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Association Between Cardiorespiratory Fitness and Trend of Age-Related Rise in Arterial Stiffness in Individuals With and Without Hypertension or Diabetes
This study aimed to investigate whether higher cardiorespiratory fitness (CRF) can modify the trend of age-related rise in arterial stiffness in individuals with and without hypertension (HTN) or diabetes. The study included 4,935 participants who underwent maximal cardiopulmonary exercise testing w...
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Published in: | American journal of hypertension 2024-12, Vol.38 (1), p.46-54 |
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container_title | American journal of hypertension |
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creator | Jae, Sae Young Lee, Kyung Hyun Kim, Hyun Jeong Kunutsor, Setor K Pierce, Gary L Hui, Stanley Sai-Chuen Kang, Mira |
description | This study aimed to investigate whether higher cardiorespiratory fitness (CRF) can modify the trend of age-related rise in arterial stiffness in individuals with and without hypertension (HTN) or diabetes.
The study included 4,935 participants who underwent maximal cardiopulmonary exercise testing with respiratory gas analysis in a health screening program. CRF was directly measured using peak oxygen uptake during the cardiopulmonary exercise test, while arterial stiffness was evaluated using brachial-ankle pulse wave velocity (baPWV).
Participants with high CRF levels had significantly lower baPWV compared with those with low CRF levels, regardless of HTN or diabetes status (P |
doi_str_mv | 10.1093/ajh/hpae124 |
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The study included 4,935 participants who underwent maximal cardiopulmonary exercise testing with respiratory gas analysis in a health screening program. CRF was directly measured using peak oxygen uptake during the cardiopulmonary exercise test, while arterial stiffness was evaluated using brachial-ankle pulse wave velocity (baPWV).
Participants with high CRF levels had significantly lower baPWV compared with those with low CRF levels, regardless of HTN or diabetes status (P < 0.05). The trend of baPWV increased with age, but the rate of age-related increase in baPWV was lower in individuals with moderate-to-high CRF levels compared with those with low CRF levels, regardless of HTN or diabetes status. Joint association analysis indicated that the trend of age-related increase in baPWV was the lowest in fit individuals without HTN or diabetes compared with unfit individuals with HTN or diabetes (P < 0.01). However, the trend of age-related increase in baPWV was not attenuated in fit with HTN or diabetes compared with unfit with HTN or diabetes.
These findings suggest that higher CRF levels may mitigate the trend of age-related rise in arterial stiffness in individuals with and without HTN or diabetes. However, this attenuating trend appears more pronounced in individuals without HTN or diabetes.</description><identifier>ISSN: 0895-7061</identifier><identifier>ISSN: 1941-7225</identifier><identifier>EISSN: 1941-7225</identifier><identifier>DOI: 10.1093/ajh/hpae124</identifier><identifier>PMID: 39306668</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Age Factors ; Aged ; Aging - physiology ; Ankle Brachial Index ; Cardiorespiratory Fitness ; Cross-Sectional Studies ; Diabetes Mellitus - epidemiology ; Diabetes Mellitus - physiopathology ; Exercise Test ; Female ; Humans ; Hypertension - diagnosis ; Hypertension - epidemiology ; Hypertension - physiopathology ; Male ; Middle Aged ; Pulse Wave Analysis ; Risk Factors ; Vascular Stiffness</subject><ispartof>American journal of hypertension, 2024-12, Vol.38 (1), p.46-54</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of American Journal of Hypertension, Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c177t-7e3f3568f894375ad521ca7b3031aeacafd12ee3dc944b8f4b565dca52838bb13</cites><orcidid>0000-0003-0358-7866</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39306668$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jae, Sae Young</creatorcontrib><creatorcontrib>Lee, Kyung Hyun</creatorcontrib><creatorcontrib>Kim, Hyun Jeong</creatorcontrib><creatorcontrib>Kunutsor, Setor K</creatorcontrib><creatorcontrib>Pierce, Gary L</creatorcontrib><creatorcontrib>Hui, Stanley Sai-Chuen</creatorcontrib><creatorcontrib>Kang, Mira</creatorcontrib><title>Association Between Cardiorespiratory Fitness and Trend of Age-Related Rise in Arterial Stiffness in Individuals With and Without Hypertension or Diabetes</title><title>American journal of hypertension</title><addtitle>Am J Hypertens</addtitle><description>This study aimed to investigate whether higher cardiorespiratory fitness (CRF) can modify the trend of age-related rise in arterial stiffness in individuals with and without hypertension (HTN) or diabetes.
The study included 4,935 participants who underwent maximal cardiopulmonary exercise testing with respiratory gas analysis in a health screening program. CRF was directly measured using peak oxygen uptake during the cardiopulmonary exercise test, while arterial stiffness was evaluated using brachial-ankle pulse wave velocity (baPWV).
Participants with high CRF levels had significantly lower baPWV compared with those with low CRF levels, regardless of HTN or diabetes status (P < 0.05). The trend of baPWV increased with age, but the rate of age-related increase in baPWV was lower in individuals with moderate-to-high CRF levels compared with those with low CRF levels, regardless of HTN or diabetes status. Joint association analysis indicated that the trend of age-related increase in baPWV was the lowest in fit individuals without HTN or diabetes compared with unfit individuals with HTN or diabetes (P < 0.01). However, the trend of age-related increase in baPWV was not attenuated in fit with HTN or diabetes compared with unfit with HTN or diabetes.
