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Wang T, Fan F, Gong Y, Gao L, Liu Z, Jia J, Liu M, Jiang Y, Zhang Y, Li J. Comparison of brachial-ankle pulse wave velocity and carotid-femoral pulse wave velocity in association with albuminuria in a community of Beijing: a cross-sectional study. J Hum Hypertens 2022; 37:412-418. [PMID: 35474137 DOI: 10.1038/s41371-022-00697-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Revised: 03/15/2022] [Accepted: 04/12/2022] [Indexed: 11/09/2022]
Abstract
This study was performed to investigate and compare the association of albuminuria with the brachial-ankle pulse wave velocity (baPWV) and carotid-femoral pulse wave velocity (cfPWV) in a community-based population in Beijing. Subjects were enrolled from a follow-up survey conducted in 2018 from an atherosclerosis cohort in Shijingshan district, Beijing, China. The baPWV and cfPWV were measured using a BP-203 RPE III arteriosclerosis detection device and PulsePen, respectively. Albuminuria was defined as a urinary albumin-creatinine ratio of ≥30 mg/g. A multivariate logistic regression model was used to evaluate the impacts of different PWV measurements on the prevalence of albuminuria. In total, 5605 subjects were included in the analyses. Their mean age was 62.22 ± 7.55 years, and the prevalence of albuminuria was 8.22%. In the multivariate logistic regression model adjusted for potential covariates, both baPWV (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.03-1.10; P < 0.001) and cfPWV (OR, 1.07; 95% CI, 1.01-1.14; P = 0.018) were significantly associated with albuminuria. Furthermore, when baPWV and cfPWV were entered into the logistic regression model simultaneously, only baPWV was significantly associated with albuminuria using either continuous value (OR, 1.05; 95% CI, 1.01-1.10; P = 0.007) or classified into quartiles (highest vs. lowest value group: OR, 1.55; 95% CI, 1.01-2.37; P for trend = 0.019). Both cfPWV and baPWV were positively associated with albuminuria, while baPWV had a stronger relationship than cfPWV. Thus, baPWV measurement could be considered for the purpose of community health screening.
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Affiliation(s)
- Ting Wang
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Fangfang Fan
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Yanjun Gong
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Lan Gao
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Zhihao Liu
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Jia Jia
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Mengyuan Liu
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Yimeng Jiang
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China.,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China
| | - Yan Zhang
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China. .,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China.
| | - Jianping Li
- Department of Cardiology, Peking University First Hospital, Beijing, People's Republic of China. .,Institute of Cardiovascular Disease, Peking University First Hospital, Beijing, People's Republic of China.
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