Sleep quality correlates with the carotid intima-media thickness in stroke-free community-dwelling adults living in rural Ecuador. The Atahualpa Project

Brutto, Oscar H. Del; Mera, Robertino M.; Zambrano, Mauricio; Simon, Leslie V.; Matcha, Gautam; Castillo, Pablo R.

doi:10.1016/j.sleep.2018.11.017

Cited by 9 publications

(14 citation statements)

References 19 publications

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“…Only one study from the USA represented a targeted vascular screening program [ 25 ]. A total of 11 articles reported on IMT [ 24 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 ], 11 reported on carotid plaque [ 24 , 25 , 31 , 32 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ] and five reported on carotid stenosis [ 24 , 25 , 33 , 35 , 43 ]. Our search strategy did not yield any articles reporting on carotid stiffness or other carotid ultrasound parameters.…”

Section: Resultsmentioning

confidence: 99%

“…The Atahualpa project was a population-based survey designed to investigate the presence of risk factors for CVD and stroke in rural Ecuador [ 46 ]. Two of the Atahualpa sub-studies analysed the correlation between cognitive performance, sleep quality and IMT [ 26 , 34 ], while another explored the relationship between the presence of an earlobe crease and atherosclerotic plaque [ 27 ]. The Hisayama Study from Japan examined the association between chronic obstructive pulmonary disease (COPD), carotid plaque and IMT [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…The most significant risk factors associated with increased IMT were age [ 30 , 32 ], male gender [ 30 ], hypertension [ 30 , 32 , 33 ], smoking [ 30 , 32 , 33 ], total cholesterol level [ 30 , 33 ], high LDL-C [ 30 , 33 ], low HDL-C level [ 32 , 33 , 38 ], alcohol consumption [ 30 ], high fasting glucose levels [ 30 ], lower education levels [ 30 ] and diabetes [ 33 ]. Additionally, increased IMT was associated with a lower ankle-brachial index (ABI) [ 37 ], decreased cognitive performance [ 34 ], poor sleep quality [ 26 ], active snorers [ 40 ], and COPD and airflow limitation [ 36 ]. No association was found between increased IMT and low bone mineral density (BMD) [ 31 ], elevated homocysteine levels [ 24 ] or the presence of an earlobe crease [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

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Carotid Ultrasound Screening Programs in Rural Communities: A Systematic Review

Petrova

Kiat

Gavino

et al. 2021

JPM

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Carotid atherosclerosis assessments inform about stroke and cardiovascular risk. It is known that stroke and cardiovascular disease (CVD) prevalence is higher in rural communities than in urban communities. We aimed to conduct a systematic review of rural carotid ultrasound screening programs to define carotid atherosclerosis using traditional and emerging imaging biomarkers, prevalence, and risk factors. We searched Ovid/MEDLINE, Ovid/EMBASE, SCOPUS and CINAHL from inception to 3 April 2020 for rural population studies that utilized carotid ultrasound screening for adults ≥40 years of age and free of known cerebrovascular disease. Studies were included if participants received a bilateral ultrasound scanning of the carotid arteries and reported at least one marker of carotid atherosclerosis pathology. A random effect meta-analyses calculated the estimated prevalence of carotid plaque. In total, 22/3461 articles that met all of the inclusion criteria were included. Studies reported increased intima media thickness (IMT), carotid plaque presence and carotid artery stenosis. There were no studies reporting on novel imaging markers, such as carotid stiffness, carotid plaque morphology or neovascularization. The overall random effect pooled prevalence of carotid plaque was 34.1% (95% CI, 33.6–35.0); the prevalence of increased IMT was 11.2–41.5%, and the prevalence of carotid artery stenosis was 0.4–16.0%. There is an absence of data necessary to understand the carotid atherosclerosis prevalence across global rural populations. Represented studies have focused on East Asian countries where a high burden of rural carotid artery disease has been reported. There is no rural evidence to guide the use of novel ultrasound carotid biomarkers such as stiffness or neovascularization.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Carotid Ultrasound Screening Programs in Rural Communities: A Systematic Review

