Influences of age and gender on results of noninvasive brachial-ankle pulse wave velocity measurement--a survey of 12517 subjects.

The present study was conducted to evaluate the influences of age and gender on the results of noninvasive brachial-ankle pulse wave velocity (baPWV). In 12517 subjects who had no medication and no history of cardiovascular diseases, multiple regression analysis demonstrated that age, blood pressure, body mass index, triglycerides, blood glucose, and uric acid were significant variables for baPWV in both genders. From this population, we extracted 7881 "healthy subjects" (4488 males and 3393 females, 25-87 years) without any of the atherogenic risk factors, and the results of baPWV were analyzed chronologically in 5-year age intervals. baPWV was lower in females than in males until age 60, and became similar in both genders over age 60. Multiple regression analysis demonstrated that not only the value of R(2) but also the coefficient of the effect of age on baPWV are larger in females than in males. In the estimation of the regression curve, the relationship between age and baPWV demonstrated a quadratic curve in both genders. Thus, aging influences baPWV, and its effect is more prominent in female. Menopause seems to be the crucial phenomenon to explain the augmented increase in arterial stiffness with aging in females.

[1]  J. Cohn Arterial compliance to stratify cardiovascular risk: more precision in therapeutic decision making. , 2001, American journal of hypertension.

[2]  S. Eto,et al.  Androgen receptors, 5 alpha-reductase activity and androgen-dependent proliferation of vascular smooth muscle cells , 1994, The Journal of Steroid Biochemistry and Molecular Biology.

[3]  J. Muramatsu,et al.  Hemodynamic changes associated with reduction in total cholesterol by treatment with the HMG-CoA reductase inhibitor pravastatin. , 1997, Atherosclerosis.

[4]  C. Hayward,et al.  The roles of gender, the menopause and hormone replacement on cardiovascular function. , 2000, Cardiovascular research.

[5]  R. Burattini,et al.  Comparative analysis of aortic impedance and wave reflection in ferrets and dogs. , 2002, American journal of physiology. Heart and circulatory physiology.

[6]  D. A. Mcdonald,et al.  Regional pulse-wave velocity in the arterial tree. , 1968, Journal of applied physiology.

[7]  M. E. Safar,et al.  Aortic Pulse Wave Velocity Predicts Cardiovascular Mortality in Subjects >70 Years of Age , 2001, Arteriosclerosis, thrombosis, and vascular biology.

[8]  S. Morikawa,et al.  Increased arterial wall stiffness limits flow volume in the lower extremities in type 2 diabetic patients. , 2001, Diabetes care.

[9]  R. Gosling,et al.  In vivo arterial compliance in man. , 1982, Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft fur Medizinische Physik and the European Federation of Organisations for Medical Physics.

[10]  A. Simon,et al.  Cigarette Smoking and Hypertension: Factors Independently Associated With Blood Hypeerviscosity And Arterial Rigidity , 1987, Arteriosclerosis.

[11]  W J Rogers,et al.  Age-associated changes in regional aortic pulse wave velocity. , 2001, Journal of the American College of Cardiology.

[12]  J. Blacher,et al.  Impact of Aortic Stiffness Attenuation on Survival of Patients in End-Stage Renal Failure , 2001, Circulation.

[13]  T. Waddell,et al.  Hormonal therapy increases arterial compliance in postmenopausal women. , 1997, Journal of the American College of Cardiology.

[14]  P. Ducimetiere,et al.  Aortic Stiffness Is an Independent Predictor of All-Cause and Cardiovascular Mortality in Hypertensive Patients , 2001, Hypertension.

[15]  B. Pannier,et al.  Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. , 1995, Hypertension.

[16]  S. Finkelstein,et al.  Effects of aging per se on arterial stiffness: systemic and regional compliance in beagles. , 1996, American heart journal.

[17]  M E Safar,et al.  Comparative effects of aging in men and women on the properties of the arterial tree. , 2001, Journal of the American College of Cardiology.

[18]  G. London,et al.  Influence of sex on arterial hemodynamics and blood pressure. Role of body height. , 1995, Hypertension.

[19]  R. Tracy Medial thickenings of coronary artery and the aging risk factor for atherosclerosis. , 2001, Atherosclerosis.

[20]  L Robert,et al.  Aging of the vascular wall and atherogenesis: role of the elastin-laminin receptor. , 1996, Atherosclerosis.

[21]  A. Hofman,et al.  Association Between Arterial Stiffness and Atherosclerosis: The Rotterdam Study , 2001, Stroke.

[22]  M. Safar,et al.  Pulse wave velocity in patients with obesity and hypertension. , 1986, American heart journal.

[23]  A. Avolio,et al.  Genetic and environmental factors in the function and structure of the arterial wall. , 1995, Hypertension.

[24]  D. Levy,et al.  Is pulse pressure useful in predicting risk for coronary heart Disease? The Framingham heart study. , 1999, Circulation.

[25]  M. Ikäheimo,et al.  Diminished arterial elasticity in diabetes: association with fluorescent advanced glycosylation end products in collagen. , 1993, Cardiovascular research.

[26]  Hirofumi Tanaka,et al.  Carotid Artery Wall Hypertrophy With Age Is Related to Local Systolic Blood Pressure in Healthy Men , 2001, Arteriosclerosis, thrombosis, and vascular biology.

[27]  J. Blacher,et al.  Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients. , 1999, Hypertension.

[28]  A. Yamashina,et al.  Validity, reproducibility, and clinical significance of noninvasive brachial-ankle pulse wave velocity measurement. , 2002, Hypertension research : official journal of the Japanese Society of Hypertension.

[29]  E. Milgrom,et al.  Immunocytochemical demonstration of estrogen and progesterone receptors in muscle cells of uterine arteries in rabbits and humans. , 1988, Endocrinology.

[30]  Eldon D Lehmann,et al.  Clinical value of aortic pulse-wave velocity measurement , 1999, The Lancet.

[31]  A. Dart,et al.  Pulse pressure--a review of mechanisms and clinical relevance. , 2001, Journal of the American College of Cardiology.