Journals / Turkish Journal of Gastroenterology / 2021 / Cilt: 32 - Sayı: 5

Arterial Stiffness in Inflammatory Bowel Disease: An Updated Systematic Review and Meta-Analysis

Pages
421–430
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Altogether 10 studies were conducted to evaluate the carotid-femoral pulse wave velocity (CPWV) in overall IBD patients, which was significantly increased with the mean difference (MD) and 95% CI as 0.70 (0.48-0.92, P < .01).

📌 3 Key Takeaways

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Objective & Hypothesis:Background: This systematic review and meta-analysis were carried out on well-conducted and adequately powered studies to explore whether arterial stiffness was associated with inflammatory bowel disease (IBD).
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Key Findings & Data:Methods: The search for potential literature was conducted on PubMed, MEDLINE, Cochrane Library, and Embase from inception to February 15, 2020.
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Conclusion & Impact:Altogether 10 studies were conducted to evaluate the carotid-femoral pulse wave velocity (CPWV) in overall IBD patients, which was significantly increased with the mean difference (MD) and 95% CI as 0.70 (0.48-0.92, P < .01).
🔬Design:Lab & Field Experiment
📍Scope:2020 Verileri
⚙️Variables:Domain Parameters

Özet

Background: This systematic review and meta-analysis were carried out on well-conducted and adequately powered studies to explore whether arterial stiffness was associated with inflammatory bowel disease (IBD). Methods: The search for potential literature was conducted on PubMed, MEDLINE, Cochrane Library, and Embase from inception to February 15, 2020. The studies assessing arterial stiffness in IBD were reviewed and included. Results: Conclusively, 17 eligible trials with a total of 2188 participants were in compliance with the inclusion criteria. Of the included 2188 participants, the cases for ulcerative colitis (UC) and Crohn’s disease (CD) were 558 and 693, respectively. Altogether 10 studies were conducted to evaluate the carotid-femoral pulse wave velocity (CPWV) in overall IBD patients, which was significantly increased with the mean difference (MD) and 95% CI as 0.70 (0.48-0.92, P < .01). The pooled results for CPWV in patients with CD and UC were also faster than that of control groups with MD and 95% CI as 1.09 (0.45-1.72) and 0.57 (0.57-1.24), respectively. The CPWV in CD and UC groups was comparable with a MD of 0.07 (P = .74, 95% CI: −0.32 to 0.45). Conclusion: Arterial stiffness had associations with the overall IBD, UC, and CD with a similar strength of association between UC and CD.

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Cite This Article

LU, Q., SHİ, R., MAO, T., WANG, Z., TAN, X., WANG, Y., Lİ, J. (2021). Arterial Stiffness in Inflammatory Bowel Disease: An Updated Systematic Review and Meta-Analysis. Turkish Journal of Gastroenterology, Cilt: 32 - Sayı: 5, 421–430. https://ajindex.com/articles/408845

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References (14)

  1. Ross R. Atherosclerosis-an inflammatory disease. N Engl J Med. 1999
  2. 340(2):115-126. [CrossRef] 2. Scarpa M, Castagliuolo I, Castoro C et al. Inflammatory colonic carcinogenesis: a review on pathogenesis and immunosurveillance mechanisms in ulcerative colitis. World J Gastroenterol. 2014
  3. 20(22):6774-6785. [CrossRef] 3. Hodson R Inflammatory bowel disease. Nature. 2016
  4. S97 [CrossRef]. 4. Theocharidou E, Gossios TD, Giouleme O, Athyros VG, Karagiannis A. Carotid intima-media thickness in patients with inflammatory bowel disease: a systematic review. Angiology. 2014
  5. 65(4):284-293. [CrossRef] 5. Park S, Lakatta EG. Role of inflammation in the pathogenesis of arterial stiffness. Yonsei Med J. 2012
  6. 53(2):258-261. [CrossRef] 6. Laurent S, Cockcroft J, Van Bortel L et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J. 2006
  7. 27(21):2588-2605. [CrossRef] 7. Laurent S, Boutouyrie P, Asmar R et al. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension. 2001
  8. 37(5):1236-1241. [CrossRef] 8. London GM, Blacher J, Pannier B et al. Arterial wave reflections and survival in end-stage renal failure. Hypertension. 2001
  9. 38(3):434- 438. [CrossRef] 9. Zanoli L, Rastelli S, Granata A et al. Arterial stiffness in inflammatory bowel disease: a systematic review and meta-analysis. J Hypertens. 2016
  10. 34(5):822-829. [CrossRef]. 10. Prijić R, Premužić V, Brinar M et al. Increased arterial stiffness - similar findings in patients with inflammatory bowel disease without prior hypertension or diabetes and in patients with well-controlled hypertension. Blood Press. 2018
  11. 27(4):240-246. [CrossRef] 11. Zanoli L, Lentini P, Boutouyrie P et al. Pulse wave velocity differs between ulcerative colitis and chronic kidney disease. Eur J Intern Med. 2018
  12. [CrossRef] 12. Zanoli L, Ozturk K, Cappello M et al. Inflammation and aortic pulse wave velocity: A multicenter longitudinal study in patients With inflammatory bowel disease. J Am Heart Assoc. 2019
  13. 8(3):e010942. [CrossRef] 13. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the prisma statement. J Clin Epidemiol. 2009
  14. 62(10):1006-1012. [CrossRef] 14. Wells G, Shea B, Tetzlaff J, O’Connell J et al. The Newcastle- Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analysis. Available at http://www.ohri.ca/programs/