A healthy lifestyle is associated with lower arterial stiffness in a metabolically healthy elderly population with overweight or obesity.
J Hypertens
; 40(9): 1808-1814, 2022 09 01.
Article
em En
| MEDLINE
| ID: mdl-35881458
ABSTRACT
BACKGROUND AND AIMS:
Arterial stiffness is linked with the development of cardiovascular and noncardiovascular diseases. In clinical practice, measurement of carotid-femoral pulse wave velocity (cf-PWV) has become a widely used study for the assessment of cardiovascular risk in elderly population. Our aim was to evaluate whether maintaining a healthy life, based on Mediterranean Diet (MedDiet) and regular practice of physical activity, are associated with arterial stiffness in an elderly, metabolically healthy with overweight or obesity (MHOe) population. INDIVIDUALS ANDMETHODS:
A transversal, analytical-descriptive study in MHOe population (aged ≥65âyears) with a BMI at least 27âkg/âm 2 who had one or less of the following cardiometabolic disorders fasting plasma glucose at least 100âmg/dl, blood pressure at least 135/85âmmHg (or the use of blood pressure-lowering agents), low high-density lipoprotein (HDL) cholesterol (≤ 40âmg/dl for men, ≤50âmg/dl for women) or triglycerides at least 150âmg/dl (or the use of lipid-lowering therapies) was conducted. Blood pressure, height, weight, BMI, waist to hip ratio (WHR), practice of physical activity, MedDiet adherence and food intake along with cf-PWV were analysed.RESULTS:
One hundred and fifty-eight MHOe individuals (age 72.2â±â5.0âyears, BMI 31.6â±â3.8âkg/m 2 ) were recruited. One hundred and nine of them were younger than 75âyears of age (young-old, age 69.3â±â2.8âyears and BMI 32.0â±â3.9âkg/m 2 ) and 49 of them aged 75âyears or older (old-old, age 78.1â±â2.9âyears and BMI 30.7â±â3.6âkg/m 2 ). All population showed a strong adherence to the Med Diet due major consumption of homemade meal, olive oil and lean meats. In addition, they presented an important practice of all intensities of physical activity. Young-old individuals had a cf-PWV of 9.7â±â2.2âm/s and old-old individuals had a cf-PWV of 11.1â±â4.4âm/s. In all populations, a negative correlation between cf-PWV and BMI ( r â=â-0.17, P â=â0.04) and a positive correlation with WHR in men ( r â=â0.18, P â=â0.03) was found. WHR shows a significantly positive correlation with the cf-PWV values in old-old women participants ( r â=â0.41, P â=â0.008). On the other side, only vigorous physical activity showed a negative correlation with cf-PWV in all population and in young-old individuals ( r â=â-0.20; P â=â0.02 and r â=â-0.22; P â=â0.03, respectively).CONCLUSION:
Healthy lifestyle habits based on MedDiet adherence and regular practice of physical activity are associated with lower arterial stiffness in a metabolically healthy population with overweight or obesity older than 65âyears compared with data from other elderly populations previously reported in the literature.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Rigidez Vascular
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Hypertens
Ano de publicação:
2022
Tipo de documento:
Article