Arterial Stiffness in a Rural Population of Argentina: Pilot Study

High Blood Press Cardiovasc Prev. 2015 Dec;22(4):403-9. doi: 10.1007/s40292-015-0110-7. Epub 2015 Jun 12.

Abstract

Introduction: Aortic stiffness evaluated through pulse wave velocity (PWV) measurement is nowadays accepted as a reliable parameter to estimate cardiovascular risk. However the data about arterial stiffness in South America come from urban populations.

Aims: To determine the relationship between PWV changes and ageing and to identify the rate of change in each decade of life.

Methods: PWV was measured in the carotid-femoral pathway in 400 inhabitants of Vela town and clinical parameters were recorded.

Results: The prevalence of hypertension, dyslipidemia and diabetes was 33.5, 17.5, 5% respectively. PWV was positively correlated with age (r: 0.817, p = 0.01) and was greater after the fifth decade of life (9.72 ± 2.2 vs. 5.87 ± 1.55 m/s; p: 0.001) than in youngers than 50 years, respectively. The risk (odds ratio) of having PWV >10 m/s was higher in hypertensives (OR: 50, p = 0.001), older than 50 years (OR: 44, p = 0.001), diabetics (OR 9.5, p = 0.001) and dyslipidemic patients (OR: 5, p = 0.001).

Conclusions: This is the first study in a rural population of Argentina which determines the relationship of PWV with age and cardiovascular risk. PWV shows a slower growth in subjects less than 50 years compared to older adults with a strong relationship to the process of arterial aging, the development of hypertension and cardiovascular risk.

Keywords: Arterial stiffness; Epidemiology; Pulse wave velocity; Rural population.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Argentina / epidemiology
  • Child
  • Child, Preschool
  • Comorbidity
  • Cross-Sectional Studies
  • Diabetes Mellitus / epidemiology
  • Dyslipidemias / epidemiology
  • Female
  • Humans
  • Hypertension / diagnosis
  • Hypertension / epidemiology
  • Hypertension / physiopathology*
  • Logistic Models
  • Male
  • Manometry
  • Middle Aged
  • Multivariate Analysis
  • Odds Ratio
  • Pilot Projects
  • Predictive Value of Tests
  • Prevalence
  • Pulse Wave Analysis
  • Risk Factors
  • Rural Health*
  • Ultrasonography, Doppler
  • Vascular Stiffness*
  • Young Adult