Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysis
Abstract Blood pressure (BP) variability may have its effect on the development of vascular disease. The authors aimed to examine the association between the visit‐to‐visit variability (VVV) of BP and arterial stiffness in Chinese adults. The authors included 1407 participants from a prospective coh...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-04-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14166 |
| _version_ | 1797645250664071168 |
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| author | Yuwen Zhang Lizhan Bie Mian Li Tiange Wang Min Xu Jieli Lu Shuangyuan Wang Jie Zhang Yufang Bi Weiqing Wang Guang Ning Yuhong Chen Yu Xu |
| author_facet | Yuwen Zhang Lizhan Bie Mian Li Tiange Wang Min Xu Jieli Lu Shuangyuan Wang Jie Zhang Yufang Bi Weiqing Wang Guang Ning Yuhong Chen Yu Xu |
| author_sort | Yuwen Zhang |
| collection | DOAJ |
| description | Abstract Blood pressure (BP) variability may have its effect on the development of vascular disease. The authors aimed to examine the association between the visit‐to‐visit variability (VVV) of BP and arterial stiffness in Chinese adults. The authors included 1407 participants from a prospective cohort study of community residents who were ≥40 years, without a history of myocardial infarction or stroke, and with data at the baseline, the second and the third visits in 2008, 2009, and 2013. The VVV of BP was defined as the standard deviation (SD), the coefficient of variation (CV), the average successive variability (ASV), and the variability independent of the mean (VIM) in BP levels at the 3 visits. Arterial stiffness was measured by brachial‐ankle pulse wave velocity (ba‐PWV) at the 2nd and the 3rd visits. Levels of ba‐PWV change and the occurrence of an elevated ba‐PWV increased significantly in the highest tertile of VVV measures of systolic BP (SBP) and pulse pressure (PP) compared with the lowest tertile, respectively. The multivariable regression analysis revealed that VVV measures of SBP and PP were significantly associated with levels of ba‐PWV change and the risks of developing an elevated ba‐PWV. The odds ratios (ORs) and 95% confidence intervals (CIs) for the risk were 2.12 (1.57–3.12) and 1.92 (1.38–2.68) in participants with the highest versus the lowest tertile of SBP‐SD and PP‐SD, respectively. No significant association was found for diastolic BP variability measures. The increased long‐term variabilities of SBP and PP were associated with an increased risk of arterial stiffness. |
| first_indexed | 2024-03-11T14:43:38Z |
| format | Article |
| id | doaj.art-ae8df7d0501847c88bfddcba7b7e7d80 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:43:38Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-ae8df7d0501847c88bfddcba7b7e7d802023-10-30T13:26:18ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-04-0123480281210.1111/jch.14166Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysisYuwen Zhang0Lizhan Bie1Mian Li2Tiange Wang3Min Xu4Jieli Lu5Shuangyuan Wang6Jie Zhang7Yufang Bi8Weiqing Wang9Guang Ning10Yuhong Chen11Yu Xu12Department of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaDepartment of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic DiseasesRuijin HospitalShanghai Jiao Tong University School of Medicine Shanghai ChinaAbstract Blood pressure (BP) variability may have its effect on the development of vascular disease. The authors aimed to examine the association between the visit‐to‐visit variability (VVV) of BP and arterial stiffness in Chinese adults. The authors included 1407 participants from a prospective cohort study of community residents who were ≥40 years, without a history of myocardial infarction or stroke, and with data at the baseline, the second and the third visits in 2008, 2009, and 2013. The VVV of BP was defined as the standard deviation (SD), the coefficient of variation (CV), the average successive variability (ASV), and the variability independent of the mean (VIM) in BP levels at the 3 visits. Arterial stiffness was measured by brachial‐ankle pulse wave velocity (ba‐PWV) at the 2nd and the 3rd visits. Levels of ba‐PWV change and the occurrence of an elevated ba‐PWV increased significantly in the highest tertile of VVV measures of systolic BP (SBP) and pulse pressure (PP) compared with the lowest tertile, respectively. The multivariable regression analysis revealed that VVV measures of SBP and PP were significantly associated with levels of ba‐PWV change and the risks of developing an elevated ba‐PWV. The odds ratios (ORs) and 95% confidence intervals (CIs) for the risk were 2.12 (1.57–3.12) and 1.92 (1.38–2.68) in participants with the highest versus the lowest tertile of SBP‐SD and PP‐SD, respectively. No significant association was found for diastolic BP variability measures. The increased long‐term variabilities of SBP and PP were associated with an increased risk of arterial stiffness.https://doi.org/10.1111/jch.14166arterial stiffnessblood pressure variabilitybrachial‐ankle pulse wave velocity |
| spellingShingle | Yuwen Zhang Lizhan Bie Mian Li Tiange Wang Min Xu Jieli Lu Shuangyuan Wang Jie Zhang Yufang Bi Weiqing Wang Guang Ning Yuhong Chen Yu Xu Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysis The Journal of Clinical Hypertension arterial stiffness blood pressure variability brachial‐ankle pulse wave velocity |
| title | Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysis |
| title_full | Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysis |
| title_fullStr | Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysis |
| title_full_unstemmed | Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysis |
| title_short | Visit‑to‑visit blood pressure variability is associated with arterial stiffness in Chinese adults: A prospective analysis |
| title_sort | visit to visit blood pressure variability is associated with arterial stiffness in chinese adults a prospective analysis |
| topic | arterial stiffness blood pressure variability brachial‐ankle pulse wave velocity |
| url | https://doi.org/10.1111/jch.14166 |
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