Artery Research

Volume 12, Issue C, December 2015, Pages 42 - 42

2.6 PULSE WAVE VELOCITY AND GAIT PERFORMANCE IN OLDER SUBJECTS

Authors
Anna Skalska*, Malgorzata Fedyk-Lukasik, Paulina Fatyga, Tomasz Grodzicki
Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland
Available Online 23 November 2015.
DOI
10.1016/j.artres.2015.10.013How to use a DOI?
Abstract

Background: Arterial stiffening is an age-related change and is a well-known cardiovascular risk factor but its association with physical decline is rarely evaluated.

The aim of this analysis was to assess the association of arterial stiffness as carotid-femoral pulse wave velocity (PWV) with gait performance in older subjects.

Methods: PWV was measured with Complior device. In all subjects was assessed: gait speed (V), Timed Up&Go test (TUG), handgrip strength, personal (ADL) and Instrumental Activities of Daily Living (IADL). Body composition was assessed with DXA, nutritional status with Mini Nutritional Assessment. Standard blood laboratory tests and markers of inflammation (hsCRP, IL-6, pentraxin3-PTX3, osteoprotegerin-OPG, TNFα soluble receptor2-sTNFR2) were determined.

Results: Mean age of 69 subjects (53–96 yrs) was 72.5 ± 9.8 yrs. Mean number of diseases was 5.3 ± 2.2, and of used medications was 7.0 ± 2.5. Subjects with PWV < 10 m/s and ≥10 m/s did not differ in systolic (SBP) and diastolic blood pressure, heart rate, number of diseases and medications, IADL, ADL, handgrip strength. Patients with PWV < 10 m/s were younger (67.8 ± 6.4vs74.8 ± 10.4 yrs; p = 0.004), had higher V (1.02 ± 0.31vs0.798 ± 0.23 m/s; p = 0.006), lower TUG (9.69 ± 2.6vs11.81 ± 4.56; p = 0.02), higher mdrd (76.3 ± 21.4 vs 62.87 ± 20.3 ml/min/m2) and lower legs’ fat content (LEfat) (6433.1 ± 1934.2vs 8046.4 ± 3187.5g; p = 0.047). PWV correlated positively with age (r = .47, p < 0.0001), TUG (r = 0.26, p = 0.037), negatively with V (r = −0.37, p = 0.003), handgrip strength (r = −0.30, p = 0.015), ADL (r = −0.28, p = 0.02).

In multiple regression analysis gait speed was negatively associated with PWV (β = −0.37; p = 0.0075), female gender (β = −0.36; p = 0.045) and TUG (β = −0.443; p = 0.0038), and positively with Hb (β = 0.30; p = 0.045), PTX3 (β = 0.608; p = 0.001), sTNFR2 (β = 0.374; p = 0.035).

Conclusions: Artery stiffness, apart from female gender and inflammation, may be associated with poorer gait performance in older subjects.

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Journal
Artery Research
Volume-Issue
12 - C
Pages
42 - 42
Publication Date
2015/11/23
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2015.10.013How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - JOUR
AU  - Anna Skalska*
AU  - Malgorzata Fedyk-Lukasik
AU  - Paulina Fatyga
AU  - Tomasz Grodzicki
PY  - 2015
DA  - 2015/11/23
TI  - 2.6 PULSE WAVE VELOCITY AND GAIT PERFORMANCE IN OLDER SUBJECTS
JO  - Artery Research
SP  - 42
EP  - 42
VL  - 12
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2015.10.013
DO  - 10.1016/j.artres.2015.10.013
ID  - Skalska*2015
ER  -