV (<i>β</i> = 0.011; <i>p</i> = 0.076). Multiple binary logistic regression analysis further indicated that both higher BMI and WC were independently associated with higher ePWV, but the association was more pronounced between WC and ePWV than between BMI and ePWV. These findings underscore a stronger correlation between visceral obesity (as indicated by WC) and arterial stiffness (as indicated by ePWV) compared to overall obesity (as indicated by BMI). This highlights the potential significance of abdominal obesity in assessing cardiovascular risk.
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spelling doaj.art-8b7609afad784cceaf5eb9597304fe5e2023-11-19T17:20:14ZengMDPI AGMetabolites2218-19892023-10-011310108210.3390/metabo13101082Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean AdultsHack-Lyoung Kim0Hyun Sung Joh1Woo-Hyun Lim2Jae-Bin Seo3Sang-Hyun Kim4Joo-Hee Zo5Myung-A Kim6Division of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of KoreaDivision of Cardiology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of KoreaThe correlation between body fat parameters and arterial stiffness is still under debate. This study aimed to examine the associations of body mass index (BMI) and waist circumference (WC) with estimated pulse wave velocity (ePWV). We utilized data from 14,228 subjects (mean age 53.4 ± 16.8 years; 56.9% were female) from the Korean National Health and Nutrition Examination Survey. The ePWV was calculated using a formula based on age and blood pressure. Simple linear correlation analyses revealed significant associations between both BMI and ePWV (<i>r</i> = 0.098; <i>p</i> < 0.001) and WC and ePWV (<i>r</i> = 0.291; <i>p</i> < 0.001), with a stronger correlation observed between WC and ePWV. Multiple linear regression analysis demonstrated that WC remained significantly associated with ePWV after adjusting for potential confounders (<i>β</i> = 0.020; <i>p</i> = 0.001). However, a statistically significant association was not found between BMI and ePWV (<i>β</i> = 0.011; <i>p</i> = 0.076). Multiple binary logistic regression analysis further indicated that both higher BMI and WC were independently associated with higher ePWV, but the association was more pronounced between WC and ePWV than between BMI and ePWV. These findings underscore a stronger correlation between visceral obesity (as indicated by WC) and arterial stiffness (as indicated by ePWV) compared to overall obesity (as indicated by BMI). This highlights the potential significance of abdominal obesity in assessing cardiovascular risk.https://www.mdpi.com/2218-1989/13/10/1082arterial stiffnessbody mass indexpulse wave velocityobesitywaist circumference
spellingShingle Hack-Lyoung Kim
Hyun Sung Joh
Woo-Hyun Lim
Jae-Bin Seo
Sang-Hyun Kim
Joo-Hee Zo
Myung-A Kim
Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean Adults
Metabolites
arterial stiffness
body mass index
pulse wave velocity
obesity
waist circumference
title Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean Adults
title_full Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean Adults
title_fullStr Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean Adults
title_full_unstemmed Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean Adults
title_short Associations of Estimated Pulse Wave Velocity with Body Mass Index and Waist Circumference among General Korean Adults
title_sort associations of estimated pulse wave velocity with body mass index and waist circumference among general korean adults
topic arterial stiffness
body mass index
pulse wave velocity
obesity
waist circumference
url https://www.mdpi.com/2218-1989/13/10/1082
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