Ankle brachial index and cognitive function among Hispanics/Latinos: Results from the Hispanic Community Health Study/Study of Latinos

Tarraf, Wassim; Criqui, Michael H.; Allison, Matthew; Wright, Clinton B.; Fornage, Myriam; Daviglus, Martha L.; Kaplan, Robert C.; Davis, Sonia M.; Conceicao, Alan; González, Héctor M.

doi:10.1016/j.atherosclerosis.2018.02.016

Cited by 10 publications

(9 citation statements)

References 41 publications

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“…We speculated that ABI may be associated with brain tissue blood perfusion, and could be a good indicator of cognitive function in elderly hypertensive patients. Although many studies have reported the association between the ABI and cognitive function [11][12][13][14], few studies have focused on the relationship between the ABI and cognitive function in elderly hypertensive patients. Our cross-sectional study found that the ABI was associated with cognitive impairment independent of age, gender, education, ASCVD history, blood pressure related parameters (PP and PI), and baPWV, and the cohort follow-up study also con rmed that cognitive function declined more rapidly in patients with a low ABI, revealing an association between the ABI and cognitive function in elderly hypertensive patients.…”

Section: Discussionmentioning

confidence: 99%

“…[9,10] Studies have shown that the ABI could be a good indicator for cognitive impairment in community health population and patients with acute lacunar infarction or undergoing hemodialysis. [11][12][13][14] However, the relationship between ABI and cognitive function in elderly hypertensive patients has rarely been reported. According to the World Health Organization (WHO) age classi cation criteria for the elderly and the hypertension management guidelines, the elderly hypertensive patients can be divided into the young elderly hypertensive patients (60 ~ 75 years old) and the old elderly hypertensive patients (75 ~ 89 years old).…”

Section: Introductionmentioning

confidence: 99%

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Ankle brachial index and cognitive function among elderly hypertensive patients with different age stratification: a 2-year longitudinal study

Chen

Liu

et al. 2022

Preprint

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BackgroundThe ankle brachial index (ABI) is widely used to evaluated peripheral artery disease and atherosclerosis. This study was designed to evaluate the association between the ABI and cognitive function in elderly hypertensive patients stratified by age. MethodsA total of 408 elderly hypertensive patients from two hospitals were included, and followed up for two years. Cognitive function was assessed by the Mini-Mental State Examination (MMSE). Multivariate logistic regression analysis was employed to evaluate the association between ABI and cognitive impairment, and the analysis of covariance (ANCOVA) was used to compare the cognitive decline according to the ABI during 2-year follow-up in different age groups adjusted for related confounding factors.ResultsThe ABI was independently associated with cognitive impairment in overall and old elderly (75 ~ 89 years old) hypertensive patients (all P < 0.05), but not in the young elderly (60 ~ 75 years old) (P = 0.113). During ANCOVA, the MMSE score decline value of the low ABI group was greater than that of the high ABI group (0.767 vs 0.244; F = 5.845, P = 0.016) over 2-year follow-up. There was a significant difference of MMSE score decline value between the young and old elderly (0.345 vs 1.005; F = 4.728, P = 0.031) in Low ABI group, but no significant difference was found in High ABI group (P = 0.235). ConclusionsThe ABI was associated with cognitive impairment and cognitive function decline in elderly hypertensive patients, especially in the old elderly. Early monitoring of the ABI and initiation of individualized anti-atherosclerotic therapy might help prevent cognitive impairment in elderly hypertensive patients more effectively.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ankle brachial index and cognitive function among elderly hypertensive patients with different age stratification: a 2-year longitudinal study

Chen

Liu

et al. 2022

Preprint

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“…Another possible reason why MD, and especially vegetables and fruits might be associated with reduced mental decline and distress is their protective effect on cardiovascular system (Billingsley and Carbone, 2018) and decrease in atherosclerosis build-up (Santhakumar et al , 2018). For example, the peripheral artery disease (arterial stenosis and stiffness) was negatively associated with the verbal learning and memory, verbal fluency, executive function and overall cognition (Tarraf et al , 2018). On the other hand, MD, especially when combined with moderate alcohol consumption, physical activity and non-smoking, was associated with a decreased risk of peripheral artery disease (Lopez-Laguna et al , 2018).…”

