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  • Tschiderer, LenaMed Univ Innsbruck, Inst Hlth Econ, Innsbruck, Austria. (author)

Association of Intima-Media Thickness Measured at the Common Carotid Artery With Incident Carotid Plaque : Individual Participant Data Meta-Analysis of 20 Prospective Studies

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Ovid Technologies (Wolters Kluwer Health),2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-508586
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-508586URI
  • https://doi.org/10.1161/JAHA.122.027657DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153141183URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: The association between common carotid artery intima-media thickness (CCA-IMT) and incident carotid plaque has not been characterized fully. We therefore aimed to precisely quantify the relationship between CCA-IMT and carotid plaque development.Methods and Results: We undertook an individual participant data meta-analysis of 20 prospective studies from the Proof-ATHERO (Prospective Studies of Atherosclerosis) consortium that recorded baseline CCA-IMT and incident carotid plaque involving 21 494 individuals without a history of cardiovascular disease and without preexisting carotid plaque at baseline. Mean baseline age was 56 years (SD, 9 years), 55% were women, and mean baseline CCA-IMT was 0.71 mm (SD, 0.17 mm). Over a median follow-up of 5.9 years (5th-95th percentile, 1.9-19.0 years), 8278 individuals developed first-ever carotid plaque. We combined study-specific odds ratios (ORs) for incident carotid plaque using random-effects meta-analysis. Baseline CCA-IMT was approximately log-linearly associated with the odds of developing carotid plaque. The age-, sex-, and trial arm-adjusted OR for carotid plaque per SD higher baseline CCA-IMT was 1.40 (95% CI, 1.31-1.50; I-2=63.9%). The corresponding OR that was further adjusted for ethnicity, smoking, diabetes, body mass index, systolic blood pressure, low- and high-density lipoprotein cholesterol, and lipid-lowering and antihypertensive medication was 1.34 (95% CI, 1.24-1.45; I-2=59.4%; 14 studies; 16 297 participants; 6381 incident plaques). We observed no significant effect modification across clinically relevant subgroups. Sensitivity analysis restricted to studies defining plaque as focal thickening yielded a comparable OR (1.38 [95% CI, 1.29-1.47]; I-2=57.1%; 14 studies; 17 352 participants; 6991 incident plaques).Conclusions: Our large-scale individual participant data meta-analysis demonstrated that CCA-IMT is associated with the long-term risk of developing first-ever carotid plaque, independent of traditional cardiovascular risk factors.

