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Verfasst von:Rosberg, Victoria [VerfasserIn]   i
 Vishram-Nielsen, Julie KK [VerfasserIn]   i
 Kristensen, Anna M. Dyrvig [VerfasserIn]   i
 Pareek, Manan [VerfasserIn]   i
 Sehested, Thomas S. G. [VerfasserIn]   i
 Nilsson, Peter M [VerfasserIn]   i
 Linneberg, Allan [VerfasserIn]   i
 Palmieri, Luigi [VerfasserIn]   i
 Giampaoli, Simona [VerfasserIn]   i
 Donfrancesco, Chiara [VerfasserIn]   i
 Kee, Frank [VerfasserIn]   i
 Mancia, Giuseppe [VerfasserIn]   i
 Cesana, Giancarlo [VerfasserIn]   i
 Veronesi, Giovanni [VerfasserIn]   i
 Grassi, Guido [VerfasserIn]   i
 Kuulasmaa, Kari [VerfasserIn]   i
 Salomaa, Veikko [VerfasserIn]   i
 Palosaari, Tarja [VerfasserIn]   i
 Sans, Susana [VerfasserIn]   i
 Ferrieres, Jean [VerfasserIn]   i
 Dallongeville, Jean [VerfasserIn]   i
 Söderberg, Stefan [VerfasserIn]   i
 Moitry, Marie [VerfasserIn]   i
 Drygas, Wojciech [VerfasserIn]   i
 Tamosiunas, Abdonas [VerfasserIn]   i
 Peters, Annette [VerfasserIn]   i
 Brenner, Hermann [VerfasserIn]   i
 Schöttker, Ben [VerfasserIn]   i
 Grimsgaard, Sameline [VerfasserIn]   i
 Biering-Sørensen, Tor [VerfasserIn]   i
 Olsen, Michael H [VerfasserIn]   i
Titel:Simple cardiovascular risk stratification by replacing total serum cholesterol with anthropometric measures
Titelzusatz:the MORGAM prospective cohort project
Verf.angabe:Victoria Rosberg, Julie KK Vishram-Nielsen, Anna M. Dyrvig Kristensen, Manan Pareek, Thomas S.G. Sehested, Peter M. Nilsson, Allan Linneberg, Luigi Palmieri, Simona Giampaoli, Chiara Donfrancesco, Frank Kee, Giuseppe Mancia, Giancarlo Cesana, Giovanni Veronesi, Guido Grassi, Kari Kuulasmaa, Veikko Salomaa, Tarja Palosaari, Susana Sans, Jean Ferrieres, Jean Dallongeville, Stefan Söderberg, Marie Moitry, Wojciech Drygas, Abdonas Tamosiunas, Annette Peters, Hermann Brenner, Ben Schöttker, Sameline Grimsgaard, Tor Biering-Sørensen, Michael H. Olsen
E-Jahr:2022
Jahr:27 January 2022
Umfang:9 S.
Fussnoten:Gesehen am 01.06.2022
Titel Quelle:Enthalten in: Preventive Medicine Reports
Ort Quelle:Amsterdam [u.a.] : Elsevier, 2014
Jahr Quelle:2022
Band/Heft Quelle:26(2022) vom: Apr., Artikel-ID 101700, Seite 1-9
ISSN Quelle:2211-3355
Abstract:To assess whether anthropometric measures (body mass index [BMI], waist-hip ratio [WHR], and estimated fat mass [EFM]) are independently associated with major adverse cardiovascular events (MACE), and to assess their added prognostic value compared with serum total-cholesterol. The study population comprised 109,509 individuals (53% men) from the MORGAM-Project, aged 19-97 years, without established cardiovascular disease, and not on antihypertensive treatment. While BMI was reported in all, WHR and EFM were reported in ∼52,000 participants. Prognostic importance of anthropometric measurements and total-cholesterol was evaluated using adjusted Cox proportional-hazards regression, logistic regression, area under the receiver-operating-characteristic curve (AUCROC), and net reclassification improvement (NRI). The primary endpoint was MACE, a composite of stroke, myocardial infarction, or death from coronary heart disease. Age interacted significantly with anthropometric measures and total-cholesterol on MACE (P ≤ 0.003), and therefore age-stratified analyses (<50 versus ≥ 50 years) were performed. BMI, WHR, EFM, and total-cholesterol were independently associated with MACE (P ≤ 0.003) and resulted in significantly positive NRI when added to age, sex, smoking status, and systolic blood pressure. Only total-cholesterol increased discrimination ability (AUCROC difference; P < 0.001). In subjects < 50 years, the prediction model with total-cholesterol was superior to the model including BMI, but not superior to models containing WHR or EFM, while in those ≥ 50 years, the model with total-cholesterol was superior to all models containing anthropometric variables, whether assessed individually or combined. We found a potential role for replacing total-cholesterol with anthropometric measures for MACE-prediction among individuals < 50 years when laboratory measurements are unavailable, but not among those ≥ 50 years.
DOI:doi:10.1016/j.pmedr.2022.101700
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.pmedr.2022.101700
 Volltext: https://www.sciencedirect.com/science/article/pii/S2211335522000079
 DOI: https://doi.org/10.1016/j.pmedr.2022.101700
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adipose tissue
 Assessment, risk
 Body mass index
 Cardiovascular diseases
 Cholesterol
 Waist-hip ratio
K10plus-PPN:1805503294
Verknüpfungen:→ Zeitschrift

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