Association of risk factors for atherosclerosis, including high-sensitivity C-reactive protein, with carotid intima-media thickness, plaque score, and pulse wave velocity in a male population.
Intima-media thickness (IMT), plaque score (PS), and brachial-ankle pulse wave velocity (baPWV) are noninvasive parameters used for the evaluation of atherosclerosis. There have been no reports investigating the associations between IMT, PS, or baPWV and known risk factors for atherosclerosis in the same participants. This study aimed to compare the contributing risk factors among IMT, PS, and baPWV. We enrolled 3128 male participants who underwent health checkups. Carotid ultrasonography was used to measure IMT and PS, and baPWV was measured using an automatic device. We analyzed the association between these parameters and risk factors for atherosclerosis including obesity, smoking, alcohol, high blood pressure (BP), impaired fasting glucose (IFG), dyslipidemia (DL), and high-sensitivity C-reactive protein (hs-CRP). Multivariate logistic regression analysis revealed high IMT (>0.9 mm) to be independently associated with high BP. The presence of atherosclerosis (PS ≥ 1.1 mm) was independently associated with high BP, IFG, and DL. In addition, advanced atherosclerosis (PS ≥ 5.1 mm) showed a significant association with high BP, IFG, DL, log hs-CRP, and smoking. High baPWV (≥1600 cm/s) was significantly correlated with high BP, IFG, and log hs-CRP. IMT, PS, and baPWV were all associated with different risk factors among male Japanese participants. Only high BP was a common risk factor for all three parameters. Furthermore, hs-CRP was associated with advanced atherosclerosis but not with the presence of atherosclerosis.
['Ojima|Satoko|S|', 'Kubozono|Takuro|T|', 'Kawasoe|Shin|S|', 'Kawabata|Takeko|T|', 'Miyata|Masaaki|M|', 'Miyahara|Hironori|H|', 'Maenohara|Shigeho|S|', 'Ohishi|Mitsuru|M|']
D000368:Aged D050197:Atherosclerosis D001794:Blood Pressure D002097:C-Reactive Protein D002339:Carotid Arteries D059168:Carotid Intima-Media Thickness D006801:Humans D008297:Male D008875:Middle Aged D058226:Plaque, Atherosclerotic D063177:Pulse Wave Analysis D012307:Risk Factors D014463:Ultrasonography D059289:Vascular Stiffness
High-sensitivity C-reactive protein Intima-media thickness Plaque score Brachial-ankle pulse wave velocity High blood pressure