Environmental Health and Preventive Medicine

, Volume 16, Issue 4, pp 217–223

Brachial-ankle pulse wave velocity is an independent predictor of incident hypertension in Japanese normotensive male subjects

  • Hiroki Satoh
  • Yasuaki Saijo
  • Reiko Kishi
  • Hiroyuki Tsutsui
Regular Article



Cardiovascular morbidity and mortality are closely associated with hypertension, however, predictors of incident hypertension have not been fully established. We have conducted a study aimed at evaluating whether brachial-ankle pulse wave velocity (baPWV) is a predictor of incident hypertension.


The relation between baPWV, a noninvasive index of aortic stiffness, and incident hypertension was evaluated in a cohort of 2,278 Japanese normotensive male subjects with a follow-up of 3 years.


Of the 2, 278 study participants, 151 (6.6%) had incident hypertension during the follow-up. After adjustment for variables, including age, gender, body mass index (BMI), smoking habit, alcohol consumption, diabetes mellitus, hyperlipidemia, family history of hypertension, heart rate, systolic blood pressure, low-density lipoprotein cholesterol, triglyceride, and fasting plasma glucose, multiple logistic regression analysis revealed that baPWV was a significant and independent predictor of incident hypertension with an adjusted odds ratio 1.45 (95% confidence interval 1.17–1.79, P < 0.01). In addition, baPWV values >1,380 cm/s indicated a high risk for incident hypertension.


Among the Japanese normotensive male subjects participating in this study, BaPWV was a significant and independent predictor of incident hypertension. This result suggests that BaPWV could be a useful screening method to identify normotensive individuals who should be targeted for interventions aimed at preventing the incident hypertension.


Arterial stiffness Hypertension Pulse wave velocity Cohort studies Japanese male subjects 


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Copyright information

© The Japanese Society for Hygiene 2010

Authors and Affiliations

  • Hiroki Satoh
    • 1
    • 2
  • Yasuaki Saijo
    • 3
  • Reiko Kishi
    • 2
  • Hiroyuki Tsutsui
    • 1
  1. 1.Department of Cardiovascular MedicineHokkaido University Graduate School of MedicineSapporoJapan
  2. 2.Department of Public Health ScienceHokkaido University Graduate School of Medicine, Kita-kuSapporoJapan
  3. 3.Department of Health ScienceAsahikawa Medical CollegeAsahikawaJapan

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