Aortic & peripheral vascular disease

Characterization of peripheral artery disease and associations with traditional risk factors, mobility, and biomarkers in the project baseline health study

Am Heart JPublished Prospective cohort study

Authors' conclusion

This study reinforces existing evidence that a large proportion of PAD without claudication may be underdiagnosed, particularly in female and Black or African American participants.

Study context

Population
Participants of the Project Baseline Health Study (PBHS), recruited 2017–2018
Participants
2,209 participants
Exposure
Peripheral artery disease (PAD) vs normal ABI
  • PADn = 58
Outcome
Prevalence of lower-extremity PAD
Follow-up
Baseline
Methodological detailsmulticentre, longitudinal
  • Multicentre
  • Longitudinal

Main finding

As reported in the abstract

GroupValuePre-existing PAD diagnosed prior to enrollment
PAD2.6%2 (3.4%)

PAD

Value2.6%
Pre-existing PAD diagnosed prior to enrollment2 (3.4%)

Observational data: associations, not effects.

Further findings

Risk factors, coronary calcification and hs-CRP · baseline

Smoking

P < 0.001

Hypertension

P < 0.001

DM

P = 0.031

Agatston score >100

P = 0.01

hs-CRP PAD 5.86 · Normal ABI 2.83 · P < 0.001

Immunophenotype (adjusted for demographic and risk factors) · baseline

Significantly fewer circulating CD56-high NK cells, IgM+ memory B cells and CD10/CD27 double-positive B cells with PAD
P < 0.05 for all

Original publication

Characterization of peripheral artery disease and associations with traditional risk factors, mobility, and biomarkers in the project baseline health study. Am Heart J. Published 3 July 2024. doi:10.1016/j.ahj.2024.06.010

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