Photiou Galatia, Kouis Panayiotis, Papasavva Zoi, Panagiotakos Demosthenes B, Middleton Nicos, Panayiotou Andrie G
Cardiovascular Epidemiology and Genetics Laboratory, Department of Rehabilitation Sciences, School of Health Sciences, Cyprus University of Technology, 95 Irinis street, Limassol, 3041, Cyprus.
Respiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus.
BMC Public Health. 2025 May 26;25(1):1937. doi: 10.1186/s12889-025-23094-4.
Arterial stiffness, which is estimated by pulse wave velocity (PWV), has been associated with cardiovascular morbidity and mortality; however, there is sparse literature on socioeconomic (SES) indicators and PWV.
In this systematic review and meta-analysis, evidence was retrieved from cross-sectional and cohort studies on the association of SES indicators (both single and composite) with arterial stiffness. A total of 16,331 records were reviewed and 9 studies included.
Low educational level was associated with an increase of 0.26 m/s in PWV (95% CI: 0.15 to 0.37; p < 0.001; I = 78.2%), whereas low SES was associated with a 0.32 m/s increase of PWV (95%CI: 0.09 to 0.56, p = 0.008, I = 93.6%).
Results underscore the importance of socioeconomic position as a determinant of arterial stiffness. Future studies could benefit from longitudinal designs and more homogeneous SES measures, as well as considering composite indicators of SES like neighborhood/area environment and characteristics, along with individual indicators.
通过脉搏波速度（PWV）评估的动脉僵硬度与心血管疾病的发病率和死亡率相关；然而，关于社会经济（SES）指标与PWV的文献较少。
在这项系统评价和荟萃分析中，从横断面研究和队列研究中检索了关于SES指标（单一指标和综合指标）与动脉僵硬度之间关联的证据。共审查了16331条记录，纳入了9项研究。
低教育水平与PWV增加0.26米/秒相关（95%CI：0.15至0.37；p<0.001；I=78.2%），而低SES与PWV增加0.32米/秒相关（95%CI：0.09至0.56，p=0.008，I=93.6%）。
结果强调了社会经济地位作为动脉僵硬度决定因素的重要性。未来的研究可受益于纵向设计和更统一的SES测量方法，以及考虑邻里/区域环境和特征等SES综合指标以及个体指标。
