Individual and combined contributions of non-high-density lipoprotein cholesterol and brachial-ankle pulse wave velocity to cardiovascular disease risk: Results of a prospective study using the Kailuan cohort

Qiongbing Zheng, Hui Wang, Xianxuan Wang, Youmian Lan, Weiqiang Wu, Xinran Yu, Zegui Huang, Zekai Chen, Zefeng Cai, Qi Lin, Houshi Zhou, Yongdong Zhu, Muyuan Liu, Kuangyi Wu, Huancong Zheng, Shouling Wu*, Youren Chen*

*Corresponding author for this work

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    Objective: We aimed to characterize the relationship of a combination of circulating non-high-density lipoprotein-cholesterol (non-HDL-C) concentration and brachial-ankle pulse wave velocity (baPWV) with cardiovascular disease (CVD). Methods: We performed a prospective cohort study of the residents of the Kailuan community, with data from a total of 45,051 participants being included in the final analysis. The participants were allocated to four groups according to their non-HDL-C and baPWV status, each of which was categorized as high or normal. Cox proportional hazards models were used to explore the relationships of non-HDL-C and baPWV, individually and in combination, with the incidence of CVD. Results: During the 5.04-year follow-up period, 830 participants developed CVD. Compared with the Normal non-HDL-C group independently, the multivariable adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for CVD in the High non-HDL-C was 1.25 (1.08–1.46). Compared with the Normal baPWV group independently, the HRs and 95% CIs for CVD in the High baPWV was 1.51 (1.29–1.76). In addition, compared with the Normal both non-HDL-C and baPWV group, the HRs and 95% CIs for CVD in the High non-HDL-C and normal baPWV, Normal non-HDL-C and high baPWV, and High both non-HDL-C and baPWV groups were 1.40 (1.07–1.82), 1.56 (1.30–1.88), and 1.89 (1.53–2.35), respectively. Conclusion: High non-HDL-C concentration and high baPWV are independently associated with a higher risk of CVD, and individuals with high both non-HDL-C and baPWV are at a still higher risk of CVD.

    Original languageEnglish
    Article number1105464
    Number of pages10
    JournalFrontiers in cardiovascular medicine
    Publication statusPublished - 9-Feb-2023


    • brachial-ankle pulse wave velocity
    • cardiovascular diseases
    • combined effect
    • Kailuan cohort
    • non-high-density lipoprotein cholesterol

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