Overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults

Shihui Fu,1 Leiming Luo,1 Ping Ye,1 Yuan Liu,1 Bing Zhu,1 Jin Zheng,1 Yongyi Bai,1 Jie Bai21Department of Geriatric Cardiology, 2Department of Clinical Biochemistry, Chinese People’s Liberation Army General Hospital, Beijing, People’s Republic of ChinaObjective: Limited large sam...

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Autores principales: Fu S, Luo L, Ye P, Liu Y, Zhu B, Zheng J, Bai Y, Bai J
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Lenguaje:EN
Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:8cfeae781928460fb8fcced721b12eee2021-12-02T02:47:44ZOverall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults1178-1998https://doaj.org/article/8cfeae781928460fb8fcced721b12eee2013-11-01T00:00:00Zhttps://www.dovepress.com/overall-and-abdominal-obesity-indicators-had-different-association-wit-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Shihui Fu,1 Leiming Luo,1 Ping Ye,1 Yuan Liu,1 Bing Zhu,1 Jin Zheng,1 Yongyi Bai,1 Jie Bai21Department of Geriatric Cardiology, 2Department of Clinical Biochemistry, Chinese People’s Liberation Army General Hospital, Beijing, People’s Republic of ChinaObjective: Limited large sample studies have specially compared overall and abdominal obesity in relation to central arterial stiffness and hemodynamics in community-dwelling adults, especially in the People's Republic of China. This study aimed to compare the relationship between an overall obesity indicator (body mass index [BMI]), an abdominal obesity index (waist circumference [WC]), and central arterial stiffness and hemodynamics, independent of age, sex, blood pressure, glucose, and lipids, in Chinese community-dwelling adults.Methods: For 2,624 adults in this study, anthropometric indices, such as BMI and WC, were measured. Central arterial stiffness was assessed by carotid-femoral pulse wave velocity (cfPWV). Central hemodynamics was represented by central pulse pressure (cPP).Results: Both overall and abdominally obese adults were older, with significantly higher cfPWV, cPP, peripheral pulse pressure (pPP), fasting blood glucose (FBG), and low-density lipoprotein-cholesterol (LDL-C), and significantly lower high-density lipoprotein-cholesterol (HDL-C). After adjusting for age and sex, both the overall and abdominally obese individuals had independently higher pPP, FBG, and LDL-C levels, and lower HDL-C level. The overall obese individuals had independently higher cPP, but not cfPWV, after adjusting for age and sex, while the abdominally obese individuals had independently higher cfPWV, but not cPP. After adjusting for age, sex, pPP, FBG, LDL-C, and HDL-C, WC, but not BMI, was independently correlated with cfPWV, and BMI, but not WC, was independently associated with cPP. Age, sex, pPP, FBG, and HDL-C levels have independent association with cfPWV. Age, sex, pPP, but not FBG and HDL-C levels, have independent association with cPP.Conclusion: The abdominal obesity index (WC), rather than the overall obesity indicator (BMI), was related to central arterial stiffness, independent of age, sex, blood pressure, glucose and lipids, while the overall obesity indicator (BMI), rather than the abdominal obesity indicator (WC), was independently correlated with central hemodynamics. Age, sex, and blood pressure were independently associated with central arterial stiffness and hemodynamics, but blood glucose and lipids were independently associated with central arterial stiffness, rather than hemodynamics.Keywords: carotid-femoral pulse wave velocity, central pulse pressure, body mass index, waist circumferenceFu SLuo LYe PLiu YZhu BZheng JBai YBai JDove Medical PressarticleCarotid-femoral pulse wave velocitycentral pulse pressurebody mass indexwaist circumferenceGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1579-1584 (2013)
institution DOAJ
collection DOAJ
language EN
topic Carotid-femoral pulse wave velocity
central pulse pressure
body mass index
waist circumference
Geriatrics
RC952-954.6
spellingShingle Carotid-femoral pulse wave velocity
central pulse pressure
body mass index
waist circumference
Geriatrics
RC952-954.6
Fu S
Luo L
Ye P
Liu Y
Zhu B
Zheng J
Bai Y
Bai J
Overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults
description Shihui Fu,1 Leiming Luo,1 Ping Ye,1 Yuan Liu,1 Bing Zhu,1 Jin Zheng,1 Yongyi Bai,1 Jie Bai21Department of Geriatric Cardiology, 2Department of Clinical Biochemistry, Chinese People’s Liberation Army General Hospital, Beijing, People’s Republic of ChinaObjective: Limited large sample studies have specially compared overall and abdominal obesity in relation to central arterial stiffness and hemodynamics in community-dwelling adults, especially in the People's Republic of China. This study aimed to compare the relationship between an overall obesity indicator (body mass index [BMI]), an abdominal obesity index (waist circumference [WC]), and central arterial stiffness and hemodynamics, independent of age, sex, blood pressure, glucose, and lipids, in Chinese community-dwelling adults.Methods: For 2,624 adults in this study, anthropometric indices, such as BMI and WC, were measured. Central arterial stiffness was assessed by carotid-femoral pulse wave velocity (cfPWV). Central hemodynamics was represented by central pulse pressure (cPP).Results: Both overall and abdominally obese adults were older, with significantly higher cfPWV, cPP, peripheral pulse pressure (pPP), fasting blood glucose (FBG), and low-density lipoprotein-cholesterol (LDL-C), and significantly lower high-density lipoprotein-cholesterol (HDL-C). After adjusting for age and sex, both the overall and abdominally obese individuals had independently higher pPP, FBG, and LDL-C levels, and lower HDL-C level. The overall obese individuals had independently higher cPP, but not cfPWV, after adjusting for age and sex, while the abdominally obese individuals had independently higher cfPWV, but not cPP. After adjusting for age, sex, pPP, FBG, LDL-C, and HDL-C, WC, but not BMI, was independently correlated with cfPWV, and BMI, but not WC, was independently associated with cPP. Age, sex, pPP, FBG, and HDL-C levels have independent association with cfPWV. Age, sex, pPP, but not FBG and HDL-C levels, have independent association with cPP.Conclusion: The abdominal obesity index (WC), rather than the overall obesity indicator (BMI), was related to central arterial stiffness, independent of age, sex, blood pressure, glucose and lipids, while the overall obesity indicator (BMI), rather than the abdominal obesity indicator (WC), was independently correlated with central hemodynamics. Age, sex, and blood pressure were independently associated with central arterial stiffness and hemodynamics, but blood glucose and lipids were independently associated with central arterial stiffness, rather than hemodynamics.Keywords: carotid-femoral pulse wave velocity, central pulse pressure, body mass index, waist circumference
format article
author Fu S
Luo L
Ye P
Liu Y
Zhu B
Zheng J
Bai Y
Bai J
author_facet Fu S
Luo L
Ye P
Liu Y
Zhu B
Zheng J
Bai Y
Bai J
author_sort Fu S
title Overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults
title_short Overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults
title_full Overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults
title_fullStr Overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults
title_full_unstemmed Overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in Chinese community-dwelling adults
title_sort overall and abdominal obesity indicators had different association with central arterial stiffness and hemodynamics independent of age, sex, blood pressure, glucose, and lipids in chinese community-dwelling adults
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/8cfeae781928460fb8fcced721b12eee
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