Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial Function

Abstract Background and Aims Arterial function (specifically arterial stiffness) is an important cardiovascular risk factor. Pulse wave velocity (PWV) and augmentation index (Alx) are established indicators of arterial function. The present study aimed to evaluate the repeatability and reproducibili...

Full description

Saved in:
Bibliographic Details
Main Authors: Sophie L. Russell, Mushidur Rahman, Charles J. Steward, Amy E. Harwood, Gordon McGregor, Prithwish Banerjee, Nduka C. Okwose, Djordje G. Jakovljevic
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.70155
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846151697781489664
author Sophie L. Russell
Mushidur Rahman
Charles J. Steward
Amy E. Harwood
Gordon McGregor
Prithwish Banerjee
Nduka C. Okwose
Djordje G. Jakovljevic
author_facet Sophie L. Russell
Mushidur Rahman
Charles J. Steward
Amy E. Harwood
Gordon McGregor
Prithwish Banerjee
Nduka C. Okwose
Djordje G. Jakovljevic
author_sort Sophie L. Russell
collection DOAJ
description Abstract Background and Aims Arterial function (specifically arterial stiffness) is an important cardiovascular risk factor. Pulse wave velocity (PWV) and augmentation index (Alx) are established indicators of arterial function. The present study aimed to evaluate the repeatability and reproducibility of PWV and Alx in healthy individuals. Methods Forty healthy participants (age 33 ± 11 years, 17 females) underwent resting supine PWV and Alx assessments. Measurements were made in triplicate and repeated 1 week apart. Alx was measured by brachial occlusion and PWV was measured from the carotid artery to the femoral artery via the tonometer‐oscillometric method. Repeatability and reproducibility were assessed using the intraclass correlation coefficient (ICC). Interoperator reproducibility was performed on 10 participants. Results The average values for week‐to‐week visits for PWV and Alx were 6.20 ± 0.91 versus 6.13 ± 0.91 ms−1 and 14.0 ± 11.8 versus 16.3 ± 12.2% respectively. For same‐day measurements, both PWV and Alx showed excellent repeatability (PWV: ICC = 0.96, 95% CI: 0.92–0.98, p < 0.01; Alx: ICC = 0.90, 95% CI: 0.84–0.94, p < 0.01) and interoperator reproducibility (PWV: ICC = 0.98, 95% CI: 0.93–1.00, p < 0.01; Alx: ICC = 0.93, 95% CI: 0.69–0.98, p < 0.01). Measurements were repeated 1 week apart and showed good reproducibility (PWV: ICC = 0.77, 95% CI: 0.61–0.87, p ≤ 0.01; Alx: ICC = 0.73, 95% CI: 0.73–0.86, p < 0.01). Conclusion PWV and Alx demonstrate excellent repeatability and good reproducibility. Considering these variables are noninvasive and easy‐to‐measure, arterial function assessment may have a role in routine clinical practice to facilitate risk stratification in cardiovascular diseases.
format Article
id doaj-art-82d3254c07014d69b7b2d109ab7093a0
institution Kabale University
issn 2398-8835
language English
publishDate 2024-11-01
publisher Wiley
record_format Article
series Health Science Reports
spelling doaj-art-82d3254c07014d69b7b2d109ab7093a02024-11-27T05:20:45ZengWileyHealth Science Reports2398-88352024-11-01711n/an/a10.1002/hsr2.70155Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial FunctionSophie L. Russell0Mushidur Rahman1Charles J. Steward2Amy E. Harwood3Gordon McGregor4Prithwish Banerjee5Nduka C. Okwose6Djordje G. Jakovljevic7Research Centre for Health and Life Sciences (CHLS) Coventry University Coventry UKResearch Centre for Health and Life Sciences (CHLS) Coventry University Coventry UKResearch Centre for Physical Activity, Sport and Exercise Science (CPASES) Coventry University Coventry UKDepartment of Sport and Exercise Sciences, Institute of Sport Manchester Metropolitan University Manchester UKResearch Centre for Healthcare and Communities Coventry University Coventry UKResearch Centre for Health and Life Sciences (CHLS) Coventry University Coventry UKResearch Centre for Health and Life Sciences (CHLS) Coventry University Coventry UKResearch Centre for Health and Life Sciences (CHLS) Coventry University Coventry UKAbstract Background and Aims Arterial function (specifically arterial stiffness) is an important cardiovascular risk factor. Pulse wave velocity (PWV) and augmentation index (Alx) are established indicators of arterial function. The present study aimed to evaluate the repeatability and reproducibility of PWV and Alx in healthy individuals. Methods Forty healthy participants (age 33 ± 11 years, 17 females) underwent resting supine PWV and Alx assessments. Measurements were made in triplicate and repeated 1 week apart. Alx was measured by brachial occlusion and PWV was measured from the carotid artery to the femoral artery via the tonometer‐oscillometric method. Repeatability and reproducibility were assessed using the intraclass correlation coefficient (ICC). Interoperator reproducibility was performed on 10 participants. Results The average values for week‐to‐week visits for PWV and Alx were 6.20 ± 0.91 versus 6.13 ± 0.91 ms−1 and 14.0 ± 11.8 versus 16.3 ± 12.2% respectively. For same‐day measurements, both PWV and Alx showed excellent repeatability (PWV: ICC = 0.96, 95% CI: 0.92–0.98, p < 0.01; Alx: ICC = 0.90, 95% CI: 0.84–0.94, p < 0.01) and interoperator reproducibility (PWV: ICC = 0.98, 95% CI: 0.93–1.00, p < 0.01; Alx: ICC = 0.93, 95% CI: 0.69–0.98, p < 0.01). Measurements were repeated 1 week apart and showed good reproducibility (PWV: ICC = 0.77, 95% CI: 0.61–0.87, p ≤ 0.01; Alx: ICC = 0.73, 95% CI: 0.73–0.86, p < 0.01). Conclusion PWV and Alx demonstrate excellent repeatability and good reproducibility. Considering these variables are noninvasive and easy‐to‐measure, arterial function assessment may have a role in routine clinical practice to facilitate risk stratification in cardiovascular diseases.https://doi.org/10.1002/hsr2.70155arterial functionaugmentation indexpulse wave velocityreliability
spellingShingle Sophie L. Russell
Mushidur Rahman
Charles J. Steward
Amy E. Harwood
Gordon McGregor
Prithwish Banerjee
Nduka C. Okwose
Djordje G. Jakovljevic
Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial Function
Health Science Reports
arterial function
augmentation index
pulse wave velocity
reliability
title Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial Function
title_full Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial Function
title_fullStr Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial Function
title_full_unstemmed Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial Function
title_short Central Pulse Wave Velocity and Augmentation Index Are Repeatable and Reproducible Measures of Arterial Function
title_sort central pulse wave velocity and augmentation index are repeatable and reproducible measures of arterial function
topic arterial function
augmentation index
pulse wave velocity
reliability
url https://doi.org/10.1002/hsr2.70155
work_keys_str_mv AT sophielrussell centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction
AT mushidurrahman centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction
AT charlesjsteward centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction
AT amyeharwood centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction
AT gordonmcgregor centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction
AT prithwishbanerjee centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction
AT ndukacokwose centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction
AT djordjegjakovljevic centralpulsewavevelocityandaugmentationindexarerepeatableandreproduciblemeasuresofarterialfunction