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Tokioka S, Nakaya N, Nakaya K, Takase M, Kogure M, Hatanaka R, Chiba I, Kanno I, Nochioka K, Metoki H, Murakami T, Satoh M, Nakamura T, Obara T, Hamanaka Y, Kobayashi T, Uruno A, Sugawara J, N Kodama E, Ogishima S, Izumi Y, Fuse N, Kuriyama S, Tsuji I, Hozawa A. Association of Central Blood Pressure and Carotid Intima Media Thickness with New-Onset Hypertension in People with High Normal Blood Pressure. J Atheroscler Thromb 2023; 30:1905-1916. [PMID: 37407442 DOI: 10.5551/jat.64151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2023] Open
Abstract
AIM People with high normal blood pressure (BP) have a higher risk of cardiovascular events than those with normal BP; therefore, progression to hypertension (HT) should be prevented. We aimed to assess the HT risk using central BP and carotid intima media thickness (CIMT) in people with high normal BP. METHODS This prospective cohort study used the Tohoku Medical Megabank Community-Based Project Cohort Study (conducted from 2013 in Miyagi Prefecture in Japan). The participants had a high normal BP, defined as a systolic BP of 120-139 mmHg and diastolic BP <90 mmHg using brachial BP measurement during the baseline survey. The outcome was new-onset HT during the secondary survey, conducted four years after the baseline survey. RESULTS Overall, 4,021 participants with high normal BP during the baseline survey, with an average age of 58.7 years, were included; 1,030 (26%) were diagnosed with new-onset HT during the secondary survey, 3.5±0.7 years after the baseline survey. The multivariable odds ratio (95% confidence interval) for HT in the highest versus lowest quartile of central BP was 1.7 (1.2-2.4, p=0.0030), and that of CIMT was 1.8 (1.4-2.4, p<0.001). Subgroup analysis according to age (<60 and ≥ 60 years) and sex revealed that the central BP was influential in groups with younger age and female individuals; CIMT was influential in all groups. CONCLUSIONS Higher central BP and thicker CIMT at the baseline were correlated with new-onset HT in individuals with high normal BP, independent of brachial systolic BP and other cardiovascular risk factors.
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Affiliation(s)
| | - Naoki Nakaya
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Kumi Nakaya
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | | | - Mana Kogure
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Rieko Hatanaka
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Ippei Chiba
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Ikumi Kanno
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Kotaro Nochioka
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku University Hospital, Tohoku University
| | - Hirohito Metoki
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku Medical and Pharmaceutical University
| | - Takahisa Murakami
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku Medical and Pharmaceutical University
| | - Michihiro Satoh
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku Medical and Pharmaceutical University
| | - Tomohiro Nakamura
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Taku Obara
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku University Hospital, Tohoku University
| | - Yohei Hamanaka
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Tomoko Kobayashi
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku University Hospital, Tohoku University
| | - Akira Uruno
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Junichi Sugawara
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku University Hospital, Tohoku University
- Suzuki Memorial Hospital
| | - Eiichi N Kodama
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku University Hospital, Tohoku University
| | - Soichi Ogishima
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Yoko Izumi
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Nobuo Fuse
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
- Tohoku University Hospital, Tohoku University
| | - Shinichi Kuriyama
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
- International Research Institute of Disaster Science, Tohoku University
| | - Ichiro Tsuji
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
| | - Atsushi Hozawa
- Tohoku University Graduate School of Medicine
- Tohoku Medical Megabank Organization, Tohoku University
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Gierach M, Junik R. The Level of Intima-Media Thickness in Patients with Metabolic Syndrome in Poland Depending on the Prevalence of Type 2 Diabetes. Biomedicines 2023; 11:1510. [PMID: 37371604 DOI: 10.3390/biomedicines11061510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/18/2023] [Accepted: 05/20/2023] [Indexed: 06/29/2023] Open
Abstract
BACKGROUND Metabolic syndrome (MetS), increasingly diagnosed among the Polish population, is a combination of factors that are associated with an increased risk of atherosclerosis and cardiovascular diseases. Intima-media thickness (IMT) of the common carotid artery has been suggested as, simply, a non-invasive and reproducible marker of the early stages of the atherosclerotic process. The carotid IMT can also be a strong predictor of future cerebral and cardiovascular events. The aim of our study was to evaluate atherosclerotic lesions in carotid vessels in patients with MetS depending on the presence of DMt2 and to assess which demographic factors affect the level of IMT. The study involved 335 subjects diagnosed with MetS, including 211 females (65%) and 124 males (37%) aged 37-82. The diagnosis of MetS was made on the basis of the International Diabetes Federation (IDF) criteria. The patients were divided into two subgroups: with DMt2 and without DMt2. The value of IMT depended on gender, education, and smoking status. We noticed that patients with DMt2 had the highest measurement of IMT compared with other groups (1.01 vs. 0.98). Additionally, a statistically significant difference between the subgroup with DMt2 and those without DMt2 was found (1.01 vs. 0.92; p < 0.005). Ultrasound assessment of the carotid IMT should be used more often in the diagnosis and monitoring of high cardiovascular risk and early progression of atherosclerosis, especially in patients with MetS with current DMt2.
