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Papaioannou T, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Tsalamandris S, Chasikidis C, Kalambogias A, Mystakidi VX, Galiatsatos N, Santouri M, Latsios G, Deftereos S, Tousoulis D. P3450Aortic stiffness is significantly associated with left ventricular mass in females but not in males: insights from the CORINTHIA study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Arterial stiffening may contribute to the increase of left ventricular mass (LVM) and the development of left ventricular hypertrophy (LVH). Although male gender has been also found to be an independent determinant of LVH, it is unknown if the adverse effect of increased aortic stiffening on LVM differs between males and females.
Aim
To evaluate the association of aortic stiffness as assessed by carotid-to-femoral pulse wave velocity (cf-PWV) with LVM and LVH in a general population and compare these associations between males and females.
Methods
Demographic, laboratory and clinical data of 1686 subjects (693 males and 993 females) from the cross-sectional, observational study “Corinthia” were analyzed. All subjects underwent applanation tonometry and pulse wave analysis for the measurement of cf-PWV and echocardiography examination for the computation of LVM which was adjusted by body surface area providing the LVM index (LVMI). Multivariate linear regression analysis was performed for the determination of independent factors related with LVMI. Receiver operator curve analysis (ROC) was used to compare the ability of cf-PWV to predict LVH, in males and females separately.
Results
In the female population, significant and independent determinants of LVMI were: age (beta=0.243, p<0.001), urea (beta=0.119, p=0.001), hypertension (beta=0.089, p=0.028) and cf-PWV (beta=0.096, p=0.021). In contrast, in the male population, LVMI was independently related with age (beta=0.242, p<0.001), systolic blood pressure (beta=0.095, p=0.027), LDL (beta=-0.087, p=0.047) and creatinine (beta=0.092, p=0.031). ROC analysis showed that cf-PWV is a stronger predictor of LVH in females than in males (figure).
Conclusion
Increased aortic stiffness measured by cf-PWV is significantly related with increased LVMI regardless from age and other risk factors only in females. Moreover cf-PWV was a stronger predictor of left-ventricular hypertrophy in females than males. These findings should be further explored in prospective studies.
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Affiliation(s)
- T Papaioannou
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - E Oikonomou
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - G Lazaros
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - E Christoforatou
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - G Vogiatzi
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - S Tsalamandris
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - C Chasikidis
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - A Kalambogias
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - V.-X Mystakidi
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - N Galiatsatos
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - M Santouri
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - G Latsios
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - S Deftereos
- National & Kapodistrian University of Athens, Second Department of Cardiology, Athens, Greece
| | - D Tousoulis
- National & Kapodistrian University of Athens, Second Department of Cardiology, Athens, Greece
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Vavouranaki G, Oikonomou E, Vogiatzi G, Lazaros G, Tsalamandris S, Siasos G, Chasikidis C, Theofilis P, Mistakidi CV, Anastasiou M, Galiastatos N, Santouri M, Tousoulis D. P6255Impact of whole grain consumption on arterial stiffness. Results of the Corinthian cross-sectional survey. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The benefits of certain dietary patterns on cardiovascular diseases has been questioned over the last years. Whole grain consumption has been one of the controversial issues regarding the effect on cardiovascular disease. In Greek rural population consumptions of bread is part of the daily meal and a possible source of whole grain.
Purpose
To investigated the effect of whole grain bread consumption on arterial stiffness in Mediterranean population.
Methods
In a cross-sectional survey (Corinthia study) volunteers subjects completed a food frequency questioner (FFQ), including a question of consumption of bread on regular basis, whole grain (group I) or not (group II). Medical history, lifestyle habits, anthropometric and vital signs, as well as, laboratory blood test were performed. All patients underwent carotid-femoral pulse wave velocity (C-F PWV) measurements which were obtained noninvasively by SphygmoCor devise.
Results
Among the 2043 volunteers 1389 patients had adequate quality of pulse wave velocity recordings and were regular consumers of bread. Whole grain bread was consumed by 473 subjects (male 37%, female 63%,) but 916 (male 43.1%, female 56.9%) did not consume. Subjects consuming whole grain bread were younger compare to those who were not (group I: 62±11 years vs. group II: 64±12 years, p=0.02), have lower C-F PWV (group I: 9.04±2.93 m/sec vs. group II: 9.57±2.76 m/sec, p=0.01) but no other statistical difference were observe among other parameters (i.e. hypertension, diabetes mellitus, BMI, smoking etc). Hierarchical multiple regression showed that whole grain consumption predicted pulse wave velocity statistically significantly (b=−0.33, 95% CI: −0.62, −0.17, p=0.03) in addition to age (b=0.09, 95% CI 0.08–0.10, p<0.001), systolic blood pressure (b=0.02, 95% CI 0.01, 0.03, p<0.001) beta=0.157) and diabetes mellitus (b=0.75, 95% CI 0.40, 1.09, p<0.001).
Conclusion
Whole grain bread consumption has a beneficial effect on arterial stiffness as detected by better carotid femoral pulse wave velocity. This may have a positively effect on cardiovascular diseases.
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Affiliation(s)
- G Vavouranaki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Siasos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Theofilis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C V Mistakidi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiastatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Santouri
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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