What affects carotid intima media thickness more, diabetes or smoking: An ultrasound based study

Author:

Rasheed Awais1,Riaz Umair2,Khawaja Shayan Rashid3,Jamil Akhtar2,Dawood Sabiha1,Tazeen Anjum2,Anjum Muhammad Nawaz2,Fatima Zareen2ORCID

Affiliation:

1. Department of Radiology Fauji Foundation Medical Center Sialkot Pakistan

2. University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences The University of Lahore Lahore Pakistan

3. Department of Radiology Amna Inayat Medical College Lahore Pakistan

Abstract

AbstractBackgroundBoth diabetes mellitus (DM) and cigarette smoking have been implicated in affecting carotid intima‐media thickness (CIMT) and plaque formation. The study aimed to evaluate and compare the effects of these risk factors on CIMT.ObjectiveTo compare sonographically measured carotid arterial intima‐media thickness among non‐diabetic and non‐smoker control group with smokers and diabetics.Materials and MethodsThis cross‐sectional analytical study was conducted over 9 months. Sonographic measurement of CIMT was done in 143 participants, divided into three groups: non‐diabetic non‐smokers, diabetics, and smokers. Data were analyzed using MEDCALC.ResultsMean CIMT values differed significantly among the three groups (p value = .000001) bilaterally. CIMT correlated strongly positively with age in Group I (r = .38, p = .018) and Group III (r = .35, p = .008) but not in Group II (r = .002, p = .98).ConclusionThe study concludes that both smoking and diabetes contribute to the intimal thickening. However, smoking may have a more pronounced effect on CIMT thickening than diabetes. This underscores the importance of addressing smoking cessation in cardiovascular risk management.

Publisher

Wiley

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