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October 1, 1999Hypertension127 citationsOpen Access

The Aging Process Modifies the Distensibility of Elastic but not Muscular Arteries

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LBLuiz Aparecido BortolottoOHOlivier HanonGFGiovanna Franconi

Key Result

Aging in normotensive men was associated with lower carotid artery distensibility (12 vs 21 kPa(-1) x 10(-3); P<0.01) but no difference in radial artery distensibility compared to young subjects.

Key Points

  • To evaluate how aging affects the distensibility and functional parameters of muscular and elastic arteries in normotensive men.
  • Compared 62 elderly subjects (mean age 74 years) with 87 young subjects (mean age 35 years).
  • Measured internal diameter and intima-media thickness (IMT) using a high-resolution echo-tracking system.
  • Calculated distensibility and incremental elastic modulus (Einc) based on the data obtained.
  • Elderly subjects had a higher IMT in the carotid artery (742 microm) compared to young (469 microm; P<0.01).
  • Elderly exhibited lower distensibility in the carotid artery (12 kPa(-1) x 10(-3)) versus young (21 kPa(-1) x 10(-3); P<0.01).
  • No differences in distensibility were observed in the radial artery between age groups.

Study Design

Type

Cross-Sectional (n=149)

Structured PICO

Does aging modify the distensibility and functional parameters of elastic and muscular arteries in normotensive men?

P
Population
149 normotensive men, comprising 62 elderly subjects (aged 74+/-2 years) and 87 young subjects (aged 35+/-3 years).
I
Intervention
Aging (elderly cohort)
C
Comparator
Young cohort
O
Outcome
Functional parameters of the carotid and radial arteries (internal diameter, intima-media thickness, distensibility, and incremental elastic modulus)surrogate

Aging decreases the distensibility of large elastic arteries like the carotid artery, but does not significantly affect the distensibility of medium-sized muscular arteries like the radial artery.

Main Result

Absolute Event Rate: 12% vs 21%

p-value: p=<0.01

Abstract

Aging decreases the distensibility of large elastic arteries; however, the effects of age on the functional parameters of muscular, medium-sized arteries are not well determined. This study evaluated the consequences of aging on the functional parameters of the carotid and radial arteries in normotensive men. A total of 62 elderly subjects (aged 74+/-2 years) were compared with 87 young subjects (aged 35+/-3 years). Internal diameter and intima-media thickness (IMT) were measured by a high-resolution echo-tracking system to calculate distensibility and incremental elastic modulus (Einc). Although in the normal range, systolic and diastolic blood pressure levels were statistically different in the 2 groups at 128+/-19 and 74+/-13 mm Hg versus 121+/-27 and 71+/-18 mm Hg in the young and elderly subjects, respectively (P<0.05). At the carotid artery level, elderly subjects exhibited a greater IMT (742+/-144 versus 469+/-132 microm; P<0.01) and internal diameter (7067+/-828 versus 6062+/-1026 microm; P<0.01) than young subjects; elderly subjects also had lower distensibility (12+/-2 versus 21+/-2 kPa(-1) x 10(-3); P<0.01) and higher Einc (0.9+/-0.2 versus 0.7+/-0.3 kPa x 10(3); P<0.01). At the radial artery level, both IMT (240+/-42 versus 218+/-51 microm; P<0.01) and internal diameter (2685+/-432 versus 2491+/-444 microm; P<0.01) were greater in elderly subjects, but no differences in distensibility and Einc were observed between the 2 groups. All differences remained significant, even after adjusting for mean blood pressure. These results indicate that the increase of the internal diameter and IMT observed during the aging process can have opposite effects on the functional parameters of large elastic or medium-sized muscular arteries.

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Cite This Study

Bortolotto et al. (1999) conducted a cross-sectional in Normotension (n=149). Elderly age vs. Young age was evaluated on Carotid artery distensibility (kPa(-1) x 10(-3)) (p=<0.01). Aging in normotensive men was associated with lower carotid artery distensibility (12 vs 21 kPa(-1) x 10(-3); P<0.01) but no difference in radial artery distensibility compared to young subjects.

synapsesocial.com/papers/6a1423fac4c5e9e51862a26fhttps://doi.org/10.1161/01.hyp.34.4.889
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