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May 15, 2021The Turkish Journal of GastroenterologyOpen Access

Arterial Stiffness in Inflammatory Bowel Disease: An Updated Systematic Review and Meta-Analysis

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Key result

Inflammatory bowel disease was associated with significantly increased arterial stiffness, measured by carotid-femoral pulse wave velocity, compared to controls (MD 0.70; 95% CI 0.48-0.92; P<.01).

Why the study?

The study was conducted to explore whether arterial stiffness is associated with inflammatory bowel disease.

Is inflammatory bowel disease associated with increased arterial stiffness compared to controls?

Population

2188 participants across 17 eligible trials including 558 with UC and 693 with CD

Comparison

Patients with IBD (UC and CD) vs control groups

Design

Systematic review and meta-analysis

Authors

QLQiongqiong LuRSRui ShiTMTangyou Mao

Discussion

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Overview

May warrant CV risk assessment in IBD; extends observational evidence on vascular involvement without proving causality.

Study Design

Type

Meta-Analysis (n=2,188)

Structured PICO

Is inflammatory bowel disease associated with increased arterial stiffness compared to controls?

P
Population
2,188 participants across 17 trials assessing the association between arterial stiffness and inflammatory bowel disease.
E
Exposure
Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn's disease (CD)
C
Comparator
Control groups without IBD
O
Outcome
Arterial stiffness measured by carotid-femoral pulse wave velocity (CPWV)surrogate

Main Result

Mean Difference: 0.7 (95% CI 0.48–0.92)

p-value: p=<.01

Inflammatory bowel disease, including both ulcerative colitis and Crohn's disease, is associated with significantly increased arterial stiffness.

Cite This Study

Lu et al. (2021) conducted a meta-analysis in Inflammatory bowel disease (IBD) (n=2,188). Inflammatory bowel disease vs. Control groups was evaluated on Carotid-femoral pulse wave velocity (CPWV) (MD 0.70, 95% CI 0.48-0.92, p=<.01). Inflammatory bowel disease was associated with significantly increased arterial stiffness, measured by carotid-femoral pulse wave velocity, compared to controls (MD 0.70; 95% CI 0.48-0.92; P<.01).

synapsesocial.com/papers/6a2406deffed3004559f04f6https://doi.org/10.5152/tjg.2021.20293
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Arterial stiffness in inflammatory bowel disease2016 · 51 citations
  2. 2Arterial stiffness is increased in patients with inflammatory bowel disease2012 · 99 citations
  3. 3Endothelial Dysfunction and Arterial Stiffness in Patients with Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis2022 · 22 citations
  4. 4Increased pulse wave velocity and relationship with inflammation, insulin, and insulin resistance in inflammatory bowel disease2014 · 31 citations
  5. 5Subclinical Atherosclerosis in Patients With Inflammatory Bowel Diseases: A Systematic Review and Meta-Analysis2016 · 64 citations