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  • Magnussen, ChristinaCenter for Population Health Innovation, University Heart and Vascular Center Hamburg, Germany; University Medical Center Hamburg Eppendorf, Germany; German Center for Cardiovascular Research (DZHK) Partner Site Hamburg Kiel Lübeck, Germany (author)

Global effect of modifiable risk factors on cardiovascular disease and mortality

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Massachusetts Medical Society,2023
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-217718
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-217718URI
  • https://doi.org/10.1056/NEJMoa2206916DOI
  • https://lup.lub.lu.se/record/bba5a231-6c1f-4eed-a0f9-b461172665b8URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: Five modifiable risk factors are associated with cardiovascular disease and death from any cause. Studies using individual-level data to evaluate the regional and sex-specific prevalence of the risk factors and their effect on these outcomes are lacking.Methods: We pooled and harmonized individual-level data from 112 cohort studies conducted in 34 countries and 8 geographic regions participating in the Global Cardiovascular Risk Consortium. We examined associations between the risk factors (body-mass index, systolic blood pressure, non-high-density lipoprotein cholesterol, current smoking, and diabetes) and incident cardiovascular disease and death from any cause using Cox regression analyses, stratified according to geographic region, age, and sex. Population-attributable fractions were estimated for the 10-year incidence of cardiovascular disease and 10-year all-cause mortality.Results: Among 1,518,028 participants (54.1% of whom were women) with a median age of 54.4 years, regional variations in the prevalence of the five modifiable risk factors were noted. Incident cardiovascular disease occurred in 80,596 participants during a median follow-up of 7.3 years (maximum, 47.3), and 177,369 participants died during a median follow-up of 8.7 years (maximum, 47.6). For all five risk factors combined, the aggregate global population-attributable fraction of the 10-year incidence of cardiovascular disease was 57.2% (95% confidence interval [CI], 52.4 to 62.1) among women and 52.6% (95% CI, 49.0 to 56.1) among men, and the corresponding values for 10-year all-cause mortality were 22.2% (95% CI, 16.8 to 27.5) and 19.1% (95% CI, 14.6 to 23.6).Conclusions: Harmonized individual-level data from a global cohort showed that 57.2% and 52.6% of cases of incident cardiovascular disease among women and men, respectively, and 22.2% and 19.1% of deaths from any cause among women and men, respectively, may be attributable to five modifiable risk factors. (Funded by the German Center for Cardiovascular Research (DZHK); ClinicalTrials.gov number, NCT05466825.)

Subject headings and genre

  • MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
  • MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
  • Cardiology
  • Cardiology General
  • Coronary Disease/Myocardial Infarction
  • Diabetes
  • Endocrinology
  • Hypertension
  • Lipids
  • Obesity
  • Prevention
  • Public Health
  • Public Health General
  • Cardiovascular Diseases
  • Cohort Studies
  • Diabetes Mellitus
  • Female
  • Humans
  • Male
  • Middle Aged
  • Risk Factors
  • Smoking
  • high density lipoprotein cholesterol
  • adult
  • all cause mortality
  • Article
  • body mass
  • cardiovascular disease
  • cardiovascular mortality
  • cohort analysis
  • confidence interval
  • controlled study
  • current smoker
  • death
  • diabetes mellitus
  • female
  • follow up
  • groups by age and sex
  • human
  • incidence
  • major clinical study
  • male
  • middle aged
  • prevalence
  • proportional hazards model
  • risk factor
  • systolic blood pressure
  • treatment outcome
  • smoking

Added entries (persons, corporate bodies, meetings, titles ...)