Section: Discussionmentioning

confidence: 99%

Mediterranean diet and mental distress: “10,001 Dalmatians” study

Salvatore

Relja

Filipčić

et al. 2019

BFJ

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Purpose The impact of eating habits on mental health is gaining more attention recently. The purpose of this paper is to investigate the association between mental distress and the Mediterranean diet (MD) in a community-dwelling adult population of Dalmatia, Croatia. Design/methodology/approach Participants from the “10,001 Dalmatians” study from the Island of Korcula and the City of Split were included (n=3,392). Lifestyle habits were investigated using a self-administered questionnaire, while mental distress was evaluated using the General Health Questionnaire-30 (GHQ-30) in a cross-sectional design. MD compliance was assessed using the Mediterranean Diet Serving Score. Multivariate linear regression analysis was used in the analysis. Findings MD compliance was associated with lesser mental distress (ß=−1.96, 95% CI −2.75, −1.17; p<0.001). Inverse association was found between mental distress and higher intake of fruits (ß=−0.64; 95% CI −0.89, −0.39; p<0.001), vegetables (ß=−0.39; 95% CI −0.65, −0.13; p=0.003), olive oil (ß=−0.30; 95% CI −0.56, −0.04; p=0.022) and legumes (ß=−0.83; 95% CI −1.66, 0.00; p=0.049). Mental distress was more intense in women, older participants, those with worse material status, subjects with previously diagnosed chronic diseases and in current smokers. Originality/value This study suggests beneficial association of MD and overall mental health, offering important implications for public health provisions. Since the literature search did not reveal any previous study on the association between the MD and GHQ-based mental distress in the general population, this study delivers interesting results and fills this knowledge gap.

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“…The ABI is a noninvasive measure of PAD (arterial stenosis and stiffness) [10]. The standard Doppler procedure using a Nicolet Doppler Elite 100R probe (Natus, Golden, CO) was used to measure the ABI, as described in previous studies [11].…”

Section: Measures Peripheral Arterial Disease (Pad)mentioning

confidence: 99%

Exploring the Association of Self-Reported Physical Activity with Peripheral Arterial Disease Severity: A Cross-Sectional Study from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Database

Aldhahi

Alshehri

Alqahtani

2021

Preprint

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Background Engaging in physical activity (PA) has been proved to reduce the risk of developing cardiovascular diseases. In patients with peripheral artery disease (PAD), diminished PA predicts high overall mortality. However, it is unknown to what extent participation in PA is associated with PAD severity. Therefore, the overarching aim of this study was to investigate the association between PAD severity and PA levels using the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) database. Methods This was a cross-sectional cohort study that included 495 participants with PAD and a total of 14,536 participants without PAD from the HCHS/SOL database. The Global Physical Activity Questionnaire was administered to assess the time spent weekly in performing moderate to vigorous PA (MVPA) during work, leisure time, and transportation. The Ankle–Brachial Index (ABI) was used to measure PAD. PA status was categorized on the basis of MVPA as follows: physically active (MVPA ≥ 150 min) and physically inactive (combined MVPA < 150 min). Eventually, the total sample was then classified as follows: normal ABI and physically active, normal ABI but physically inactive, PAD and physically active, and PAD but physically inactive. Regression models were used to investigate the association between different types of PA and the severity of PAD. Results Of the participants, 235 (47%) were involved in no to insufficient PA, and 260 (53%) engaged in at least 150 min/week of MVPA. The majority of participants (54%) with mild PAD were physically active, and 58% of those with severe PAD were physically inactive. After adjustment for covariates (age, sex, education, smoking status, body mass index, and statins), inactive people with a diagnosis of PAD were more likely to have severe PAD (β = .79, p = .02). In addition, decreases in work-related PA, total metabolic equivalents, and total PA were associated with increased PAD severity. Conclusions It was found that MVPA patterns were associated with PAD severity, and they explained high severity among patients with PAD who were physically inactive. These findings highlight the necessity of interventions in increasing PA in these participants. Future studies are required to identify appropriate exercise regimens or home-based programs to help patients with severe PAD meet the current PA recommendations.

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Ankle brachial index and cognitive function among Hispanics/Latinos: Results from the Hispanic Community Health Study/Study of Latinos

Abstract: In addition to being a robust indicator of arterial compromise, our study suggests that abnormal ABI readings may also be useful for early signaling of subtle cognitive deficits.

Cited by 10 publications

References 41 publications

Ankle brachial index and cognitive function among elderly hypertensive patients with different age stratification: a 2-year longitudinal study

Ankle brachial index and cognitive function among elderly hypertensive patients with different age stratification: a 2-year longitudinal study

Mediterranean diet and mental distress: “10,001 Dalmatians” study

Exploring the Association of Self-Reported Physical Activity with Peripheral Arterial Disease Severity: A Cross-Sectional Study from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Database

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