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Affiliation(s)
- Marcin Gierach
- Department of Endocrinology and Diabetology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, ul. M. Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland
- Cardiometabolic Center Gierach-Med, ul. Bydgoskich Olimpijczyków 5/39-40, 85-796 Bydgoszcz, Poland
| | - Roman Junik
- Department of Endocrinology and Diabetology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, ul. M. Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland
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Left and right ventricular function by echocardiography, tissue Doppler imaging, carotid intima-media thickness, and asymmetric dimethyl arginine levels in obese adolescents with metabolic syndrome. Cardiol Young 2019; 29:310-318. [PMID: 30688191 DOI: 10.1017/s1047951118002329] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
UNLABELLED PurposeThe aim of our study was to assess left ventricle and right ventricle systolic and diastolic functions in obese adolescents with metabolic syndrome using conventional echocardiography and pulsed-wave tissue Doppler imaging and to investigate carotis intima-media thickness, and asymmetric dimethyl arginine levels. METHODS A total of 198 obese adolescents were enrolled in the study. The obese patients were divided into metabolic syndrome group and non-metabolic syndrome group. All subjects underwent laboratory blood tests, including asymmetric dimethyl arginine, complete two-dimensional, pulsed, and tissue Doppler echocardiography, and measurement of the carotid intima-media thickness. RESULTS Obese adolescents were characterised by enlarged left end-diastolic, end-systolic and left atrial diameters, thicker left and right ventricular walls compared with non-obese adolescents. The metabolic syndrome group had normal left ventricle systolic function, impaired diastolic function, and altered global systolic and diastolic myocardial performance. In the metabolic syndrome obese group patients, left ventricle mass was found positively correlated with body mass index, waist and hip circumferences, diastolic blood pressure, age, and waist-to-hip circumference ratio. The carotid intima-media thickness was found positively correlated with waist and hip circumferences and total cholesterol levels. Asymmetric dimethyl arginine levels were found positively correlated with systolic blood pressure, waist-to-hip circumference ratio, and diastolic blood pressure. CONCLUSIONS The results of this study demonstrate that metabolic syndrome in adolescence is associated with significant changes in myocardial geometry and function. In addition, it has been associated with a high level of asymmetric dimethyl arginine concentration and thicker carotid intima-media thickness reflecting endothelial dysfunction.
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The relationship between obesity and hypertension: an updated comprehensive overview on vicious twins. Hypertens Res 2017; 40:947-963. [DOI: 10.1038/hr.2017.75] [Citation(s) in RCA: 101] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 04/07/2017] [Accepted: 04/14/2017] [Indexed: 02/07/2023]
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SHIOZAKI M, MIYAI N, MORIOKA I, UTSUMI M, HATTORI S, KOIKE H, ARITA M, MIYASHITA K. Job stress and behavioral characteristics in relation to coronary heart disease risk among Japanese police officers. INDUSTRIAL HEALTH 2017; 55:369-380. [PMID: 28428501 PMCID: PMC5546846 DOI: 10.2486/indhealth.2016-0179] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2016] [Accepted: 04/12/2017] [Indexed: 05/16/2023]
Abstract
This study examined the association between job-related behavioral characteristics and the risk of coronary heart diseases (CHD) in Japanese male police officers. Compared to office clerks, police officers exhibited greater age-related increases of the prevalence of CHD risk factors, and a clustering number of CHD risk factors was significantly higher in the group of those over 45 yr of age. Among the police officers, coronary-prone behavior was more frequent than that seen in office clerks. The police officers with coronary-prone behavior tended to engage in shift work and to work overtime more; yet they were less likely to perceive job stress and to express the relevant physical and psychological symptoms than those without coronary-prone behavior. The subjects with such behavioral characteristics had a significantly greater number of CHD risk factors. In a multiple regression analysis, coronary-prone behavior together with age, social support, walking hours per day, and amount of alcohol consumption were selected as significant determinants of a cluster of CHD risk factors. These results suggest that coronary-prone behavior may contribute to the higher prevalence of CHD risk factors in police officers via leading the long working hours and the work-related unfavorable lifestyles, such as alcohol drinking and physical inactivity.
