I-Hsuan Wu1, Zih-Jie Sun2, Feng-Hwa Lu3, Yi-Ching Yang3, Chieh-Ying Chou1, Chih-Jen Chang3, Jin-Shang Wu4. 1. Department of Family Medicine, National Cheng Kung University, Taiwan, China. 2. Department of Family Medicine, National Cheng Kung University, Taiwan, China; Department of Family Medicine, National Cheng Kung University Hospital, Dou-Liou Branch, Taiwan, China. 3. Department of Family Medicine, National Cheng Kung University, Taiwan, China; College of Medicine, National Cheng Kung University, Taiwan, China. 4. Department of Family Medicine, National Cheng Kung University, Taiwan, China; College of Medicine, National Cheng Kung University, Taiwan, China. Electronic address: jins@mail.ncku.edu.tw.
Abstract
BACKGROUND: There is growing evidence that pulmonary function impairment is related to cardiovascular events and death. Some studies have shown that the level of FVC is negatively related to arterial stiffness, but most studies were confined to men, and none of them examined the association of the presence of restrictive spirometry pattern with arterial stiffness. Therefore, this study aimed to investigate the association of restrictive spirometry pattern with arterial stiffness by sex. METHODS: This study recruited 2,961 subjects after excluding those with (1) obstructive lung disease, as defined by history and pulmonary function test; (2) history of asthma, lung cancer, tuberculosis, coronary heart disease, stroke, or any pulmonary structural deformities; and (3) medications influencing BP, plasma glucose, lipid profile, and pulmonary function test. Restrictive spirometry pattern was diagnosed as an FVC < 80% of the predicted value and an FEV1/FVC ratio ≥ 70%. Increased arterial stiffness was defined as right brachial ankle pulse wave velocity (baPWV) ≥ 1,400 cm/s. RESULTS: In both men and women, FVC was negatively associated with the baPWV level. Restrictive spirometry pattern was positively associated with increased arterial stiffness in both men and women (men: OR, 2.16; 95% CI, 1.33-3.50; women: OR, 1.95; 95% CI, 1.02-3.72) after adjustment for other clinical variables. CONCLUSIONS: Both restrictive spirometry pattern and reduced FVC were associated with a higher risk of arterial stiffness, not only in men but also in women. Clinically, assessment of arterial stiffness might be considered in individuals with restrictive spirometry pattern.
BACKGROUND: There is growing evidence that pulmonary function impairment is related to cardiovascular events and death. Some studies have shown that the level of FVC is negatively related to arterial stiffness, but most studies were confined to men, and none of them examined the association of the presence of restrictive spirometry pattern with arterial stiffness. Therefore, this study aimed to investigate the association of restrictive spirometry pattern with arterial stiffness by sex. METHODS: This study recruited 2,961 subjects after excluding those with (1) obstructive lung disease, as defined by history and pulmonary function test; (2) history of asthma, lung cancer, tuberculosis, coronary heart disease, stroke, or any pulmonary structural deformities; and (3) medications influencing BP, plasma glucose, lipid profile, and pulmonary function test. Restrictive spirometry pattern was diagnosed as an FVC < 80% of the predicted value and an FEV1/FVC ratio ≥ 70%. Increased arterial stiffness was defined as right brachial ankle pulse wave velocity (baPWV) ≥ 1,400 cm/s. RESULTS: In both men and women, FVC was negatively associated with the baPWV level. Restrictive spirometry pattern was positively associated with increased arterial stiffness in both men and women (men: OR, 2.16; 95% CI, 1.33-3.50; women: OR, 1.95; 95% CI, 1.02-3.72) after adjustment for other clinical variables. CONCLUSIONS: Both restrictive spirometry pattern and reduced FVC were associated with a higher risk of arterial stiffness, not only in men but also in women. Clinically, assessment of arterial stiffness might be considered in individuals with restrictive spirometry pattern.
Authors: Kennedy M Peter; James R Pike; John S Preisser; Anna M Kucharska-Newton; Michelle L Meyer; Maria C Mirabelli; Priya Palta; Timothy Hughes; Kunihiro Matsushita; Yifei Lu; Gerardo Heiss Journal: Angiology Date: 2022-05-27 Impact factor: 3.299
Authors: Masaki Okamoto; Martin J Shipley; Ian B Wilkinson; Carmel M McEniery; Carlos A Valencia-Hernández; Archana Singh-Manoux; Mika Kivimaki; Eric J Brunner Journal: Hypertension Date: 2019-08-05 Impact factor: 10.190