PMID- 27059393 OWN - NLM STAT- MEDLINE DCOM- 20170601 LR - 20170601 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 9 IP - 3 DP - 2017 Mar TI - Outpatient measurement of arterial stiffness in patients with type 2 diabetes and obesity. PG - 237-242 LID - 10.1111/1753-0407.12405 [doi] AB - BACKGROUND: Pulse wave velocity (PWV) is a marker of arterial stiffness. The aim of the present study was to compare PWV in patients with type 2 diabetes mellitus (T2DM) or obesity and healthy subjects in an outpatient setting. METHODS: A cross-sectional study was conducted in patients with obesity without T2DM (n = 37), T2DM without obesity (n = 40), T2DM plus obesity (n = 43), and healthy controls (n = 114). Outpatient measurements of the finger-toe PWV (ftPWV) were made. RESULTS: Mean (+/- SD) ftPWV was higher in men than in women (10.57 +/- 5.02 vs 9.14 +/- 3.68 m/s, respectively P = 0.006) and was positively correlated with age (r(2) = 0.31, P < 0.0001), body mass index (r(2) = 0.03, P = 0.01), systolic blood pressure (SBP; r(2) = 0.06, P < 0.0001), and right (r(2) = 0.03, P = 0.01) and left (r(2) = 0.03, P = 0.01) ankle-brachial index (ABI). Age, SBP and ABI remained significantly correlated with ftPWV in the stepwise regression analysis. Mean ftPWV in controls and in patients with obesity, T2DM, and T2DM plus obesity was 8.32 +/- 2.68, 9.50 +/- 3.38, 11.29 +/- 4.34, and 12.36 +/- 6.67 m/s, respectively (P < 0.0001). These differences remained significant after adjustments for sex, age, SBP, and ABI (P = 0.008). Although ftPWV was higher in patients with than without macrovascular complications (13.11 +/- 6.25 vs 10.40 +/- 4.54 m/s, respectively; P = 0.006) in univariate analysis, this was not so in the multivariate-adjusted model. CONCLUSIONS: Outpatient-measured ftPWV was correlated with age, SBP, and ABI. It was higher in patients with T2DM and obesity compared with healthy controls. The highest ftPWV was observed in patients with both T2DM and obesity. CI - (c) 2016 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Mohammedi, Kamel AU - Mohammedi K AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. FAU - Compaore, Aminata AU - Compaore A AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. FAU - Potier, Louis AU - Potier L AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, UFR de Medecine, Paris, France. FAU - Belhatem, Narimene AU - Belhatem N AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. FAU - Feron, Marilyne AU - Feron M AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. FAU - Matallah, Nadia AU - Matallah N AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. FAU - Travert, Florence AU - Travert F AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, UFR de Medecine, Paris, France. FAU - Hansel, Boris AU - Hansel B AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, UFR de Medecine, Paris, France. FAU - Velho, Gilberto AU - Velho G AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. FAU - Roussel, Ronan AU - Roussel R AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, UFR de Medecine, Paris, France. FAU - Hallab, Magid AU - Hallab M AD - Department of Gerontology, University Hospital of Nantes, Nantes, France. FAU - Marre, Michel AU - Marre M AD - INSERM, UMR_S 1138, Centre de Recherche des Cordeliers, Paris, France. AD - Assistance Publique Hopitaux de Paris, Bichat Hospital, DHU FIRE, Department of Diabetology, Endocrinology and Nutrition, Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, UFR de Medecine, Paris, France. LA - eng PT - Journal Article TT - 2型糖尿病与肥胖患者在门诊测量的动脉硬化度. DEP - 20160728 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Adult MH - Aged MH - Blood Pressure MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Obesity/*physiopathology MH - Outpatients/*statistics & numerical data MH - *Pulse Wave Analysis MH - Regression Analysis MH - Risk Factors MH - *Vascular Stiffness OTO - NOTNLM OT - Obesity OT - pulse wave velocity OT - type 2 diabetes OT - vascular stiffness OT - 肥胖,脉搏波速度,2型糖尿病,血管硬化 EDAT- 2016/04/10 06:00 MHDA- 2017/06/02 06:00 CRDT- 2016/04/10 06:00 PHST- 2015/07/18 00:00 [received] PHST- 2016/02/17 00:00 [revised] PHST- 2016/03/07 00:00 [accepted] PHST- 2016/04/10 06:00 [pubmed] PHST- 2017/06/02 06:00 [medline] PHST- 2016/04/10 06:00 [entrez] AID - 10.1111/1753-0407.12405 [doi] PST - ppublish SO - J Diabetes. 2017 Mar;9(3):237-242. doi: 10.1111/1753-0407.12405. Epub 2016 Jul 28.