Brachial artery intima-media thickness and echogenicity in relation to lipids and markers of oxidative stress in elderly subjects: The Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) study
Journal article, 2008

The aim of the present study was to relate brachial artery intima-media thickness (IMT) and the grey scale median of the intima-media complex (IM-GSM) to traditional cardiovascular risk factors and markers of inflammation and oxidative stress. In the Prospective Study of the Vasculature in Uppsala Seniors (PIVUS) study, a population-based study of 1016 subjects aged 70, brachial artery IMT and IM-GSM, who were evaluated by ultrasound. Lipids, thirteen markers of inflammation and nine markers of oxidative stress were measured. The Framingham risk score was related to IMT (p < 0.0001), but not to the IM-GSM. In univariate analysis, HDL-cholesterol, serum triglycerides, fasting glucose, smoking, HOMA insulin resistance index and oxidized LDL levels were related to IMT. HDL and LDL-cholesterol, triglycerides, VCAM-1, e-selectin, leukocyte count, conjugated diens, baseline conjugated diens (BCD)-LDL, antibodies to oxLDL, the GSSG/GSH glutathione ratio and homocysteine were related to IM-GSM. In multiple regression models, HDL-cholesterol, fasting glucose and oxLDL levels were the independently related to IMT (p = 0.01-0.04), while serum triglycerides, BCD-LDL and the GSSG/GSH ratio were independently related to IM-GSM (p = 0.0001-0.004). In conclusion, in addition to traditional lipid variables, markers of oxidative stress were associated with both thickness and echogenicity of the brachial artery intima-media complex. Thus, both thickness and echogenicity of the brachial artery intima-media complex might be useful biomarkers in the future.




ultra sound



L. Lind

Akademiska Sjukhuset

J. Andersson

Akademiska Sjukhuset

M. Ronn

Akademiska Sjukhuset

Tomas Gustavsson

Chalmers, Signals and Systems, Signal Processing and Biomedical Engineering

P. Holdfelt


Johannes Hulthe

Wallenberg Lab.

A. Elmgren

AstraZeneca AB

K. Zilmer

University of Tartu

M. Zilmer

University of Tartu


0024-4201 (ISSN)

Vol. 43 2 133-141

Subject Categories

Computer and Information Science



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