ArticleJournal of hypertension2016
Socioeconomic status, education, and aortic stiffness progression over 5 years: the Whitehall II prospective cohort study.
Article in Journal of hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Global distributions of age- and sex-related arterial stiffness: systematic review and meta-analysis of 167 studies with 509,743 participants.EBioMedicine · 2023Pooled it
- Association Between Early Vascular Aging and Cardiometabolic Diseases: A Two-Year Longitudinal Study of the EVasCu Cohort.Journal of clinical medicine · 2026Article
- Diabetic Nephropathy-Associated Impaired Aortic Function Is Not Mediated by Mean Arterial Pressure and Its Determinants.Journal of clinical medicine · 2024Article
- Estimated Pulse Wave Velocity Is Associated With a Higher Risk of Dementia in the Health and Retirement Study.American journal of hypertension · 2024Article
- The association between arterial stiffness and socioeconomic status: a cross-sectional study using estimated pulse wave velocity.Clinical hypertension · 2024Article
- Exploring the Association between Mediterranean Diet Adherence and Arterial Stiffness in Healthy Adults: Findings from the EvasCu Study.Nutrients · 2024Article
- Socioeconomic status as a potential mediator of arterial aging in marginalized ethnic and racial groups: current understandings and future directions.Journal of applied physiology (Bethesda, Md. : 1985) · 2024Review
- Chronic snus use in healthy males alters endothelial function and increases arterial stiffness.PloS one · 2022Article
- Association of Parental Socioeconomic Status and Physical Activity with Development of Arterial Stiffness in Prepubertal Children.International journal of environmental research and public health · 2021Article
- Ethnic differences in subclinical vascular function in South Asians, Whites, and African Americans in the United States.International journal of cardiology. Heart & vasculature · 2020Article
- Psychological Wellbeing and Aortic Stiffness: Longitudinal Study.Hypertension (Dallas, Tex. : 1979) · 2020Article
- Long-Term Greenspace Exposure and Progression of Arterial Stiffness: The Whitehall II Cohort Study.Environmental health perspectives · 2020Article
- Determinants of pulse wave velocity trajectories from youth to young adulthood: the Georgia Stress and Heart Study.Journal of hypertension · 2019Article
- The Effects of Nut Consumption on Vascular Function.Nutrients · 2019Review
- Determinants of Vascular Age: An Epidemiological Perspective.Clinical chemistry · 2019Review
- Residential Surrounding Greenness and Cognitive Decline: A 10-Year Follow-up of the Whitehall II Cohort.Environmental health perspectives · 2018Article
- Gut microbial diversity is associated with lower arterial stiffness in women.European heart journal · 2018Article
- Socioeconomic inequality in recovery from poor physical and mental health in mid-life and early old age: prospective Whitehall II cohort study.Journal of epidemiology and community health · 2018Article
- Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study.International journal of environmental research and public health · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe inverse association between socioeconomic status (SES) and cardiovascular disease (CVD) risk is well documented. Aortic stiffness assessed by aortic pulse wave velocity (PWV) is a strong predictor of CVD events. However, no previous study has examined the effect of SES on arterial stiffening over time. The present study examines this association, using several measures of SES, and attained education level in a large ageing cohort of British men and women.
methodsParticipants were drawn from the Whitehall II study. The sample was composed of 3836 men and 1406 women who attended the 2008-2009 clinical examination (mean age = 65.5 years). Aortic PWV was measured in 2008-2009 and in 2012-2013 by applanation tonometry. A total of 3484 participants provided PWV measurements on both occasions. The mean difference in 5-year PWV change was examined according to household income, education, employment grade, and father's social class, using linear mixed models.
resultsPWV increase [mean: confidence interval (m/s)] over 5 years was higher among participants with lower employment grade (0.38: 0.11-0.65), household income (0.58, 95%: 0.32-0.85), and education (0.30: 0.01, 0.58), after adjusting for sociodemographic variables, BMI, alcohol consumption, smoking, and other cardiovascular risk factors, namely SBP, mean arterial pressure, heart rate, cholesterol, diabetes, and antihypertensive use.
conclusionThe present study supports the presence of robust socioeconomic disparities in aortic stiffness progression. Our findings suggest that arterial aging could be an important pathophysiological pathway explaining the impact of lower SES on CVD risk.
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