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Utility of bioelectrical phase angle for cardiovascular risk assessment among individuals with and without diabetes mellitus

Purpose - Low values of bioimpedance-derived phase angle (PA) have been associated with various adverse outcomes. We investigated the association of PA with cardiovascular markers in individuals with and without diabetes mellitus (DM). - Methods - PA was measured in 452 adults (without DM n = 153, T...

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Main Authors: Tsilingiris, Dimitrios (Author) , Schimpfle, Lukas (Author) , Kender, Zoltán (Author) , Sulaj, Alba (Author) , Rauchhaupt, Ekaterina von (Author) , Herzig, Stephan (Author) , Szendrödi, Julia (Author) , Kopf, Stefan (Author)
Format: Article (Journal)
Language:English
Published: January-February 2024
In: Diabetes & vascular disease research
Year: 2024, Volume: 21, Issue: 1, Pages: 1-10
ISSN:1752-8984
DOI:10.1177/14791641231223701
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1177/14791641231223701
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Author Notes:Dimitrios Tsilingiris, Lukas Schimpfle, Zoltan Κender, Alba Sulaj, Ekaterina von Rauchhaupt, Stephan Herzig, Julia Szendroedi, and Stefan Kopf
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Summary:Purpose - Low values of bioimpedance-derived phase angle (PA) have been associated with various adverse outcomes. We investigated the association of PA with cardiovascular markers in individuals with and without diabetes mellitus (DM). - Methods - PA was measured in 452 adults (without DM n = 153, T1DM n = 67, T2DM n = 232). Carotid intima-media thickness (IMT), renal resistive index (RRI), ankle-brachial index (ABI) and carotid-femoral Pulse Wave Velocity (cfPWV) were estimated. Furthermore, the levels of high-sensitive Troponin-T [hsTnT], N-terminal brain natriuretic peptide [NT-pro-BNP]) were measured. - Results - PA values were lower in DM independently of age, gender, and BMI (estimated marginal means 6.21, 5.83, 5.95 for controls, T1DM, T2DM p < .05), a finding which persisted after propensity score matching. PA correlated negatively with IMT (r = −0.181), RRI (r = −0.374), cfPWV (r = −0.358), hsTnT (r = −0.238) and NT-pro-BNP (r = −0.318) (all p < .001). In multivariable analysis, the associations with RRI, cfPWV, hsTnT and NT-pro-BNP remained unchanged. PA values 6.0-6.5° for males and 5.2-5.8° for females were predictive of commonly used cutoffs. The combination of ΑCC/AHA ASCVD Score with PA outperformed either factor in predicting cfPWV, RRI for males and hsTnT, BNP for both genders. - Conclusions - PA exhibits independent correlations with various parameters pertinent to cardiovascular risk and may be useful for cardiovascular assessment.
Item Description:Vorab online veröffentlicht: 2. Februar 2024
Gesehen am 10.06.2024
Physical Description:Online Resource
ISSN:1752-8984
DOI:10.1177/14791641231223701

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