Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis
Abstract 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 r...
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2025-05-01
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| Online Access: | https://doi.org/10.1186/s12889-025-23094-4 |
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| author | Galatia Photiou Panayiotis Kouis Zoi Papasavva Demosthenes B. Panagiotakos Nicos Middleton Andrie G. Panayiotou |
| author_facet | Galatia Photiou Panayiotis Kouis Zoi Papasavva Demosthenes B. Panagiotakos Nicos Middleton Andrie G. Panayiotou |
| author_sort | Galatia Photiou |
| collection | DOAJ |
| description | Abstract 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. |
| format | Article |
| id | doaj-art-497f025795154cd98d4ad88db918e9cc |
| institution | DOAJ |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-497f025795154cd98d4ad88db918e9cc2025-08-20T03:16:41ZengBMCBMC Public Health1471-24582025-05-0125111810.1186/s12889-025-23094-4Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysisGalatia Photiou0Panayiotis Kouis1Zoi Papasavva2Demosthenes B. Panagiotakos3Nicos Middleton4Andrie G. Panayiotou5Cardiovascular Epidemiology and Genetics Laboratory, Department of Rehabilitation Sciences, School of Health Sciences, Cyprus University of TechnologyCardiovascular Epidemiology and Genetics Laboratory, Department of Rehabilitation Sciences, School of Health Sciences, Cyprus University of TechnologyCardiovascular Epidemiology and Genetics Laboratory, Department of Rehabilitation Sciences, School of Health Sciences, Cyprus University of TechnologyDepartment of Nutrition and Dietetics, Harokopio UniversityDepartment of Nursing, School of Health Sciences, Cyprus University of TechnologyCardiovascular Epidemiology and Genetics Laboratory, Department of Rehabilitation Sciences, School of Health Sciences, Cyprus University of TechnologyAbstract 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.https://doi.org/10.1186/s12889-025-23094-4Arterial stiffnessPulse wave velocity, socioeconomic statusSocioeconomic indicatorsEducationIncome |
| spellingShingle | Galatia Photiou Panayiotis Kouis Zoi Papasavva Demosthenes B. Panagiotakos Nicos Middleton Andrie G. Panayiotou Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis BMC Public Health Arterial stiffness Pulse wave velocity, socioeconomic status Socioeconomic indicators Education Income |
| title | Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis |
| title_full | Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis |
| title_fullStr | Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis |
| title_full_unstemmed | Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis |
| title_short | Association between socioeconomic indicators and pulse wave velocity (PWV) measurements in population studies: a systematic review and meta-analysis |
| title_sort | association between socioeconomic indicators and pulse wave velocity pwv measurements in population studies a systematic review and meta analysis |
| topic | Arterial stiffness Pulse wave velocity, socioeconomic status Socioeconomic indicators Education Income |
| url | https://doi.org/10.1186/s12889-025-23094-4 |
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