Instituto de Investigación en Ciencias de la Salud, UNICEN, CONICET, Tandil, Argentina.
Physiology Department, School of Medicine, Centro Universitario de Investigación, Innovación y Diagnóstico Arterial (CUiiDARTE), Republic University, Montevideo, Uruguay.
J Clin Hypertens (Greenwich). 2018 Apr;20(4):659-671. doi: 10.1111/jch.13251. Epub 2018 Mar 13.
There is little information regarding age-related reference intervals (RIs) of carotid-femoral pulse wave velocity (cfPWV) for large healthy populations in South America. The aims of this study were to determine cfPWV RIs and percentiles in a cohort of healthy children, adolescents, and adults and to generate year-to-year percentile curves and body-height percentile curves for children and adolescents. cfPWV was measured in 1722 healthy participants with no cardiovascular risk factors (9-87 years, 60% men). First, RIs were evaluated for males and females through correlation and covariate analysis. Then, mean and standard deviation age-related equations were obtained for cfPWV using parametric regression methods based on fractional polynomials and age-specific (year-to-year) percentile curves that were defined using the standard normal distribution. Age-specific first, 2.5th, 5th, 10th, 25th, 50th, 75th, 90th, 95th, 97.5th, and 99th percentile curves were calculated. Finally, height-related cfPWV percentile curves for children and adolescents (<21 years) were established. After adjusting for age and blood pressure differences with respect to females, males showed higher cfPWV levels (6.60 vs 6.45 m/s; P < .01). Thus, specific RIs for males and females were reported. The study provides the largest database to date concerning cfPWV in healthy people from Argentina. Specific RIs and percentiles of cfPWV are now available according to age and sex. Specific percentiles of cfPWV according to body height were reported for people younger than 21 years.
关于南美的大型健康人群,颈动脉-股动脉脉搏波速度(cfPWV)的年龄相关参考区间(RI)的信息很少。本研究的目的是确定健康儿童、青少年和成年人队列中的 cfPWV RI 和百分位数,并为儿童和青少年生成逐年百分位数曲线和身高百分位数曲线。在 1722 名无心血管危险因素的健康参与者(9-87 岁,60%为男性)中测量了 cfPWV。首先,通过相关性和协变量分析评估了男性和女性的 RI。然后,使用基于分数多项式的参数回归方法获得 cfPWV 的均值和标准差年龄相关方程,并使用标准正态分布定义年龄特异性(逐年)百分位数曲线。计算了年龄特异性的第 1、2.5、5、10、25、50、75、90、95、97.5 和 99 百分位曲线。最后,为儿童和青少年(<21 岁)建立了与身高相关的 cfPWV 百分位曲线。在根据年龄和血压调整了女性的差异后,男性的 cfPWV 水平更高(6.60 与 6.45 m/s;P <.01)。因此,报告了男性和女性的特定 RI。该研究提供了迄今为止阿根廷健康人群中 cfPWV 的最大数据库。现在可以根据年龄和性别提供 cfPWV 的特定 RI 和百分位数。报告了<21 岁人群根据身高的 cfPWV 特定百分位数。