  • Melander, O.Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups(Swepub:lu)endo-ome (author)
  • Leong, Darryl P.Department of Medicine (Cardiology), McMaster University, Hamilton, Canada (author)
  • Alegre-Diaz, JesusExperimental Medicine Research Unit, School of Medicine, National Autonomous University of Mexico, Mexico City, Mexico (author)
  • Amouyel, PhilippeUniversité de Lille, Inserm, Centre Hospitalier University de Lille, Institut Pasteur de Lille, UMR1167 RID-AGE Risk Factors and Molecular Determinants of Aging-Related Diseases, Epidemiology and Public Health Department, Lille, France (author)
  • Aviles-Santa, LarissaDivision of Clinical and Health Services Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, MD, Bethesda, United States (author)
  • De Bacquer, DirkDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium (author)
  • Ballantyne, Christie M.Department of Medicine, Baylor College of Medicine, TX, Houston, United States (author)
  • Bernabé-Ortiz, AntonioCronicas Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru (author)
  • Bobak, MartinDepartment of Epidemiology and Public Health, University College London, London, United Kingdom (author)
  • Brenner, HermannDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center, and Network Aging Research, Heidelberg University, Heidelberg, Germany (author)
  • Carrillo-Larco, Rodrigo M.Emory Global Diabetes Research Center, Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, United States (author)
  • De Lemos, JamesDivision of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, TX, Dallas, United States (author)
  • Dobson, AnnetteSchool of Public Health, University of Queensland, Brisbane, Australia (author)
  • Dörr, MarcusDepartment of Internal Medicine B, University Medicine Greifswald, Dzhk Partner Site Greifswald, Greifswald, Germany (author)
  • Donfrancesco, ChiaraDepartment of Cardiovascular and Endocrine Metabolic Diseases and Aging, Istituto Superiore di Sanità, Rome, Italy (author)
  • Drygas, WojciechDepartment of Epidemiology, Cardiovascular Disease Prevention and Health Promotion, National Institute of Cardiology, Lazarski University, Warsaw, Poland (author)
  • Dullaart, Robin P.Department of Endocrinology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands (author)
  • Engström, G.Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups(Swepub:lu)smi-gen (author)
  • Ferrario, Marco M.Research Center in Epidemiology and Preventive Medicine, Department of Medicine and Surgery, University of Insubria, Varese, Italy (author)
  • Ferrières, JeanDepartment of Cardiology, Inserm UMR1295, Toulouse Rangueil University Hospital, Toulouse, France (author)
  • De Gaetano, GiovanniDepartment of Epidemiology and Prevention, Irccs Neuromed, Pozzilli, Italy (author)
  • Goldbourt, UriDepartment of Epidemiology, Tel Aviv University School of Public Health, Tel Aviv, Israel (author)
  • Gonzalez, ClicerioCentro de Estudios en Diabetes, Centro de Investigacion en Salud Poblacional, Instituto Nacional de Salud Publica, Cuernavaca, Mexico (author)
  • Grassi, GuidoClinica Medica, University of Milano Bicocca, Milan, Italy (author)
  • Hodge, Allison M.Division of Cancer Epidemiology, Cancer Council Victoria, Australia; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Australia (author)
  • Hveem, KristianHunt (Trøndelag Health Study) Research Center, Department of Public Health and Nursing, Norwegian University of Science and Technology, Levanger, Norway; K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Trondheim, Norway (author)
  • Iacoviello, LiciaResearch Center in Epidemiology and Preventive Medicine, Department of Medicine and Surgery, University of Insubria, Varese, Italy; Department of Epidemiology and Prevention, Irccs Neuromed, Pozzilli, Italy (author)
  • Ikram, M. KamranDepartment of Neurology, Erasmus University Medical Center Rotterdam, Rotterdam, Netherlands; Department of Epidemiology, Erasmus University Medical Center Rotterdam, Rotterdam, Netherlands (author)
  • Irazola, VilmaDepartment of Chronic Diseases, Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina (author)
  • Jobe, ModouMedical Research Council Unit the Gambia, London School of Hygiene and Tropical Medicine, Banjul, Gambia (author)
  • Jousilahti, PekkaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland (author)
  • Kaleebu, PontianoMedical Research Council Uganda Virus Research Institute, London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (author)
  • Kavousi, MaryamDepartment of Epidemiology, Erasmus University Medical Center Rotterdam, Rotterdam, Netherlands (author)
  • Kee, FrankThe Centre for Public Health, Queens University Belfast, Belfast, United Kingdom (author)
  • Khalili, DavoodPrevention of Metabolic Disorders Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Iran (author)
