February 19, 2019Hypertension221 citations
Aging, Arterial Stiffness, and Blood Pressure Association in Chinese Adults
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Key Result
Arterial stiffness mediated the positive association between aging and blood pressure, with systolic BP increasing 0.47 mm Hg (95% CI, 0.45-0.49) per 1 year of age due to this mediation.
Study Design
Type
Observational (n=17,862)
Structured PICO
P
Population
17,862 Chinese adults without history of myocardial infarction, stroke, atrial fibrillation or flutter, or cancer, with brachial-ankle pulse wave velocity (baPWV) and BP measurements during 2010 to 2016.
O
Outcome
Mediation effect of baPWV in the association between age and blood pressure, and temporal relation between baPWV and blood pressuresurrogate
Arterial stiffness mediates the age-related increase in blood pressure and appears to precede the development of elevated blood pressure.
Main Result
Effect estimate: 0.47 mm Hg increase (95% CI 0.45-0.49)
Abstract
Arterial stiffness and blood pressure (BP) both increase with aging synchronously. Whether elevated BP results from thickening of arterial wall or vice versa is controversial in previous studies. This study included 17 862 participants without history of myocardial infarction, stroke, atrial fibrillation or flutter, or cancer and with brachial-ankle pulse wave velocity (baPWV) and BP measurements during 2010 to 2016. Age was calculated from the self-reported birthdate to the first date of baPWV examination. Mediation analyses were applied to assess the mediation effect by baPWV in the association between age and BP. Temporal relation between baPWV and BP was assessed by cross-lagged analyses among 1508 participants with repeated assessment of baPWV. We found that systolic BP increased 0.47 (95% CI, 0.45-0.49) mm Hg per 1 year older by the mediation effect of baPWV and that the direct effect of aging on systolic BP was -0.07 (95% CI, -0.09 to -0.05) mm Hg per 1 year older. The standard regression coefficient from baseline baPWV to follow-up systolic BP was 0.09 (95% CI, 0.04-0.15), which was greater than the standard regression coefficient from baseline systolic BP to follow-up baPWV (0.01; 95% CI, -0.04 to 0.06). Arterial stiffness mediated the positive association between aging and BP, and arterial stiffness might precede elevated BP. Clinical Trial Registration- URL: http://www.chictr.org.cn . Unique identifier: ChiCTR-TNRC-11001489.