Cardiovascular

Association Between Increased Central and Peripheral Arterial 2 Stiffness and Vitamin Intake in Healthy Adults: EVA Follow-Up 3 Study.

TL;DR

The progression of central and peripheral arterial stiffness over five years was greater in individuals with lower dietary intakes of vitamin B9 and vitamin C, providing novel evidence supporting the possible role of dietary vitamin intake in the progression of arterial stiffness with aging.

Key Findings

Greater increases in central arterial stiffness (cfPWV) were inversely associated with dietary vitamin B9 (folate) intake in multivariable analyses.

  • β = -0.233; 95% CI: -0.390 to -0.075
  • Central arterial stiffness was assessed using carotid-femoral pulse wave velocity (cfPWV)
  • Analysis was adjusted for age, sex, lifestyle factors, and cardiovascular risk factors
  • Study included 466 participants evaluated at baseline and five-year follow-up

Greater increases in central arterial stiffness (cfPWV) were inversely associated with dietary vitamin C intake in multivariable analyses.

  • β = -0.291; 95% CI: -0.507 to -0.075
  • Central arterial stiffness was assessed using carotid-femoral pulse wave velocity (cfPWV)
  • Analysis was adjusted for age, sex, lifestyle factors, and cardiovascular risk factors
  • Participants had no previous cardiovascular disease

Greater increases in peripheral arterial stiffness (baPWV) were inversely associated with dietary vitamin B9 (folate) intake in multivariable analyses.

  • β = -0.156; 95% CI: -0.287 to -0.025
  • Peripheral arterial stiffness was measured using brachial-ankle pulse wave velocity (baPWV)
  • Analysis was adjusted for age, sex, lifestyle factors, and cardiovascular risk factors
  • The five-year longitudinal study included 466 participants (mean age 55.96 ± 14.15 years; 51.1% women)

Greater increases in peripheral arterial stiffness (baPWV) were inversely associated with dietary vitamin C intake in multivariable analyses.

  • β = -0.223; 95% CI: -0.402 to -0.044
  • Peripheral arterial stiffness was measured using brachial-ankle pulse wave velocity (baPWV)
  • Analysis was adjusted for age, sex, lifestyle factors, and cardiovascular risk factors
  • These findings were observed across both central and peripheral arterial stiffness measures

The study design was a five-year longitudinal follow-up of adults without previous cardiovascular disease drawn from the EVA study.

  • 466 participants were evaluated at baseline and follow-up
  • Mean age was 55.96 ± 14.15 years; 51.1% were women
  • Dietary vitamin intake was estimated using the EVIDENT smartphone application, developed and validated by CGB and the Salamanca Primary Care (APISAL; registration number 00/2014/2207)
  • Both central (cfPWV) and peripheral (baPWV) arterial stiffness were assessed at both time points

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Citation

Alonso-Diaz J, Gómez-Sánchez M, Sánchez-Moreno A, Lugones-Sánchez C, Rodriguez-Sanchez E, Garcia-Ortiz L, et al.. (2026). Association Between Increased Central and Peripheral Arterial 2 Stiffness and Vitamin Intake in Healthy Adults: EVA Follow-Up 3 Study.. Nutrients. https://doi.org/10.3390/nu18050745