Sexual dimorphism in relationships between flow-mediated vasodilation and metabolic cardiovascular risk factors
DOI:
https://doi.org/10.12775/PPS.2025.24.64864Keywords
flow-mediated dilation, lipid profile, uricemia, women, menAbstract
Background and aim. Endothelial dysfunction appears early in the development of cardiovascular and kidney disease as well as diabetes mellitus. Data on the relationships between endothelium status and metabolic cardiovascular risk factors as well as their sexual dimorphism are conflicting, which prompted us to conduct our own study.
Material and methods. The object of clinical observation was volunteers: 12 women (42-64 y) and 12 men (42-59 y) without clinical diagnosis. Endothelium status assessed by flow-mediated dilation (FMD). In addition, determined metabolic parameters in serum: triglycerides, total cholesterol (Ch), HDLP-Ch, LDLP-Ch as well as uric acid.
Results. In women, the average FMD level was 15% higher than in men, but the difference was not significant. A very strong positive correlation was found between FMD and HDLP-Ch (0,988 vs 0,873) while negative correlation between FMD and triglycerides (-0,687 vs -0,907), LDLP-Ch (-0,978 vs -0,898) and Body Mass Index (-0,916 vs -0,892), but not uricemia (-0,386 vs -0,302) at women and men, respectively.
Conclusion. Serum lipid profile, but not uricemia, can be used to quantify endothelial status.
References
1. Corretti, M. C., Anderson, T. J., Benjamin, E. J., Celermajer, D., Charbonneau, F., Creager, M. A., Deanfield, J., Drexler, H., Gerhard-Herman, M., Herrington, D., Vallance, P., Vita, J., Vogel, R., & International Brachial Artery Reactivity Task Force: Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the International Brachial Artery Reactivity Task Force. (2002). J Am Coll Cardiol, 39:257-265.
2. Dobiásová, M., Frohlich, J., Sedová, M., Cheung, M. C., Brown, B. G. (2011). Cholesterol esterification and atherogenic index of plasma correlate with lipoprotein size and findings on coronary angiography. J Lipid Res,52(3):566-571. doi:10.1194/jlr.P011668.
3. Dobiásová, M., & Frohlich, J. (2001). The plasma parameter log(TG/HDL-C) as an atherogenic index: correlation with lipoprotein particle size and esterification rate in apoB-lipoprotein-depleted plasma (FER(HDL)). Clin Biochem,34(7):583-588. doi:10.1016/s0009-9120(01)00263-6
4. Dobiásová, M. (2006). AIP-atherogenic index of plasma as a significant predictor of cardiovascular risk: from research to practice {in Czech]. Vnitr Lek,52(1):64-71. PMID: 16526201.
5. Friedewald, W. T., Levy, R.I., Fredrickson. D. S. (1972). Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem, 18(6):499-502. PMID: 4337382.
6. Gao, Y., Liu, C., Zhang, X., Gao, J., Yang, C. (2008). Circulating Endothelial Cells as Potential Markers of Atherosclerosis. Canadian Journal of Neurologycal Sciences, 35(5):638-642 https://doi.org/10.1017/S0317167100009446.
7. Goryachkovskiy, A. M. (1998). Clinical Biochemistry [in Russian]. Odesa:Astroprint; 608.
8. Gozhenko, A., Pavlega, H., Badiuk, N., & Zukow, W. (2025). Features of circulating in the blood desquamated endotheliocytes at the patients with hypertonic disease accompanied by alcoholism. Journal of Education, Health and Sport, 83, 63633. https://doi.org/10.12775/JEHS.2025.83.63633
9. Gozhenko, A., Pavlega, H., Badiuk, N., & Zukow, W. (2024). Circulating in the blood desquamated endotheliocytes at the cardiovascular diseases. Preliminary communication. Quality in Sport, 19:51571. https://dx.doi.org/10.12775/QS.2024.19.51571
10. Hannemann, A., Wallaschofski, H., Lüdemann, J., Völzke, H., Markus, M. R., Rettig, R., Lendeckel, U., Reincke, M., Felix, S. B., Empen, K., Nauck, M., & Dörr, M. (2011). Plasma aldosterone levels and aldosterone-to-renin ratios are associated with endothelial dysfunction in young to middle-aged subjects. Atherosclerosis, 219:875-879 [DOI]
11. Hiller, G. (1987). Test for the quantitative determination of HDL cholesterol in EDTA plasma with Reflotron®. Klin Chem, 33:895-898.
12. Klimov, A. N., & Nikulcheva, N. G. (1995). Lipids, Lipoproteides and Atherosclerosis [in Russian]. St-Pb. Piter Pres;304.
13. Kuznetsova, H. S., Gozhenko, A. I., Kuznetsova, K. S., Shukhtin, V. V., Kuznetsova, Е. N., & Kuznetsov, S. H. (2018). Endothelium. Physiology and Pathology: monograph. Odesa:Feniks; 284.
14. Larsen, J. S., Skaug, E-A., Wisløff, U., Ellingsen, Ø., Stovner, L. J., Linde, M., & Hagen, K. (2016). Migraine and endothelial function: The HUNT3 Study. Cephalalgia Int J Headache, 36:1341-1349 [DOI]
15. Maruhashi, T., Soga, J., Fujimura, N., Idei, N., Mikami, S., Iwamoto, Y., Kajikawa, M., Matsumoto, T., Hidaka, T., Kihara, Y., Chayama, K., Noma, K., Nakashima, A., Goto, C., Tomiyama, H., Takase, B., Yamashina, A., & Higashi, Y. (2013). Relationship between flow-mediated vasodilation and cardiovascular risk factors in a large community-based study. Heart Br Card Soc, 99:837-1842
16. Popovych, I. L., Ruzhylo, S. V., Ivassivka, S. V, Aksentiychuk, B. I. (Editors). (2005). Balneo-cardioangiology. The impact of balneotherapy in the spa Truskavets’ on the cardiovascular system and physical performance [in Ukrainian]. Kyїv. Computerpress; 239.
17. Popovych, I. L., Gozhenko, A. I., Korda, M. M., Klishch, I. M., Popovych, D. V., Zukow, W (editors). (2022). Mineral Waters, Metabolism, Neuro-Endocrine-Immune Complex. Odesa. Feniks; 252.
18. Tang, J., Liu, K., Eshak, E. S., Cui, R., Sakaniwa, R., Imano, H., Dong, J. Y., & Iso, H. (2022). Association between Serum Uric Acid and Impaired Endothelial Function: The Circulatory Risk in Communities Study. Journal of atherosclerosis and thrombosis, 29(10), 1534–1546. https://doi.org/10.5551/jat.63199
19. Wang, Y., Li, G., Qi, J., Gong, T., Li, X., Liu, F., Bi, X., Zhao, Y., Liang, M., Zheng, X., & Qiao, Y. (2022). Decreased flow-mediated dilation in healthy Chinese adolescent with a family history of type 2 diabetes. BMC cardiovascular disorders, 22(1), 251. https://doi.org/10.1186/s12872-022-02653-2
20. Yan, R.T., Anderson, T. J., Charbonneau, F., Title, L., Verma, S., & Lonn, E. (2005). Relationship between carotid artery intima-media thickness and brachial artery flow-mediated dilation in middle-aged healthy men. J Am Coll Cardiol,45:1980-1986 [DOI]
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