These findings suggest that higher CRF levels may mitigate the trend of age-related rise in arterial stiffness in individuals with and without HTN or diabetes. However, this attenuating trend appears more pronounced in individuals without HTN or diabetes.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aging - physiology</subject><subject>Ankle Brachial Index</subject><subject>Cardiorespiratory Fitness</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pulse Wave Analysis</subject><subject>Risk Factors</subject><subject>Vascular Stiffness</subject><issn>0895-7061</issn><issn>1941-7225</issn><issn>1941-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNo9kVtLxDAQhYMoul6efJc8ClJNmjZpH9f1CoLgBR_LtJm4kW5Tk1TZv-KvtaurLzPD8J3DMIeQQ85OOSvFGbzNz-Y9IE-zDTLhZcYTlab5JpmwoswTxSTfIbshvDHGMin5NtkRpWBSymJCvqYhuMZCtK6j5xg_ETs6A6-t8xh66yE6v6RXNnYYAoVO0yePY3WGTl8xecAWImr6YANS29Gpj-gttPQxWmN-NOP2ttP2w-oB2kBfbJz_-KwGN0R6s-xxVHVhdYLz9MJCjRHDPtkyowAP1n2PPF9dPs1ukrv769vZ9C5puFIxUSiMyGVhijITKgedp7wBVQsmOCA0YDRPEYVuyiyrC5PVucx1A3laiKKuudgjx7--vXfvA4ZYLWxosG2hQzeESnCmVJFJxkb05BdtvAvBo6l6bxfglxVn1SqMagyjWocx0kdr46FeoP5n_74vvgH4ZonA</recordid><startdate>20241216</startdate><enddate>20241216</enddate><creator>Jae, Sae Young</creator><creator>Lee, Kyung Hyun</creator><creator>Kim, Hyun Jeong</creator><creator>Kunutsor, Setor K</creator><creator>Pierce, Gary L</creator><creator>Hui, Stanley Sai-Chuen</creator><creator>Kang, Mira</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0358-7866</orcidid></search><sort><creationdate>20241216</creationdate><title>Association Between Cardiorespiratory Fitness and Trend of Age-Related Rise in Arterial Stiffness in Individuals With and Without Hypertension or Diabetes</title><author>Jae, Sae Young ; Lee, Kyung Hyun ; Kim, Hyun Jeong ; Kunutsor, Setor K ; Pierce, Gary L ; Hui, Stanley Sai-Chuen ; Kang, Mira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c177t-7e3f3568f894375ad521ca7b3031aeacafd12ee3dc944b8f4b565dca52838bb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aging - physiology</topic><topic>Ankle Brachial Index</topic><topic>Cardiorespiratory Fitness</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Diabetes Mellitus - physiopathology</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pulse Wave Analysis</topic><topic>Risk Factors</topic><topic>Vascular Stiffness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jae, Sae Young</creatorcontrib><creatorcontrib>Lee, Kyung Hyun</creatorcontrib><creatorcontrib>Kim, Hyun Jeong</creatorcontrib><creatorcontrib>Kunutsor, Setor K</creatorcontrib><creatorcontrib>Pierce, Gary L</creatorcontrib><creatorcontrib>Hui, Stanley Sai-Chuen</creatorcontrib><creatorcontrib>Kang, Mira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jae, Sae Young</au><au>Lee, Kyung Hyun</au><au>Kim, Hyun Jeong</au><au>Kunutsor, Setor K</au><au>Pierce, Gary L</au><au>Hui, Stanley Sai-Chuen</au><au>Kang, Mira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association Between Cardiorespiratory Fitness and Trend of Age-Related Rise in Arterial Stiffness in Individuals With and Without Hypertension or Diabetes</atitle><jtitle>American journal of hypertension</jtitle><addtitle>Am J Hypertens</addtitle><date>2024-12-16</date><risdate>2024</risdate><volume>38</volume><issue>1</issue><spage>46</spage><epage>54</epage><pages>46-54</pages><issn>0895-7061</issn><issn>1941-7225</issn><eissn>1941-7225</eissn><abstract>This study aimed to investigate whether higher cardiorespiratory fitness (CRF) can modify the trend of age-related rise in arterial stiffness in individuals with and without hypertension (HTN) or diabetes.
The study included 4,935 participants who underwent maximal cardiopulmonary exercise testing with respiratory gas analysis in a health screening program. CRF was directly measured using peak oxygen uptake during the cardiopulmonary exercise test, while arterial stiffness was evaluated using brachial-ankle pulse wave velocity (baPWV).
Participants with high CRF levels had significantly lower baPWV compared with those with low CRF levels, regardless of HTN or diabetes status (P < 0.05). The trend of baPWV increased with age, but the rate of age-related increase in baPWV was lower in individuals with moderate-to-high CRF levels compared with those with low CRF levels, regardless of HTN or diabetes status. Joint association analysis indicated that the trend of age-related increase in baPWV was the lowest in fit individuals without HTN or diabetes compared with unfit individuals with HTN or diabetes (P < 0.01). However, the trend of age-related increase in baPWV was not attenuated in fit with HTN or diabetes compared with unfit with HTN or diabetes.
These findings suggest that higher CRF levels may mitigate the trend of age-related rise in arterial stiffness in individuals with and without HTN or diabetes. However, this attenuating trend appears more pronounced in individuals without HTN or diabetes.</abstract><cop>United States</cop><pmid>39306668</pmid><doi>10.1093/ajh/hpae124</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0358-7866</orcidid></addata></record> |
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subjects | Adult Age Factors Aged Aging - physiology Ankle Brachial Index Cardiorespiratory Fitness Cross-Sectional Studies Diabetes Mellitus - epidemiology Diabetes Mellitus - physiopathology Exercise Test Female Humans Hypertension - diagnosis Hypertension - epidemiology Hypertension - physiopathology Male Middle Aged Pulse Wave Analysis Risk Factors Vascular Stiffness |
title | Association Between Cardiorespiratory Fitness and Trend of Age-Related Rise in Arterial Stiffness in Individuals With and Without Hypertension or Diabetes |
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