Subject headings and genre

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  • Seekircher, LisaMed Univ Innsbruck, Inst Hlth Econ, Innsbruck, Austria. (author)
  • Izzo, RaffaeleUniv Naples Federico II, Dept Adv Biomed Sci, Naples, Italy. (author)
  • Mancusi, Costantino V.Univ Naples Federico II, Dept Adv Biomed Sci, Naples, Italy. (author)
  • Manzi, MariaUniv Naples Federico II, Dept Adv Biomed Sci, Naples, Italy.,Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands. (author)
  • Baldassarre, DamianoUniv Milan, Dept Med Biotechnol & Translat Med, Milan, Italy.;Ctr Cardiol Monzino Stituto Ricovero & Cura & Cara, Milan, Italy. (author)
  • Amato, MauroCtr Cardiol Monzino Stituto Ricovero & Cura & Cara, Milan, Italy. (author)
  • Tremoli, ElenaMaria Cecilia Hosp, Cotignola, Ravenna, Italy. (author)
  • Veglia, FabrizioMaria Cecilia Hosp, Cotignola, Ravenna, Italy. (author)
  • Tuomainen, Tomi-PekkaUniv Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland. (author)
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  • Voutilainen, AriUniv Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland. (author)
  • Iglseder, BernhardGemeinnutzige Salzburger Landeskliniken Betriebsge, Dept Geriatr Med, Salzburg, Austria.;Paracelsus Med Univ, Dept Geriatr Med, Salzburg, Austria. (author)
  • Lind, LarsUppsala universitet,Institutionen för medicinska vetenskaper,Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands.(Swepub:uu)larslind (author)
  • Rundek, TatjanaUniv Miami Miller, Dept Neurol, Sch Med, Miami, FL USA. (author)
  • Desvarieux, MoiseColumbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA.;Inst Natl Sante & Rech Med Unite Mixte Rech 1153, Ctr Rech Epidemiol & Stat Paris Sorbonne Cite, METHODS Core, Paris, France. (author)
  • Kato, AkihikoHamamatsu Univ Hosp, Blood Purificat Unit, Hamamatsu, Japan. (author)
  • de Groot, EricImagelabonline & Cardiovasc, Erichem, Netherlands.;Amsterdam Univ Med Ctr, Acad Med Ctr, Dept Gastroenterol & Hepatol, Amsterdam, Netherlands. (author)
  • Asci, GuelayEge Univ, Nephrol Dept, Sch Med, Bornova, Izmir, Turkiye. (author)
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  • Beulens, Joline W. J. D.Vrije Univ Med Ctr, Amsterdam Univ Med Ctr, Dept Epidemiol & Data Sci, Amsterdam, Netherlands. (author)
  • Byrne, Christopher C.Univ Southampton, Fac Med, Sch Human Dev & Hlth, Southampton, England.;Univ Hosp Southampton, Southampton Natl Inst Hlth & Care Res, Biomed Res Ctr, Southampton, England. (author)
  • Calder, Philip C.Univ Southampton, Fac Med, Sch Human Dev & Hlth, Southampton, England.;Univ Hosp Southampton, Southampton Natl Inst Hlth & Care Res, Biomed Res Ctr, Southampton, England. (author)
  • Gerstein, HertzelMcMaster Univ, Dept Med & Populat Hlth, Res Inst, Hamilton, ON, Canada.;Hamilton Gen Hosp, Hamilton, ON, Canada. (author)
  • Gresele, PaoloUniv Perugia, Dept Med & Surg, Div Internal & Cardiovasc Med, Perugia, Italy. (author)
  • Klingenschmid, GerhardMed Univ Innsbruck, Dept Neurol, Innsbruck, Austria. (author)
  • Nagai, Michiaki H.Hiroshima City Asa Hosp, Dept Internal Med Gen Med & Cardiol, Hiroshima, Japan. (author)
  • Olsen, MichaelUniv Southern Denmark, Holbaek Hosp, Dept Internal Med, Odense, Denmark. (author)
  • Parraga, Grace S.Western Univ, Robarts Res Inst, Dept Med Biophys, London, ON, Canada. (author)
  • Safarova, MayaUniv Kansas Med Ctr, Dept Cardiovasc Med, Kansas City, KS USA.;Univ Sydney, Fac Med & Hlth, Charles Perkins Ctr, Sydney, NSW, Australia. (author)
  • Sattar, NaveedUniv Glasgow, British Heart Fdn Glasgow Cardiovasc Res Ctr, Glasgow, Scotland. (author)
  • Skilton, Michael (author)
