The Relationship of Retinal Vessel Diameters and Fractal Dimensions with Blood Pressure and Cardiovascular Risk Factors
This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast C...
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Published in | PloS one Vol. 9; no. 9; p. e106551 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Public Library of Science
04.09.2014
Public Library of Science (PLoS) |
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Online Access | Get full text |
ISSN | 1932-6203 1932-6203 |
DOI | 10.1371/journal.pone.0106551 |
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Abstract | This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China.
In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9 ± 12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age (β = 0.06, P = 0.008), sex (β = 1.33, P = 0.015), mean arterial blood pressure (β = -0.12, P<0.001), high-sensitivity C-reactive protein (β = -0.22, P = 0.008), and CRVE (β = 0.23, P<0.001) were significantly associated with CRAE. Age (β = -0.0012, P < 0.001), BP classification (prehypertension: β = -0.0075, P = 0.014; hypertension: β = -0.0131, P = 0.002), and hypertension history (β = -0.0007, P = 0.009) were significantly associated with D(f).
D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. |
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AbstractList | This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China.BACKGROUNDThis study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China.In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9 ± 12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age (β = 0.06, P = 0.008), sex (β = 1.33, P = 0.015), mean arterial blood pressure (β = -0.12, P<0.001), high-sensitivity C-reactive protein (β = -0.22, P = 0.008), and CRVE (β = 0.23, P<0.001) were significantly associated with CRAE. Age (β = -0.0012, P < 0.001), BP classification (prehypertension: β = -0.0075, P = 0.014; hypertension: β = -0.0131, P = 0.002), and hypertension history (β = -0.0007, P = 0.009) were significantly associated with D(f).METHODOLOGY/PRINCIPLE FINDINGSIn this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9 ± 12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age (β = 0.06, P = 0.008), sex (β = 1.33, P = 0.015), mean arterial blood pressure (β = -0.12, P<0.001), high-sensitivity C-reactive protein (β = -0.22, P = 0.008), and CRVE (β = 0.23, P<0.001) were significantly associated with CRAE. Age (β = -0.0012, P < 0.001), BP classification (prehypertension: β = -0.0075, P = 0.014; hypertension: β = -0.0131, P = 0.002), and hypertension history (β = -0.0007, P = 0.009) were significantly associated with D(f).D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk.CONCLUSIONS/SIGNIFICANCED(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China. In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9±12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age ([beta] = 0.06, P = 0.008), sex ([beta] = 1.33, P = 0.015), mean arterial blood pressure ([beta] = -0.12, P<0.001), high-sensitivity C-reactive protein ([beta] = -0.22, P = 0.008), and CRVE ([beta] = 0.23, P<0.001) were significantly associated with CRAE. Age ([beta] = -0.0012, P<0.001), BP classification (prehypertension: [beta] = -0.0075, P = 0.014; hypertension: [beta] = -0.0131, P = 0.002), and hypertension history ([beta] = -0.0007, P = 0.009) were significantly associated with D(f). D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. Background This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China. Methodology/Principle Findings In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9±12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age ([beta] = 0.06, P = 0.008), sex ([beta] = 1.33, P = 0.015), mean arterial blood pressure ([beta] = -0.12, P<0.001), high-sensitivity C-reactive protein ([beta] = -0.22, P = 0.008), and CRVE ([beta] = 0.23, P<0.001) were significantly associated with CRAE. Age ([beta] = -0.0012, P<0.001), BP classification (prehypertension: [beta] = -0.0075, P = 0.014; hypertension: [beta] = -0.0131, P = 0.002), and hypertension history ([beta] = -0.0007, P = 0.009) were significantly associated with D(f). Conclusions/Significance D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China. In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9 ± 12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age (β = 0.06, P = 0.008), sex (β = 1.33, P = 0.015), mean arterial blood pressure (β = -0.12, P<0.001), high-sensitivity C-reactive protein (β = -0.22, P = 0.008), and CRVE (β = 0.23, P<0.001) were significantly associated with CRAE. Age (β = -0.0012, P < 0.001), BP classification (prehypertension: β = -0.0075, P = 0.014; hypertension: β = -0.0131, P = 0.002), and hypertension history (β = -0.0007, P = 0.009) were significantly associated with D(f). D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. Background This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China. Methodology/Principle Findings In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9±12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age ( β = 0.06, P = 0.008), sex ( β = 1.33, P = 0.015), mean arterial blood pressure ( β = −0.12, P <0.001), high-sensitivity C-reactive protein ( β = −0.22, P = 0.008), and CRVE ( β = 0.23, P <0.001) were significantly associated with CRAE. Age ( β = −0.0012, P <0.001), BP classification (prehypertension: β = −0.0075, P = 0.014; hypertension: β = −0.0131, P = 0.002), and hypertension history ( β = −0.0007, P = 0.009) were significantly associated with D(f). Conclusions/Significance D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. BACKGROUND: