Relationship between glycaemic levels and arterial stiffness in non-diabetic adults

Autor: Iván, Cavero-Redondo, Vicente, Martínez-Vizcaíno, Celia, Álvarez-Bueno, José Ignacio, Recio-Rodríguez, Manuel Ángel, Gómez-Marcos, Luis, García-Ortiz
Rok vydání: 2017
Předmět:
Zdroj: Medicina clinica. 150(2)
ISSN: 1578-8989
Popis: To examine, in a non-diabetic population, whether the association between arterial stiffness and glycaemic levels depends on the test used as a glycaemic indicator, fasting plasma glucose (FPG) or glycated haemoglobin A1c (HbA1c).A cross-sectional analysis of a 220 non-diabetic subsample from the EVIDENT II study in which FPG, HbA1c and arterial stiffness-related parameters (pulse wave velocity, radial and central augmentation index, and central pulse pressure) were determined. Mean differences in arterial stiffness-related parameters by HbA1c and FPG tertiles were tested using analysis of covariance.All means of arterial stiffness-related parameters increased by HbA1c tertiles, although mean differences were only statistically significant in pulse wave velocity (p ≤.001), even after controlling for potential confounders (HbA1c5.30% = 6.88 m/s; HbA1c 5.30%-5.59% = 7.06 m/s; and HbA1c ≥5.60% = 8.16 m/s, p =.004). Conversely, mean differences in pulse wave velocity by FPG tertiles did not reach statistically significant differences after controlling for potential confounders (FPG 4.44 mmol/l = 7.18 m/s; FPG 4.44 mmol/l-4.87 mmol/l = 7.26 m/s; and FPG ≥4.88 mmol/l = 7.93 m/s, p =.066).Glucose levels in a non-diabetic population were associated with arterial stiffness but better when levels were determined using HbA1c.
Databáze: OpenAIRE