Possible Association of Atrophic Gastritis and Arterial Stiffness in Healthy Middle-Aged Japanese

  • Torisu Takehiro
    Division of General Internal Medicine, Kyushu Dental College Departments of Medicine and Clinical Science, Graduate School of Medicine Science, Kyushu University
  • Takata Yutaka
    Division of General Internal Medicine, Kyushu Dental College
  • Ansai Toshihiro
    Community Oral Health Science, Department of Health Promotion, Kyushu Dental College
  • Matsumoto Takayuki
    Departments of Medicine and Clinical Science, Graduate School of Medicine Science, Kyushu University
  • Sonoki Kazuo
    Division of General Internal Medicine, Kyushu Dental College
  • Awano Shuji
    Community Oral Health Science, Department of Health Promotion, Kyushu Dental College
  • Yoshida Akihiro
    Community Oral Health Science, Department of Health Promotion, Kyushu Dental College
  • Hamasaki Tomoko
    Community Oral Health Science, Department of Health Promotion, Kyushu Dental College
  • Kagiyama Shuntaro
    Division of General Internal Medicine, Kyushu Dental College
  • Nakamichi Ikuo
    Division of General Internal Medicine, Kyushu Dental College
  • Ohsumi Tomoko
    Applied Pharmacology, Kyushu Dental College
  • Toyoshima Kuniaki
    Oral Anatomy and Neurobiology, Kyushu Dental College
  • Nishihara Tatsuji
    Infection and Molecular Biology, Kyushu Dental College
  • Iida Mitsuo
    Departments of Medicine and Clinical Science, Graduate School of Medicine Science, Kyushu University
  • Takehara Tadamichi
    Community Oral Health Science, Department of Health Promotion, Kyushu Dental College

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Aim: Helicobacter pylori (HP) has been implicated as a risk factor for cardiovascular and atherosclerotic diseases. Arterial stiffness determined by pulse wave velocity (PWV) or the cardio-ankle vascular index (CAVI) has been shown to be higher in HP-positive subjects than in HP-negative subjects; however, this result has been observed only in young subjects. The aim of the study was to investigate the possible correlation between HP infection and PWV or CAVI in middle-aged subjects.<BR>Methods: We measured brachial-ankle PWV (baPWV), CAVI, metabolism markers, pepsinogens (PGs) and IgG antibody to HP in 343 individuals aged either 60 or 65 year old. Atrophic gastritis (AG) was diagnosed based on the values of PGs.<BR>Results: baPWV and CAVI were significantly higher in the AG-positive group than in the AG-negative group even after adjusting for possible confounding factors (baPWVc; 16.63±3.50 vs. 15.59±3.47 p=0.010, CAVIc; 8.59±1.20 vs. 8.27±1.19 p=0.022). baPWV and CAVI values tended to be higher in the HP-positive group than in the HP-negative group. High-density lipoprotein (HDL) cholesterol level and the adiponectin level were lower in the AG-positive group than in the AG-negative group.<BR>Conclusion: There may be an association between atrophic gastritis and atherosclerosis in middle-aged subjects.

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