Age-specific association between non-HDL-C and arterial stiffness in the Chinese population

BackgroundWhile some epidemiological studies have found correlations between non-high-density lipoprotein cholesterol (non-HDL-C) and arterial stiffness, there are still exist controversial and age-stratified analysis are scarce yet.MethodsAll individuals in this study were recruited in the Third Xi...

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Main Authors: Jie Wang, Rujia Miao, Zhiheng Chen, Jiangang Wang, Hong Yuan, Jing Li, Zheng Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.981028/full
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author Jie Wang
Jie Wang
Rujia Miao
Zhiheng Chen
Jiangang Wang
Hong Yuan
Jing Li
Zheng Huang
author_facet Jie Wang
Jie Wang
Rujia Miao
Zhiheng Chen
Jiangang Wang
Hong Yuan
Jing Li
Zheng Huang
author_sort Jie Wang
collection DOAJ
description BackgroundWhile some epidemiological studies have found correlations between non-high-density lipoprotein cholesterol (non-HDL-C) and arterial stiffness, there are still exist controversial and age-stratified analysis are scarce yet.MethodsAll individuals in this study were recruited in the Third Xiangya Hospital of Central South University from 2012 to 2016. Arterial stiffness was defined as brachial-ankle pulse wave velocity (baPWV) ≥1,400 cm/s. Association between non-HDL-C and arterial stiffness were explored using Cox proportional-hazards model. We also conducted subanalysis stratified by age. Furthermore, restricted cubic splines were used to model exposure-response relationships in cohort sample.ResultsThis cohort study included 7,276 participants without arterial stiffness at baseline. Over a median follow-up of 1.78 years (IQR, 1.03–2.49), 1,669 participants have identified with incident arterial stiffness. In multivariable-adjusted analyses, higher non-HDL-C concentration was associated with incident arterial stiffness with an adjusted hazard ratio (HR) of 1.09 [95% confidence interval (CI), 1.02–1.17] per 1 mmol/L increase. Compared with the lowest tertile, the HR for arterial stiffness with respect to the highest tertile of non-HDL-C was 1.26 (95% CI, 1.07–1.48). The results were similar in the analysis of young participants (age <60 years).ConclusionOur study identified that non-HDL-C as a potential risk factor of arterial stiffness, especially for younger. The clinical benefits of decreasing non-HDL-C concentration should be further considered in the future.
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spelling doaj.art-e93b83a2ed16422a8c7dce84ef9b7c182022-12-22T03:21:32ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-09-01910.3389/fcvm.2022.981028981028Age-specific association between non-HDL-C and arterial stiffness in the Chinese populationJie Wang0Jie Wang1Rujia Miao2Zhiheng Chen3Jiangang Wang4Hong Yuan5Jing Li6Zheng Huang7Clinical Research Center, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Cardiology, The Third Xiangya Hospital, Central South University, Changsha, ChinaHealth Management Center, The Third Xiangya Hospital, Central South University, Changsha, ChinaHealth Management Center, The Third Xiangya Hospital, Central South University, Changsha, ChinaHealth Management Center, The Third Xiangya Hospital, Central South University, Changsha, ChinaClinical Research Center, The Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Rehabilitation, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Neurosurgery, Xiangya Hospital, Central South University, Changsha, ChinaBackgroundWhile some epidemiological studies have found correlations between non-high-density lipoprotein cholesterol (non-HDL-C) and arterial stiffness, there are still exist controversial and age-stratified analysis are scarce yet.MethodsAll individuals in this study were recruited in the Third Xiangya Hospital of Central South University from 2012 to 2016. Arterial stiffness was defined as brachial-ankle pulse wave velocity (baPWV) ≥1,400 cm/s. Association between non-HDL-C and arterial stiffness were explored using Cox proportional-hazards model. We also conducted subanalysis stratified by age. Furthermore, restricted cubic splines were used to model exposure-response relationships in cohort sample.ResultsThis cohort study included 7,276 participants without arterial stiffness at baseline. Over a median follow-up of 1.78 years (IQR, 1.03–2.49), 1,669 participants have identified with incident arterial stiffness. In multivariable-adjusted analyses, higher non-HDL-C concentration was associated with incident arterial stiffness with an adjusted hazard ratio (HR) of 1.09 [95% confidence interval (CI), 1.02–1.17] per 1 mmol/L increase. Compared with the lowest tertile, the HR for arterial stiffness with respect to the highest tertile of non-HDL-C was 1.26 (95% CI, 1.07–1.48). The results were similar in the analysis of young participants (age <60 years).ConclusionOur study identified that non-HDL-C as a potential risk factor of arterial stiffness, especially for younger. The clinical benefits of decreasing non-HDL-C concentration should be further considered in the future.https://www.frontiersin.org/articles/10.3389/fcvm.2022.981028/fullPWVnon-HDL-Carterial stiffnessvascular healthage-specific
spellingShingle Jie Wang
Jie Wang
Rujia Miao
Zhiheng Chen
Jiangang Wang
Hong Yuan
Jing Li
Zheng Huang
Age-specific association between non-HDL-C and arterial stiffness in the Chinese population
Frontiers in Cardiovascular Medicine
PWV
non-HDL-C
arterial stiffness
vascular health
age-specific
title Age-specific association between non-HDL-C and arterial stiffness in the Chinese population
title_full Age-specific association between non-HDL-C and arterial stiffness in the Chinese population
title_fullStr Age-specific association between non-HDL-C and arterial stiffness in the Chinese population
title_full_unstemmed Age-specific association between non-HDL-C and arterial stiffness in the Chinese population
title_short Age-specific association between non-HDL-C and arterial stiffness in the Chinese population
title_sort age specific association between non hdl c and arterial stiffness in the chinese population
topic PWV
non-HDL-C
arterial stiffness
vascular health
age-specific
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.981028/full
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