Age estimation from quantitative evaluation of atherosclerosis of abdominal aorta in Japanese.

Satoshi Watanabe, Koichi Terazawa, Kotaro Matoba
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Abstract

To assess validity of age estimation from the degree of atherosclerosis of abdominal aorta, we quantitatively evaluated the atherosclerotic parameters (surface involvement of atherosclerotic lesions, atherosclerotic index, and aortic width at renal arteries and common iliac bifurcation, which was measured by using digital photographs at autopsy), and collected individual factors (age, sex, body height, body weight and heart weight, and body surface, body mass index and cardiomegaly index) in autopsied 103 bodies (62 males, 41 females) during 2 years. We statistically examined their data by multiple regression analysis to determine the effects of the individual factors on the proceeding parameters of atherosclerosis, and obtained correlation coefficient, regression equation, and standard error of estimate between the atherosclerotic parameters and age. Among the factors, only age was influential on all the atherosclerotic parameters, of which the surface involvement (SI%) and the aortic width at common iliac bifurcation (Wb cm) were acceptable as the parameters for age estimation, and useful in a wide age range, according to the results of the standard errors of estimate. We also recognized predicting formulae for age (Y) by multiple regression analysis; Y = 0.52SI + 9.53Wb - 4.41 in males and Y = 0.34SI + 18.47Wb - 23.32 in females.

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日本人腹主动脉动脉粥样硬化定量评价的年龄估计。
为了评估从腹主动脉动脉粥样硬化程度估计年龄的有效性,我们定量评估了动脉粥样硬化参数(动脉粥样硬化病变的表面受累程度、动脉粥样硬化指数、肾动脉和髂总分叉的主动脉宽度,这是通过尸检时使用数码照片测量的),并收集了个人因素(年龄、性别、身高、体重和心脏重量、体表)。2年来解剖103具尸体(男62例,女41例)的体重指数和心脏肥大指数。通过多元回归分析对其数据进行统计检验,确定个体因素对动脉粥样硬化前期参数的影响,得到动脉粥样硬化前期参数与年龄之间的相关系数、回归方程和估计的标准误差。在所有因素中,只有年龄对动脉粥样硬化参数有影响,其中表面受累(SI%)和髂总分叉主动脉宽度(Wb cm)作为年龄估计的参数是可以接受的,并且根据估计的标准误差的结果,在广泛的年龄范围内是有用的。通过多元回归分析,我们也得到了年龄(Y)的预测公式;男性Y = 0.52SI + 9.53Wb - 4.41,女性Y = 0.34SI + 18.47Wb - 23.32。
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[Kouichi Terazawa (1952-2015)]. [AMED: Missions and Challenges]. [Current understanding of the mechanism of undesirable transfusion reaction and the preventive strategires against them]. [Clinical significance of awake neurosurgery]. [Lifestyle and health: results from epidemiological studies].
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