Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
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Original Article

Volume 16, Number 9, September 2024, pages 423-435


Age-Specific Approach to Arterial Stiffness Prediction in Apparently Healthy Patients

Figures

Figure 1.
Figure 1. Age distribution of patients with elevated CAVI. CAVI: cardio-ankle vascular index.
Figure 2.
Figure 2. Correlation matrix between vascular stiffness markers, risk factors, clinical and biochemical measurements in patients < 50 years of age. HTN: hypertension; IGT: impaired glucose tolerance; BMI: body mass index; WC: waist circumference; HC: hip circumference; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol; LDL: low-density lipoprotein; HDL: high-density lipoprotein; TG: triglycerides; GFR: glomerular filtration rate; LAP: lipid accumulation product; VAI: visceral adiposity index; BFP: body fat percentage.
Figure 3.
Figure 3. Correlation matrix between vascular stiffness markers, risk factors, clinical and biochemical measurements in patients ≥ 50 years. HTN: hypertension; IGT: impaired glucose tolerance; BMI: body mass index; WC: waist circumference; HC: hip circumference; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol; LDL: low-density lipoprotein; HDL: high-density lipoprotein; TG: triglycerides; GFR: glomerular filtration rate; LAP: lipid accumulation product; VAI: visceral adiposity index; BFP: body fat percentage.
Figure 4.
Figure 4. Significance of CAVIAge model components for detecting high arterial stiffness (Random Forest estimation) in the < 50 years group. DBP: diastolic blood pressure; LDL: low-density lipoprotein; GFR (EPI): glomerular filtration rate (calculated by Chronic Kidney Disease Epidemiology Collaboration equation); LAP: lipid accumulation product index; VAI: visceral adiposity index.
Figure 5.
Figure 5. Significance of the CAVI≥ 9 model components for detecting high arterial stiffness (Random Forest estimation) in the < 50 years group. DBP: diastolic blood pressure; LDL: low-density lipoprotein; GFR (EPI): glomerular filtration rate (calculated by Chronic Kidney Disease Epidemiology Collaboration equation); LAP: lipid accumulation product index; VAI: visceral adiposity index.
Figure 6.
Figure 6. Significance of CAVIAge model components for detecting high arterial stiffness (Random Forest estimation) in the ≥ 50 years group. SBP: systolic blood pressure; TC: total cholesterol; IGT: impaired glucose tolerance.
Figure 7.
Figure 7. Significance of CAVI≥ 9 model components for detecting high arterial stiffness (Random Forest estimation) in the ≥ 50 years group. SBP: systolic blood pressure; TC: total cholesterol; IGT: impaired glucose tolerance.
Figure 8.
Figure 8. ROC curves for the logistic regression model determining arterial stiffness using CAVIAge in the < 50 years group. ROC: receiver operating characteristic.
Figure 9.
Figure 9. ROC curves for the logistic regression model determining arterial stiffness using CAVI≥ 9 in the < 50 years group. ROC: receiver operating characteristic.
Figure 10.
Figure 10. ROC curves for the logistic regression model determining arterial stiffness using CAVIAge in the ≥ 50 years group. ROC: receiver operating characteristic.
Figure 11.
Figure 11. ROC curves for the logistic regression model determining arterial stiffness using CAVI≥ 9 in the ≥ 50 years group. ROC: receiver operating characteristic.
Figure 12.
Figure 12. Algorithm for choosing CAVI reference values in apparently healthy adults. CAVIAge: age-specific cardio-ankle vascular index reference values; CAVI: cardio-ankle vascular index.

Table

Table 1. Clinical and Demographic Characteristics of Participants
 
ParameterAll (n = 600)Age < 50 (n = 378)Age ≥ 50 (n = 222)P value for age, < 50 vs. ≥ 50
BMI: body mass index; WC: waist circumference; HC: hip circumference; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol; LDL: low-density lipoprotein; HDL: high-density lipoprotein; TG: triglycerides; GFR: glomerular filtration rate; LAP: lipid accumulation product; VAI: visceral adiposity index; BFP: body fat percentage; CAVIAge: patients with high arterial stiffness formed according to age-specific cardio-ankle vascular index reference values; CAVI≥ 9: patients with high arterial stiffness formed according to universal cardio-ankle vascular index reference values.
Age, years39.8 ± 18.328.78 ± 10.460.9 ± 7.5< 0.001
Men, %43.1742.2840.090.88
Weight, kg77.09 ± 19.1472.9 ± 19.285.4 ± 16.40.02
BMI, kg/m229.29 ± 7.328.87 ± 8.729.98 ± 5.20.85
WC, cm80.79 ± 15.5178.55 ± 14.0191.9 ± 17.20.022
Hypertension, %32.6711.9466.670.001
SBP, mm Hg128.4 ± 15.33125.8 ± 12.87132.9 ± 17.6< 0.001
DBP, mm Hg79.19 ± 9.3278.08 ± 8.5881.5 ± 10.20.032
TC, mmol/L4.8 ± 1.204.49 ± 0.895.47 ± 1.45< 0.001
LDL, mmol/L2.85 ± 1.262.46 ± 1.013.64 ± 1.28<0.001
HDL, mmol/L1.37 ± 0.41.4 ± 0.451.29 ± 0.420.08
TG, mmol/L1.82 ± 1.181.8 ± 1.151.9 ± 1.160.28
Glucose, mmol/L5.30 ± 1.894.85 ± 1.16.2 ± 2.78< 0.001
Creatinine, µmol/L84.13 ± 18.0679.86 ± 14.9592.03 ± 20.45< 0.001
GFR, mL/min/1.73 m297.5 ± 22.8797.6 ± 18.5668.1 ± 16.5< 0.001
LAP41.28 ± 34.234.87 ± 34.154.1 ± 31.2< 0.001
VAI1.99 ± 1.131.8 ± 1.052.3 ± 1.160.002
BFP34.38 ± 8.631.3 ± 10.440.3 ± 8.3< 0.001
High CAVIAge, %29.719.0447.7< 0.001
High CAVI≥ 9, %16.33.9737.4< 0.001