Table 2.
Summary of study results on the association between cfPWV, baPWV and local carotid stiffness on the one hand and cognitive impairment on the other
| Reference | Index | n | Age(y) | Standardized effect estimate or direction of associationa | Adjustments | |||||
|---|---|---|---|---|---|---|---|---|---|---|
|
|
||||||||||
| Dementia | Global score |
Memory | Processing speed |
EF/A | Age | Blood pressure |
||||
|
Cross-sectional studies (15 studies)
| ||||||||||
| Poels et al., 2007 b | cfPWV | 3,714 | 72 | + | + | +* | x | x | ||
| Tsao et al., 2013 | cfPWV | 1,578 | 61 | β −0.01 | β 0.07 | x | x | |||
| Zhong et al., 2013 | cfPWV | 1,433 | 75 | +* | +* | + | + | x | ||
| Mitchell et al., 2011 | cfPWV | 668 | 75 | β 0.10* | β −0.03 | β 0.08 | x | x | ||
| Watson et al., 2011 | cfPWV | 552 | 73 | β 0.11* | β 0.07 | β 0.12* | x | x | ||
| Elias et al., 2009 | cfPWV | 409 | 61 | = | = | β 0.13* | x | x | ||
| Muller et al., 2007 | cfPWV | 396 | 60 | β 0.01 | β 0.02 | β 0.01 | x | |||
| Sugawara et al., 2010 | baPWV | 388 | 69 | + | x | x | ||||
| Kim et al., 2009 | baPWV | 370 | 55 | = | ||||||
| Fuijwara et al., 2005 | baPWV | 352 | 77 | +* | x | x | ||||
| Singer et al., 2013 | cfPWV | 319 | 80 | β −0.05 | β 0.20 | β 0.05 | β −0.03 | x | x | |
| Hanon et al., 2005 | cfPWV | 308 | 78 | OR 2.63* | +* | x | x | |||
| Scuteri et al., 2013 | cfPWV | 280 | 78 | +* | x | |||||
| Fukuhara et al., 2006 | baPWV | 203 | 85 | +* | x | x | ||||
| Kearney-Schwartz etal., 2009 | cfPWV | 198 | 69 | = | = | |||||
|
| ||||||||||
|
Longitudinal studies (4 studies)
| ||||||||||
| Poels et al., 2007 b | cfPWV | 2,767 | 71 | HR 0.91 | OR 0.93c | OR 1.09c | OR 1.10c | x | x | |
| Zeki Al Hazzouri etal., 2013/ Watson etal., 2011d | cfPWV | 2,488 | 74 | +* | + | − | x | x | ||
| Benetos et al., 2012 | cfPWV | 873 | 88 | +* | x | x | ||||
| Waldstein et al., 2008 | cfPWV | 582 | 54 | +* | +* | + | + | x | x | |
Studies are ordered from largest to smallest sample size.
If available, (fully adjusted) standardized effect estimates are presented. If not, direction of association is presented. Mean effect estimates are presented if multiple results were available for the same cognitive domain.
+: greater arterial stiffness associated with worse cognitive function
−: greater arterial stiffness associated with better cognitive function
=: no association between arterial stiffness and cognitive function; direction of association not indicated in original manuscript.
P<.05
Poels et al., 2007 also evaluated the association between carotid stiffness and cognitive impairment; results for carotid stiffness were qualitatively similar to results for carotid-femoral pulse wave velocity.
Cognitive decline specified as >−1SD change of the mean difference between examinations.
Studies based on an overlapping study population (health, aging, and body composition study). Zeki Al Hazzouri et al., 2013 describes the association between carotid-femoral pulse wave velocity and global cognitive decline in the total population (n=2,488). Watson et al., 2011 describes in a subsample (n=522) the association between carotid-femoral pulse wave velocity and global cognitive decline, memory and processing speed.
y = years; EF/A = executive function/attention; OR = odds ratio; HR = hazard ratio; cfPWV = carotid-femoral pulse wave velocity; carotid = local carotid stiffness; baPWV = brachial-ankle pulse wave velocity