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
Results
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
Results
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
Results
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)
Results
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
Methods
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
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