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Utility of bioelectrical phase angle for cardiovascular risk assessment among individuals with and without diabetes mellitus.
Diab. Vasc. Dis. Res. 21:14791641231223701 (2024)
PURPOSE: Low values of bioimpedance-derived phase angle (PA) have been associated with various adverse outcomes. We investigated the association of PA with cardiovascular markers in individuals with and without diabetes mellitus (DM). METHODS: PA was measured in 452 adults (without DM n = 153, T1DM n = 67, T2DM n = 232). Carotid intima-media thickness (IMT), renal resistive index (RRI), ankle-brachial index (ABI) and carotid-femoral Pulse Wave Velocity (cfPWV) were estimated. Furthermore, the levels of high-sensitive Troponin-T [hsTnT], N-terminal brain natriuretic peptide [NT-pro-BNP]) were measured. RESULTS: PA values were lower in DM independently of age, gender, and BMI (estimated marginal means 6.21, 5.83, 5.95 for controls, T1DM, T2DM p < .05), a finding which persisted after propensity score matching. PA correlated negatively with IMT (r = -0.181), RRI (r = -0.374), cfPWV (r = -0.358), hsTnT (r = -0.238) and NT-pro-BNP (r = -0.318) (all p < .001). In multivariable analysis, the associations with RRI, cfPWV, hsTnT and NT-pro-BNP remained unchanged. PA values 6.0-6.5° for males and 5.2-5.8° for females were predictive of commonly used cutoffs. The combination of ΑCC/AHA ASCVD Score with PA outperformed either factor in predicting cfPWV, RRI for males and hsTnT, BNP for both genders. CONCLUSIONS: PA exhibits independent correlations with various parameters pertinent to cardiovascular risk and may be useful for cardiovascular assessment.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Cardiovascular Disease ; Nt-pro-bnp ; Bioelectrical Impedance ; Phase Angle ; Pulse Wave Velocity ; Troponin; Sensitivity Cardiac Troponin; Natriuretic Peptide; Aortic Stiffness; Resistive Index; Disease; Bioimpedance; Volume; Mass
ISSN (print) / ISBN
1479-1641
e-ISSN
1752-8984
Quellenangaben
Volume: 21,
Issue: 1,
Article Number: 14791641231223701
Publisher
Sage
Publishing Place
Edgbaston, Birmingham
Non-patent literature
Publications
Reviewing status
Peer reviewed
Institute(s)
Institute of Diabetes and Cancer (IDC)
Grants
Deutsche Forschungsgemeinschaft