Dipartimento di Medicina Sperimentale e Clinica G. Salvatore, Magna Græcia University, Catanzaro, Italy.
Clin Hemorheol Microcirc. 2011;47(1):67-74. doi: 10.3233/CH-2010-1367.
Alterations of blood and plasma viscosity can promote atherosclerosis. The relationship between viscosity and aging is still controversial. The present study evaluated the influence of aging on blood and plasma viscosity in a group of subjects followed for 11.6 years.
Forty-five subjects have been evaluated twice 11.6 years apart for hemorheological parameters and coronary heart disease (CHD) risk factors. Plasma viscosity and blood viscosity have been measured with a cone-plate viscometer. Tk has been calculated as index of red blood cell rigidity. CHD risk factors, i.e. obesity, hypertension, hyperlipidemia and diabetes, have been evaluated by routine methods.
Hematocrit and plasma viscosity did not change during the study, whereas blood viscosity (shear rate 225/sec: 4.46 ± 0.49 vs. 4.81 ± 0.54 cP, p < 0.0001; shear rate 45/sec: 6.19 ± 0.67 vs. 6.65 ± 0.79 cP, p < 0.0001) and Tk (0.80 ± 0.05 vs. 0.83 ± 0.06, p < 0.005) significantly increased. The percent variation in blood viscosity was not associated with the percent variation in any of the CHD risk factors. Furthermore, the increase in blood viscosity was similar in males and females and in subjects with CHD risk profile worsening or not.
The present findings demonstrate that blood viscosity increases with age. This increase seems independent of classical CHD risk factors and is disjoined from haematocrit and plasma viscosity, suggesting a possible direct effect of aging on red blood cells.
血液和血浆黏度的改变可促进动脉粥样硬化。黏度与衰老之间的关系仍存在争议。本研究评估了在一组随访 11.6 年的受试者中,衰老对血液和血浆黏度的影响。
45 例受试者在 11.6 年的时间里两次接受血液流变学参数和冠心病(CHD)危险因素的评估。使用锥板粘度计测量血浆粘度和血液粘度。Tk 被计算为红细胞刚性指数。通过常规方法评估 CHD 危险因素,即肥胖、高血压、高血脂和糖尿病。
在研究过程中,血细胞比容和血浆黏度没有变化,而血液黏度(剪切率 225/秒:4.46 ± 0.49 对 4.81 ± 0.54 cP,p < 0.0001;剪切率 45/秒:6.19 ± 0.67 对 6.65 ± 0.79 cP,p < 0.0001)和 Tk(0.80 ± 0.05 对 0.83 ± 0.06,p < 0.005)显著增加。血液黏度的变化百分比与任何 CHD 危险因素的变化百分比均无关。此外,男性和女性以及 CHD 危险特征恶化或不恶化的受试者中,血液黏度的增加相似。
本研究结果表明,血液黏度随年龄增长而增加。这种增加似乎独立于经典的 CHD 危险因素,与血细胞比容和血浆黏度分离,提示衰老可能对红细胞有直接影响。