Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal Study

ObjectiveSarcopenia, common among older adults, is associated with adverse health outcomes. This study explores the relationship between estimated pulse wave velocity (ePWV), a marker of arterial stiffness, and sarcopenia to support the early diagnosis and prevention strategies.MethodsUsing data fro...

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Main Authors: Dingding Song, Jianghu Miao, Yunzhu Zhang, Aiguo Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1494635/full
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author Dingding Song
Jianghu Miao
Yunzhu Zhang
Aiguo Zhu
author_facet Dingding Song
Jianghu Miao
Yunzhu Zhang
Aiguo Zhu
author_sort Dingding Song
collection DOAJ
description ObjectiveSarcopenia, common among older adults, is associated with adverse health outcomes. This study explores the relationship between estimated pulse wave velocity (ePWV), a marker of arterial stiffness, and sarcopenia to support the early diagnosis and prevention strategies.MethodsUsing data from two waves (2011 and 2015) of the China Health and Retirement Longitudinal Study (CHARLS), we conducted a nationally representative cohort study. ePWV was calculated at baseline, and sarcopenia was identified based on the Asian Working Group for Sarcopenia (AWGS) 2019 criteria. We used multivariate logistic regression and restricted cubic spline (RCS) analyses to investigate the ePWV-sarcopenia relationship.ResultsAmong 6,639 participants followed for 4 years, 11.1% were diagnosed with sarcopenia. Initial analyses indicated a positive correlation between ePWV and sarcopenia (β = 1.35), which weakened after adjusting for confounders. RCS analysis demonstrated a non-linear relationship (P-non-linear <0.001), with sarcopenia risk peaking at an ePWV of 9.430 m/s. The highest ePWV quartile showed the lowest grip strength, the longest chair stand test time, and the highest sarcopenia prevalence (P < 0.0001).ConclusionsIn middle-aged and elderly Chinese adults, ePWV variations may be linked to sarcopenia risk, potentially serving as a predictive marker. The non-linear relationship indicates complex underlying mechanisms, meriting further research.
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publishDate 2025-02-01
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spelling doaj-art-12b2d76a4b604f8f8b614587987345772025-08-20T02:13:20ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-02-011210.3389/fcvm.2025.14946351494635Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal StudyDingding SongJianghu MiaoYunzhu ZhangAiguo ZhuObjectiveSarcopenia, common among older adults, is associated with adverse health outcomes. This study explores the relationship between estimated pulse wave velocity (ePWV), a marker of arterial stiffness, and sarcopenia to support the early diagnosis and prevention strategies.MethodsUsing data from two waves (2011 and 2015) of the China Health and Retirement Longitudinal Study (CHARLS), we conducted a nationally representative cohort study. ePWV was calculated at baseline, and sarcopenia was identified based on the Asian Working Group for Sarcopenia (AWGS) 2019 criteria. We used multivariate logistic regression and restricted cubic spline (RCS) analyses to investigate the ePWV-sarcopenia relationship.ResultsAmong 6,639 participants followed for 4 years, 11.1% were diagnosed with sarcopenia. Initial analyses indicated a positive correlation between ePWV and sarcopenia (β = 1.35), which weakened after adjusting for confounders. RCS analysis demonstrated a non-linear relationship (P-non-linear <0.001), with sarcopenia risk peaking at an ePWV of 9.430 m/s. The highest ePWV quartile showed the lowest grip strength, the longest chair stand test time, and the highest sarcopenia prevalence (P < 0.0001).ConclusionsIn middle-aged and elderly Chinese adults, ePWV variations may be linked to sarcopenia risk, potentially serving as a predictive marker. The non-linear relationship indicates complex underlying mechanisms, meriting further research.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1494635/fullsarcopeniapulse wave velocityChina Health and Retirement Longitudinal Studyarterial stiffnessmiddle-agedolder people
spellingShingle Dingding Song
Jianghu Miao
Yunzhu Zhang
Aiguo Zhu
Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal Study
Frontiers in Cardiovascular Medicine
sarcopenia
pulse wave velocity
China Health and Retirement Longitudinal Study
arterial stiffness
middle-aged
older people
title Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal Study
title_full Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal Study
title_fullStr Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal Study
title_full_unstemmed Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal Study
title_short Relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle-aged and older Chinese adults: evidence from the China Health and Retirement Longitudinal Study
title_sort relationship between estimated pulse wave velocity and the risk of future sarcopenia in middle aged and older chinese adults evidence from the china health and retirement longitudinal study
topic sarcopenia
pulse wave velocity
China Health and Retirement Longitudinal Study
arterial stiffness
middle-aged
older people
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1494635/full
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