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Sex-specific associations of cardiovascular risk factors with carotid stiffness : results from the SAPALDIA Cohort Study
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 2663208
Author(s) Caviezel, Seraina; Dratva, Julia; Schaffner, Emmanuel; Schindler, Christian; Zemp Stutz, Elisabeth; de Groot, Eric; Burdet, Luc; Rothe, Thomas; Pons, Marco; Gaspoz, Jean-Michel; Rochat, Thierry; Künzli, Nino; Probst-Hensch, Nicole; Schmidt-Trucksäss, Arno
Author(s) at UniBasel Dratva, Julia
Schaffner, Emmanuel
Schindler, Christian
Zemp Stutz, Elisabeth
Künzli, Nino
Probst Hensch, Nicole
Year 2014
Title Sex-specific associations of cardiovascular risk factors with carotid stiffness : results from the SAPALDIA Cohort Study
Journal Atherosclerosis
Volume 235
Number 2
Pages / Article-Number 576-84
Keywords Arterial stiffness, Haemodynamic properties, Cardiovascular risk factors, Common carotid artery, Ultrasound

Manifestation of cardiovascular disease (CVD) occurs with clear sex differences. Carotid stiffness (CS) parameters are increasingly used for CVD risk assessment but the sex-specific association with CVD risk factors as well as association patterns between CS parameters are largely unknown, which we investigated in SAPALDIA population-based cohort participants.; Risk factors of 2545 participants without clinically manifest disease were evaluated in 2001-2003 and different CS parameters were assessed in carotid ultrasound scans in 2010-2011. Stratified and non-stratified mixed linear models and multivariate regression analyses were used to examine sex-specific associations, differences and association patterns of single risk factors and CS parameters.; HDL cholesterol was the only significant protective determinant of reduced CS for both sexes (ranges of CS parameters: -3.7; -0.8% of changes in geometric mean per 1SD of the risk factor on an inverted scale) and significant adverse risk factors were BMI (-0.5; 4.7%), systolic (-1.23; 4.7%) and diastolic blood pressure (1.4; 4.4%), heart rate (2.7; 7.9%), C-reactive protein (0.6; 3.3%) and smoking (-2.82; 1%), all p-values of multivariate analyses were <0.01. Sex differences with stiffer CS parameters in men were observed for increased heart rate (p = 0.001) and LDL cholesterol (p < 0.001) and in women for triglyceride (p < 0.003). Similar association patterns were found for most CS parameters.; Sex-specific associations of cardiovascular risk factors may reflect a sex-specific burden of atherosclerotic risk factors and similar association patterns across different CS parameters within men and women may allow the use of CS parameters in an exchangeable manner.

Publisher Elsevier
ISSN/ISBN 0021-9150
Full Text on edoc No
Digital Object Identifier DOI 10.1016/j.atherosclerosis.2014.05.963
PubMed ID
ISI-Number WOS:000342411000948
Document type (ISI) Journal Article, Multicenter Study

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