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Background <p>Arterial stiffness, which is estimated by pulse wave velocity (PWV), has been associated with cardiovascular morbidity and mortality; however, there is sparse literature on socioeconomic (SES) indicators and PWV.</p> Methods <p>In this systematic review and meta-analysis, evidence was retrieved from cross-sectional and cohort studies on the association of SES indicators (both single and composite) with arterial stiffness. A total of 16,331 records were reviewed and 9 studies included.</p> Results <p>Low educational level was associated with an increase of 0.26&#xa0;m/s in PWV (95% CI: 0.15 to 0.37; <i>p</i> &lt; 0.001; I<sup>2</sup> = 78.2%), whereas low SES was associated with a 0.32&#xa0;m/s increase of PWV (95%CI: 0.09 to 0.56, <i>p</i> = 0.008, I<sup>2</sup> = 93.6%).</p> Conclusion <p>Results underscore the importance of socioeconomic position as a determinant of arterial stiffness. Future studies could benefit from longitudinal designs and more homogeneous SES measures, as well as considering composite indicators of SES like neighborhood/area environment and characteristics, along with individual indicators.</p>

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Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月26日

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  • Galatia Photiou,
  • Panayiotis Kouis,
  • Zoi Papasavva,
  • Demosthenes B. Panagiotakos,
  • Nicos Middleton,
  • Andrie G. Panayiotou

摘要

Background

Arterial stiffness, which is estimated by pulse wave velocity (PWV), has been associated with cardiovascular morbidity and mortality; however, there is sparse literature on socioeconomic (SES) indicators and PWV.

Methods

In this systematic review and meta-analysis, evidence was retrieved from cross-sectional and cohort studies on the association of SES indicators (both single and composite) with arterial stiffness. A total of 16,331 records were reviewed and 9 studies included.

Results

Low educational level was associated with an increase of 0.26 m/s in PWV (95% CI: 0.15 to 0.37; p < 0.001; I2 = 78.2%), whereas low SES was associated with a 0.32 m/s increase of PWV (95%CI: 0.09 to 0.56, p = 0.008, I2 = 93.6%).

Conclusion

Results underscore the importance of socioeconomic position as a determinant of arterial stiffness. Future studies could benefit from longitudinal designs and more homogeneous SES measures, as well as considering composite indicators of SES like neighborhood/area environment and characteristics, along with individual indicators.