  • Koenig, WolfgangDzhk Partner Site Munich Heart Alliance, Technical University of Munich, Munich, Germany; German Heart Center, Technical University of Munich, Munich, Germany; Institute of Epidemiology and Medical Biometry, University of Ulm, Ulm, Germany; Institute of Epidemiology, Helmholtz Zentrum München, Neuherberg, Germany (author)
  • Kontsevaya, AnnaNational Research Center for Therapy and Preventive Medicine, Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation (author)
  • Kuulasmaa, KariDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland (author)
  • Lackner, Karl J.Institute of Clinical Chemistry and Laboratory Medicine, Germany; University Medical Center of the Johannes Gutenberg University Mainz, Dzhk Partner Site Rhine Main, Mainz, Germany (author)
  • Leistner, David M.University Heart and Vascular Center Frankfurt, Dzhk Partner Site Rhine Main, Frankfurt, Germany (author)
  • Lind, LarsDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden (author)
  • Linneberg, AllanDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, Copenhagen, Denmark; Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark (author)
  • Lorenz, ThiessCenter for Population Health Innovation, University Heart and Vascular Center Hamburg, Germany; University Medical Center Hamburg Eppendorf, Germany; German Center for Cardiovascular Research (DZHK) Partner Site Hamburg Kiel Lübeck, Germany (author)
  • Lyngbakken, Magnus NakremDepartment of Cardiology, Division of Medicine, Akershus University Hospital, Lørenskog, Norway; K.G. Jebsen Center for Cardiac Biomarkers, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway (author)
  • Malekzadeh, RezaLiver and Pancreaticobiliary Disease Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; Digestive Disease Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran (author)
  • Malyutina, SofiaResearch Institute of Internal and Preventive Medicine, Branch of the Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences, Novosibirsk, Russian Federation (author)
  • Mathiesen, Ellisiv B.Department of Clinical Medicine, University of Tromsø the Arctic University of Norway, Tromsø, Norway (author)
  • Melander, OlleDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden (author)
  • Metspalu, AndresEstonian Genome Center, Institute of Genomics, University of Tartu, Tartu, Estonia (author)
  • Miranda, J. JaimeCronicas Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru; Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Australia (author)
  • Moitry, MarieDepartment of Public Health, Strasbourg University Hospital, University of Strasbourg, Strasbourg, France (author)
  • Mugisha, JosephMedical Research Council Uganda Virus Research Institute, London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (author)
  • Nalini, MahdiMetabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, MD, Bethesda, United States; Digestive Disease Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran (author)
  • Nambi, VijayMichael E. DeBakey Veterans Affairs Hospital, Baylor College of Medicine, TX, Houston, United States (author)
  • Ninomiya, ToshiharuDepartment of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (author)
  • Oppermann, KarenSchool of Medicine, University of Passo Fundo, Passo Fundo, Brazil (author)
  • D'Orsi, EleonoraDepartment of Public Health, Postgraduate Program in Public Health, Federal University of Santa Catarina, Florianopolis, Brazil (author)
  • Pająk, AndrzejDepartment of Epidemiology and Population Studies, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland (author)
  • Palmieri, LuigiDepartment of Cardiovascular and Endocrine Metabolic Diseases and Aging, Istituto Superiore di Sanità, Rome, Italy (author)
  • Panagiotakos, DemosthenesSchool of Health Sciences and Education, Harokopio University, Athens, Greece (author)
  • Perianayagam, ArokiasamyNational Council of Applied Economic Research, Delhi, India; International Institute for Population Sciences, Mumbai, India (author)
  • Peters, AnnetteDzhk Partner Site Munich Heart Alliance, Technical University of Munich, Munich, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology, Medical Faculty, Ludwig Maximilians Universität München, Munich, Germany; German Research Center for Environmental Health, Neuherberg, Germany; German Center for Diabetes Research (DZD) Partner Site Munich Neuherberg, Neuherberg, Germany (author)
  • Poustchi, HosseinDigestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; Digestive Disease Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran (author)
  • Prentice, Andrew M.Medical Research Council Unit the Gambia, London School of Hygiene and Tropical Medicine, Banjul, Gambia (author)
  • Prescott, EvaDepartment of Cardiology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark (author)
  • Risérus, UlfDepartment of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Sweden (author)
  • Salomaa, VeikkoDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland (author)
