Increased arterial stiffness and atherosclerosis in patients with nonfunctioning adrenal incidentaloma.

Although the difference in the proportion of subjects with cIMT ≥0.9 mm did not reach statistical significance (52.0% in NFAI vs. 34.4% in controls; p = 0.091), NFAI patients exhibited significantly larger right carotid diameters, both mean (7.62 ± 1.21 vs. 7.05 ± 1.21 mm; p = 0.034) and maximal (8.11 ± 0.94 vs. 7.41 ± 1.08 mm; p = 0.003), suggesting structural vascular remodeling.

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No differences emerged in glucose levels or prevalence of diabetes, although a numerical trend toward lower HbA1c was observed in the NFAI group.

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