Adult ; Ankle Brachial Index ; Asian Continental Ancestry Group* ; Asymptomatic Diseases ; Atherosclerosis/blood ; Atherosclerosis/diagnosis ; Atherosclerosis/ethnology* ; Atherosclerosis/physiopathology ; Biomarkers/blood ; Cross-Sectional Studies ; Female ; Ferritins/blood* ; Healthy Volunteers ; Humans ; Linear Models ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Odds Ratio ; Pulse Wave Analysis ; Republic of Korea ; Risk Factors ; Vascular Stiffness*
Keywords
arterial stiffness ; atherosclerosis ; ferritin
Abstract
Although an association between serum ferritin and atherosclerosis has been suggested, limited epidemiologic data are available regarding the association between ferritin and arterial stiffness in healthy adults. A total of 2932 healthy subjects were enrolled in this study. Anthropometric and biochemical profiles including ferritin were measured. The arterial stiffness was measured using brachial-ankle pulse wave velocity (baPWV). Serum ferritin levels were classified into quartiles and baPWV values gradually increased with each ferritin quartile. Multiple regression analysis showed that ferritin levels were independently correlated with baPWV. After adjusting for multiple risk factors, as compared with the lowest quartile, the odds ratios for high baPWV (>75(th) percentile) were 1.15 (0.84-1.56), 1.37 (0.97-1.73), and 1.46 (1.29-2.17) among men (p for trend < 0.05) and 1.24 (0.87-1.79), 1.53 (1.09-2.16), and 1.80 (1.25-2.82) among women (p for trend < 0.05), for the second, third, and fourth quartiles of ferritin, respectively. In conclusion, serum ferritin levels are independently associated with arterial stiffness in healthy Korean adults.