TY - JOUR
T1 - Heritability of the femoral intima media thickness
AU - Fejer, Bence
AU - Tarnoki, Adam D.
AU - Tarnoki, David L.
AU - Lucatelli, Pierleone
AU - Littvay, Levente
AU - Maurovich-Horvat, Pal
AU - Jermendy, Adam L.
AU - Kovacs, Attila
AU - Godor, Erika
AU - Fagnani, Corrado
AU - Stazi, Maria A.
AU - Molnar, Andrea A.
AU - Fanelli, Fabrizio
AU - Cirelli, Carlo
AU - Farina, Filippo
AU - Baracchini, Claudio
AU - Meneghetti, Giorgio
AU - Pucci, Giacomo
AU - Jermendy, Gyorgy
AU - Merkely, Bela
AU - Schillaci, Giuseppe
AU - Medda, Emanuela
N1 - Publisher Copyright:
© 2017 European Federation of Internal Medicine
PY - 2017
Y1 - 2017
N2 - Background The measurement of femoral intima-media thickness (IMT) is underutilized in the clinical practice, although it is a surrogate marker of cardiovascular disease. Materials and methods 388 Hungarian and Italian twins (121 monozygotic, 73 dizygotic pairs) underwent bilateral B-mode sonography of femoral arteries. IMT was measured by semiautomated software, where available, or by calipers. Results Within-pair correlation in monozygotic twins was higher than in dizygotics for each parameter. Age-, sex- and country-adjusted genetic effect accounted for 43.9% (95% confidence interval, CI 21.3%–65.2%) and 47.2% (95% CI, 31.4%–62.6%) of the variance of common and superficial femoral artery IMT, respectively, and unshared environmental effect for 56.1% (95% CI 34.6%–78.5%) and 52.8% (95% CI, 37.2%–68.5%). These results did not change significantly after correcting for body mass index or central systolic blood pressure. Conclusions Genetic factors have a moderate role in the determination of common and superficial femoral IMT; however, the influence of environmental (lifestyle) factors remains still relevant. Environmental factors may have a role in influencing the genetic predisposition for femoral vascular hypertrophy.
AB - Background The measurement of femoral intima-media thickness (IMT) is underutilized in the clinical practice, although it is a surrogate marker of cardiovascular disease. Materials and methods 388 Hungarian and Italian twins (121 monozygotic, 73 dizygotic pairs) underwent bilateral B-mode sonography of femoral arteries. IMT was measured by semiautomated software, where available, or by calipers. Results Within-pair correlation in monozygotic twins was higher than in dizygotics for each parameter. Age-, sex- and country-adjusted genetic effect accounted for 43.9% (95% confidence interval, CI 21.3%–65.2%) and 47.2% (95% CI, 31.4%–62.6%) of the variance of common and superficial femoral artery IMT, respectively, and unshared environmental effect for 56.1% (95% CI 34.6%–78.5%) and 52.8% (95% CI, 37.2%–68.5%). These results did not change significantly after correcting for body mass index or central systolic blood pressure. Conclusions Genetic factors have a moderate role in the determination of common and superficial femoral IMT; however, the influence of environmental (lifestyle) factors remains still relevant. Environmental factors may have a role in influencing the genetic predisposition for femoral vascular hypertrophy.
KW - Atherosclerosis
KW - Cardiovascular risk
KW - Circulation
KW - Gene
KW - Twins
UR - http://www.scopus.com/inward/record.url?scp=85013395180&partnerID=8YFLogxK
U2 - 10.1016/j.ejim.2017.02.019
DO - 10.1016/j.ejim.2017.02.019
M3 - Article
C2 - 28237540
AN - SCOPUS:85013395180
SN - 0953-6205
VL - 41
SP - 44
EP - 48
JO - European Journal of Internal Medicine
JF - European Journal of Internal Medicine
ER -