Key result
High visit-to-visit SBP variability is linked to ~2.2-fold higher risk of elevated arterial stiffness.
Why the study?
Blood pressure variability may influence the development of vascular disease, but its association with arterial stiffness in Chinese adults required evaluation.
Is higher long-term visit-to-visit blood pressure variability associated with an increased risk of developing arterial stiffness (elevated ba-PWV) in community-dwelling Chinese adults?
Cohort (n=1,407)
No
Is higher long-term visit-to-visit blood pressure variability associated with an increased risk of developing arterial stiffness (elevated ba-PWV) in community-dwelling Chinese adults?
Greater long-term visit-to-visit variability in systolic blood pressure and pulse pressure is independently associated with progression of arterial stiffness beyond mean blood pressure levels in community-dwelling adults.
Answers are grounded in this paper and cite their sources.
May inform BP variability monitoring in community adults; extends observational data but leaves open causal role and intervention effects.
Blood pressure (BP) variability may have its effect on the development of vascular disease. The authors aimed to examine the association between the visit-to-visit variability (VVV) of BP and arterial stiffness in Chinese adults. The authors included 1407 participants from a prospective cohort study of community residents who were ≥40 years, without a history of myocardial infarction or stroke, and with data at the baseline, the second and the third visits in 2008, 2009, and 2013. The VVV of BP was defined as the standard deviation (SD), the coefficient of variation (CV), the average successive variability (ASV), and the variability independent of the mean (VIM) in BP levels at the 3 visits. Arterial stiffness was measured by brachial-ankle pulse wave velocity (ba-PWV) at the 2nd and the 3rd visits. Levels of ba-PWV change and the occurrence of an elevated ba-PWV increased significantly in the highest tertile of VVV measures of systolic BP (SBP) and pulse pressure (PP) compared with the lowest tertile, respectively. The multivariable regression analysis revealed that VVV measures of SBP and PP were significantly associated with levels of ba-PWV change and the risks of developing an elevated ba-PWV. The odds ratios (ORs) and 95% confidence intervals (CIs) for the risk were 2.12 (1.57-3.12) and 1.92 (1.38-2.68) in participants with the highest versus the lowest tertile of SBP-SD and PP-SD, respectively. No significant association was found for diastolic BP variability measures. The increased long-term variabilities of SBP and PP were associated with an increased risk of arterial stiffness.
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Zhang et al. (2021) conducted a cohort in Subclinical atherosclerosis / Arterial stiffness in community adults (n=1,407). Highest tertile of visit-to-visit systolic blood pressure standard deviation (SBP-SD >10.60 mmHg) vs. Lowest tertile of visit-to-visit systolic blood pressure standard deviation (SBP-SD <6.17 mmHg) was evaluated on Occurrence of elevated brachial-ankle pulse wave velocity (ba-PWV ≥1618 cm/s) at the 3rd visit (OR 2.22, 95% CI 1.57-3.12, p=<0.001). Higher visit-to-visit systolic blood pressure variability (highest vs lowest tertile of SBP-SD) was associated with an increased risk of developing elevated arterial stiffness (OR 2.22, 95% CI 1.57-3.12).
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