Petrova

Kiat

Gavino

et al. 2021

JPM

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“…In addition, the behavioral effects of depressive symptoms are considered to be another source of subclinical atherosclerosis, such as sleep disorders, sedentary behavior and obesity, smoking and alcohol consumption. Sleep disorders lead to impaired vascular endothelial function 25 , sedentary behavior causes intimal thickening of arteries 26 , and smoking and obesity lead to the formation of atherosclerotic plaques 27 , all of which contribute to an increased atherosclerotic burden. Depression and atherosclerosis have a common pathophysiological basis 28,29 , and it has been con rmed that intracranial atherosclerosis will aggravate the symptoms of depression 30 .…”

Section: Discussionmentioning

confidence: 99%

Focal Points of the Preanesthesia Evaluation for Electroconvulsive Therapy in Patients with Depression: A Retrospective Analysis of Clinical Characteristics in Nonremission

Zou

Xiao

Chen

et al. 2022

Preprint

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Background: This study explored the patient clinical characteristics that may affect electroconvulsive therapy (ECT) efficacy, to enable improved focus during the evaluation and preparation before ECT.Methods: Patients enrolling for ECT at the Department of Psychiatry and Anesthesiology of the First Affiliated Hospital of Chongqing Medical University from December 2017 to January 2019.Univariate and multivariate analyses were performed to identify the risk factors for nonremission. Variables with statistical significance in the univariate analysis were included in the multivariate logistic regression analysis to determine independent risk factors.Results: In total, 874 cases showed efficacy in this study. After ECT treatment, 255 cases (29.2%) exhibited nonremission. Multivariate logistic regression analysis of variables was performed, and the results showed that atherosclerosis (OR 8.072, 95% CI 2.442 to 16.675; p = 0.001), COPD (OR 2.919, 95% CI 1.240 to 6.871; p = 0.014), diabetes (OR 2.202, 95% CI 1.115 to 4.348; p = 0.023) and smoking (OR 1.519, 95% CI 1.015 to 2.273; p = 0.042) were independent risk factors for nonremission.Conclusion: In the retrospective analysis, we found that atherosclerosis, diabetes, COPD or smoking may be high-risk factors for nonremission.

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“…Furthermore, there are alterations in the nitric oxide (NO) system [ 27 ]. Endothelium-derived NO, through its vasodilator properties, participates in the modulation of vascular tone [ 28 ]. These factors promote atherosclerosis.…”

Section: Discussionmentioning

confidence: 99%

Focal points of preanesthesia evaluations for electroconvulsive therapy in patients with depression: a retrospective analysis of clinical characteristics in nonremission

Zou

Chen

et al. 2022

BMC Anesthesiol

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Background This study explored the patient clinical characteristics that may affect electroconvulsive therapy (ECT) efficacy to enable improved focus during evaluations and preparation for ECT. Methods Patients were enrolled for ECT at the Department of Psychiatry and Anesthesiology of the First Affiliated Hospital of Chongqing Medical University from December 2017 to January 2019. The primary outcome in our study was defined as the development of nonremission. A multivariate logistic analysis was performed to identify the risk factors for nonremission. Results In total, 874 depressed patients were included in the study. After the ECT treatment, 255 cases (29.2%) exhibited nonremission. A multivariate logistic regression analysis of the variables was performed, and the results showed that atherosclerosis (OR 8.072, 95% CI 2.442 to 16.675; P = 0.001), COPD (OR 2.919, 95% CI 1.240 to 6.871; P = 0.014), diabetes (OR 2.202, 95% CI 1.115 to 4.348; P = 0.023) and smoking (OR 1.519, 95% CI 1.015 to 2.273; P = 0.042) were independent risk factors for nonremission. Conclusion In the retrospective analysis, we found that atherosclerosis, diabetes, COPD and smoking may be high-risk factors for nonremission.

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Sleep quality correlates with the carotid intima-media thickness in stroke-free community-dwelling adults living in rural Ecuador. The Atahualpa Project

Cited by 9 publications

References 19 publications

Carotid Ultrasound Screening Programs in Rural Communities: A Systematic Review

Carotid Ultrasound Screening Programs in Rural Communities: A Systematic Review

Focal Points of the Preanesthesia Evaluation for Electroconvulsive Therapy in Patients with Depression: A Retrospective Analysis of Clinical Characteristics in Nonremission

Focal points of preanesthesia evaluations for electroconvulsive therapy in patients with depression: a retrospective analysis of clinical characteristics in nonremission

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