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Affiliation(s)
- Maki SHIOZAKI
- Department of Hygiene, School of Medicine, Wakayama Medical University, Japan
- Welfare Division, Wakayama Prefectural Police, Japan
| | - Nobuyuki MIYAI
- School of Health and Nursing Science, Wakayama Medical University, Japan
| | - Ikuharu MORIOKA
- School of Health and Nursing Science, Wakayama Medical University, Japan
| | - Miyoko UTSUMI
- School of Health and Nursing Science, Wakayama Medical University, Japan
| | - Sonomi HATTORI
- School of Health and Nursing Science, Wakayama Medical University, Japan
| | - Hiroaki KOIKE
- Welfare Division, Wakayama Prefectural Police, Japan
| | - Mikio ARITA
- School of Health and Nursing Science, Wakayama Medical University, Japan
| | - Kazuhisa MIYASHITA
- Department of Hygiene, School of Medicine, Wakayama Medical University, Japan
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The ratio of monocyte frequency to HDL cholesterol level as a predictor of asymptomatic organ damage in patients with primary hypertension. Hypertens Res 2017; 40:758-764. [DOI: 10.1038/hr.2017.36] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 12/28/2016] [Accepted: 01/18/2017] [Indexed: 11/08/2022]
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Reference values of one-point carotid stiffness parameters determined by carotid echo-tracking and brachial pulse pressure in a large population of healthy subjects. Hypertens Res 2017; 40:685-695. [DOI: 10.1038/hr.2017.24] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Revised: 01/04/2017] [Accepted: 01/07/2017] [Indexed: 01/16/2023]
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Preventive effect of Eucommia leaf extract on aortic media hypertrophy in Wistar-Kyoto rats fed a high-fat diet. Hypertens Res 2017; 40:546-551. [DOI: 10.1038/hr.2016.189] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 11/05/2016] [Accepted: 11/20/2016] [Indexed: 12/27/2022]
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Itoh H, Kurihara I, Miyashita K, Tanaka M. Clinical significance of 'cardiometabolic memory': a systematic review of randomized controlled trials. Hypertens Res 2017; 40:526-534. [PMID: 28100921 DOI: 10.1038/hr.2016.192] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2016] [Revised: 12/05/2016] [Accepted: 12/05/2016] [Indexed: 12/13/2022]
Abstract
'Cardiometabolic memory' has been proposed based on clinical evidence to explain how, even after the cessation of a clinical trial, the superiority of one treatment over the outcome persists. To understand the cardiometabolic memory phenomenon, we performed a systematic review of randomized controlled trials (RCTs) using PubMed in August 2016. The search terms 'randomized controlled trial', 'post-trial follow-up' and 'diabetes, hypertension or dyslipidemia' were used, and articles published after the year 2000 were searched. We judged the memory phenomenon to be positive when the cardiovascular outcome at the end of the post-trial follow-up period in the intervention group was significantly superior even though the favorable control of a risk factor (blood glucose, blood pressure or lipid level) during the trial period was lost after the cessation of the intervention. Among 907 articles retrieved in the initial screening, 21 articles were judged as describing a positive memory phenomenon. Eight, six and seven of the articles concerned diabetes, hypertension and dyslipidemia, respectively. Transient intensive glucose lowering rather easily induced memory for the suppression of diabetic microangiopathies, while memory for the suppression of macroangiopathies tended to be first evident in the post-trial follow-up period. Transient intensive blood pressure lowering was generally effective in the formation of memory for the suppression of cardiovascular events and had an especially strong impact on risk reduction of chronic heart failure. Transient intensive LDL cholesterol lowering clearly had a long-term beneficial effect on risk reduction of cardiovascular events. Our systematic review revealed the clinical relevance of cardiometabolic memory.
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Affiliation(s)
- Hiroshi Itoh
- Division of Endocrinology, Metabolism, and Nephrology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan
| | - Isao Kurihara
- Division of Endocrinology, Metabolism, and Nephrology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan
| | - Kazutoshi Miyashita
- Division of Endocrinology, Metabolism, and Nephrology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan
| | - Masami Tanaka
- Division of Endocrinology, Metabolism, and Nephrology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan
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Effect of metabolic syndrome components and their clustering on carotid atherosclerosis in a general Japanese population: methodological issues of model building. Hypertens Res 2016; 39:926. [PMID: 27439495 DOI: 10.1038/hr.2016.92] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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