VALUES OF CARDIAL-ANKLE VASCULAR INDEX IN HEALTHY PEOPLE OF DIFFERENT AGE BY THE DATA OF ESSE-RF STUDY IN KEMEROVSKAYA REGION
https://doi.org/10.15829/1728-8800-2015-5-67-72
Abstract
Aim. To study the values of cardial-ankle vascular index (CAVI) in healthy persons of various age by the data of multicenter epidemiological study "Epidemiology of cardiovascular diseases and risk factors in Russian Federation" (ESSE-RF) in Kemerovskaya Region (KR). Material and methods. The study was conducted on random population selection of adult males and females, age 25-64 y.o. Study was performed in March-October 2013. Final selection consisted of 1610 persons. In 1595 we did the measurement of peripheral arteries rigidity with CAVI by the device VaSeraVS-1000 (Fukuda Denshi, Japan). For the measurement of normal CAVI we collected a group of healthy volunteers — 190 (11,7%) persons.
Results. Among the whole cohort, CAVI was in reference range: 7,1 (6,4; 8,0). In healthy persons CAVI was lower — 6,7 (6,1; 7,4), than in general population. In analysis of CAVI within different age groups among healthy persons, CAVI was much higher in men than in women. Though different age groups CAVI increased from 6,2 at the age 21-30 y.o. to 7,8 by 61-70 y.o., grade of increase was 25,8%. In older age group, there was more rapid increase of stiffness index. The highest correlation of CAVI among participants was with the age (r=0,402; р<0,001), and with the values of systolic and diastolic arterial pressure (BP) — r=0,348; r=0,368; resp., (р<0,001), smoking duration — r=0,494 (р<0,001) and blood creatinine level — r=0,198 (p=0,006).
Conclusion. The values of CAVI in healthy persons by the data from population study ESSE-RF in KR were 6,2 to 7,8 in various age groups. There was linear increase of CAVI every 10 years by 28%. Except the age, CAVI correlated with BP, smoking duration, cholesterol and creatinine levels. The results of this study can be included into CAVI evaluations in screenings, and for formulation of normal values for Russian population.
About the Authors
A. N. SuminRussian Federation
A. V. Shcheglova
Russian Federation
N. V. Fedorova
Russian Federation
G. V. Artamonova
Russian Federation
References
1. Ishisone T, Koeda Y, Tanaka F, et al. Comparison of utility of arterial stiffness parameters for predicting cardiovascular events in the general population. Int Heart J 2013; 54(3): 160-5.
2. Recommendations for the management of arterial hypertension ESH/ESC 2013. Russ J Cardiol 2014; 1(105): 7-94. Russian (Рекомендации по лечению артериальной гипертонии ESH/ESC 2013. Российский кардиологический журнал 2014; 1(105): 7-94).
3. Rogoza AN, Zairova AR, Zhernakova JV, et al. Vascular wall in the adult population on the example of the inhabitants of Tomsk according to the research ESSAYRF.
4. Systemic hypertension. 2014; 4: 42-8. Russian (Рогоза А. Н., Заирова А. Р., Жернакова Ю. В. и др. Состояние сосудистой стенки в популяции взрослого населения на примере жителей Томска по данным исследования ЭССЕ-РФ. Системные гипертензии 2014; 4: 42-8).
5. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2010; 56(25): 50-103.
6. Drapkina OM, Mandzhieva BA. Vascular age. Mechanisms of aging of the vascular wall. Methods of assessment of vascular age. Cardiovascular Therapy and Prevention 2014; 5(13): 72-9. Russian (Драпкина О. М., Манджиева Б. А. Сосудистый возраст. Механизмы старения сосудистой стенки. Методы оценки сосудистого возраста. Кардиоваскулярная терапия и профилактика 2014; 5(13): 72-9).
7. Otsuka K, Fukuda S, Shimada K, et al. Serial assessment of arterial stiffness by cardio-ankle vascular index for prediction of future cardiovascular events in patients with coronary artery disease. Hypertens Res 2014; 37(11): 1014-20.
8. Schillaci G, Battista F, Settimi L, et al. Cardio-ankle vascular index and subclinical heart disease. Hypertens Res 2015; 38(1): 68-73.
9. Wang H, Shirai K, Liu J, et al. Comparative study of cardio-ankle vascular index between Chinese and Japanese healthy subjects. Clin Exp Hypertens 2014; 36(8): 596-601.
10. Sorokin A, Kotani K, Bushueva O, et al. The Cardio-Ankle Vascular Index and AnkleBrachial Index in Young Russians. J Atheroscler Thromb 2014 Sep 17. [Epub ahead of print]
11. Hirasada K, Niimura H, Kubozono T, et al. Values of cardio-ankle vascular index (CAVI) between Amami islands and Kagoshima mainland among health checkup xaminees. J Atheroscler Thromb 2012; 19(1): 69-80.
12. Boytsov SA, Chazov EI, Shlyakhto EV, et al. Epidemiology of cardiovascular diseases in different regions of Russia (ESSE-RF). The rationale for and design of the study. Profilakticheskaja medicina 2013; 6: 25-34. Russian (Бойцов С. А., Чазов Е. И., Шляхто Е. В. и др. Научно-организационный комитет проекта ЭССЕ-РФ. Эпидемиология сердечно-сосудистых заболеваний в различных регионах России (ЭССЕ-РФ). Обоснование и дизайн исследования. Профилактическая медицина 2013; 6: 25-34).
13. Maksimov SA, Induceve EV, Artamonova GV, et al. Prevalence of the main cardiovascular risk factors in the Kemerovo region: results of a multicenter epidemiological study “ESSAY-RF”. Medicine in Kuzbass 2014; 3: 36-42. Russian (Максимов С. А., Индукаева Е. В., Артамонова Г. В. и др. Распространенность основных факторов сердечно-сосудистого риска в Кемеровской области: результаты многоцентрового эпидемиологического исследования “ЭССЕ-РФ”. Медицина в Кузбассе 2014; 3: 36-42).
14. Miljagin VA, Kulagina IV, Purygin MA, et al. Method volume sphygmography apparatus VaSera VS-1500N. Guidelines, Smolensk, 2014; 30 р. Russian (Милягин В. А., Милягина И. В., Пурыгина М. А., и др. Метод объемной сфигмографии на аппарате VaSera VS-1500N. Методические рекомендации, Смоленск, 2014; 30с).
15. Shirai K, Hiruta N, Song M, et al. Cardio-ankle vascular index (CAVI) as a novel indicator of arterial stiffness: theory, evidence and perspectives. J Atheroscler Thromb 2011; 18(11): 924-38.
16. Wen W, Luo R, Tang X, et al. Age-related progression of arterial stiffness and its elevated positive association with blood pressure in healthy people. Atherosclerosis 2015; 238(1): 147-52.
Review
For citations:
Sumin A.N., Shcheglova A.V., Fedorova N.V., Artamonova G.V. VALUES OF CARDIAL-ANKLE VASCULAR INDEX IN HEALTHY PEOPLE OF DIFFERENT AGE BY THE DATA OF ESSE-RF STUDY IN KEMEROVSKAYA REGION. Cardiovascular Therapy and Prevention. 2015;14(5):67-72. (In Russ.) https://doi.org/10.15829/1728-8800-2015-5-67-72