  • Stehouwer, Coen D. A.Maastricht Univ Med Ctr, Cardiovasc Res Inst Maastricht, Dept Internal Med, Maastricht, Netherlands. (author)
  • Uthoff, Heiko A.Univ Hosp Basel, Dept Angiol, Basel, Switzerland. (author)
  • van Agtmael, Michiel A.Amsterdam Univ Med Ctr, Vrije Univ, Dept Internal Med, Amsterdam, Netherlands. (author)
  • van der Heijden, Amber A.Vrije Univ Med Ctr, Amsterdam Univ Med Ctr, Dept Gen Practice, Amsterdam, Netherlands. (author)
  • Zozulinska-Ziolkiewicz, DorotaPoznan Univ Med Sci, Dept Internal Med & Diabetol, Poznan, Poland. (author)
  • Park, Hyun-WoongChungnam Natl Univ, Sejong Hosp, Dept Internal Med, Div Cardiol, Sejong Si, South Korea. (author)
  • Lee, Moo-SikKonyang Univ, Coll Med, Dept Prevent Med, Daejeon, South Korea.;Konyang Univ Hosp, Dept Occupat & Environm Med, Daejeon, South Korea. (author)
  • Bae, Jang-HoKonyang Univ Hosp, Heart Ctr, Daejeon, South Korea. (author)
  • Beloqui, Oscar F.Univ Clin Navarra, Dept Internal Med, Navarra, Spain. (author)
  • Landecho, ManuelUniv Clin Navarra, Dept Internal Med, Navarra, Spain. (author)
  • Plichart, MatthieuUniv Paris 05, Paris Cardiovasc Res Ctr, Paris, France. (author)
  • Ducimetiere, PierreHosp Home, Fdn St Serv, Levallois Perret, France. (author)
  • Empana, Jean PhilippeUniv Paris 05, Paris Cardiovasc Res Ctr, Paris, France. (author)
  • Bokemark, LenaUniv Gothenburg, Wallenberg Lab Cardiovasc Res, Gothenburg, Sweden. (author)
  • Bergstroem, GoeranUniv Gothenburg, Inst Med, Sahlgrenska Acad, Dept Mol & Clin Med, Gothenburg, Sweden. (author)
  • Schmidt, CarolineUniv Gothenburg, Wallenberg Lab Cardiovasc Res, Gothenburg, Sweden. (author)
  • Castelnuovo, SamuelaAziende Socio Sanitarie Territoriali Grande Osped, Ctr Dislipidemie, Milan, Italy. (author)
  • Calabresi, Laura D.Univ Milan, Dept Pharmacol & Biomol Sci, Milan, Italy.;Stituto Ricovero & Cura Carattere Sci Multimed, Milan, Italy. (author)
  • Norata, GiuseppeUniv Milan, Dept Pharmacol & Biomol Sci, Milan, Italy.;Bassini Hosp, Soc Italiana Studio Aterosclerosi Ctr Study Athero, Cinisello Balsamo, Italy. (author)
  • Grigore, Liliana (author)
  • Catapano, AlbericoUniv Milan, Dept Pharmacol & Biomol Sci, Milan, Italy.;Stituto Ricovero & Cura Carattere Sci Multimed, Milan, Italy. (author)
  • Zhao, DongCapital Med Univ, Beijing Anzhen Hosp, Dept Epidemiol, Beijing, Peoples R China. (author)
  • Wang, MiaoCapital Med Univ, Beijing Anzhen Hosp, Dept Epidemiol, Beijing, Peoples R China. (author)
  • Liu, JingCapital Med Univ, Beijing Anzhen Hosp, Dept Epidemiol, Beijing, Peoples R China. (author)
  • Ikram, M. ArfanErasmus MC, Dept Epidemiol, Rotterdam, Netherlands. (author)
  • Kavousi, Maryam L.Erasmus MC, Dept Epidemiol, Rotterdam, Netherlands. (author)
  • Bots, Michiel J.Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands. (author)
  • Sweeting, Michael W.Univ Leicester, Dept Hlth Sci, Leicester, England.;Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge, England. (author)
  • Lorenz, MatthiasGoethe Univ, Dept Neurol, Frankfurt, Germany.;Krankenhaus NW Frankfurt, Klin Neurol, Frankfurt, Germany. (author)
  • Willeit, PeterMed Univ Innsbruck, Inst Hlth Econ, Innsbruck, Austria.;Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge, England.;Med Univ Innsbruck, Anichstr 35, A-6020 Innsbruck, Austria. (author)
  • Med Univ Innsbruck, Inst Hlth Econ, Innsbruck, Austria.Univ Naples Federico II, Dept Adv Biomed Sci, Naples, Italy. (creator_code:org_t)

Related titles

  • In:Journal of the American Heart Association: Ovid Technologies (Wolters Kluwer Health)12:122047-9980

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