  • Sans, SusanaCatalan Department of Health, Barcelona, Spain,University Medical Center Hamburg-Eppendorf (author)
  • Sakata, SatokoDepartment of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (author)
  • Schöttker, BenDivision of Clinical Epidemiology and Aging Research, German Cancer Research Center, and Network Aging Research, Heidelberg University, Heidelberg, Germany (author)
  • Schutte, Aletta E.George Institute for Global Health, Sydney, Australia; School of Population Health, Kensington, Australia; Hypertension in Africa Research Team, South African Medical Research Council Unit for Hypertension and Cardiovascular Disease, North-West University, Potchefstroom, South Africa (author)
  • Sepanlou, Sadaf G.Digestive Disease Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran (author)
  • Sharma, Sanjib KumarDepartment of Internal Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Nepal (author)
  • Shaw, Jonathan E.Baker Heart and Diabetes Institute, Melbourne, Australia (author)
  • Simons, Leon A.University of New South Wales, Kensington, Australia (author)
  • Söderberg, StefanUmeå universitet,Kardiologi,Avdelningen för medicin(Swepub:umu)stso0001 (author)
  • Tamosiunas, AbdonasLaboratory of Population Studies, Institute of Cardiology, Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, Lithuania (author)
  • Thorand, BarbaraInstitute for Medical Information Processing, Biometry, and Epidemiology, Medical Faculty, Ludwig Maximilians Universität München, Munich, Germany; German Research Center for Environmental Health, Neuherberg, Germany; German Center for Diabetes Research (DZD) Partner Site Munich Neuherberg, Neuherberg, Germany (author)
  • Tunstall-Pedoe, HughCardiovascular Epidemiology Unit, Institute of Cardiovascular Research, University of Dundee, Dundee, United Kingdom (author)
  • Twerenbold, RaphaelCenter for Population Health Innovation, University Heart and Vascular Center Hamburg, Germany; University Medical Center Hamburg Eppendorf, Germany; German Center for Cardiovascular Research (DZHK) Partner Site Hamburg Kiel Lübeck, Germany (author)
  • Vanuzzo, DiegoMonica (Monitoring Cardiovascular Diseases) Friuli Study Group, Udine, Italy (author)
  • Veronesi, GiovanniResearch Center in Epidemiology and Preventive Medicine, Department of Medicine and Surgery, University of Insubria, Varese, Italy (author)
  • Waibel, JuliaCenter for Population Health Innovation, University Heart and Vascular Center Hamburg, Germany; University Medical Center Hamburg Eppendorf, Germany; German Center for Cardiovascular Research (DZHK) Partner Site Hamburg Kiel Lübeck, Germany (author)
  • Wannamethee, S. GoyaResearch Department of Primary Care and Population Health, University College London, London, United Kingdom (author)
  • Watanabe, MasafumiGlobal Center of Excellence Program Study Group, Yamagata University School of Medicine, Yamagata, Japan (author)
  • Wild, Philipp S.Preventive Cardiology and Preventive Medicine, Mainz, Germany; Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, Mainz, Germany; University Medical Center of the Johannes Gutenberg University Mainz, Dzhk Partner Site Rhine Main, Mainz, Germany; Institute for Molecular Biology, Mainz, Germany (author)
  • Yao, YaoChina Center for Health Development Studies, National School of Development, Peking University, China; Key Laboratory of Epidemiology of Major Diseases, Peking University, Ministry of Education, Beijing, China (author)
  • Zeng, YiCenter for Healthy Aging and Development Studies, National School of Development, Peking University, China; Center for the Study of Aging and Human Development and Geriatrics Division, Medical School of Duke University, NC, Durham, United States (author)
  • Ziegler, AndreasCenter for Population Health Innovation, University Heart and Vascular Center Hamburg, Germany; University Medical Center Hamburg Eppendorf, Germany; School of Mathematics, Statistics, and Computer Science, University of KwaZulu-Natal, Pietermaritzburg, South Africa; Cardio-CARE, Davos, Switzerland; Swiss Institute of Bioinformatics, Lausanne, Switzerland (author)
  • Blankenberg, StefanCenter for Population Health Innovation, University Heart and Vascular Center Hamburg, Germany; University Medical Center Hamburg Eppendorf, Germany; German Center for Cardiovascular Research (DZHK) Partner Site Hamburg Kiel Lübeck, Germany; Cardio-CARE, Davos, Switzerland (author)
  • Center for Population Health Innovation, University Heart and Vascular Center Hamburg, Germany; University Medical Center Hamburg Eppendorf, Germany; German Center for Cardiovascular Research (DZHK) Partner Site Hamburg Kiel Lübeck, GermanyKardiovaskulär forskning - hypertoni (creator_code:org_t)
  • et al.

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  • In:New England Journal of Medicine: Massachusetts Medical Society389:14, s. 1273-12850028-47931533-4406

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