Table 3.
Clinical Factor | Measurement Method | Microvascular Bed Assessed | Effect on Microvascular Function |
---|---|---|---|
Age [36,70,73,74,75] | Skin, eye, skeletal muscle, heart | Function decreases by increasing age | |
Hormonal status [76,77,78,79] | Oestrogen levels, together with oestrogen receptor activity, are most accurate. Menopausal status and oral contraceptive therapy use are alternative surrogate markers. | Skin, skeletal muscle, heart | Function decreases with lower oestrogen activity |
Hypercholesterolemia [71,80,81] | Serum cholesterol panel | Skin, eye, heart | Function decreases with higher serum low-density lipoprotein cholesterol levels |
Hyperglycaemia [82,83] | Glucose tolerance test, fasting glucose, HbA1c | Skin, eye, heart | Function decreases with higher plasma glucose levels |
Hypertension [36,38,70,84,85] | 24-h systolic blood pressure shows the highest correlation | Skin, eye, skeletal muscle, heart | Function decreases with higher systolic blood pressure and by duration of hypertension |
Dietary intake [86] | Caffeine | Skin | Function is temporarily increased |
Dietary intake [87,88] | High-fat diet | Skin, heart | Function is temporarily decreased |
Physical inactivity [31,89,90,91] | 24-h accelerometer, physical activity questionnaire | Skin, eye, skeletal muscle | Function decreases with more physical inactivity. |
Obesity [8,70,92,93] | Waist circumference is more correlated than BMI or BSA. | Skin, eye, skeletal muscle, heart | Function decreases with increasing level of obesity |
Sex [94,95] | Skin, eye, skeletal muscle, heart | Effect on function depends on other confounders. | |
Smoking [75,96] | Self-reported use | Skin, eye, heart | Function decreases with smoking and more pack years. |
Abbreviations: BMI, body mass index; BSA, body surface area; HbA1c, glycated haemoglobin.