Diabetes complications

Association of Elevated Arterial Stiffness With Cardiac Target Organ Damage and Cardiac Autonomic Neuropathy in Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study

Diabetes CarePublished Cross-sectional study

Authors' conclusion

AS is associated with cardiac changes in young adults with diabetes. CAN-induced AS does not appear to be an etiology for cardiac abnormalities in this cohort.

Study context

Population
Young adults with youth-onset diabetes from the SEARCH for Diabetes in Youth Study; mean age 23 years
Participants
222 vs 177
Exposure
T1D vs T2D
  • T1Dn = 222
  • T2Dn = 177
Outcome
Association of arterial stiffness (AS) with cardiac target organ damage (echocardiographic structure and function)

Main finding

As reported in the abstract

Association of AS with cardiac changes, adjusted for CV risk factors (linear regression)
Arterial stiffness (AS) associated with cardiac structure (left ventricular mass index)
P < 0.0001
AS associated with systolic function (ejection fraction)
P = 0.03
AS associated with diastolic function (transmitral E/A wave velocities ratio)
P = 0.008
AS associated with diastolic function (e'/a' waves)
P = 0.02

Observational data: associations, not effects.

Further findings

Association between AS and cardiac autonomic neuropathy (CAN)

Association between AS and CAN not significant when other important covariates were added

Difference by diabetes type

Relationships mostly similar in T1D and T2D

Original publication

Association of Elevated Arterial Stiffness With Cardiac Target Organ Damage and Cardiac Autonomic Neuropathy in Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study. Diabetes Care. Published 2 February 2023. doi:10.2337/dc22-1703

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