This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China. METHODOLOGY/PRINCIPLE FINDINGS: In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9 ± 12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age (β = 0.06, P = 0.008), sex (β = 1.33, P = 0.015), mean arterial blood pressure (β = -0.12, P<0.001), high-sensitivity C-reactive protein (β = -0.22, P = 0.008), and CRVE (β = 0.23, P<0.001) were significantly associated with CRAE. Age (β = -0.0012, P < 0.001), BP classification (prehypertension: β = -0.0075, P = 0.014; hypertension: β = -0.0131, P = 0.002), and hypertension history (β = -0.0007, P = 0.009) were significantly associated with D(f). CONCLUSIONS/SIGNIFICANCE: D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. Background This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and retinal vascular fractal dimension (D(f)), and cardiovascular risk factors in the Chinese Han population residing in the in islands of southeast China. Methodology/Principle Findings In this cross-sectional study, fundus photographs were collected and semi-automated analysis software was used to analyze retinal vessel diameters and fractal dimensions. Cardiovascular risk factors such as relevant medical history, blood pressure (BP), lipids, and blood glucose data were collected. Subjects had a mean age of 51.9±12.0 years and included 812 (37.4%) males and 1,357 (62.6%) females. Of the subjects, 726 (33.5%) were overweight, 226 (10.4%) were obese, 272 (12.5%) had diabetes, 738 (34.0%) had hypertension, and 1,156 (53.3%) had metabolic syndrome. After controlling for the effects of potential confounders, multivariate analyses found that age (β = 0.06, P = 0.008), sex (β = 1.33, P = 0.015), mean arterial blood pressure (β = −0.12, P<0.001), high-sensitivity C-reactive protein (β = −0.22, P = 0.008), and CRVE (β = 0.23, P<0.001) were significantly associated with CRAE. Age (β = −0.0012, P<0.001), BP classification (prehypertension: β = −0.0075, P = 0.014; hypertension: β = −0.0131, P = 0.002), and hypertension history (β = −0.0007, P = 0.009) were significantly associated with D(f). Conclusions/Significance D(f) exhibits a stronger association with BP than CRAE. Thus, D(f) may become a useful indicator of cardiovascular risk. |
Audience | Academic |
Author | Yuan, Yin Zhu, Pengli Chen, Falin Huang, Feng Lin, Fan Gao, Zhonghai Li, Qiaowei |
AuthorAffiliation | University of Campinas, Brazil 2 Department of Ophthalmology, Fujian Provincial Hospital, Fuzhou, China 3 Clinical Laboratory Center, Fujian Provincial Hospital, Fuzhou, China 1 Department of Geriatric Medicine, Fujian Provincial Hospital, Fujian Provincial Institute of Clinical Geriatrics, Fujian Medical University, Fuzhou, China |
AuthorAffiliation_xml | – name: 2 Department of Ophthalmology, Fujian Provincial Hospital, Fuzhou, China – name: 3 Clinical Laboratory Center, Fujian Provincial Hospital, Fuzhou, China – name: 1 Department of Geriatric Medicine, Fujian Provincial Hospital, Fujian Provincial Institute of Clinical Geriatrics, Fujian Medical University, Fuzhou, China – name: University of Campinas, Brazil |
Author_xml | – sequence: 1 givenname: Pengli surname: Zhu fullname: Zhu, Pengli – sequence: 2 givenname: Feng surname: Huang fullname: Huang, Feng – sequence: 3 givenname: Fan surname: Lin fullname: Lin, Fan – sequence: 4 givenname: Qiaowei surname: Li fullname: Li, Qiaowei – sequence: 5 givenname: Yin surname: Yuan fullname: Yuan, Yin – sequence: 6 givenname: Zhonghai surname: Gao fullname: Gao, Zhonghai – sequence: 7 givenname: Falin surname: Chen fullname: Chen, Falin |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25188273$$D View this record in MEDLINE/PubMed |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Competing Interests: The authors have declared that no competing interests exist. Conceived and designed the experiments: PZ. Performed the experiments: FH FL. Analyzed the data: QL YY. Contributed reagents/materials/analysis tools: ZG FC. Wrote the paper: FH QL. |
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Snippet | This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent (CRAE) and... Background This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent... BACKGROUND: This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent... Background This study aimed to investigate the correlation between quantitative retinal vascular parameters such as central retinal arteriolar equivalent... |
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SubjectTerms | Age Biology and Life Sciences Blood Blood glucose Blood pressure Blood Pressure - physiology Body mass index Body weight C-reactive protein Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - pathology China Correlation analysis Cross-Sectional Studies Diabetes Diabetes mellitus Diabetic retinopathy Family medical history Female Females Fisheries Fractal analysis Fractals Geriatrics Glucose Health risks Heart Hemoglobin Hospitals Humans Hypertension Lipids Male Males Medicine Medicine and Health Sciences Metabolic disorders Metabolic syndrome Mortality Multivariate Analysis Overweight Population Retina Retinal Vessels - pathology Risk analysis Risk Factors Stroke Studies Uric acid |
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Title | The Relationship of Retinal Vessel Diameters and Fractal Dimensions with Blood Pressure and Cardiovascular Risk Factors |
URI | https://www.ncbi.nlm.nih.gov/pubmed/25188273 https://www.proquest.com/docview/1560109334 https://www.proquest.com/docview/1560588540 https://pubmed.ncbi.nlm.nih.gov/PMC4154709 https://doaj.org/article/8820e065032b4e268487905f767a5b7d http://dx.doi.org/10.1371/journal.pone.0106551 |
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