This Article Full Text Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Wei, M. Articles by Stern, M. P. Search for Related Content PubMed PubMed Citation Articles by Wei, M. Articles by Stern, M. P.

(Arteriosclerosis, Thrombosis, and Vascular Biology. 1996;16:1388-1392.)
© 1996 American Heart Association, Inc.

Articles

Ultrasonographically Assessed Maximum Carotid Artery Wall Thickness in Mexico City Residents and Mexican Americans Living in San Antonio, Texas

Association With Diabetes and Cardiovascular Risk Factors

Ming Wei; Clicerio Gonzalez; Steven M. Haffner; Daniel H. O'Leary; Michael P. Stern

the Division of Clinical Epidemiology (M.W., S.M.H., M.P.S.), Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio; the Centro de Estudios en Diabetes (C.G.), American British Cowdray Hospital, and Endocrinology and Metabolism Service, Division of Internal Medicine, Specialty Hospital of The National Medical Center, Mexican Social Security Institute, Mexico City; and the Department of Radiology (D.H.O'L.), New England Medical Center, Tufts University School of Medicine, Boston, Mass.

Correspondence to Ming Wei, MD, Division of Clinical Epidemiology, Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78284-7873.

Measurements of carotid artery wall thickness are often used as a surrogate for atherosclerosis. However, few studies have performed these measurements in populations of Mexican origin. Since Mexicans in Mexico City consume high-carbohydrate diets and have carbohydrate-induced dyslipidemia (high triglyceride and low HDL cholesterol levels) compared with Mexican Americans living in San Antonio, Tex, we questioned whether they also had more atherosclerosis than San Antonio Mexican Americans. Mean maximum intimal-medial thickness (IMT) of the common (CCA) and internal (ICA) carotid arteries were measured in 867 subjects aged 35 to 64 years (40% men) in two Mexican-origin populations, one from San Antonio (n=202) and the other from Mexico City (n=665). IMTs in the two cities were compared, and their associations with cardiovascular risk factors were analyzed. Older age, male sex, high levels of total cholesterol, low levels of HDL cholesterol, and high systolic blood pressure were positively associated with both CCA IMT and ICA IMT. Cigarette smoking was significantly associated with ICA IMT. CCA and ICA IMTs in diabetic subjects were thicker than in nondiabetic subjects in both men and women (all P<=.05). CCA IMT was thicker in the San Antonio than the Mexico City subjects after adjustment for cardiovascular risk factors (0.81 versus 0.76 mm in men and 0.77 versus 0.71 mm in women; P<.001 for city difference). San Antonio men also had thicker ICA IMT than their counterparts in Mexico City (0.88 versus 0.83 mm), but the reverse was true for women (0.73 versus 0.77 mm; interaction between sex and city, P<.05). Our results indicate that men had higher carotid IMTs than women. CCA IMT was thicker in San Antonio Mexican Americans than in Mexico City residents. The differences in ICA IMTs between San Antonio and Mexico City were inconsistent. Thus, since Mexico City residents consume high-carbohydrate diets, the data do not support an atherogenic effect of such diets. The interaction between sex and city on ICA IMT deserves further study.

Key Words: artery wall thickness • Mexican American • Mexico • risk factors

This article has been cited by other articles:

				V. Stangl, V. Witzel, G. Baumann, and K. Stangl Current diagnostic concepts to detect coronary artery disease in women Eur. Heart J., March 2, 2008; 29(6): 707 - 717. [Abstract] [Full Text] [PDF]

				S. S. Najjar, A. Scuteri, and E. G. Lakatta Arterial Aging: Is It an Immutable Cardiovascular Risk Factor? Hypertension, September 1, 2005; 46(3): 454 - 462. [Abstract] [Full Text] [PDF]

				L. L. Schott, R. P. Wildman, S. Brockwell, L. R. Simkin-Silverman, L. H. Kuller, and K. Sutton-Tyrrell Segment-Specific Effects of Cardiovascular Risk Factors on Carotid Artery Intima-Medial Thickness in Women at Midlife Arterioscler Thromb Vasc Biol, October 1, 2004; 24(10): 1951 - 1956. [Abstract] [Full Text] [PDF]

				J. E Macioch, C D. Katsamakis, J. Robin, P. R Liebson, P. M Meyer, C. Geohas, J. S Raichlen, M. H Davidson, and S. B Feinstein Effect of contrast enhancement on measurement of carotid artery intimal medial thickness Vascular Medicine, February 1, 2004; 9(1): 7 - 12. [Abstract] [PDF]

				C. Held, P. Hjemdahl, S.V. Eriksson, I. Bjorkander, L. Forslund, and N. Rehnqvist Prognostic implications of intima-media thickness and plaques in the carotid and femoral arteries in patients with stable angina pectoris Eur. Heart J., January 1, 2001; 22(1): 62 - 72. [Abstract] [PDF]

				E. Stensland-Bugge, K. H. Bonaa, O. Joakimsen, and I. Njolstad Sex Differences in the Relationship of Risk Factors to Subclinical Carotid Atherosclerosis Measured 15 Years Later : The Tromso Study Stroke, March 1, 2000; 31(3): 574 - 581. [Abstract] [Full Text] [PDF]

				M. A. Espeland, R. Tang, J. G. Terry, D. H. Davis, M. Mercuri, and J. R. Crouse III Associations of Risk Factors With Segment-Specific Intimal-Medial Thickness of the Extracranial Carotid Artery Stroke, May 1, 1999; 30(5): 1047 - 1055. [Abstract] [Full Text] [PDF]