Association between pulse wave velocity and white matter hyperintensities among older adults: a meta-analysis of cross-sectional and longitudinal studies

Background: higher levels of pulse wave velocity (PWV) have been related with the presence of small vessel disease that could damage the brain, in which white matter hyperintensities (WMH) could be presented as consequence. This meta-analysis aims to examine the cross-sectional and longitudinal asso...

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Detalles Bibliográficos
Autores: Álvarez-Bueno, Celia, Medrano Echeverría, María, Lucerón Lucas-Torres, Maribel, Otero-Luis, Iris, López-López, Samuel, Lever-Megina, Carla Geovanna, Cavero-Redondo, Iván
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2024
País:España
Institución:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/53540
Acceso en línea:https://hdl.handle.net/2454/53540
Access Level:acceso abierto
Palabra clave:Arterial stiffness
Elderly
Leukoaraiosis
Pulse wave velocity
Small vessel disease
Systematic review
White matter hyperintensities
Descripción
Sumario:Background: higher levels of pulse wave velocity (PWV) have been related with the presence of small vessel disease that could damage the brain, in which white matter hyperintensities (WMH) could be presented as consequence. This meta-analysis aims to examine the cross-sectional and longitudinal associations between PWV and the presence of WMH among older adults. Methods: we searched PubMed, Scopus, and WOS until June 2024. Pooled Odds Ratio (p-OR) were estimated for the cross-sectional and longitudinal associations between PWV and WMH. In addition, we explored whether this associations could be modified by type of PWV measurement and study and sample characteristics. Results: the p-OR between PWV and WMH was 1.16 (95 % CI, 1.10-1.22) for the cross-sectional and 1.07 (95 %, 1.00-1.15) for the longitudinal association. Similar figures were found by type of PWV measurement and no one of the explored characteristics modified this associations. Conclusions: this meta-analysis revealed that the presence in and the long-term development of WMHs among older adults are more likely among those with elevated PWV.